Las Alturas De Penitas

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: Number of residents cited: Based on interview and record review, the facility failed to ensure residents had the right to formulate an advance directive for 1 (Resident #5) of 3 residents reviewed for Advance Directives.The facility failed to ensure Resident #5's OOH-DNR was completed. The OOH-DNR form did not have the physician's signature dated, printed name or License number.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 #5's electronic face sheet dated 05/28/2026 reflected the resident was a [AGE] year-old female admitted on [DATE], diagnoses included Unspecified Dementia Unspecified Severity with other Behavioral Disturbance (decline in memory and cognitive skills), Hypertension (high blood pressure), Atherosclerotic Heart Disease of Native Coronary Artery with Unspecified Angina Pectoris (heart receives…

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 Number of residents sampled: Number of residents cited: Based on interview and record review, the facility failed to ensure all pre-admission screening and resident review (PASRR) Level 1 residents with mental illness were provided with an accurate PASRR Level 1 for 1 (Resident #93) of 3 residents reviewed for PASRR screening. Resident #93 did not have an accurate and updated PASRR Level 1 assessment reflecting a diagnosis of mental illness.This failure could place residents at risk of not receiving specialized services that would enhance their highest level of functioning. Findings were:Record review of Resident #93's admission Record dated 05/28/26 reflected a [AGE] year-old male with an admission date of 04/10/26 and diagnoses of Essential (Primary) Hypertension (high blood pressure), Mild neurocognitive Disorder Due to Known Physiological Condition Without Behavioral Disturbance (decline in memory or thinking skills), Chronic Kidney Disease Stage 4 (severe kidney damage) and Other Seizures (uncontrolled…

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 with such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 1 (Resident #69) residents reviewed for tracheostomy/respiratory care. The facility failed to ensure Resident #69's oxygen tubing was connected properly to the tracheostomy mask (used to deliver humidified air and oxygen) on 05/26/26. The facility failed to ensure Resident #69's oxygen was administered at the correct setting of 5 liters per minute (LPM) on 05/26/26 as ordered by the physician. The facility failed to ensure Resident #69's humidifier bottle (a device that attaches to your concentrator to add moisture to the continuous flow of oxygen) was changed on the day indicated by the physician. These deficient practices could place residents who receive respiratory care via tracheostomy at an increased risk 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 Number of residents sampled: Number of residents cited: Based on observation, interview and record review the facility failed to enact a policy regarding use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling and consumption for 2 (Resident #13 and Resident #43) of 4 resident refrigerators reviewed for refrigerator sanitation. The facility failed to ensure Resident #13 and Resident #43's personal refrigerator did not contain food that was not labeled, dated or expired.Resident #13's personal refrigerator had 3 small individual cups of yogurt that had no expiration date and a plastic ziploc bag with candy pieces that was not labeled or dated.Resident #43's personal refrigerator had 4 small probiotic drink bottles with no expiration date on them and 1 individual cup of yogurt that was expired.This failure could place residents who store food items in resident refrigerators, at risk of cross-contamination and food-borne illnesses if consumed.Findings…

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 the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of each resident for 1 of 3 (Resident #1) residents reviewed for pharmacy services. The facility failed to ensure Resident #1 was administered her order of Sodium Chloride Solution 0.9% as ordered. This failure could place residents at risk of not receiving the intended therapeutic benefits of prescribed medications.The findings included: Record review of Resident #1's admission record, dated 03/26/26, reflected a [AGE] year old female with an admit date of 07/19/23, an initial admission date of 05/17/23 and a discharge date of 03/26/26. Her relevant diagnoses included dementia (decline in mental ability-including memory loss, language difficulties, and poor reasoning-severe enough to interfere with daily life), chronic kidney disease, stage 3 (moderate kidney damage), anemia (blood disorder where the blood lacks enough healthy red…

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, interviews, and record review, the facility failed to ensure that a resident who needed respiratory care was provided such care, consistent with professional standards of practice for 1 of 6 residents (Resident #22) reviewed for respiratory care. The facility failed to ensure Resident #22's oxygen was administered at 2 lmp instead of 2.5 lpm via nasal cannula as ordered by physician. This failure could place resident(s) at risk of developing respiratory complications and having a decreased quality of care. The findings included: Record review of Resident #22's admission record, dated 03/10/25, reflected an [AGE] year-old male admitted to facility on 11/04/22 and had a readmission date on 09/09/23. His relevant diagnoses included dementia (a decline in mental ability that interferes with daily life, memory loss, thinking abilities, and behavioral changes), Alzheimer's disease (a progressive disease that destroys memory and other important mental functions), and hypoxemia (a condition where…

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, record review, and interview, 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 2 (Resident #36 and Resident # 78) out of 4. 1. LVN A did not perform hand hygiene for 20 seconds or longer after medication administration to Resident #36. 2. The facility failed to prevent Resident#78's urinary catheter bag/tubing from touching the floor. These failures could place residents at risk for infection through cross contamination of pathogens. The findings included: 1. Record review of Resident # 36's face sheet dated 3/11/2025 reflected a [AGE] year-old male with an admission date of 10/24/2024. Diagnoses included Pressure ulcer of unspecified buttock stage 2, Chronic Obstructive Pulmonary Disease (a group of lung conditions that cause long-term damage to the airways and lungs, leading to…

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 that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported immediately, but no later than 2 hours after the allegation was made, if the events that caused the allegation involved abuse or resulted in serious bodily injury, to the administrator of the facility and to other officials, including to the State Survey Agency, in accordance with State law through established procedures for three of three residents (Resident#24, Resident#25, and Resident#26) reviewed for reporting abuse. The facility failed to report two separate incidents of resident-to-resident abuse to the state agency within the given time frame. This failure could place residents at increased risk for potential abuse. The findings were: 1. Record review of Resident #26's admission Record, dated 04/18/24, revealed a [AGE] year-old male with admission date 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 develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights set forth, that included measurable objectives and timeframes to meet the resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for one of three residents (Resident#26) reviewed for comprehensive person centered care plan . The facility failed to ensure Resident #26's care plan reflected the need for interventions for monitoring inappropriate behaviors with residents after 2 separate incidents of inappropriate behavior with 2 Residents (Resident #24 and Resident #25) had occurred . This failure could place residents in the facility at risk of not being provided with the necessary care or services and implementing personalized plans developed to address their specific needs. The findings were : 1. Record review of Resident #26's admission Record, dated 04/18/24, revealed a…

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 review, the facility failed to ensure residents remained free from accidents, hazards and each resident received adequate supervision and assistance when being transferred for 1 of residents (Resident #1) reviewed for accidents and hazards, CNA A failed to transfer Resident #1 using two employees as required by his care plan. This deficient practice has the potential to affect all residents in the building who require assistance with transfers by 2 staff members by causing resident injuries, such as falls, fractures, and even death. Findings included: Record review of Resident #1's Face Sheet dated 12/31/24 documented a [AGE] year-old male was admitted to the facility on [DATE] with the following diagnoses: dementia (a general term for a group of brain disorders that cause a gradual decline in cognitive abilities, memory, and behavior), muscle weakness (a condition where a muscle is unable to contract properly, resulting in a loss of strength), unspecified lack of coordination…

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 all alleged violations involving abuse, neglect, or mistreatment, including injuries of unknown source were reported immediately to the State Survey Agency, within two hours, if the events that cause the allegation involve abuse or result in serious injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious injury for 1 resident (Resident #1) of 3 residents reviewed for abuse/neglect, The facility did not report the allegation of resident abuse to the State Survey Agency within the allotted time frame for Resident #1 who had unwitnessed falls and/or falls withinjury on 12/03/22 (left hip fracture) and 08/26/23 (right hip fracture). The facility did not report the allegation of resident abuse to the State Survey Agency within the allotted time frame for Resident #1 who had dark discoloration to both feet tops to her toes (Injury of Unknown Origin). The facility…

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, interviews and record reviews, the facility failed to ensure residents were free of any significant medication errors for 1 (Resident #45) of 5 residents reviewed for medication administration. Resident #45 had Metoprolol (a medication for high blood pressure) administered outside the parameters as ordered by the physician. This deficient practice could place residents who receive blood pressure medications at an increased risk for complications such as decreased blood pressure, decrease pulse, an exacerbation of symptoms and disease process, and potential hospitalization. Findings include: Record review of Resident #45's electronic face sheet revealed an [AGE] year-old male admitted on [DATE] with diagnoses that included, but were not limited to, Essential Hypertension (high blood pressure), Atherosclerotic (hardening of the arteries) Heart Disease, Unspecified Dementia, Hypothyroidism (underactive thyroid), Muscle Weakness Generalized, Age Related Physical Debility, Unspecified Lack 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.