Inspection Reports for Absolute Circle Of Care Ackerman
7385 Ackerman Avenue, Las Vegas, NV 89131, NV, 89131
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Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 8
Jun 30, 2025
Visit Reason
The inspection was conducted as an annual State Licensure and Complaint Investigation survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for a residential facility for groups.
Findings
The facility was found deficient in multiple areas including failure to develop person-centered service plans for 6 of 9 residents, incomplete physical exams for 2 residents, lack of six-month medication review for 1 resident, use of prohibited range medication orders for 1 resident, incomplete activities of daily living assessments for 2 residents, non-functional audible alarms on exit doors, unsecured knives in kitchen drawers, and unsecured toxic chemicals in the kitchen and laundry room.
Complaint Details
One complaint (NV00074189) was investigated and substantiated with no deficient practice found.
Severity Breakdown
Level 2: 8
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to develop a person-centered service plan for 6 of 9 residents. | Level 2 |
| Failed to ensure physical exams were completed upon admission or annually for 2 residents. | Level 2 |
| Failed to ensure a six-month medication review was completed for 1 resident. | Level 2 |
| Use of prohibited range medication orders for 1 resident. | Level 2 |
| Failed to complete Activities of Daily Living (ADL) assessments upon admission or annually for 2 residents. | Level 2 |
| Failed to ensure all exit doors had functional audible alarms; one door alarm was shut off. | Level 2 |
| Failed to ensure kitchen drawers containing multiple knives were properly locked and secured. | Level 2 |
| Failed to ensure toxic cleaning supplies were locked and inaccessible to residents. | Level 2 |
Report Facts
Licensed beds: 10
Residents present: 9
Residents reviewed: 10
Employee files reviewed: 4
Deficiencies cited: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Francesca Slacedo | Administrator | Named in relation to findings and corrective actions |
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 4
Jul 1, 2024
Visit Reason
This inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for a Residential Facility for Groups.
Findings
The facility received a grade of A but had several regulatory deficiencies including failure to ensure annual physical examinations, tuberculosis testing, annual ADL assessments, and placement assessments for multiple residents.
Severity Breakdown
Level 2: 3
Level 1: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to ensure 1 of 9 residents received an annual physical examination. | Level 2 |
| Failure to ensure 3 of 9 residents met the requirements for tuberculosis (TB) testing. | Level 2 |
| Failure to ensure an evaluation of a resident's activity of daily living (ADL) was completed annually for 1 of 9 residents. | Level 2 |
| Failure to obtain a placement assessment for 4 of 9 residents. | Level 1 |
Report Facts
Residents reviewed: 9
Employee files reviewed: 4
Facility licensed beds: 10
Current census: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Francesca Slacedo | Administrator | Named in relation to acknowledgment of deficiencies and corrective actions |
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 4
Jun 28, 2023
Visit Reason
The inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for a residential facility for groups.
Findings
The facility was found to have several regulatory deficiencies including improper use of bedrails for one resident, lack of current bedfast exemptions for two residents, inaccurate medication administration records for one resident, and non-compliance with cultural competency training for two employees. The facility received a grade of A.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Facility failed to ensure bedrails were not in use for 1 of 8 residents; resident unable to remove half-length bedrails independently. | Severity: 2 |
| Facility failed to ensure a current bedfast exemption was on file for 2 of 8 residents who were bedfast. | Severity: 2 |
| Facility failed to ensure the Medication Administration Record (MAR) was accurate after administering medications for 1 of 8 residents; eight medications were not initialed as administered. | Severity: 2 |
| Facility failed to ensure cultural competency training program compliance; 2 of 8 employees completed training through an unapproved course. | Severity: 2 |
Report Facts
Residents present: 8
Licensed capacity: 10
Medications not initialed: 8
Employees non-compliant with training: 2
Inspection Report
Re-Inspection
Census: 9
Capacity: 10
Deficiencies: 9
Aug 15, 2022
Visit Reason
This inspection was a grading resurvey conducted to assess compliance with Nevada Administrative Code Chapter 449 for a Residential Facility for Groups.
Findings
The facility received a grade of A with several deficiencies identified, including improper use of restraints on a resident, admission of a resident requiring a urinary catheter without proper waiver, unsecured sharp items accessible to residents, and other previously cited deficiencies that were addressed.
Severity Breakdown
F: 6
D: 3
Deficiencies (9)
| Description | Severity |
|---|---|
| Health & Sanitation - Maintain interior/exterior and landscaping of the facility. | F |
| Use of restraints on Resident #1 with half-length bedrails that the resident could not lower independently. | D |
| Admission and retention of Resident #2 who required a urinary catheter without documented medical exemption or waiver. | D |
| Medication storage requirements not met (previously addressed). | F |
| Maintenance and contents of separate resident files not compliant (previously addressed). | D |
| Failure to ensure operational alarms on exit doors for Alzheimer's care (previously addressed). | F |
| Failure to ensure at least one staff member awake and on duty at all times and proper dementia training (previously addressed). | F |
| Sharp items (knives) unsecured and accessible to residents. | F |
| Toxic substances accessible to residents (previously addressed). | F |
Report Facts
Licensed beds: 10
Residents present: 9
Deficiency severity counts: 6
Deficiency severity counts: 3
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 9
Jun 27, 2022
Visit Reason
The inspection was an annual and infection control State Licensure survey conducted in accordance with Nevada Administrative Code (NAC) Chapter 449 for a residential facility for groups.
Findings
The facility received a grade of D with multiple deficiencies identified including failure to maintain the exterior premises, improper use of restraints, admission of a resident requiring a urinary catheter without a medical waiver, unsecured medications, incomplete tuberculosis testing documentation, non-operational audible alarms on exit doors, insufficient staffing ratios, unsecured sharp items, and accessible toxic substances.
Severity Breakdown
Level 2: 9
Deficiencies (9)
| Description | Severity |
|---|---|
| Facility failed to ensure the exterior of the facility was maintained; multiple bed frames, a bedside commode, a walker, a shovel, and a low hanging rope were observed in the backyard. | Level 2 |
| Facility failed to ensure 3 of 9 sampled residents were free from the use of restraints; residents observed with half-length bedrails considered a form of restraint. | Level 2 |
| Facility failed to ensure a resident who required a urinary catheter was not admitted and retained without a medical exemption waiver. | Level 2 |
| Facility failed to ensure medications were kept in a secured and locked area; medication cup with seven pills found unsecured on resident's bedside table. | Level 2 |
| Facility failed to ensure 2 of 9 sampled residents had documented annual tuberculosis testing as required. | Level 2 |
| Facility failed to ensure an audible alarm system was activated on one of three exit doors leading to the backyard. | Level 2 |
| Facility failed to establish interaction groups of one caregiver for every six residents during waking hours; only one caregiver was present for nine residents. | Level 2 |
| Facility failed to ensure sharp items such as scissors, pizza cutter, and knives were inaccessible to residents; found unsecured in an unlocked kitchen drawer. | Level 2 |
| Facility failed to ensure toxic substances were not accessible to residents; multiple cleaning agents and perfumes found unlocked in bathroom and kitchen cabinets. | Level 2 |
Report Facts
Deficiencies cited: 9
Residents sampled: 9
Employee files reviewed: 3
Facility licensed beds: 10
Residents present: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Francesca Salcedo | Administrator | Named in multiple findings including acknowledgment of deficiencies and corrective actions. |
Report
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