Inspection Reports for Abington Manor
478 Pearberry Ave., Las Vegas, NV 89183, NV, 89183
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Inspection Report
Renewal
Capacity: 10
Deficiencies: 0
Aug 13, 2025
Visit Reason
The inspection was conducted as a Bed Increase survey to approve an increase in licensed beds from six to ten at the facility.
Findings
The facility was approved to add four group beds for elderly and disabled persons and/or persons with Alzheimer's disease, bringing the total number of beds to ten. No deficiencies were identified during the survey.
Report Facts
Licensed beds before increase: 6
Bed increase approved: 4
Total licensed beds after increase: 10
Inspection Report
Annual Inspection
Census: 3
Capacity: 6
Deficiencies: 1
Apr 30, 2025
Visit Reason
This inspection was conducted as an annual state licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A. One regulatory deficiency was identified related to health and sanitation, specifically the failure to maintain landscaping with overgrown weeds in the backyard area designated for residents' outdoor activities.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure landscaping was well maintained; overgrown weeds were observed in the backyard area designated for residents' outdoor activities. | Severity: 2 |
Report Facts
Licensed beds: 6
Resident census: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Margie Antonio | Administrator | Signed as Laboratory Director's or Provider/Supplier Representative |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Apr 16, 2024
Visit Reason
This inspection was conducted as an annual state licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified during the survey. Six resident files and five employee files were reviewed.
Report Facts
Resident files reviewed: 6
Employee files reviewed: 5
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 2
Apr 26, 2023
Visit Reason
This inspection was conducted as an annual State Licensure and infection control survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility was found to have regulatory deficiencies related to safety standards for residents with Alzheimer's disease, including unsecured knives and sharps accessible to residents, and unlocked kitchen cupboards containing toxic cleaning fluids. The facility received a grade of A despite these findings.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure items which could constitute a danger to residents were inaccessible; unlocked kitchen cupboard with knives and sharps accessible in Resident #1's room. | Severity: 2 |
| Facility failed to ensure toxic substances were inaccessible; unlocked kitchen cupboard with bottles of toxic cleaning fluids accessible to residents. | Severity: 2 |
Report Facts
Licensed beds: 6
Resident census: 5
Severity 2 deficiencies: 2
Scope: 3
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Apr 27, 2022
Visit Reason
The inspection was conducted as an annual state licensure and infection control survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the inspection. The facility received a grade of A and was provided guidance on non-discrimination, privacy, cultural competency, and complaint policies.
Report Facts
Resident files reviewed: 6
Employee files reviewed: 5
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 1
Jul 26, 2021
Visit Reason
The inspection was conducted as an annual state licensure and infection control survey in accordance with Nevada Administrative Code Chapter 449 for a Residential Facility for Groups.
Findings
The facility received a grade of A. One deficiency was identified related to the failure of an audible alarm system on one of three exit doors, specifically the door from the laundry room to the garage, which did not activate when opened.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure an audible alarm system was activated on 1 of 3 doors exiting the facility; the alarm on the laundry room exit door did not activate when opened. | Severity: 2 |
Report Facts
Resident files reviewed: 6
Employee files reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Margie Antonio | Administrator | Named as the Administrator who acknowledged the alarm did not activate and signed the report |
Inspection Report
Abbreviated Survey
Census: 6
Capacity: 6
Deficiencies: 0
Sep 3, 2020
Visit Reason
The inspection was a focused COVID-19 infection control survey conducted to assess compliance with infection control measures related to COVID-19 in accordance with Nevada Administrative Code Chapter 449.
Findings
The facility demonstrated compliance with COVID-19 infection control policies and procedures, including screening, temperature checks, use of PPE, sanitization, and social distancing. No deficiencies were identified during the inspection.
Report Facts
Gloves: 400
Surgical masks: 300
COVID-19 tests: 2
Hand sanitizer bottles: 12
Residents observed: 5
Residents observed: 1
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 2
May 21, 2019
Visit Reason
Annual State Licensure survey conducted in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
Two deficiencies were identified: failure to maintain and post a current staff schedule for May 2019, and failure to refrigerate a resident's medication (Latanoprost eye drops) according to manufacturer's instructions.
Severity Breakdown
Level 1: 1
Level 2: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure a current staff schedule was posted for May 2019. | Level 1 |
| Failure to refrigerate Resident #2's Latanoprost eye drops as required by the manufacturer's instructions. | Level 2 |
Report Facts
Resident files reviewed: 6
Employee files reviewed: 4
Severity 1 deficiencies: 1
Severity 2 deficiencies: 1
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
May 15, 2018
Visit Reason
The inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified at the time of the survey.
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Mar 29, 2018
Visit Reason
This State Licensure Survey was conducted as an annual survey initiated at the facility on March 29, 2018, to assess compliance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The surveyor began the inspection but ended it early due to the facility Administrator's hostile and unprofessional behavior. A follow-up survey will be conducted at a later date.
Inspection Report
Complaint Investigation
Census: 6
Deficiencies: 0
Feb 21, 2018
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding quality of care and resident safety at the facility.
Findings
The complaint investigation included observation of grooming and physical appearance of six residents and a tour of the facility. The complaint allegations could not be substantiated and no regulatory deficiencies were identified.
Complaint Details
One complaint (#NV00052072) was investigated with allegations related to quality of care and resident safety, which were not substantiated.
Report Facts
Complaint investigated: 1
Sample size: 6
Inspection Report
Complaint Investigation
Capacity: 6
Deficiencies: 0
Jun 1, 2016
Visit Reason
The inspection was conducted as a result of a complaint investigation initiated on 2016-06-01 regarding allegations of improper discharge and record maintenance.
Findings
The complaint could not be substantiated after reviewing discharged resident files, interviewing the Administrator, and reviewing discharge policies and paperwork. No regulatory deficiencies were identified.
Complaint Details
Complaint #NV00045832 was investigated and found to be unsubstantiated regarding failure to ensure proper discharge and maintain proper records.
Report Facts
Licensed beds: 6
Complaint sample size: 1
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 3
Sep 3, 2015
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with licensing requirements for a residential facility providing care to persons with Alzheimer's Disease.
Findings
The facility received a grade of A but was found deficient in multiple areas including caring for a resident without the appropriate mental illness endorsement, lack of working alarms on primary exits, and failure to secure toxic substances from residents. Deficiencies were addressed with corrective actions and monitoring plans.
Severity Breakdown
2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to ensure 1 of 5 residents was cared for with the appropriate mental illness endorsement; resident diagnosed with schizophrenia was not appropriate for the facility licensed for Alzheimer's Disease. | 2 |
| Facility failed to ensure 2 of 3 primary exits had working alarms. | 2 |
| Facility failed to ensure 5 of 5 residents did not have access to toxic substances; bleach and laundry detergent were accessible and not secured. | 2 |
Report Facts
Residents reviewed: 5
Employee files reviewed: 4
Licensed beds: 6
Residents present: 5
Primary exits without working alarms: 2
Residents with access to toxic substances: 5
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 3
Sep 3, 2015
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with licensing requirements for a residential facility providing care to persons with Alzheimer's Disease.
Findings
The facility received a grade of A but had deficiencies including caring for a resident without the appropriate endorsement, non-working door alarms on primary exits, and failure to secure toxic substances from residents.
Severity Breakdown
2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to ensure 1 of 5 residents being cared for did not have a history of mental illness and was without the appropriate endorsement. | 2 |
| Facility failed to ensure 2 of 3 primary exits had working alarms. | 2 |
| Facility failed to ensure 5 of 5 residents did not have access to toxic substances such as bleach and laundry detergent. | 2 |
Report Facts
Licensed beds: 6
Residents present: 5
Deficiencies cited: 3
Inspection Report
Annual Inspection
Census: 3
Capacity: 6
Deficiencies: 2
Sep 2, 2014
Visit Reason
This State Licensure survey was conducted as an annual inspection of a Residential Facility for Group beds providing care to persons with Alzheimer's disease and other residents.
Findings
The facility received a grade of A. Deficiencies were identified related to medication administration and resident file storage, including failure to ensure 'as needed' medications were readily available and resident files were secured in a locked cabinet.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure 'as needed' medications for 2 of 3 residents were readily available for administration as prescribed by the physician. | Severity: 2 |
| Failure to ensure resident files were secured in a locked cabinet, a repeat deficiency from prior annual surveys. | Severity: 2 |
Report Facts
Licensed capacity: 6
Census: 3
Severity level: 2
Scope: 3
Inspection Report
Annual Inspection
Census: 3
Capacity: 6
Deficiencies: 2
Sep 2, 2014
Visit Reason
This inspection was conducted as an annual State Licensure survey by the Division of Public and Behavioral Health to assess compliance with regulatory requirements for the facility.
Findings
The facility received a grade of A but was found deficient in medication administration practices, specifically the availability of 'as needed' medications for two residents, and in securing resident files in a locked cabinet. Both deficiencies were cited with severity level 2 and scope 3.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure 'as needed' medications for 2 of 3 residents were readily available for administration as prescribed by the physician. | Severity: 2 |
| Failure to ensure resident files were secured in a locked cabinet. | Severity: 2 |
Report Facts
Licensed beds: 6
Current census: 3
Deficiency severity level 2: 2
Deficiency scope 3: 2
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 4
Oct 7, 2013
Visit Reason
This document is a State Licensure annual grading survey conducted on 10/7/13 to assess compliance with regulations for a Residential Facility for Group beds providing care to persons with Alzheimer's disease and Category 2 residents.
Findings
The facility received a grade of A but had several deficiencies including inadequate entrance lighting in bedrooms #3 and #4, failure to submit a waiver for a resident with an indwelling catheter, improper medication labeling and administration documentation, and failure to keep employee and resident files locked. Severity levels ranged from 1 to 2 across deficiencies.
Severity Breakdown
1: 1
2: 3
Deficiencies (4)
| Description | Severity |
|---|---|
| Inadequate entrance lighting in bedrooms #3 and #4; no ceiling lights and lamps not connected to light switches. | 2 |
| Facility admitted and retained a resident with an indwelling catheter without submitting a required waiver. | 2 |
| Failure to indicate medication order changes on labels for residents #2 and #4; missing pharmacy label on morphine bottle for resident #2. | 1 |
| Failure to keep employee and resident files in a locked cabinet; files found unlocked and hospice files stored improperly. | 2 |
Report Facts
Licensed capacity: 6
Census: 4
Deficiency severity 2: 3
Deficiency severity 1: 1
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 4
Oct 7, 2013
Visit Reason
This document is a State Licensure annual grading survey conducted on 10/7/2013 to assess compliance with state regulations for Quinn's Desert Home #2, a residential facility for persons with Alzheimer's disease.
Findings
The facility received a grade of A but had several deficiencies including inadequate entrance lighting in bedrooms, improper admission and retention of a resident with an indwelling catheter without required waiver, failure to indicate medication order changes on containers for some residents, and failure to keep resident and employee files secured in locked storage.
Severity Breakdown
E: 1
D: 1
B: 1
F: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure there were lights in 2 of 5 bedrooms (Bedroom #3 and #4); no ceiling lights and lamps were not connected to light switches. | E |
| Admitted and retained a resident not mentally capable of caring for an indwelling catheter without submitting a waiver to the Bureau. | D |
| Failed to indicate on medication containers that a change had occurred for 2 of 4 residents; missing pharmacy label directions and missing medications onsite. | B |
| Failed to keep employee and resident files in a locked cabinet; files were found unlocked and resident hospice files stored on kitchen counter. Repeat deficiency. | F |
Report Facts
Licensed beds: 6
Residents present: 4
Resident files reviewed: 4
Employee files reviewed: 5
Inspection Report
Re-Inspection
Census: 5
Capacity: 6
Deficiencies: 1
Dec 10, 2012
Visit Reason
This was a required grading re-survey conducted by the Health Division to assess compliance with state licensure regulations.
Findings
The facility was found to have a rodent and insect infestation, including a cockroach in the kitchen dishwasher and insects near the stove area. The facility failed to keep the premises free from insects and rodents as required.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure the premises were free from insects and rodents, evidenced by presence of cockroach and other insects. | Severity: 2 |
Report Facts
Census: 5
Total Capacity: 6
Severity: 2
Scope: 3
Inspection Report
Re-Inspection
Census: 5
Capacity: 6
Deficiencies: 1
Dec 10, 2012
Visit Reason
This document is a required grading re-survey conducted as a State Licensure survey to assess compliance with health and sanitation regulations.
Findings
The facility failed to ensure the premises were free from insects and rodents, with a cockroach found on the dishwasher and another insect near the stove. This was a repeat deficiency from the previous annual survey.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure the premises were free from insects and rodents, evidenced by a cockroach on the dishwasher and another insect near the stove. | Severity: 2 |
Report Facts
Licensed beds: 6
Census: 5
Repeat deficiency date: Oct 23, 2012
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 6
Oct 23, 2012
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with regulations for a Residential Facility for Group beds providing care to persons with Alzheimer's disease.
Findings
The facility received a grade of C with multiple deficiencies identified related to personnel files, tuberculosis testing, first aid and CPR training, pest control, medication storage, resident file security, and dangerous items accessibility.
Severity Breakdown
Severity 1: 1
Severity 2: 5
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 5 employees complied with tuberculosis (TB) testing requirements, missing read date and result for initial TB test. | Severity 2 |
| Failed to ensure 1 of 5 caregivers was trained in first aid and cardiopulmonary resuscitation (CPR). | Severity 2 |
| Facility failed to ensure it was free of insects and rodents; insects found in multiple bedrooms and kitchen areas. | Severity 2 |
| Failed to ensure medications were kept in a secured area; employee medications observed in unsecured cabinet. | Severity 2 |
| Failed to ensure resident files were kept in a secured area; former resident discharge documents unsecured in unlocked cabinet. | Severity 1 |
| Failed to ensure dangerous items like knives and razors were inaccessible to residents; unsecured razors found in cabinets accessible to residents. | Severity 2 |
Report Facts
Number of employees reviewed: 5
Number of resident files reviewed: 6
Facility licensed capacity: 6
Current census: 6
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 6
Oct 23, 2012
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 10/23/2012 at Quinn's Desert Home #2, a residential facility for persons with Alzheimer's disease.
Findings
The facility received a grade of C and was found deficient in multiple areas including personnel files missing tuberculosis and CPR/first aid certifications, presence of insects in resident rooms and kitchen, unsecured medication storage, unsecured resident files, and dangerous items accessible to residents.
Severity Breakdown
Level 1: 1
Level 2: 5
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 5 employees complied with tuberculosis testing requirements (missing read date and result for initial TB test). | Level 2 |
| Failed to ensure 1 of 5 caregivers were trained in first aid and cardiopulmonary resuscitation (missing CPR/FA training). | Level 2 |
| Facility was not free of insects and rodents; insects found in nightstands of bedrooms #3 and #4, kitchen cabinet, near kitchen sink, and first aid kit. | Level 2 |
| Failed to ensure medications were kept in a secured area; employee medications observed in unsecured cabinet in unlocked caregiver room. | Level 2 |
| Failed to ensure resident files were kept in a secured area; former resident discharge documents unsecured in unlocked file cabinet in garage exposed to driveway. | Level 1 |
| Failed to ensure dangerous items (razors) were inaccessible to residents; unsecured razors found in hallway bathroom cabinet and family room desk cabinet. | Level 2 |
Report Facts
Resident census: 6
Total licensed capacity: 6
Employee files reviewed: 5
Resident files reviewed: 6
Severity 2 deficiencies: 5
Severity 1 deficiencies: 1
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 2
Oct 19, 2011
Visit Reason
The inspection was conducted as a complaint investigation from 3/9/11 through 10/19/11 regarding allegations about the facility being cold without heat, loss of resident's clothing and personal items, failure to notify responsible parties after a resident injury, and failure to reposition a resident timely after a fall.
Findings
The complaint regarding the facility being cold and without heat and the loss of resident's personal items were not substantiated. However, the allegations that the responsible party was not notified after a resident fell and was injured, and that the resident was not repositioned timely after a fall were substantiated. The facility failed to ensure appropriate medical care and failed to complete a written record of a resident's accident or injury.
Complaint Details
Complaint #NV00027781 included allegations about the facility being cold and without heat, loss of resident's clothing and personal items, failure to notify responsible party after resident injury, and failure to reposition resident timely after a fall. The allegations about cold facility and lost items were not substantiated. The allegations about failure to notify responsible party and failure to reposition resident were substantiated.
Severity Breakdown
Severity: 3: 1
Severity: 2: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure a resident received appropriate medical care by a medical professional after an injury. | Severity: 3 Scope: 1 |
| Facility failed to complete a written record of a resident's accident or injury. | Severity: 2 Scope: 1 |
Report Facts
Resident census: 6
Total licensed capacity: 6
Severity 3 deficiencies: 1
Severity 2 deficiencies: 1
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 2
Oct 19, 2011
Visit Reason
The inspection was conducted as a complaint investigation from 2011-03-09 through 2011-10-19 regarding allegations including the facility being cold without heat, lost resident clothing and personal items, failure to notify responsible party after a resident fall, and failure to reposition the resident timely after a fall.
Findings
The facility was found not to have substantiated complaints about being cold or lost personal items. However, the facility failed to notify the resident's physician and family after a fall and did not reposition the resident in a timely manner. Additionally, the facility failed to complete a timely written record of the resident's injury.
Complaint Details
Complaint #NV00027781 alleged the facility was cold without heat, resident's clothing and personal items were lost, responsible party was not notified after a resident fall, and resident was not repositioned timely after a fall. The allegations about cold facility and lost items were not substantiated. The allegations about failure to notify responsible party and failure to reposition resident timely were substantiated.
Severity Breakdown
Severity: 3: 1
Severity: 2: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure a resident received appropriate medical care by notifying physician and family after injury. | Severity: 3 |
| Failed to complete a written record of a resident's accident or injury in a timely manner. | Severity: 2 |
Report Facts
Licensed beds: 6
Resident census: 6
Severity 3 deficiencies: 1
Severity 2 deficiencies: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Reported resident was in pain, was unaware of fall, examined resident after fall, did not notify physician or family, called paramedics after complainant insisted | |
| Employee #2 | Assisted Employee #1 in observing resident after fall |
Inspection Report
Complaint Investigation
Capacity: 6
Deficiencies: 0
Sep 12, 2011
Visit Reason
The inspection was conducted as a complaint investigation initiated by the Bureau of Health Care Quality and Compliance on 9/1/11 regarding allegations that residents were left with unqualified staff.
Findings
The allegation of unqualified staff was not substantiated after review of staff schedules, employee charts, interviews with employees and residents, and observation of the facility. Employees #1 and #2 were found to be qualified caregivers and residents confirmed they were never left alone without a caregiver.
Complaint Details
Complaint #NV00029210 alleged residents were left with unqualified staff. The allegation was not substantiated based on document review, interviews, and observations.
Report Facts
Licensed capacity: 6
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Sep 6, 2011
Visit Reason
This document is the result of an annual State Licensure survey conducted at the facility on 9/6/2011 to assess compliance with state regulations for a Residential Facility for Group beds providing care to persons with Alzheimer's disease.
Findings
No deficiencies were identified during the inspection. The facility received a grade of A. Four resident files and four employee files were reviewed.
Report Facts
Licensed capacity: 6
Census: 4
Resident files reviewed: 4
Employee files reviewed: 4
Inspection Report
Enforcement
Deficiencies: 1
Mar 9, 2011
Visit Reason
The document is a notice of sanctions imposed by the Health Division following a complaint investigation conducted on Quinn's Desert Home #2.
Findings
The Bureau conducted a complaint investigation completed on 2011-10-19, resulting in deficiencies with a severity level of three and a scope level of two or less, leading to monetary penalties.
Complaint Details
The Bureau conducted a complaint investigation on Quinn's Desert Home #2 starting on 2011-03-09 and completed on 2011-10-19. The specific factual findings are detailed in the Statement of Deficiencies (SOD) in Attachment A.
Severity Breakdown
Level 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Deficiencies at TAG Y851 with a severity level of three and a scope level of two or less | Level 3 |
Report Facts
Monetary penalty amount: 400
Working days until sanctions effective: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donna C. McCafferty | Health Facilities Surveyor III | Signed the notice imposing sanctions |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 5
May 27, 2009
Visit Reason
This document is an annual State Licensure survey conducted on 5/27/2009 to assess compliance with state regulations for a residential facility providing care to persons with Alzheimer's disease.
Findings
The facility received a grade of B with multiple deficiencies identified, including failure to maintain cleanliness and sanitation in the backyard, hall bath, kitchen, and laundry room; inaccuracies in medication administration records for 5 of 6 residents; medications not kept in original containers; and accessible hazardous items such as matches and nail polish remover to residents.
Severity Breakdown
Level 1: 1
Level 2: 4
Deficiencies (5)
| Description | Severity |
|---|---|
| Facility backyard was not free of gardening refuse; hall bath had dirt accumulation and use of a common hand towel; kitchen walls and exhaust fan filter covered in grease. | Level 2 |
| Laundry room was not kept clean, with lint and lost articles collecting behind washer and dryer. | Level 2 |
| Medication administration record (MAR) was inaccurate for 5 of 6 residents. | Level 1 |
| Medications for 5 of 6 residents were not kept in their original containers. | Level 2 |
| Matches, hand lotion, nail polish remover, hand soap, and shampoo were left unattended and accessible to all 6 residents. | Level 2 |
Report Facts
Residents with inaccurate MAR: 5
Residents with medications not in original container: 5
Residents with access to hazardous items: 6
Facility licensed capacity: 6
Census at time of survey: 6
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 5
Jul 31, 2008
Visit Reason
The inspection was conducted as a State Licensure and complaint survey triggered by three complaints, two of which were substantiated, to assess compliance with Nevada Administrative Code (NAC) 449 Residential Facility for Groups Regulations.
Findings
The facility was found deficient in multiple areas including failure to ensure medication management training for caregivers, inadequate bathroom facilities, lack of protective supervision care plan for a resident, failure to notify and secure physician services for a resident's decline, and failure to administer medications or comply with physician orders for two residents.
Complaint Details
Three complaints were investigated: Complaint #11825 was substantiated, Complaint #14800 was unsubstantiated, and Complaint #15387 was substantiated.
Severity Breakdown
Level 2: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Failed to ensure 2 of 5 employees completed documented medication management training every three years. | Level 2 |
| Failed to provide a flush toilet and lavatory for each four residents. | Level 2 |
| Failed to provide a written protective supervision care plan for Resident #7. | Level 2 |
| Failed to notify and secure physician services as required to treat Resident #9's decline in activities of daily living functioning. | Level 2 |
| Failed to administer medications and/or comply with physician orders for 2 of 6 residents (#3 and #6). | Level 2 |
Report Facts
Total licensed beds: 6
Census: 6
Employees reviewed: 5
Resident files reviewed: 6
Medication doses: 20
Medication doses: 145
Medication doses: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Interviewed regarding medication training, bathroom facilities, and medication administration | |
| Employee #3 | Employee file reviewed showing medication management training dated 01/17/04 | |
| Employee #5 | Employee file reviewed lacking medication management training | |
| Administrator | Administrator | Interviewed regarding lack of protective supervision care plan and failure to notify physician |
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