Inspection Reports for Adult Comfort And Care Home 2
10315 Queensbury Ave., Las Vegas, NV 89135, NV, 89135
Back to Facility ProfileDeficiencies (last 11 years)
Deficiencies (over 11 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
86% better than Nevada average
Nevada average: 7.1 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
7 residents
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 7
Deficiencies: 0
Oct 13, 2025
Visit Reason
The inspection was conducted as a result of a complaint investigation at the facility on 10/13/2025, involving three complaints.
Findings
No regulatory deficiencies were identified during the investigation. Two complaints were substantiated without deficient practice, and one complaint was unsubstantiated. The facility received a Grade of A.
Complaint Details
Three complaints were investigated: Complaint #NV00074713 and #NV00074711 were substantiated with no deficient practice, and Complaint #NV00074726 was unsubstantiated.
Report Facts
Complaints investigated: 3
Sample size: 7
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 1
Apr 2, 2025
Visit Reason
The inspection was conducted as a result of an annual and complaint investigation completed on 04/02/25 in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Findings
The facility failed to ensure residents were provided privacy in a safe and comfortable living environment free from listening devices. The audio/listening feature of all three cameras used for monitoring was turned off after it was found that the administrator had been listening to residents' conversations without their consent.
Complaint Details
One complaint (#NV00073156) was substantiated related to privacy violations involving listening devices on facility cameras.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The audio/listening feature of all 3 cameras in the living area, dining area and hallway used for monitoring was turned off after being used to listen to residents' conversations without consent. | D |
Report Facts
Licensed beds: 10
Census: 9
Sample size: 5
Severity level: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karpal K Pannu | Administrator | Administrator admitted to having listening devices on cameras and acknowledged privacy concerns |
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 3
Apr 17, 2024
Visit Reason
The inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code (NAC), Chapter 449, Residential Facilities for Groups.
Findings
The facility received a grade of A but had several deficiencies including failure to develop policies ensuring residents are addressed by preferred name and pronoun in accordance with their gender identity, failure to complete annual placement assessments for some residents, and failure to ensure the primary infection control designee completed required infection control training.
Severity Breakdown
A: 1
C: 1
D: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to develop policies to ensure residents were addressed by preferred name and pronoun in accordance with their gender identity or expression; 10 of 10 resident records lacked documentation reflecting preferred name, pronoun, gender identity or expression. | C |
| Facility failed to ensure annual placement assessments were obtained for 2 of 10 residents. | A |
| Facility failed to ensure the primary infection control designee completed 15 hours of infection control training from a nationally recognized organization. | D |
Report Facts
Residents reviewed: 10
Employee files reviewed: 5
Beds licensed: 10
Infection control training hours required: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karpal Pannu | Administrator | Named as Administrator responsible for acknowledging deficiencies and implementing plans of correction |
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 0
Apr 18, 2023
Visit Reason
The inspection was conducted as a result of an annual and infection control State Licensure survey combined with a complaint investigation.
Findings
The facility received a grade of A with no regulatory deficiencies identified. One complaint was substantiated without deficient practice after investigation including observations, interviews, and record reviews.
Complaint Details
Complaint #NV00068052 was substantiated with no deficient practice. The investigation included observation of grooming and physical appearance of residents, meal observation, a tour of the facility, interviews with residents, caregivers, Ombudsman, and the Administrator, and review of 11 resident records and incident reports.
Report Facts
Sample size: 11
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 0
Apr 7, 2022
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 Facilities for Groups.
Findings
No regulatory deficiencies were identified during the inspection. The facility received a grade of A and was provided guidance on compliance with certain state regulations related to discrimination, privacy, and cultural competency.
Report Facts
Employee files reviewed: 3
Resident files reviewed: 10
Inspection Report
Complaint Investigation
Census: 10
Capacity: 10
Deficiencies: 0
Oct 7, 2021
Visit Reason
The inspection was conducted as a result of a complaint investigation survey triggered by Complaint #NV00064735 with three allegations.
Findings
The investigation substantiated one allegation regarding a resident not receiving oxygen continuously but found no regulatory deficiencies. Other allegations related to medication administration, injury of unknown origin, and inappropriate level of care were not substantiated, and no regulatory deficiencies were identified.
Complaint Details
Complaint #NV00064735 with three allegations was substantiated. Allegation #1 regarding oxygen treatment was substantiated with no deficiencies. Allegation #2 about anti-anxiety medication was not substantiated. Allegation #3 about bruises was not substantiated. Allegation #4 about inappropriate level of care was substantiated with no deficiencies.
Report Facts
Sample size: 3
Allegations: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Interviewed regarding oxygen treatment, injury incident, and resident care | |
| Hospice Registered Nurse (RN) | Interviewed regarding oxygen treatment and resident care |
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 0
Aug 9, 2021
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 Facilities for Groups.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and was provided guidance on compliance with certain state regulations related to discrimination, privacy, cultural competency, and complaint policies.
Inspection Report
Routine
Census: 10
Capacity: 10
Deficiencies: 0
Sep 23, 2020
Visit Reason
This inspection was a COVID-19 focused infection control, State Licensure survey conducted to assess compliance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility was found to be in compliance with infection control practices related to COVID-19, including proper use of PPE, social distancing, sanitation, and screening procedures. No residents or staff tested positive for COVID-19, and no regulatory deficiencies were identified.
Report Facts
Infrared thermometers: 3
Hand sanitizer bottles: 6
Surgical style masks: 50
KN 95 masks: 4
Gloves: 500
Staff members: 3
Residents allowed at dining table: 3
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 1
Aug 29, 2019
Visit Reason
The inspection was an annual state licensure survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Findings
The facility received a grade of A; however, a regulatory deficiency was identified related to the improper storage of oxygen canisters for one resident. The oxygen tanks were not secured properly as required by regulations.
Severity Breakdown
2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Oxygen canisters were not properly secured in the closet of Resident #1. | 2 |
Report Facts
Resident files reviewed: 9
Employee files reviewed: 7
Oxygen canisters: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karpal Pannu | Administrator | Administrator confirmed oxygen canisters were not secured and implemented corrective actions |
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 0
Aug 7, 2018
Visit Reason
This inspection was an annual survey initiated at the facility on August 7, 2018, conducted 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. Ten resident files and five employee files were reviewed. No further action was necessary.
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 2
Aug 28, 2017
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 had deficiencies including failure to destroy expired medications for 3 residents and failure to ensure proper tuberculosis testing documentation for 1 resident.
Severity Breakdown
Level 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to destroy expired medications for 3 of 9 residents (Resident #5, #8, and #9). | Level 2 |
| Failure to ensure 1 of 9 residents met tuberculosis testing requirements due to lack of documented injection dates. | Level 2 |
Report Facts
Residents present: 9
Total licensed capacity: 10
Employee files reviewed: 6
Resident files reviewed: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 acknowledged expired medications and confirmed tuberculosis testing deficiency; no full name provided. |
Inspection Report
Renewal
Census: 9
Capacity: 10
Deficiencies: 1
Aug 1, 2016
Visit Reason
The inspection was conducted as an annual State Licensure survey for re-licensure of the facility on 8/1/16.
Findings
The facility was found to be licensed for 10 beds with a census of nine residents at the time of the survey and received a grade of A. One deficiency was identified related to the admission policy where a resident was admitted with a diagnosis not aligned with the facility's licensed care category.
Severity Breakdown
2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The facility failed to ensure a resident was appropriately admitted; Resident #1 had fronto temporal dementia but was admitted under a placement determination for Alzheimer's disease or related dementia, which requires specific care and staffing not aligned with the facility's license. | 2 |
Report Facts
Licensed beds: 10
Resident census: 9
Employee files reviewed: 7
Resident files reviewed: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karpal Pannu | Administrator | Named as the person responsible for ensuring the plan of correction is implemented |
| Dr. Allison Mattila | Reviewed and corrected the Standard Placement Determination form for Resident #1 |
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 1
Aug 1, 2016
Visit Reason
This annual State Licensure survey was conducted to assess compliance with state regulations for the facility licensed as a Residential Facility for Group beds for elderly and disabled persons.
Findings
The facility received a grade of A; however, a deficiency was identified related to the admission policy where the facility failed to ensure a resident was appropriately admitted, specifically Resident #1 who required specialized care for dementia and wandering behavior.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure a resident was appropriately admitted who requires skilled nursing or 24-hour medical supervision, contrary to admission policy. | Severity: 2 |
Report Facts
Licensed capacity: 10
Census: 9
Inspection Report
Complaint Investigation
Census: 9
Deficiencies: 1
Mar 31, 2016
Visit Reason
The inspection was conducted as a complaint investigation initiated on 3/31/16 regarding a tripping hazard caused by a baby gate installed at the entrance of the kitchen.
Findings
The facility was found to have a tripping hazard due to a baby gate installed at the kitchen entrance, which was substantiated. The gate was removed, and corrective actions including installation of a regular bedroom door with a push button lock and pin were completed by 4/15/16.
Complaint Details
Complaint #NV00045402 was substantiated. The allegation involved a baby gate at the kitchen entrance presenting a significant tripping hazard.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The facility failed to ensure the interior was free of hazards; a baby gate at the kitchen entrance created a tripping hazard. | Severity: 2 |
Report Facts
Census: 9
Sample size: 3
Complaint count: 1
Severity level: 2
Scope: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shawn | Administrator | Acknowledged observations and corrective actions related to the tripping hazard |
Inspection Report
Complaint Investigation
Census: 9
Deficiencies: 1
Mar 31, 2016
Visit Reason
The inspection was conducted as a complaint investigation initiated on 3/31/16 regarding a safety hazard posed by a baby gate installed at the entrance of the kitchen.
Findings
The facility was found to have a safety hazard where a baby gate base was elevated about four inches, causing a tripping hazard for residents and staff. The complaint was substantiated, and the administrator removed the bungee cord propping the gate and planned to find a safer alternative.
Complaint Details
Complaint #NV00045402 was substantiated. The allegation that a baby gate installed at the entrance of the kitchen presented a significant tripping hazard was confirmed.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure the interior of the facility was free of hazards due to a baby gate presenting a tripping hazard at the kitchen entrance. | Severity: 2 |
Report Facts
Census: 9
Sample size: 3
Complaint count: 1
Severity level: 2
Scope: 3
Inspection Report
Original Licensing
Capacity: 10
Deficiencies: 0
Jul 13, 2015
Visit Reason
This was an initial State Licensure survey conducted to evaluate the facility's request for licensure as a 10-bed Residential Facility for Group beds for elderly and disabled persons and other specified categories.
Findings
No deficiencies were identified during the survey; any regulatory deficiencies found were corrected at the time of the survey, and no further action was required.
Report Facts
Total licensed capacity: 10
Census at time of survey: 0
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