Inspection Reports for Azalea Garden
3300 N Pioneer Way, Las Vegas, NV 89129, NV, 89129
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: 10
Deficiencies: 4
Feb 5, 2025
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 was found deficient in medication administration and documentation for multiple residents, infection control training requirements for designated staff, and caregiver training compliance. Several deficiencies were repeat findings from prior inspections.
Severity Breakdown
Level 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to ensure a medication (Oxycodone) was on site for 1 of 6 residents. | Level 2 |
| Failure to ensure the Medication Administration Record (MAR) was accurate for 6 of 6 residents. | Level 2 |
| Failure to ensure primary and secondary infection control staff completed 15 hours of annual infection control training. | Level 2 |
| Failure to ensure 2 of 5 unlicensed caregivers completed the annual required infection control training. | Level 2 |
Report Facts
Licensed beds: 10
Residents present: 6
Deficiency repeat count: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Devin Lees | Administrator | Named as responsible party for corrective actions and infection control oversight |
Inspection Report
Complaint Investigation
Census: 8
Capacity: 8
Deficiencies: 2
Oct 16, 2024
Visit Reason
The inspection was conducted as a complaint investigation triggered by one substantiated complaint regarding the facility's discharge procedures and medication administration.
Findings
The facility was found deficient in failing to provide documented notice of discharge to a resident and their representative, and in failing to accurately document medication administration for that resident. The facility received a grade of A and substantiated one complaint.
Complaint Details
One complaint was investigated and substantiated (Complaint #NV00072100). The complaint involved failure to provide proper discharge notice and inadequate medication administration documentation for Resident #1.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to provide a resident and their representative documented notice of discharge as required. | Severity: 2 |
| Failure to ensure the Medication Administration Record (MAR) was documented accurately for a resident. | Severity: 2 |
Report Facts
Sample size: 6
Residents admitted: 1
Medication administration missing dates: 3
Inspection Report
Annual Inspection
Census: 5
Capacity: 8
Deficiencies: 2
Feb 13, 2024
Visit Reason
The inspection was conducted as an annual State Licensure survey of a Residential Facility for Groups for elderly and disabled persons and/or persons with Alzheimer's disease, Category II residents.
Findings
The facility received a grade of A. Two regulatory deficiencies were identified related to medication administration and annual assessment of residents. Specifically, the facility failed to ensure medications were onsite for one resident and failed to obtain a required placement assessment for one resident.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure medications were onsite and available for 1 of 5 residents (Resident #3). | Severity: 2 |
| Failed to obtain a placement assessment at the time of admission for 1 of 5 residents (Resident #3). | Severity: 2 |
Report Facts
Residents present: 5
Licensed capacity: 8
Deficiencies cited: 2
Inspection Report
Original Licensing
Capacity: 10
Deficiencies: 0
Feb 7, 2023
Visit Reason
The inspection was conducted as an initial State Licensure and infection control survey for a facility requesting licensure for 10 Residential Facility for Groups beds for elderly and disabled persons and/or persons with chronic illness and/or persons with Alzheimer's disease, Category II residents.
Findings
No regulatory deficiencies were identified during the survey. The facility was provided guidance on having an Infection Control Plan. No further action is required.
Report Facts
Licensed capacity: 10
Census: 0
Report
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Report
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Azalea
Report
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Garden
Report
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Notice
Report
File
Sanction_Sanction
Report
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signed.pdf
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