Laredo West Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Laredo West Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF580Feb 10, 2024

  Based on observation, interview and record review the facility failed to consult with the resident's physician when there was a significant change in the resident's physical and mental status that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications for 2 of 6 (Resident #23 and Resident #38) residents reviewed for notification of change. The facility failed to communicate with the Registered Dietitian's recommendations to the Physician and to follow up with the physician when the physician did not return the call. These failures placed the residents at risk of worsening health conditions, continued unplanned weight loss, malnutrition, impaired skin integrity, and hospitalization . An IJ was identified on 02/08/24. […]

• Immediate jeopardy, patternF692Feb 10, 2024

  Based on observation, interview, and record review, the facility failed to ensure acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance, unless the resident's clinical condition demonstrated that this was not possible, or resident preferences indicate otherwise for three of eight residents (Resident #23, Resident #38 and Resident #76) reviewed for nutrition. 1.) The facility failed to ensure Resident #23 did not sustain a significant weight loss of 13.64% in less than three months. 2.) The facility failed to ensure Resident #38 did not sustain a significant weight loss of 11.2 pound/5.59% weight loss in one month and an overall 22.4 pound/10.59% weight loss over six months. […]

• Immediate jeopardy, isolatedF760Aug 14, 2025

  Based on record reviews and interviews, the facility failed to ensure residents were free of any significant medication errors for one (Resident #1) of five residents reviewed for medication errors. The facility failed to ensure that (RN A) did not administer 5ml (10mg) of Lorazepam (a benzodiazepine medication used to treat anxiety disorders that slows down the nervous system) instead of the physician ordered 0.5ml (1mg) of Lorazepam to Resident #1 on 04/27/25.This failure could result in residents not receiving the physician ordered dose of medications which could lead to an adverse reaction, overdose, hospitalization, or death.The findings included:Record review of Resident #1's admission record reflected a [AGE] year-old male initially admitted to the facility on [DATE] and most… […]

• No harm, potential for more than minimal, patternF880Jul 28, 2026

  Based on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 4 of 5 residents (Resident #1, Resident #2, Resident #3, and Resident #4) reviewed for infection control practices. The facility failed to ensure Resident #1 had an EBP precaution/isolation sign posted outside of his door or room. […]

• No harm, potential for more than minimal, patternF812May 21, 2026

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one kitchen reviewed for kitchen sanitation.1. The facility failed to ensure that eggs were stored on the bottom shelf of the refrigerator.2. The facility failed to ensure food items in refrigerator 2 were labeled and dated.3. The facility failed to ensure that there were no personal items stored in refrigerator 2.4. The facility failed to ensure that leftovers were discarded within 72 hours.5. The facility failed to ensure that items labeled keep frozen were kept in the freezer.6. The facility failed to ensure that food items in freezer 3 were labeled and dated. 7. […]