Inspection Reports for As Time Goes By
4149 Jory Trail, Las Vegas, NV 89108, NV, 89108
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 4
Sep 10, 2024
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility was found deficient in developing person-centered service plans for all six residents, documenting preferred names, pronouns, and gender expressions for three residents, obtaining annual or initial placement assessments for five residents, and ensuring infection control training for two of four employees. The facility received a grade of A.
Severity Breakdown
C: 2
B: 1
E: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to develop a person-centered service plan for 6 of 6 residents. | C |
| Failed to ensure documentation of preferred name, pronoun, and gender expression for 3 of 6 residents. | B |
| Failed to obtain annual or initial placement assessments for 5 of 6 residents. | C |
| Failed to ensure 2 of 4 employees completed required infection control training from an approved nationally recognized infection control organization. | E |
Report Facts
Residents files reviewed: 6
Employee files reviewed: 7
Deficiencies cited: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| June Kern | Administrator | Signed the report and involved in corrective action implementation |
| Employee #1 | Caregiver | Failed to complete required infection control training |
| Employee #3 | Caregiver | Failed to complete required infection control training |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Sep 21, 2023
Visit Reason
This inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.
Report Facts
Resident files reviewed: 6
Employee files reviewed: 5
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 2
Sep 26, 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
The facility received a grade of A with no regulatory deficiencies identified overall. However, two deficiencies were cited related to safety: unsecured sharp items used to secure a first aid cabinet and unsecured toxic substances including wound cleanser and spray paint cans accessible to residents with Alzheimer's disease.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure sharp items were secured from residents with Alzheimer's disease and/or dementia; a broken stick with sharp points was used to secure the first aid cabinet but was not properly secured. | Severity: 2 |
| Facility failed to ensure toxic substances were inaccessible to residents; unsecured wound cleanser in the first aid cabinet and multiple unsecured spray paint cans in the yard were accessible. | Severity: 2 |
Report Facts
Licensed beds: 6
Resident census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| June Kern | ADM | Named as Laboratory Director's or Provider/Supplier Representative who signed the report |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Oct 19, 2021
Visit Reason
The inspection was conducted as the Annual State Licensure Grading and infection control survey for the facility in accordance with Nevada Administrative Code Chapter 449.
Findings
The facility received a grade of A with no regulatory deficiencies identified. Guidance was provided on compliance with NRS 449.101, NRS 449.102, and LCB File No. R016-20 regarding discrimination, privacy, and cultural competency policies.
Report Facts
Resident records reviewed: 6
Employee records reviewed: 5
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 1
Jun 30, 2021
Visit Reason
The inspection was conducted as a result of a complaint investigation from 06/25/21 to 06/30/21 regarding allegations of caregiver misconduct and understaffing at the facility.
Findings
One complaint was substantiated involving verbal abuse by a caregiver towards a resident. Other allegations of physical altercation and understaffing were unsubstantiated. The facility failed to report the verbal abuse incident to the local authority within 24 hours as required.
Complaint Details
Complaint #NV00064221 with three allegations was investigated. Allegation #1 (verbal abuse) was substantiated. Allegation #2 (physical altercation) and Allegation #3 (understaffing) were unsubstantiated based on interviews and record reviews.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure verbal abuse toward residents was reported in a timely manner to the local authority. | Severity: 2 |
Report Facts
Complaint allegations: 3
Sample size: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| June Kern | Administrator | Named in relation to failure to report verbal abuse incident and oversight of facility compliance |
Inspection Report
Abbreviated Survey
Census: 6
Capacity: 6
Deficiencies: 0
Nov 13, 2020
Visit Reason
The inspection was a focused COVID-19 infection control survey conducted to assess compliance with COVID-19 related health and safety measures in the facility.
Findings
No residents or staff tested positive or showed symptoms of COVID-19. The facility implemented screening, temperature checks, social distancing, sanitization, and PPE use according to infection control policies. No deficiencies were identified during the survey.
Report Facts
Sanitizer bottles: 4
Electronic temporal thermometers: 3
Glove boxes: 7
Surgical mask boxes: 3
N-95 masks: 75
Gowns: 20
Face shields: 16
Residents present: 6
Licensed beds: 6
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Feb 24, 2020
Visit Reason
This inspection was conducted as an annual State Licensure survey of the facility in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.
Inspection Report
Annual Inspection
Census: 6
Deficiencies: 1
Feb 20, 2019
Visit Reason
The inspection was conducted as a State Licensure annual survey of the facility in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received an annual survey grade of A. One deficiency was identified related to the accessibility of dangerous items to residents, including staple removal kits, scissors, a pizza cutter, and a pie cutter found in accessible areas.
Severity Breakdown
2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure dangerous items such as knives, matches, firearms, tools, and other items were inaccessible to residents; specifically, staple removal kits, scissors, pizza cutter, and pie cutter were accessible to residents. | 2 |
Report Facts
Sample resident files reviewed: 6
Sample employee files reviewed: 7
Survey grade: A
Severity level of deficiency: 2
Scope of deficiency: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| June Kern | Administrator | Confirmed the items found should have been locked up and inaccessible to residents |
Inspection Report
Renewal
Census: 6
Capacity: 6
Deficiencies: 0
Feb 6, 2018
Visit Reason
This inspection was conducted as a State Licensure re-survey of the facility to assess compliance with licensing requirements.
Findings
The facility received a grade of A. No specific deficiencies or violations are detailed in the report.
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 1
Jan 19, 2016
Visit Reason
This inspection was conducted as an annual State Licensure survey to assess compliance with regulations for a residential facility providing care to persons with Alzheimer's disease.
Findings
The facility received a grade of A but was found deficient for failing to ensure that dangerous items were inaccessible to residents. Specifically, the kitchen area with a turned-on stove was accessible to residents due to a rolled-away barrier, posing a safety risk.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure 4 of 5 residents did not have access to a dangerous area of the home, specifically the kitchen area where a stove was turned on and accessible due to a rolled-away barrier. | Severity: 2 |
Report Facts
Resident census: 5
Total licensed capacity: 6
Employee files reviewed: 6
Resident files reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #5 acknowledged the finding regarding the kitchen barrier |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 1
Jan 19, 2016
Visit Reason
This visit was an annual State Licensure survey conducted to assess compliance with regulations for a residential facility providing care to persons with Alzheimer's disease.
Findings
The facility received a grade of A but was cited for a deficiency related to dangerous items being accessible to residents. Specifically, the kitchen area where a stove was on was accessible due to a barrier being rolled to the side, leaving the area open and unattended.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Knives, matches, firearms, tools and other items that could constitute a danger to the residents of the facility are inaccessible to the residents. | Severity: 2 |
Report Facts
Residents present: 5
Licensed capacity: 6
Severity level: 2
Scope: 3
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 1
Jan 6, 2015
Visit Reason
This inspection was conducted as a State Licensure annual grading survey to assess compliance with regulations for a residential facility providing care to persons with Alzheimer's disease.
Findings
The facility received a grade of A but was found deficient for failing to ensure that an exit gate in the Alzheimer's endorsed facility was secured, as a gate leading to the street was left open and unlocked with no staff present.
Severity Breakdown
2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The facility failed to ensure an exit gate in an Alzheimer's endorsed facility was secured; a gate to the street from the backyard was left open and unlocked with no staff present. | 2 |
Report Facts
Resident census: 6
Total licensed capacity: 6
Deficiency severity: 2
Deficiency scope: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #3 mentioned in relation to the unsecured gate observation |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Jan 21, 2014
Visit Reason
This inspection was conducted as a State Licensure annual grading survey of the facility on 01/21/2014 by the authority of NRS 449.0307.
Findings
The facility was found to be in compliance and received a grade of A. Six resident files and six employee files were reviewed during the survey.
Report Facts
Resident files reviewed: 6
Employee files reviewed: 6
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 1
Jan 21, 2014
Visit Reason
The inspection was conducted as a State Licensure annual grading survey to assess compliance with regulations for a residential facility providing care to persons with Alzheimer's disease.
Findings
The facility received a grade of A, but a deficiency was identified related to the failure to secure an exit gate in the Alzheimer's endorsed facility, allowing unauthorized access to the street from the back yard.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure an exit gate in an Alzheimer's endorsed facility was secured, allowing access to the street from the back yard. | Severity: 2 |
Report Facts
Resident census: 6
Total capacity: 6
Deficiency scope: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #3 | Indicated other staff members had been gathering holiday decorations and were not within line of vision of unsecured gate |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 1
Jan 30, 2013
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with state regulations for a Residential Facility for Group beds providing care to persons with Alzheimer's disease.
Findings
The facility received a grade of A. One deficiency was identified related to fire extinguisher inspection and maintenance, specifically that two of the fire extinguishers were not ensured to be in the charged zone as required.
Deficiencies (1)
| Description |
|---|
| Facility did not ensure 2 of 2 fire extinguishers were in the charged zone as required by NAC 449.229. |
Report Facts
Resident census: 6
Total licensed capacity: 6
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 1
Jan 30, 2013
Visit Reason
This document is a statement of deficiencies generated as a result of an annual State Licensure survey conducted at the facility on 01/30/2013.
Findings
The facility received a grade of A. One deficiency was identified related to fire safety: 2 of 2 fire extinguishers were not ensured to be in the charged zone, leading to a State Fire Marshall referral.
Deficiencies (1)
| Description |
|---|
| Facility did not ensure 2 of 2 fire extinguishers were in the charged zone - State Fire Marshall referral. |
Report Facts
Licensed beds: 6
Resident census: 6
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Dec 29, 2011
Visit Reason
This document is the result of an annual State Licensure survey conducted at the facility on 12/29/2011 to assess compliance with licensing requirements.
Findings
No deficiencies were identified during the survey. The facility was found to be in full compliance and received a grade of A.
Report Facts
Resident files reviewed: 6
Employee files reviewed: 5
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Dec 10, 2010
Visit Reason
This document is the result of an initial State licensure survey conducted from 11/9/10 through 12/10/10 for licensure of six Residential Facility for Groups beds for elderly and disabled persons.
Findings
The deficiencies found at the time of the survey were corrected and no further actions were necessary.
Report Facts
Licensed beds: 6
Employee files reviewed: 6
Mock resident files reviewed: 1
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