Inspection Reports for Advanced Health Care of Las Vegas

The inspection was conducted as a Medicare Recertification Survey combined with a complaint investigation from 2023-02-28 through 2023-03-03, including review of two complaints.

The facility was found deficient in multiple areas including nephrostomy care, arbitration agreement communication, infection prevention and control, and hand hygiene during PICC line dressing changes. Two complaints were investigated; one was substantiated without deficient practice and the other was unsubstantiated.

Two complaints were investigated: Complaint #NV00066746 was substantiated with no deficient practice found; Complaint #NV00066766 was unsubstantiated with no regulatory deficiencies identified.

An offsite revisit was conducted on 09/16/2021 to verify correction of all previous deficiencies cited on 08/20/2021.

All deficiencies previously cited have been corrected, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was conducted as a result of a complaint and facility reported incident investigation initiated on 03/11/2021 and completed on 03/12/2021.

Three complaints and one facility reported incident were investigated. Two complaints were substantiated with regulatory deficiencies identified, including a resident fall and failure of physician to communicate with family members. Other allegations were not substantiated. Multiple deficiencies related to resident rights, advance directives, comprehensive care plans, and accident prevention were cited.

Complaint #NV00061308 was substantiated related to a resident fall during transfer. Complaint #NV00062921 was substantiated related to failure of physician to communicate with family members. Complaint #NV00060762 was substantiated without regulatory deficiencies. Facility Reported Incident #NV00061044 regarding a resident fall was substantiated.

The inspection was conducted as a result of a Centers for Medicare and Medicaid Services (CMS) Focused Infection Control survey to investigate regulatory compliance for Infection Control and Prevention Tag F880, including policies, procedures, and practices related to COVID-19.

The facility had one positive COVID-19 resident at the time of inspection. Deficiencies were identified related to infection prevention and control, including failure to ensure two employees and one family member were screened for signs and symptoms of COVID-19 prior to entering the facility, failure to ensure a CNA was fit tested and designated to provide care for the positive COVID-19 resident, and failure to maintain consistent assignments and ensure visitors wore appropriate PPE.

The investigation was complaint-related focusing on infection control and prevention practices, specifically related to COVID-19. The complaint was substantiated based on identified deficiencies.

The inspection was conducted as a Centers for Medicare and Medicaid Services (CMS) Focused Infection Control survey to assess compliance with infection control requirements, specifically related to COVID-19.

The facility was found to be compliant with infection control regulations, including proper use of PPE, social distancing, screening procedures, and quarantine practices. No regulatory deficiencies were identified during the inspection.

This inspection was conducted as a Centers for Medicare and Medicaid Services (CMS) Focused Infection Control survey to assess compliance with infection control and prevention requirements, including COVID-19 related practices.

The facility failed to ensure proper disposal of biohazard waste with three biohazard bins overfilled and not sealed, and failed to employ a qualified Infection Preventionist. The facility had one resident positive for COVID-19 and two presumptive residents awaiting test results at the time of the survey.

The inspection was a Centers for Medicare and Medicaid Services (CMS) COVID-19 Focused Infection Control survey initiated on 04/09/2020 and finalized on 04/27/2020 to assess infection prevention and control compliance related to COVID-19.

The facility failed to ensure resident care staff were fit tested for N-95 masks as required. Staff had not undergone initial fit testing, and the facility misinterpreted guidance regarding annual fit testing. Several staff members reported not being fit tested for N-95 masks. The facility had 35 N-95 masks available for use if a COVID-19 outbreak occurred.

This document is a Statement of Deficiencies generated as a result of an Emergency Preparedness survey conducted in conjunction with a Medicare recertification survey on 06/25/2019.

The facility failed to develop and maintain a comprehensive emergency preparedness program including a community-based risk assessment, collaboration with local emergency preparedness officials, policies for volunteers during emergencies, emergency contact information, sharing of medical information during emergencies, sharing emergency plans with residents and families, and conducting full-scale community-based emergency exercises.

This inspection was a Medicare Life Safety Code (LSC) recertification survey conducted at the facility to assess compliance with fire safety regulations.

The facility was found to have multiple deficiencies related to fire safety, including unsealed penetrations allowing smoke passage, lack of wire mesh panel or screen for the fireplace, staff not fully aware of fire drill procedures, and cross corridor doors not fully closing during fire alarm activation.

This report was generated as a result of a Medicare recertification survey conducted from June 17, 2019 through June 20, 2019 to assess compliance with federal regulations for long term care facilities.

The facility was found deficient in multiple areas including quality of care, free of accident hazards, respiratory care, infection prevention and control, and medication administration. Specific deficiencies involved failure to administer Clonidine as ordered, lack of fall mats per physician order, inadequate oxygen administration documentation, and failure to provide personal protective gowns in the laundry area.

The inspection was conducted as a result of a complaint investigation regarding multiple allegations about facility practices and resident care.

The investigation substantiated the allegation that the facility failed to wear protective head coverings and follow proper hygiene protocols in the kitchen. Multiple other allegations were not substantiated. Deficiencies were identified related to food safety and sanitation practices in the kitchen.

One complaint (#NV00054915) was investigated and substantiated regarding failure to wear protective head covering and follow hygiene protocols in the kitchen.

The inspection was conducted as a result of a complaint investigation regarding allegations of facility noncompliance with hygiene protocols and other resident care concerns.

The investigation substantiated the allegation that the facility failed to wear protective head coverings and follow proper hygiene protocols in the kitchen. Multiple other allegations were not substantiated. The facility was found deficient in food safety requirements related to sanitation practices and food temperature documentation.

One complaint (#NV00054915) was investigated and substantiated regarding failure to wear protective head covering and follow hygiene protocols in the kitchen. Multiple other allegations were not substantiated.

The inspection was conducted as a result of a complaint investigation survey initiated on 09/27/18 and completed on 10/04/18, investigating one complaint regarding food service equipment and meal temperatures.

The complaint regarding the food service equipment not working was substantiated with no regulatory deficiencies identified. The allegation that meals were cold was substantiated (TAG F 804). Several other allegations related to staff hygiene, supervision, and resident care were not substantiated. The facility failed to ensure food temperatures at the point of service were kept at a hot enough temperature per facility policy.

One complaint (#NV00054698) was investigated and substantiated. The allegation that the food service equipment was not working was substantiated with no regulatory deficiencies. The allegation that meals were cold was substantiated. Other allegations related to CNA hygiene, staffing, supervision, medication cart security, resident behavior, and mask use were not substantiated.

The document is a Plan of Correction submitted following an Emergency Preparedness survey conducted in conjunction with a Medicare recertification survey on 05/22/18.

The facility failed to develop and maintain a comprehensive emergency preparedness program based on a documented, facility-based and community-based risk assessment, and failed to provide a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials. Additionally, the facility did not have adequate policies and procedures for arrangements with other facilities to maintain continuity of services.

This report documents a Medicare Life Safety Code (LSC) recertification survey conducted at the skilled nursing facility to assess compliance with fire safety and life safety regulations.

The facility was found deficient in several areas related to fire safety, including maintenance and inspection of cooking facilities, sprinkler systems, fire extinguishers, electrical systems, fire doors, smoke control systems, gas and vacuum piped systems, and electrical receptacle testing. The facility acknowledged deficiencies and submitted plans of correction with compliance dates.

The inspection was conducted as a Medicare recertification survey from 05/15/18 through 05/18/18, including investigation of one complaint regarding failure to provide copies of discharge documentation.

The facility was found to have multiple deficiencies including failure to notify representatives of changes in condition, failure to report alleged misappropriation to law enforcement, failure to ensure licensed practical nurse duties, failure to provide feeding assistance, failure to clarify diet orders, failure to ensure safety devices, failure to manage pain appropriately, failure to store medications securely, failure to maintain food safety, failure to maintain resident records accurately, and failure to maintain infection control and hand hygiene.

Complaint #NV00051870 alleging failure to provide copies of discharge documentation was investigated and found to be unsubstantiated.

This document is a Medicare Life Safety Code (LSC) recertification survey conducted to assess compliance with fire safety standards at a skilled nursing facility.

The facility was found deficient in maintaining the range hood system, automatic fire sprinkler system, fire drills, electrical systems, and electrical equipment. The administrator acknowledged these deficiencies and a plan of correction with compliance dates was established.

The inspection was conducted as a Medicare recertification survey at the facility from 7/5/17 through 7/6/17 to assess compliance with federal regulations for long term care facilities.

The survey identified multiple deficiencies including failure to ensure call lights were within reach for residents, inadequate assessment and documentation of intravenous (IV) access sites, failure to secure medications properly, and lack of policies regarding dressing changes for PICC lines. Systemic changes and corrective actions were planned and implemented with a compliance date of 7/28/2017.

The inspection was conducted as a Medicare recertification survey from 6/28/16 through 6/30/16 to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities.

The facility failed to provide appropriate antibiotic therapy for a resident with a gastrointestinal infection and failed to implement transmission-based precautions timely for the infection. The resident was in contact isolation for Clostridium difficile but did not receive treatment for the last five days due to unclear antibiotic orders and lack of critical thinking by nursing staff.

This inspection was conducted as a Medicare recertification Life Safety Code (LSC) survey using the CMS 2786R Fire Safety Survey Report with new Health Care criteria.

The facility was found to be in substantial compliance with applicable Life Safety Code regulations. No deficiencies requiring correction were noted.

This survey was conducted as a Medicare recertification Life Safety Code (LSC) survey using the CMS 2786R Fire Safety Survey Report with new health care criteria.

The facility was found to be in substantial compliance with applicable regulations and no further action was required.

This inspection was conducted as a Medicare recertification survey at the facility from 6/28/16 through 6/30/16 to assess compliance with federal regulations for long term care facilities.

The facility was found deficient in providing appropriate antibiotic therapy for a resident with a Clostridium difficile gastrointestinal infection and failed to implement timely transmission-based precautions for infection control. Licensed staff were in-serviced on clarifying physician orders and proper isolation protocols, with monitoring plans established.

This inspection was conducted as a result of a Medicare recertification and Life Safety Code (LSC) survey.

The facility was found deficient in several Life Safety Code standards including fire-rated door barriers, smoke/fire damper testing documentation, and emergency generator manual stop station placement. Deficiencies could affect staff and residents' safety in fire or smoke events.

The inspection was conducted as a Medicare recertification survey combined with a complaint investigation from 8/18/15 through 8/20/15.

The facility was found to have deficiencies related to fall prevention, drug regimen management, and infection control, including failure to implement fall precautions for two residents, failure to document non-pharmacological interventions prior to administering psychotropic medications for two residents, and failure to follow appropriate isolation precautions for two residents.

Two complaints (NV00041920 and NV00041903) were investigated and not substantiated. Allegations included unreported falls, failure to provide incontinent care, special diets, transportation, pest control issues, privacy concerns, language barriers, medication errors, and staffing issues.

The inspection was conducted as a Medicare recertification survey and complaint investigation from 8/18/15 through 8/20/15 at Advanced Health Care of Las Vegas.

The facility was found deficient in ensuring fall precautions for residents, proper documentation of pharmacological interventions, and infection control practices related to isolation precautions. Two complaints were investigated but not substantiated. The facility failed to implement adequate fall prevention measures for sampled residents and failed to document non-pharmacological interventions prior to medication administration. Infection control deficiencies were noted related to isolation precautions for two residents.

Two complaints (NV00041920 and NV00041903) were investigated and found not substantiated. Allegations included unreported falls, failure to provide appropriate care, pest control issues, privacy concerns, language barriers, and medication administration issues.

The inspection was conducted as a complaint investigation initiated by the Division of Public and Behavioral Health on January 12, 2015, in response to six allegations made against the facility.

The complaint investigation found that none of the six allegations were substantiated. The facility was found to have communicated appropriately with residents' families, administered medications with proper consent, provided correct food trays, used proper equipment for transfers, managed pressure ulcers and infections appropriately, and communicated bed hold policies effectively.

Complaint #NV00041295 contained six allegations which were all investigated and found not substantiated.

This inspection was conducted as a Medicare recertification survey from October 8, 2014 through October 10, 2014, to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities.

The facility was found deficient in multiple areas including improper gastrostomy tube flush technique, failure to maintain appropriate food temperatures during meal service, and incomplete or inaccurate clinical records including care plans and physician orders.

The inspection was conducted as a result of a complaint investigation regarding six allegations related to infection control, privacy, wound treatment, medication administration, housekeeping, and availability of church services.

The complaint was substantiated overall with specific findings including failure to provide wound treatment as ordered, lack of spiritual/religious activities, and other issues. Some allegations such as infection control practices and privacy during wound treatment were not substantiated. The facility had policies in place for infection control and housekeeping.

Complaint #NV00040196 contained six allegations. The complaint was substantiated. Allegations included infection control, privacy/dignity, wound treatment, IV medication, housekeeping, and church services. Some allegations were substantiated (wound treatment, church services), others were not.

The inspection was conducted as a complaint investigation based on Complaint #NV00040196, which contained six allegations regarding infection control, privacy, wound treatment, IV medication administration, cleanliness, and availability of church services.

The complaint was substantiated for two allegations: failure to provide wound treatment as ordered by the physician and failure to offer church services. Other allegations including infection control practices, privacy during wound treatment, IV medication administration, and cleanliness were not substantiated. The facility had policies in place for infection control and housekeeping. Deficiencies were identified related to activities programming and wound care documentation.

Complaint #NV00040196 contained six allegations. The complaint was substantiated for allegations #3 (wound treatment not provided as ordered) and #6 (church services not offered). Allegations #1 (infection control), #2 (privacy/dignity), #4 (IV medication), and #5 (cleanliness) were not substantiated.

The inspection was initiated as a complaint investigation survey starting on June 5, 2014 and finalized on June 10, 2014, following allegations related to resident care and facility operations.

The investigation reviewed seven allegations including medication administration without food, telephone inoperability, resident hygiene, family communication, nurse misinformation, IV apparatus care, and emergency department transfer timing. None of the allegations were substantiated based on clinical record reviews, interviews, observations, and facility logs.

Complaint #NV00038961 was initiated by the Division of Public and Behavioral Health on 6/5/14 and finalized on 6/10/14. There were 7 allegations investigated, none substantiated: medication without food causing vomiting, telephone inoperability, resident left soiled with feces and no towels, lack of family updates, nurse giving false diagnosis information, IV apparatus not checked for five days, and delay in sending resident to emergency department.

This Statement of Deficiencies was generated as a result of the Medicare recertification survey conducted at the facility from January 21, 2014 through January 24, 2014, in accordance with 42 CFR Chapter IV Part 483 Requirements for Long Term Care Facilities.

The survey identified multiple deficiencies related to residents' rights exercised by representatives, professional standards of care, tuberculosis screening, care and services for highest well-being, treatment and prevention of pressure sores, free of accident hazards, drug regimen management, food procurement and sanitation, infection control, and clinical records. Systemic changes and monitoring plans were implemented for each deficiency. No complaints were investigated during the survey.

This report documents a Medicare recertification survey conducted at the facility from January 21, 2014 through January 24, 2014, in accordance with federal requirements for long term care facilities.

The survey identified multiple deficiencies related to residents' rights, infection control, care and services, treatment of pressure sores, medication administration, food safety, and life safety code compliance. The facility failed to meet several regulatory requirements including proper documentation, care standards, and safety protocols.

The inspection was conducted as an annual Medicare recertification survey combined with a complaint investigation at the facility from 12/26/2012 through 12/28/2012.

The survey identified multiple deficiencies including failure to notify physicians of changes in residents' conditions, failure to ensure survey results were accessible to residents, improper assessment of residents self-administering medications, failure to follow physician orders for medication and care, inadequate catheter care, improper food storage, and infection control lapses.

One complaint was investigated (Complaint #NV00033624) alleging failure to provide physical therapy, failure to flush a resident's Foley catheter, failure to ensure preventative measures for pressure ulcers, and failure to notify the physician of a change in a resident's condition. The first two allegations were not substantiated; the failure to notify the physician was substantiated.

The inspection was conducted as a complaint investigation initiated on 07/24/2012 regarding allegations including weight loss, inaccurate face sheet information, failure to test blood sugar, failure to conduct a swallow test, providing only broth to eat, incidents involving Ambien and a fall, an infected sore on the right calf, discharge due to inability to care for the wound, unauthorized entry of a nude female into a resident's room, and injury to a resident's fingers.

The investigation included medical record reviews from five medical facilities, interviews, and policy reviews related to weight loss and falls. All allegations were found to be unsubstantiated, and no regulatory deficiencies were identified.

Complaint #32301 was investigated and found to be unsubstantiated after review of medical records, interviews, and policy evaluations.

The inspection was conducted as a complaint investigation initiated by the Bureau of Health Care Quality and Compliance on 4/18/12 regarding multiple allegations about resident care and facility practices.

The investigation found all allegations unsubstantiated, including claims about improper discharge with C-diff infection, development of sores, failure to communicate with family, insufficient physician visits, unclean bathrooms, and improper food service. The facility policies and procedures were found to be in place and followed appropriately, and no regulatory deficiencies were identified.

Complaint #NV00031028 involved six allegations: 1) resident discharged with unfinished antibiotic regimen for C-diff infection, 2) resident developed sores while in facility, 3) failure to communicate with family and parent company, 4) physician saw resident only twice, 5) failure to keep resident's bathroom clean, 6) failure to serve food at proper temperature and inviting manner. All allegations were unsubstantiated based on record reviews, interviews, observations, and policy reviews.

This inspection was conducted as a Medicare recertification Life Safety Code (LSC) survey at the facility on March 7-8, 2012, to assess compliance with fire safety and life safety standards.

The survey identified multiple deficiencies related to fire safety, including inadequate fire drill procedures, lack of fire extinguisher location signage, improper storage of soiled linen/trash receptacles, unsealed conduits penetrating smoke barriers, and failure to follow NFPA 110 requirements for generator load testing. These deficiencies were acknowledged by the facility's Administrator.

This inspection was conducted as a Medicare recertification Life Safety Code (LSC) survey to assess compliance with fire safety standards at the facility.

The facility was found deficient in several Life Safety Code standards including fire drill procedures, fire extinguisher placement and signage, storage of soiled linen/trash receptacles, smoke barrier penetrations, and generator testing. Systemic changes and corrective actions were planned and acknowledged by the administrator.

This Statement of Deficiencies was generated as a result of an annual Medicare recertification survey and a complaint investigation conducted at the facility from March 6, 2012 through March 8, 2012 in accordance with 42 CFR Chapter IV Part 483 Requirements for Long Term Facilities.

The facility was found to have multiple deficiencies including failure to fully inform residents of changes in care and treatment, failure to properly assess residents' ability to self-administer medications, failure to develop and implement abuse/neglect policies, failure to properly screen employees, incomplete resident care plans, inadequate discharge summaries, failure to maintain safe food storage and preparation, and failure to provide proper wound care and medication management.

Complaint #NV00030658 was initiated by the Bureau of Healthcare Quality and Compliance on 3/6/12 regarding an inappropriate and unsafe discharge to an unlicensed residential facility for groups. The allegation was substantiated through interview with the nurse case manager, policy review, and review of clinical records.

This inspection was conducted as a result of an annual Medicare recertification survey combined with a complaint investigation regarding an inappropriate and unsafe discharge to an unlicensed residential facility for groups.

The facility was found deficient in multiple areas including failure to fully inform residents of changes in care and treatment, improper assessment of residents' ability to self-administer medications, incomplete resident care plans, failure to properly screen employees, inadequate wound care documentation, improper use and documentation of Foley catheters, failure to maintain proper food storage and temperature, and failure to properly store and document medications. The complaint regarding unsafe discharge was substantiated.

Complaint #NV00030658 was initiated by the Bureau of Healthcare Quality and Compliance on 3/6/12 regarding an inappropriate and unsafe discharge to an unlicensed residential facility for groups. The allegation was substantiated through interview with the nurse case manager, policy review, and review of clinical records.

This inspection was conducted as a result of a state licensure complaint investigation at the facility on July 28, 2011, regarding allegations of staff misconduct and care issues.

The investigation substantiated one allegation related to misuse of a TED hose by staff, citing failure to notify a physician and lack of proper documentation. Additional deficiencies were identified related to prohibited practices and failure to report alleged abuse and missing items involving Resident #1.

Complaint #NV00028767 involved eight allegations including misuse of TED hose, scheduling issues, sores on resident, blood infection, skin problems, diaper use, walker need, and weight loss. Only the misuse of TED hose allegation was substantiated.

This inspection was conducted as a result of a state licensure complaint investigation triggered by Complaint #NV00028767, which included eight allegations regarding the care and treatment of a resident at the facility.

The investigation substantiated one allegation regarding misuse of TED hose by facility staff, resulting in citations at Tag Z230. Additional deficiencies were identified related to failure to notify a physician about treatment refusal and failure to follow policies on reporting missing items and potential verbal abuse involving a resident.

Complaint #NV00028767 involved eight allegations, of which only the allegation regarding misuse of TED hose was substantiated. Other allegations related to scheduling, sores, infections, skin problems, diaper use, walker need, and weight loss were not substantiated.

The document does not contain any information regarding an inspection or regulatory visit.

No findings or content are available due to lack of readable content.

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