Las Alturas Nursing & Transitional Care Brownsvill

In the surveyor’s words

From the most serious findings on record at Las Alturas Nursing & Transitional Care Brownsvill, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jun 12, 2025

  Based on interviews and record review, the facility failed to ensure adequate supervision was provided for 1 of 3 residents reviewed for accidents and supervision. (Resident #1) The facility failed to ensure Resident#1 received adequate supervision to prevent elopement. Resident #1 eloped from the facility on 02/12/2025 and was found by the police department approximately 2700 feet (0.5 mile) away from the facility. The non-compliance was identified as past non-compliance. The Immediate Jeopardy began on 02/12/2025 and ended on 02/13/2025. The facility had corrected the noncompliance before the survey began. This failure could prevent residents from receiving appropriate supervision which could lead to residents sustaining serious injury, harm, or death. […]

• No harm, potential for more than minimal, patternF812Aug 27, 2026

  Based on observation, record review and interviews the facility failed to store, prepare and serve food in accordance with professional standards for food service safety for 1 of 1 unit refrigerators, 1 of 1 dry pantry storage unit refrigerator and 1 of 1 kitchen walk in pantry walk in pantry WP# 1 and maintain equipment in proper condition reviewed for storage, preparation, and sanitation. The facility failed to utilize proper personal hygiene practices the appropriate use of gloves to prevent contamination of food while preparing pureed food and plating food to be served to residents.The facility failed to ensure kitchen staff were educated on calibrating thermometers.The facility failed to ensure items in the refrigerators and freezers were labeled and dated.The facility failed to… […]

• No harm, potential for more than minimal, isolatedF609Aug 27, 2026

  Based on observation, interviews and record review the facility failed to ensure an alleged violation involving abuse was reported immediately within two hours after the allegation was made to the State Agency in accordance with State Law and failed to report to the local law enforcement agency for 2 (Resident #14 and Resident #29) out of 5 residents reviewed for abuse. 1.The facility failed to report an abuse incident involving Resident #14 that occurred on 08/15/25 to the state agency. 2.The facility failed to report an abuse incident involving Resident #29 that occurred on 08/22/25 to the state agency within 2 hours after resident stated he had a fall. 3.The facility failed to report an incident involving Resident #14 and that occurred on 08/15/2026 to the local law enforcement agency. […]

• No harm, potential for more than minimal, isolatedF695Aug 27, 2026

  Based on observation, interview and record review, the facility failed to ensure that residents who needed respiratory care were provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 2 of 8 (Resident #109 and Resident #76) residents reviewed for respiratory care. 1.The facility failed to post an Oxygen sign indicating Resident #109 received oxygen on 8/25/2026. 2.The facility failed to post an Oxygen sign indicating Resident #76 received oxygen on 8/25/2026. These deficient practices could place residents who receive respiratory care at an increased risk of fire hazards by not posting oxygen signs outside the residents' rooms. 1. […]

• No harm, potential for more than minimal, isolatedF711Aug 27, 2026

  Based on interviews and record review the facility failed to ensure, in accordance with accepted professional standards and practices, medical records were maintained on each resident that were complete, accurately documented, readily accessible, and systematically organized for 4 of 4 residents (Resident #2, Resident #76, Resident #83 and Resident#30) reviewed for resident records. The facility failed to ensure Resident #2, Resident #76, Resident #83 and Resident#30's low air loss mattress order was in the electronic chart. This failure could place residents at risk for incorrect treatment decisions, evaluation, and treatment plans compromising patient safety due to insufficient information records. Findings included: 1. […]