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Deficiency Records for Las Colinas of Westover
View the most recent health deficiencies and inspection results for Las Colinas of Westover. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Las Colinas of Westover. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-11-25 | 2025-12-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-05 | 2025-12-06 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-12-03 | 2025-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-03 | 2025-12-04 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-12-03 | 2025-12-04 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-12-03 | 2025-12-04 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2025-12-03 | 2025-12-04 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2025-12-03 | 2025-12-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-12-03 | 2025-12-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-03 | 2025-12-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-03 | 2025-12-04 | 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 | 2025-12-03 | 2025-12-04 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-12-03 | 2025-12-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-03 | 2025-12-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-12-03 | 2025-12-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-12-03 | 2025-12-04 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2025-12-03 | 2025-12-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-11-25 | 2025-11-26 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-09-27 | 2024-10-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-27 | 2024-10-08 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-09-27 | 2024-10-08 | N |
| Provide appropriate foot care. | Health | 2024-09-27 | 2024-10-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-09-27 | 2024-10-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-09-27 | 2024-10-08 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-09-27 | 2024-10-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-27 | 2024-10-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-27 | 2024-10-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-27 | 2024-10-08 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-09-27 | 2024-10-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-27 | 2024-10-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-06 | 2024-08-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-06 | 2024-08-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-30 | 2024-05-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-23 | 2023-12-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-23 | 2023-12-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-11 | 2023-12-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-11 | 2023-12-12 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-12-11 | 2023-12-12 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-31 | 2023-09-06 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-07-31 | 2023-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-31 | 2023-08-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-31 | 2023-08-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-31 | 2023-08-01 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2023-07-31 | 2023-08-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-31 | 2023-08-01 | Y |