Inspection Reports for Adult Care at Pah Rah
7300 Pah Rah Dr., Sparks Sparks, NV 89436, NV, 89436
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Inspection Report
Complaint Investigation
Census: 5
Capacity: 10
Deficiencies: 0
May 22, 2025
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding allegations of failure to provide toileting assistance and care to prevent skin breakdown.
Findings
The complaint allegations could not be substantiated due to lack of evidence. Observations, interviews, and document reviews found no regulatory deficiencies. No further action is required.
Complaint Details
Complaint #NV00073770 with allegations of failure to ensure toileting assistance and prevent skin breakdown was investigated and found unsubstantiated.
Report Facts
Licensed beds: 10
Residents present: 5
Complaints investigated: 1
Inspection Report
Complaint Investigation
Census: 7
Capacity: 10
Deficiencies: 0
Dec 3, 2024
Visit Reason
This inspection was conducted as a result of a complaint investigation at the facility on 12/03/24 regarding allegations of unclean environment, bathroom equipment maintenance, privacy door locks, and employee training compliance.
Findings
The complaint allegations could not be substantiated due to lack of sufficient evidence. Observations, file reviews, and interviews were conducted, and no regulatory deficiencies were identified. The facility received a grade of A.
Complaint Details
Complaint #NV00071631 included four allegations which were not substantiated: failure to maintain a clean environment, failure to maintain bathroom equipment, failure to ensure single motion locking doors for privacy, and failure to ensure employees are up to date on required trainings.
Report Facts
Licensed beds: 10
Resident census: 7
Number of complaints investigated: 1
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 3
Aug 15, 2024
Visit Reason
The inspection was conducted as a result of a State Licensure annual survey combined with a complaint investigation at the facility on 08/15/2024.
Findings
The facility received a grade of A. Deficiencies were identified related to medication administration accuracy, failure to complete required six-month pharmacy reviews for three residents, failure to ensure two employees completed required mental illness training within 60 days of hire, and lack of a secondary infection control person with required training.
Complaint Details
The inspection included a complaint investigation component, but the substantiation status is not explicitly stated in the report.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure a Pharmacy Review was completed at least once every six months for 3 of 7 sampled residents (Residents #4, #5, and #6). | Severity: 2 |
| Failure to ensure 2 of 3 employees completed eight hours of mental illness training within 60 days of hire (Employee #1 and Employee #2). | Severity: 2 |
| Facility lacked a secondary infection control person with the required infection control training, potentially affecting 5 residents. | Severity: 2 |
Report Facts
Licensed beds: 10
Residents present: 7
Employees reviewed: 4
Residents reviewed: 7
Deficiencies with missing pharmacy reviews: 3
Employees lacking mental illness training: 2
Residents potentially affected by infection control deficiency: 5
Inspection Report
Annual Inspection
Census: 6
Capacity: 10
Deficiencies: 6
Jul 12, 2023
Visit Reason
The inspection was conducted as a result of a State Licensure annual survey combined with a complaint investigation at the facility on 07/12/2023.
Findings
The facility was found to have multiple regulatory deficiencies including failure to conduct timely annual physical exams, medication profile reviews, tuberculosis testing, activities of daily living assessments, and standard placement determinations for residents with dementia. Fire safety procedures such as monthly smoke detector testing and fire alarm drills were also not consistently performed.
Complaint Details
Two complaints were investigated: Complaint #NV00069295 alleging PRN medications were not on site was not substantiated; Complaint #NV00069020 alleging a caregiver lacked appropriate training was not substantiated.
Severity Breakdown
Level 2: 5
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to ensure smoke detectors were tested and fire alarm drills were conducted monthly. | — |
| Failed to ensure an annual general physical examination was completed timely for 1 of 6 sampled residents. | Level 2 |
| Failed to ensure medication profile review was performed at least once every six months for 3 of 6 sampled residents. | Level 2 |
| Failed to ensure 4 of 6 sampled residents met tuberculosis testing requirements. | Level 2 |
| Failed to ensure Activities of Daily Living (ADL) assessments were completed upon admission and annually for 2 of 6 residents. | Level 2 |
| Failed to ensure standard placement determinations were completed by a provider initially upon admission and annually thereafter for 5 of 6 residents with dementia. | Level 2 |
Report Facts
Licensed capacity: 10
Current census: 6
Complaints investigated: 2
Severity 2 deficiencies: 5
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 7
Jan 12, 2023
Visit Reason
This inspection was a State Licensure annual regrading survey conducted by the Division of Public and Behavioral Health in accordance with NAC 449 for Residential Facility for Groups.
Findings
The facility received a grade of B with one substantiated complaint regarding failure to ensure medications were on-site. Multiple deficiencies were identified including late pre-employment physicals, delayed background checks, missing six-month pharmacy reviews, medication administration errors, unsecured medications, and inaccurate medication administration records.
Complaint Details
Complaint #NV00067826 alleging failure to ensure medications were on-site was substantiated.
Severity Breakdown
F: 2
D: 4
C: 1
Deficiencies (7)
| Description | Severity |
|---|---|
| Administrator failed to ensure records were complete and accurate. | F |
| Pre-employment physical examination for one employee was completed seven days late. | D |
| Background check requirements were not met timely for one employee. | D |
| Six-month pharmacy reviews were not reviewed and signed by the Administrator for 5 of 6 residents. | C |
| Medications were not on-site as prescribed for one resident (Resident #4). | D |
| Medication Administration Record (MAR) was inaccurate for 3 of 8 residents. | D |
| Medications were unsecured and accessible to residents, including multiple bottles without physician or resident names. | F |
Report Facts
Number of beds: 10
Current census: 8
Number of resident files reviewed: 8
Number of employee files reviewed: 3
Number of residents with missing six-month pharmacy review signatures: 5
Number of residents with inaccurate MAR: 3
Number of residents with unsecured medications in refrigerator: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Administrator | Background check completed late; fingerprints taken more than 10 days after hire |
| Employee #3 | Caregiver | Pre-employment physical completed seven days late |
| William Ballinger | Owner | Signed report and involved in corrective action plans |
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 12
Aug 29, 2022
Visit Reason
This inspection was conducted as a result of a State Licensure annual grading survey at the facility on 08/29/22.
Findings
The facility was found deficient in multiple areas including incomplete resident clinical records, inadequate caregiver training, late pre-employment physicals and background checks, failure to respect resident rights regarding bedrails, unsecured medication storage, and lack of required training for care of residents with intellectual disabilities, mental illness, and chronic illnesses. The facility received a grade of D.
Severity Breakdown
Level 2: 11
Level 1: 1
Deficiencies (12)
| Description | Severity |
|---|---|
| Administrator failed to ensure resident clinical records were complete for 4 of 10 sampled residents, including missing annual ADL assessments and physical exams. | Level 2 |
| Facility failed to ensure 2 of 5 employees obtained required 8 hours of caregiver training within 90 days and failed to ensure staff were trained on use of hoyer lift. | Level 2 |
| Facility failed to ensure pre-employment physical examinations were completed timely for 3 of 5 sampled employees. | Level 2 |
| Facility failed to ensure 2 of 5 sampled employees met background check requirements with fingerprinting submitted late. | Level 2 |
| Facility failed to respect a resident's personal decision to exclude bedrails from their bed. | Level 2 |
| Facility failed to ensure annual physical examination including review of systems was completed for 1 of 10 residents. | Level 2 |
| Facility failed to ensure medication reviews were completed at least once every six months for 2 of 10 residents. | Level 2 |
| Facility failed to ensure medications were secured for 10 of 10 residents; medications and supplements found unsecured. | Level 2 |
| Facility failed to ensure 2 of 5 new employees completed 4 hours of training related to care of persons with intellectual disabilities within 60 days of hire. | Level 2 |
| Facility failed to ensure 2 of 5 employees completed 8 hours of training related to care for persons with mental illness within 60 days of hire. | Level 2 |
| Facility failed to ensure 2 of 5 new employees completed 4 hours of training related to care for persons with chronic illness within 60 days of hire. | Level 2 |
| Facility failed to ensure 3 of 5 employees completed a cultural competency course approved by the Division of Public and Behavioral Health. | Level 1 |
Report Facts
Resident files reviewed: 10
Employee files reviewed: 6
Facility grade: D
Resurvey fee: 600
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Warlito Pizarro | Administrator | Named as Administrator responsible for compliance and plan of correction |
| Employee #1 | Caregiver | Named in multiple findings including incomplete training, late physical, background check, and lack of cultural competency training |
| Employee #2 | Caregiver | Named in findings related to late background check and lack of cultural competency training |
| Employee #3 | Caregiver | Named in multiple findings including incomplete training, lack of hoyer lift training, late physical, background check, and lack of cultural competency training |
Inspection Report
Annual Inspection
Census: 6
Capacity: 10
Deficiencies: 0
Jul 15, 2021
Visit Reason
This inspection was conducted as a result of a State Licensure annual grading survey at the facility on 07/15/21.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action is necessary.
Report Facts
Resident files reviewed: 6
Employee files reviewed: 4
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