Inspection Reports for Affinity Care Home
4369 Adelphi Ave, Las Vegas, NV 89120, NV, 89120
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 6
Deficiencies: 2
Sep 25, 2025
Visit Reason
The inspection was conducted as a result of a complaint investigation at Affinity Care Home on 09/25/2025, triggered by one complaint (#NV00074709).
Findings
The complaint was unsubstantiated with no regulatory deficiencies identified in the initial investigation. However, subsequent findings revealed two deficiencies related to restraint use and admission policies concerning a bedfast resident (Resident #3).
Complaint Details
One complaint (#NV00074709) was investigated and found to be unsubstantiated. The investigation included observations, interviews with staff and residents, clinical record reviews, and document reviews.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure residents were free from restraints, specifically Resident #3 was restrained by half bed rails used to prevent falls. | Severity: 2 |
| Facility failed to obtain a medical exemption to maintain a bedfast resident (Resident #3) without proper documentation. | Severity: 2 |
Report Facts
Census: 6
Sample size: 5
Complaint count: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Coronel | Residential Facility Administrator | Signed as Laboratory Director's or Provider/Supplier Representative |
Inspection Report
Annual Inspection
Census: 6
Capacity: 10
Deficiencies: 6
Jun 18, 2025
Visit Reason
The inspection was conducted as an annual State Licensure survey combined with a complaint investigation at the facility on 06/18/2025.
Findings
The facility was found deficient in multiple areas including inaccurate staffing schedules, blocked emergency egress due to a broken window shade, medication administration errors, unsecured sharp objects, unsecured yard gate, and accessible toxic substances. One complaint was substantiated related to medication administration.
Complaint Details
One complaint (#NV00074311) was investigated and substantiated related to medication administration errors involving Resident #7.
Severity Breakdown
Level 1: 1
Level 2: 5
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to maintain an accurate staffing schedule including shift times and changes. | Level 1 |
| Bedroom window obstructed by broken roll shade preventing emergency egress. | Level 2 |
| Medication administration error: Thiamine was not administered or documented as prescribed for Resident #7. | Level 2 |
| Sharp knives unsecured in kitchen area accessible to residents. | Level 2 |
| Side yard gate leading to street was unsecured and left unlocked. | Level 2 |
| Toxic substances including bleach and cleaners were accessible to residents due to unsecured storage and missing laundry room door. | Level 2 |
Report Facts
Licensed capacity: 10
Census: 6
Severity 1 deficiencies: 1
Severity 2 deficiencies: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Perez | Administrator | Named as responsible party for corrective actions in multiple deficiencies |
Inspection Report
Complaint Investigation
Census: 9
Deficiencies: 4
Apr 7, 2025
Visit Reason
The inspection was conducted as a complaint investigation initiated on 2025-02-24 and completed on 2025-04-21, following a substantiated complaint regarding facility compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility was found deficient in multiple areas including failure to ensure volunteers had required TB screening prior to resident contact, inflexible visiting hours limiting residents' social interactions, failure to treat residents with kindness and respect, and failure to maintain resident files on site for several residents. Corrective actions were implemented and completed by May 15, 2025.
Complaint Details
One complaint (NV00073203) was investigated and substantiated. The investigation included observations, interviews with residents, staff, visitors, the Administrator, and the Owner, as well as clinical record and document reviews.
Severity Breakdown
Level 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to ensure a volunteer received a tuberculin (TB) test prior to assisting at the facility. | Level 2 |
| Failure to have flexible visiting hours to promote residents' contact with family and friends. | Level 2 |
| Failure to treat residents with kindness and respect, including incidents of staff yelling at residents and ignoring them. | Level 2 |
| Failure to maintain files on site for 3 of 9 current residents. | Level 2 |
Report Facts
Census: 9
Sample size: 6
Employee files reviewed: 7
Deficiencies cited: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Perez | Residential Facility Administrator | Named as responsible party for corrective actions and monitoring plans |
| Employee #2 | Named in complaints related to unkind and disrespectful treatment of residents; terminated on 2025-03-16 |
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 2
Jun 4, 2024
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 but had repeat deficiencies related to unsecured sharp objects and toxic substances accessible to residents, both of which were addressed with staff education and installation of locks.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure sharp objects such as scissors and knives were inaccessible to residents; unsecured items found in kitchen and laundry room. | Severity: 2 |
| Facility failed to ensure toxic substances such as laundry soap, bleach, and cleaning agents were secured; unsecured substances found in laundry room and bathroom. | Severity: 2 |
Report Facts
Licensed capacity: 10
Census: 7
Repeat deficiency date: Nov 7, 2023
Plan of correction completion date: Jun 14, 2024
Plan of correction completion date: Jun 13, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Perez | Administrator | Signed the report and responsible for ensuring plan of correction implementation |
Inspection Report
Original Licensing
Census: 7
Capacity: 10
Deficiencies: 0
May 1, 2024
Visit Reason
The inspection was conducted as a result of an endorsement change state licensure survey to add a mental illness endorsement to the facility's license.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.
Report Facts
Employee files reviewed: 4
Resident files reviewed: 0
Inspection Report
Complaint Investigation
Census: 8
Deficiencies: 2
Mar 27, 2024
Visit Reason
The inspection was conducted as a result of a complaint investigation survey triggered by complaint #NV00070474, which was substantiated without deficient practice. The investigation included observation, interviews, clinical record review, and document review.
Findings
The facility was found deficient in ensuring residents were treated with dignity and respect, specifically two residents were observed wearing hospital gowns all day without appropriate clothing. Additionally, the facility retained a resident with pressure ulcers without submitting a required medical exemption to the Bureau. Other deficiencies unrelated to the complaint were also identified.
Complaint Details
Complaint #NV00070474 was substantiated without deficient practice. The investigation included observation of care, interviews with staff and residents, clinical record review, and document review.
Severity Breakdown
D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure two residents were treated with dignity and respect and provided with clothing to wear daily (Residents #3 and #6 observed wearing hospital gowns all day). | D |
| Facility retained a resident with pressure ulcers without submitting a medical exemption to the Bureau (Resident #1). | D |
Report Facts
Census: 8
Sample size: 5
Severity level D deficiencies: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lawrence D O'Shea | Administrator | Named in relation to monitoring and plan of correction |
Inspection Report
Complaint Investigation
Census: 7
Deficiencies: 0
Jan 9, 2024
Visit Reason
The inspection was conducted as a result of a complaint investigation triggered by two complaints received by the facility.
Findings
Two complaints were investigated; one was unverified with no regulatory deficiencies identified, and the other was verified but found no deficient practice. Overall, no regulatory deficiencies were identified and no further action was necessary.
Complaint Details
Two complaints were investigated: Complaint #NV00069925 was unverified with no deficiencies found, and Complaint #NV00069926 was verified but with no deficient practice.
Report Facts
Sample size: 5
Inspection Report
Complaint Investigation
Census: 8
Deficiencies: 5
Nov 7, 2023
Visit Reason
The inspection was conducted as a complaint investigation following two complaints received by the facility, focusing on observations of resident grooming, food supply, meal observation, facility tour, interviews, clinical record reviews, and document reviews.
Findings
The facility was found deficient in multiple areas including failure to maintain the interior premises, failure to notify responsible parties and physicians after resident falls, failure to ensure follow-up medical care per physician instructions, unsecured sharp objects, and unsecured toxic substances. Severity levels were consistently noted as Level 2 with limited scope.
Complaint Details
Two complaints were investigated: Complaint #NV00069659 was verified, Complaint #NV00069602 was unverified. The verified complaint involved failures in medical care and safety standards.
Severity Breakdown
Severity: 2: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Facility failed to ensure the interior was well maintained; a hole was observed in the wall of Room #5. | Severity: 2 |
| Failed to provide documented evidence notification to responsible party and physician after three falls for 1 of 5 residents (Resident #5). | Severity: 2 |
| Failed to ensure a resident (Resident #6) received necessary follow-up medical care per physician's instructions after discharge. | Severity: 2 |
| Failed to ensure sharp objects were secured; three knives found in unlocked kitchen cabinet and push tacks on corkboards without locked enclosure. | Severity: 2 |
| Failed to ensure toxic substances were secured; unsecured multi-surface cleaner and Lysol disinfectant found under bathroom sink without locked cabinet. | Severity: 2 |
Report Facts
Sample size: 6
Complaints investigated: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lawrence D O'Shea | Administrator | Named in relation to findings and interview regarding medical care and facility policies |
| Employee #2 | Caregiver | Acknowledged failure to document notifications after resident falls and unsecured items |
Inspection Report
Complaint Investigation
Census: 10
Deficiencies: 0
Jul 26, 2023
Visit Reason
The inspection was conducted as a result of a complaint investigation completed at the facility on 07/26/23 in accordance with Nevada Administrative Code (NAC), Chapter 449, Residential Facility for Groups.
Findings
The complaint was investigated and verified with no deficient practice. Observations and interviews were conducted, and no regulatory deficiencies were identified. No further action is necessary.
Complaint Details
One complaint (#NV00069057) was investigated and verified with no deficient practice.
Report Facts
Sample size: 6
Complaints investigated: 1
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