Inspection Reports for
The Bungalows at Nevada

19 CSR 30-86.042(11)(B) EDL Inquiry: Based on record review and interview, the facility failed to ensure all newly hired staff members were checked against the employee disqualification list prior to having contact with residents for four sampled staff members, and EDL checks were completed after staff start dates.

19 CSR 30-88.020(2) Resident Fund Use: Based on interview and record review, the facility allowed the Business Office Manager to become Resident #1's designee/DPOA creating a potential conflict of interest and did not provide a policy for employees becoming designees for residents.

19 CSR 30-88.010(10) Advance Directive Requirements: Based on interview and record review, staff failed to review advance directives at least annually for four sampled residents and the facility did not provide a policy regarding annual review; record reviews for Residents #1-#4 showed last reviews outside the annual requirement and the Executive Director stated they did not know advanced directives needed to be reviewed yearly.

19 CSR 30-86.042(11)(B) EDL Inquiry: Based on interview and record review, the facility failed to check to ensure newly hired employees were not listed on the employee disqualification list prior to allowing them to have contact with residents for three staff members.

19 CSR 30-86.042(18) TB Screen Resident/Staff: Based on interview and record review, the facility failed to ensure required two-step TB testing and annual TB screening documentation; record review showed missing two-step tests upon admission and missing yearly TB screens for multiple residents and staff.

19 CSR 30-86.042(21)(I) Personnel Record-physician statement, employ: Based on interview and record review, the facility failed to ensure all staff had a written statement signed by a licensed physician or physician designee indicating the person can work in a long-term care facility for four staff members.

19 CSR 30-88.010(4) Resident Rights-Admission/Annual Review: Based on interviews and record review, the facility failed to ensure resident rights were reviewed at least annually for three residents and the facility policy did not include a statement that resident rights should be reviewed annually.

19 CSR 30-86.022(10)(A) Hazardous Area Requirements: Observation showed the door from the kitchen to the front exit pathway was propped open preventing the self-closing device from closing the door, leaving hazardous areas unprotected. The administrator stated the door would remain closed and would check on installing an electromagnetic hold-open device.

19 CSR 30-86.042(18) TB Screen Resident/Staff: Based on interview and record review, the facility failed to ensure the required two-step tuberculin test was completed for one of two sampled staff (a Level One Medication Aide).

19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain: Surveyor found the facility failed to test and maintain the complete fire alarm system in accordance with NFPA 72, with the last documented annual inspection on June 1, 2017 and no documentation of required semi-annual inspections. The deficiency affected 23 of 23 residents.

19 CSR 30-86.022(10)(E) Floor Separation/Doors - on or after 11/13/80 Protection from Hazards: Surveyor found the facility failed to ensure proper smoke separation between floors; a pair of smoke separation doors did not latch when closed after being released from their magnetic hold-open devices. The deficiency affected 23 of 26 residents.

19 CSR 30-86.022(11)(B) Sprinkler System Maintenance/Testing: Surveyor found the facility failed to ensure the sprinkler system was installed/identified as required, with the Hydraulic Plate Present box checked No and the sprinkler system missing the required hydraulic data nameplate. The deficiency affected 23 of 23 residents.