Las Alturas Nursing & Transitional Care Brownsvill

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure acquiring, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 (Resident#1) of 4 residents, reviewed for pharmaceutical services, in that:The facility failed to ensure Resident #1's physician ordered Midodrine (medication used to raise blood pressure) was held when her blood pressure was found to be out of parameters for administration.This failure could place residents at risk of not receiving the therapeutic effect of their medication as ordered by the physician.Findings included:Record review of Resident #1's face sheet, dated 6/24/26, reflected an [AGE] year-old female with an admission date of 5/06/26. Her relevant diagnoses included end stage renal disease (most severe stage of kidney disease) and hypertension (high blood pressure).Record review of Resident #1's Nursing Home PPS MDS assessment, dated 5/24/26, reflected her BIMS score…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, interviews, and record review, the facility failed to ensure drugs and biologicals were stored and labeled in accordance with currently accepted professional principles for 1 (200 hallway) of 4 medication carts. The facility failed to ensure the nurses medication cart for 200 hall was secured by a lock when it was left unattended by LVN A. This failure could place residents at risk of injury to other residents if medication left unsecured were consumed. Findings included: During an observation on 3/3/2026 at 03:40 p.m., revealed the 200 Hall nurse's medication cart was left unlocked and unattended in the 200 hallway. During the observation LVN A was called by surveyor and informed her that the medication cart was unlocked. LVN A secured the cart by locking it. During an interview on 3/3/2026 at 03:40 p.m., LVN A revealed she was responsible for the nurse's medication cart that was left unlocked. She stated he was expected to lock the nurse's medication cart when he walked away from it. She said that inside the cart there were medications of the residents for…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of 1 (Resident # 1) of 2 residents reviewed for parenteral fluids.The facility failed to ensure on 8/15/2025 that Resident # 1's intravenous medication bag was correctly labeled with the resident's name.This failure could place residents at risk for medication error and delay in medication administration.The findings included: Record review of Resident # 1's MDS assessment, dated 8/01/2025, reflected the resident was an [AGE] year-old-resident who was admitted to the facility on [DATE]. The resident had a diagnoses which included: Atrial Fibrillation (an irregular and often rapid heart rhythm in the upper chambers of the heart, called the atria), Coronary Artery Disease (a condition where the heart's blood vessels narrow or become blocked, usually due to a buildup of plaque…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interview and record review, the facility failed to ensure residents had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preference for 2 (Resident #34 and Resident #60) of 25 residents reviewed for call lights. The facility failed to ensure Resident #34 and Resident #60 had the call light within reach while in bed in their room. This failure could place residents at risk of being unable to obtain assistance or help when needed and in the event of an emergency. Findings were: 1.Record review of Resident #34's admission record dated 06/29/25 reflected a [AGE] year-old male with diagnoses of Unspecified Dementia (decline in thinking, learning and reasoning), Muscle Wasting And Atrophy Multiple Sites, Need for assistance with personal care, Difficulty in Walking. Record Review of Resident #34's Annual MDS dated [DATE] reflected a BIMS score of 14 indicating no cognitive impairment. Resident #34 used a wheelchair. 2. Record review of…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure residents had the right to formulate an advance directive for 1 (Resident #173) of 8 residents reviewed for Advance Directives. The facility failed to ensure Resident #173's OOH-DNR was completed. The OOH-DNR form did not have the physician's signature. This failure could affect all residents who have implemented Advance Directives and established their choice not to be resuscitated at risk of receiving CPR against their wishes. The findings were: Record review of Resident #173's electronic face sheet dated [DATE] reflected the resident was a [AGE] year-old male admitted to the facility on [DATE]. His diagnoses included: Respiratory Failure, Metabolic Encephalopathy (any disease or disorder of the brain, characterized by changes in brain function or structure), Heart Failure, Chronic Obstructive Pulmonary Disease (a chronic lung disease that causes air flow limitation), Type 2 Diabetes Mellitus, Hypertension (high blood pressure), Acute Kidney…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to send a copy of the residents' discharge notice, prior to discharge, to the representative of the Office of State Long-Term Care (LTC) Ombudsman of the residents' transfer or discharge and the reasons for the move for 2 of 3 (Resident #1, Resident #41) reviewed for notifying the LTC Ombudsman of the residents' discharge. 1.Resident #1 was discharged to the hospital on [DATE] without a notice to the LTC state ombudsman. 2.Resident #41 was discharged home on [DATE] without a notice to the LTC state ombudsman. These failures could place residents at risk of not knowing their rights and receiving the services of the state LTC Ombudsman. Findings were: 1. Record review of Resident #1’s admission record dated 07/01/25 revealed Resident #1 was a [AGE] year-old female with diagnoses of Acute Respiratory Failure with Hypoxia (lungs cannot supply oxygen to blood), Type 2 Diabetes Mellitus without Complications (high blood sugar levels), Chronic Obstructive…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to coordinate assessments with the Pre-admission Screening and Resident Review (PASRR) program to the maximum extent practicable to avoid duplicative testing and effort for 2 of 8 residents reviewed for PASRR. (Resident #20, Resident #22)1. The facility failed to refer Resident #20 for PASRR Level II assessment when the facility incorrectly coded her PASRR Level I assessment.2. The facility failed to refer Resident #22 for PASRR review following new mental illness diagnosis of Major Depressive Disorder, added on 04/30/2025.These failures could place residents at risk of not receiving needed assessments (PASRR Evaluation), individualized care, and specialized services to meet their needs.Findings include:1. Record review of face sheet dated 06/30/25 indicated Resident #20 was a [AGE] year-old male admitted on [DATE]. His diagnoses included post-traumatic stress disorder, need for assistance with personal care, cognitive communication deficit.Resident #20's…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to implement a comprehensive person-centered care plan that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs identified in the comprehensive assessment for 1 of 22 residents (Resident #20) reviewed for care plans. The facility did not develop Resident #20's care plan related to diagnosis Post-Traumatic Stress Disorder. These failures could place residents at risk for unmet care needs and decreased quality of care. Findings included: Record review of face sheet dated 06/30/25 indicated Resident #20 was a [AGE] year-old male admitted on [DATE]. His diagnoses included post-traumatic stress disorder, need for assistance with personal care, cognitive communication deficit. Record review of Resident #20's admission MDS assessment dated [DATE] indicated his BIMS score was 8 out of 15 showing moderate cognitive impairment. He was coded as having post-traumatic stress disorder. Observation and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure residents fed by enteral means received the appropriate treatment and services to prevent complications of enteral feeding for 1 of 5 residents (Resident #29) reviewed for tube feeding management. The facility failed to ensure there were labels or instructions on Resident #29' s enteral nutrition supplemental feeding bottle on 06/29/25. These failures could place residents at risk for non-therapeutic responses to enteral feeding, as well as receiving the wrong feeding or receiving a feeding at the wrong rate. Findings included: Record review of Resident #29's face sheet, dated 06/29/25, revealed a [AGE] year-old female with an original admission date of 08/20/24 and a current admission date of 12/25/24. Diagnoses included Gastrostomy Status (a surgical procedure that creates an opening into the stomach, allowing for access to the stomach for feeding). Record review of Resident #29's Significant Change MDS Assessment, dated…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 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 1 of 3 (Resident #61) residents reviewed for respiratory care. 1. The facility failed to ensure Resident #61's oxygen was administered at the correct setting of 2 liters per minute on 06/29/2025 as ordered by the physician. These deficient practices could place residents who receive respiratory care at an increased risk of developing respiratory complications and a decreased quality of care. The findings included: 1.Record review of Resident #61's admission record dated 06/29/2025 reflected a [AGE] year-old female with an admission date of 01/16/2025. Pertinent diagnoses included Pulmonary Fibrosis (a lung disease characterized by the scarring and thickening of lung tissue, specifically the interstitium, which is the area…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, 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 1 of 4 Residents (Resident #39) that were observed for infection control in that: The facility failed to ensure CNA E performed proper hand hygiene during pericare (incontinent care) for Resident #39.The facility failed to ensure CNA F performed proper Foley catheter care for Resident #39. These deficient practices could place residents at risk for infections, healthcare associated cross contamination, and the spread of infection. Findings included: Record review of Resident #39's electronic face sheet dated 07/01/2025 reflected the resident was an [AGE] year-old female admitted to the facility on [DATE]. Her diagnoses included Personal History of Urinary Tract Infections, Acute Kidney Failure, Unspecified…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to develop and implement baseline care plans that included the instructions needed to provide effective and person-centered care within 48 hours of admission for 2 of 4 residents (Resident #3 and Resident #2) reviewed for baseline care plans: 1. The facility failed to complete Resident #3's baseline care plan within 48 hours. 2. The facility failed to include in her baseline care plan that Resident #2's was admitted with a PICC line to upper right arm. These deficient practices could affect residents who receive care at the facility and could result in missed or inadequate care. The findings included: 1.Record review of Resident #3's face sheet dated 6/12/25 revealed a [AGE] year-old male admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease (a progressive, irreversible brain disorder that primarily affects memory, thinking and reasoning eventually leading to difficulty with everyday tasks), dementia (a decline in cognitive…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide pharmaceutical services including procedures that ensure the accurate administering of all drugs and biologicals, to meet the needs of 1 of 3 (Resident #1) residents reviewed for pharmacy services. The facility failed to ensure that on 11/01/2024, LVN A signed off the administration of PRN acetaminophen to Resident #1 that was administered for a skin tear sustained after a transfer. These failure could place residents at risk for not receiving the therapeutic benefits of the prescribed medications and side effects from missed doses. Findings included: Record review of Resident #1's Face Sheet, dated 11/05/2024, reflected a [AGE] year-old resident admitted to the facility on [DATE] and an original admission date of 09/07/2024 with diagnoses including myxedema coma (an extreme or decompensated form of hypothyroidism), type 2 diabetes mellitus ( a long term condition in which the body has trouble controlling blood sugar and using it…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.