Las Estancias by Pure Health

In the surveyor’s words

From the most serious findings on record at Las Estancias by Pure Health, in the surveyor’s own words.

• Actual harm, isolatedF697Jul 10, 2023

  Based on record review and interview, the facility failed to provide pain management for 1 (R #1) of 1 (R #1) resident reviewed by: Not recognizing, responding to, and treating a significant injury in a timely manner. This deficient practice likely resulted in R #1 experiencing undo and prolonged discomfort from the pain caused by a fracture (broken bone) of her leg. The findings are: A. Record review of R #1's face sheet revealed she was admitted to the facility on [DATE] with multiple diagnoses including but not limited to: History of Falling Unspecified Fracture (break) of Right Femur (long bone of upper leg) Dementia (a chronic progressive condition that results in diminished mental capacity) B. Record review of daily care notes revealed the following: 1. […]

• No harm, potential for more than minimal, widespreadF812Feb 21, 2025

  Based on observation and interview, the facility failed to store and serve food under sanitary conditions when staff failed to ensure: 1. All items were labeled and dated in the kitchen refrigerator. 2. The counter tops and shelves were clean. 3. The floors throughout the kitchen were clean. 4. The heated plate dispenser (a device used to heat and store plates prior to use) was clean. These deficient practices are likely to affect all 115 residents listed on the resident census provided by the Administrator on 02/17/25 and are likely to lead to foodborne illnesses in residents. The findings are: A. On 02/17/25 at 10:15 am, observation of the kitchen revealed the following: 1. […]

• No harm, potential for more than minimal, widespreadF761Apr 28, 2021

  Based on observation and interviews, the facility failed to: 1. ensure that outdated medication were not being stored with medication currently being utilized; 2. ensure medication were stored according to manufacturers instructions; 3. ensure that opened multi-use medications were dated when first opened. These deficient practices could likely negatively impact the health of any of the 99 residents identified on the resident census list provided by the Administrator in Training on 04/25/21, if they receive medications that have either lost their potency, effectiveness or become toxic due to improper storage or being outdated. The findings are: A. […]

• No harm, potential for more than minimal, patternF552May 22, 2026

  Based on record review and interviews, the facility failed to ensure psychotropic medication (medication used to treat mental health conditions) consent forms were signed by the resident or resident representative prior to medication administration for 1 (R #14) of 5 (R #1, 4, 6, 14, and 15) residents reviewed for unnecessary psychotropic drugs. This deficient practice is likely to put residents at an increased risk for undesirable side effects (including but not limited to; increased thoughts of suicide, insomnia, fatigue, sexual dysfunction) associated with the use of these medications.The findings are: A. […]

• No harm, potential for more than minimal, patternF605May 22, 2026

  Based on record review and interviews, the facility failed to ensure residents were free from unnecessary medications, in accordance with professional standards of practice, for 1 (R #14) of 5 (R #1, 4, 6, 14, and 15) residents, when: A psychotropic medication (medication used to treat mental health conditions) gradual dose reduction (tapering of a medication dose to determine if symptoms, conditions, or risks can be managed by a lower dose) was not attempted or supported by documentation indicating it was clinically contraindicated. An abnormal involuntary movement scale (AIMS is a tool that assesses and monitors for the risk of tardive dyskinesia) was not completed as required. […]