Deficiency Records for Las Colinas of Westover
Updated as of October 01, 2021
This is not the most recent data for Las Colinas of Westover. For the most recent information, click here.
A list of the most recent deficiencies for Las Colinas of Westover. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-08-13 | 2021-09-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-13 | 2021-09-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-13 | 2021-09-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-13 | 2021-09-14 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-04-20 | 2021-05-14 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-04-09 | 2021-05-07 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-04-09 | 2021-05-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-04-09 | 2021-05-07 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-04-09 | 2021-05-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-09 | 2021-05-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-09 | 2021-05-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-09 | 2021-05-07 | 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 | 2021-04-09 | 2021-05-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-09 | 2021-05-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-31 | 2021-04-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-11 | 2020-03-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-02-25 | 2020-03-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-14 | 2019-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-14 | 2019-09-12 | 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 | 2019-08-14 | 2019-09-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-14 | 2019-09-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-14 | 2019-09-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-14 | 2019-08-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-14 | 2019-08-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-01 | 2019-03-22 | Y |
| 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 | 2019-03-01 | 2019-03-22 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-08-03 | 2018-09-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-08-03 | 2018-09-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-08-03 | 2018-09-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-03 | 2018-09-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-03 | 2018-09-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-03 | 2018-09-17 | 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 | 2018-08-03 | 2018-09-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-03 | 2018-09-17 | N |
| Keep all essential equipment working safely. | Health | 2018-08-03 | 2018-09-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-31 | 2018-09-14 | N |
| Respond appropriately to all alleged violations. | Health | 2018-08-03 | 2018-09-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-03 | 2018-09-14 | 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 | 2018-08-03 | 2018-09-14 | N |
| 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 | 2018-08-03 | 2018-09-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-08-03 | 2018-09-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-07-31 | 2018-09-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-07-31 | 2018-08-16 | N |
