CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Las Flores Convalescent Hospital
View the most recent health deficiencies and inspection results for Las Flores Convalescent Hospital. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Las Flores Convalescent Hospital. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-05 | 2026-03-25 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-12-05 | 2025-12-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-12-05 | 2025-12-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-29 | 2025-07-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-03 | 2025-07-24 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-07-03 | 2025-07-24 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-07-03 | 2025-07-24 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-03-07 | 2025-03-31 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-03-07 | 2025-03-31 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2025-03-07 | 2025-03-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-03-07 | 2025-03-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-03-07 | 2025-03-31 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-03-07 | 2025-03-31 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-03-07 | 2025-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-07 | 2025-03-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-03-07 | 2025-03-31 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-03-07 | 2025-03-31 | N |
| Provide activities to meet all resident's needs. | Health | 2025-03-07 | 2025-03-31 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-03-07 | 2025-03-31 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-03-07 | 2025-03-31 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-03-07 | 2025-03-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-03-07 | 2025-03-31 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2025-03-07 | 2025-03-31 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-03-07 | 2025-03-31 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-03-07 | 2025-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-07 | 2025-03-31 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-03-07 | 2025-03-31 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-03-07 | 2025-03-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-07 | 2025-03-31 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-03-07 | 2025-03-31 | N |
| Provide enough space and equipment to meet each resident's needs | Health | 2025-03-07 | 2025-03-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-03-07 | 2025-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-07 | 2025-03-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-03-07 | 2025-03-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-03-07 | 2025-03-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-03-07 | 2025-03-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-03-07 | 2025-03-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-01 | 2024-11-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-23 | 2024-11-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-23 | 2024-11-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-17 | 2024-11-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-28 | 2024-09-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-01 | 2024-07-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-01 | 2024-07-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-29 | 2024-06-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-13 | 2024-06-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-08 | 2024-05-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-08 | 2024-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-08 | 2024-04-01 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-03-08 | 2024-04-01 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-03-08 | 2024-04-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-03-08 | 2024-04-01 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-03-08 | 2024-04-01 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-03-08 | 2024-04-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-08 | 2024-04-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-08 | 2024-04-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-08 | 2024-04-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-08 | 2024-04-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-08 | 2024-04-01 | N |
| Ensure resident rooms meet each resident's needs. | Health | 2024-03-08 | 2024-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-08 | 2024-04-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-03-08 | 2024-04-01 | N |
| Dispose of garbage and refuse properly. | Health | 2024-03-08 | 2024-04-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-08 | 2024-03-27 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-03-08 | 2024-03-27 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-03-08 | 2024-03-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-08 | 2024-03-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-08 | 2024-03-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-09 | 2024-03-01 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-14 | 2024-02-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-06 | 2023-11-30 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-23 | 2023-11-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-21 | 2023-09-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-21 | 2023-09-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-21 | 2023-09-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-21 | 2023-09-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-21 | 2023-09-30 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-08-09 | 2023-08-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-09 | 2023-08-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-09 | 2023-08-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-09 | 2023-08-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-18 | 2022-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-18 | 2022-01-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-18 | 2022-01-05 | N |
| Keep all essential equipment working safely. | Health | 2021-11-18 | 2022-01-05 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-11-18 | 2022-01-05 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-11-18 | 2022-01-05 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-11-18 | 2022-01-05 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-11-18 | 2022-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-18 | 2022-01-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-18 | 2022-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-18 | 2022-01-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-11-18 | 2022-01-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-18 | 2022-01-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-18 | 2022-01-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-11-18 | 2022-01-05 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-11-18 | 2022-01-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-18 | 2022-01-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-11-18 | 2021-12-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-11-18 | 2021-12-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-11-18 | 2021-12-10 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-11-18 | 2021-12-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-18 | 2021-12-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-11-18 | 2021-12-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-18 | 2021-12-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-18 | 2021-12-10 | N |