Las Colinas of Westover

In the surveyor’s words

From the most serious findings on record at Las Colinas of Westover, in the surveyor’s own words.

• Immediate jeopardy, isolatedF755Aug 6, 2024

  Based on interviews, and record reviews,the facility failed to provide pharmaceutical services including procedures that assure the accurate dispensing and administering of all drugs and biologicals to meet the needs of 1 of 2 residents (Resident #1). The facility failed to prevent Resident #1 from having a methadone overdose due to receiving incorrect medications. An IJ was identified on 8/4/2024. The IJ template was presented to the facility on [DATE] at 7:02 PM. While the IJ was removed on 8/6/2024 at 8:03 PM, the facility remained out of compliance at a scope of isolated and a severity level of no actual harm due to the facilities need to continue to monitor the effectiveness of their plan. […]

• Immediate jeopardy, isolatedF760Aug 6, 2024

  Based on interviews, and record reviews,the facility failed to ensure residents are free of any significant medication error for 1 of 2 residents (Resident #1). The facility failed to prevent Resident #1 from having a methadone overdose due to receiving incorrect medications. An IJ was identified on 8/4/2024. The IJ template was presented to the facility on [DATE] at 7:02PM. While the IJ was removed on 8/6/2024 at 8:03PM, the facility remained out of compliance at a scope of isolated and a severity level of no actual harm due to the facilities need to continue to monitor the effectiveness of their plan. This deficient practice could place residents at risk of receiving incorrect medications resulting in hospitalization or death. […]

• Immediate jeopardy, isolatedF580Dec 23, 2023

  Based on interview, and record review the facility failed to consult with the physician when the resident experienced a change in condition for 1 of 1 resident (Residents #1) reviewed for a notification of a change of condition, in that; LVN A did not assess Resident #1 or notify the Physician of Resident #1's change in condition on 12/15/23 when Resident # 1's family member came to LVN A with concerns about the resident's catheter being plugged and abnormal confusion. On 12/22/2023 at 4:31 p.m., an Immediate Jeopardy (IJ) was Identified. […]

• Immediate jeopardy, isolatedF684Dec 23, 2023

  Based on interview and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 1 of 1 residents (Resident #1) reviewed quality of care in that: The facility failed to immediately assess Resident #1 or notify the physician when a change of condition was voiced by Resident #1's family member. On 12/22/2023 at 4:31 p.m., an Immediate Jeopardy (IJ) was Identified. While the IJ was removed on 12/23/2023, the facility remained out of compliance at a severity of actual harm but with potential for more than minimal harm and with a scope isolated due to the facility continuing to monitor the implementation and effectiveness of their plan of removal. […]

• Actual harm, isolatedF686Nov 17, 2022

  Based on interview and record review, the facility failed to ensure that a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for one of three residents (Resident # 2) reviewed for pressure sores. The facility failed to ensure Resident #2 received wound care treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . This failure could place additional residents at risk for a delay in treatment, a decline in health, hospitalization , or in a significant decline in health. The findings included: Closed record review of Resident #2's admission record revealed an admitted [DATE] with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . […]