Las Colinas Post Acute

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Nov 2, 2023

  Based on interview and record review, the facility failed to reassess and monitor one of three sampled residents (Resident 1) for signs and symptoms of depression with mood changes after Resident 1's family member expressed her father's feelings of wanting to die. This failure led to the decline of Resident 1's mental health and psychosocial (emotional) wellbeing which resulted in Resident 1's death by suicide on October 27, 2023. Findings: A review of Resident 1's clinical record, the Face Sheet contains demographic and medical information), indicated Resident 1 was admitted on [DATE], with diagnoses which included: Parkinson's (brain disorder that causes unintended or uncontrollable movement) and encephalopathy (disturbance in the way the brain functions.) A review of Resident 1's… […]

• No harm, potential for more than minimal, widespreadF813Aug 29, 2025

  Based on observation, interview, and record review, the facility failed to label the food belonging to one unsampled resident (Resident 121).This deficient practice could potentially raise the risk of foodborne illnesses among residents, due to staff inability to verify the safety and freshness of the food.During an observation in the facility family room and concurrent interview with Kitchen Staff (KS) on 8/27/25 at 6:00 AM., a closed black bag containing noodles and one plastic container of soup without label were found inside the shared residents' refrigerator for food brought in by family and visitors. A posting outside the shared residents' refrigerator stated All food must have resident's name, room number and date. […]

• No harm, potential for more than minimal, widespreadF880Aug 29, 2025

  Based on observation, interview, and record review, the facility failed to implement infection control and prevention measures when:Certified Nursing Assistant (CNA) 1 did not perform handwashing before and after handling nasal cannula (flexible tube to deliver oxygen into the nose) to Resident 186.The incentive spirometer (a handheld device that exercises your lungs and measures how much air you can breathe in) placed at Resident 148's bedside, was unlabeled and not properly stored.The temperature settings for two of three dryers in the laundry area were below the normal range.The glucometer machine (a device used to measure how much sugar is in the blood) used for Residents 131, 93, and 69 was not sanitized. […]

• No harm, potential for more than minimal, widespreadF908Aug 29, 2025

  Based on observation, interview, and record review, the facility failed to ensure two out of three laundry dryers were heating properly as per the manufacturer's recommendations.This failure could prolong the heating cycle of the dryers, consequently delaying the availability of clean clothes and linens for residents.During a tour of the laundry area, on 8/26/25 at 2:23 PM, all three dryers in the laundry were observed to be in use with settings on High. Dryer 1 had towels, Dryer 2 had bed sheets, and Dryer 3 had residents' clothes. […]

• No harm, potential for more than minimal, widespreadF925Aug 29, 2025

  Based on observation, interview, and record review, the facility failed to ensure the main entrance door frame was sealed and the door closed properly, creating entry points for pests.This failure had the potential to affect the health and well-being of 207 residents by allowing disease carrying pests an easy entry point into the facility, which could aversely affect residents' health and well-being. During an observation on 8/26/25 at 8:25 AM, at the facility's main entrance, gaps were noted in the door frame.During an interview with Resident 103 on 8/26/25 at 9:05 AM, Resident 103 stated being bitten by a mosquito three days prior and believed the mosquitoes were entering through the main entrance when people came and went.During a review of the Orkin pest control report dated 6/16/25… […]