Inspection Reports for Becky’s Home Care
4055 Cloud Nine Lane, Las Vegas, NV 89115, NV, 89115
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Jul 28, 2025
Visit Reason
The inspection was conducted as part of an annual survey combined with a complaint investigation at the facility on 07/28/2025.
Findings
No regulatory deficiencies were identified during the inspection. The complaint investigated was unsubstantiated. The facility received a grade of A and was provided guidance on Legionella related information from the Infection Prevention Team.
Complaint Details
One complaint (Complaint #NV000744289) was investigated and found to be unsubstantiated with no regulatory deficiencies identified.
Report Facts
Licensed beds: 6
Resident census: 6
Inspection Report
Annual Inspection
Census: 2
Capacity: 6
Deficiencies: 2
Sep 19, 2024
Visit Reason
This inspection was an annual survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A but had deficiencies including failure to ensure the Administrator reviewed and initialed six-month medication reviews for one resident, and failure to document preferred pronoun, gender expression, and sexual orientation for two residents.
Severity Breakdown
Level 2: 1
Level 1: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure the Administrator reviewed and initialed six month medication reviews for 1 of 2 residents. | Level 2 |
| Failure to document preferred pronoun, gender expression, and sexual orientation in resident files for 2 of 2 residents. | Level 1 |
Report Facts
Licensed beds: 6
Residents present: 2
Medication reviews missing administrator initials: 1
Residents missing preferred pronoun documentation: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julia Asuncion G Dugay | Administrator | Named in relation to medication review and documentation deficiencies |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Sep 26, 2023
Visit Reason
This inspection was conducted as an annual State Licensure inspection in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified. Four resident files and three employee files were reviewed, and no further action was necessary.
Report Facts
Resident files reviewed: 4
Employee files reviewed: 3
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Sep 27, 2022
Visit Reason
The inspection was conducted as an annual and infection control 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: 4
Employee files reviewed: 4
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Oct 18, 2021
Visit Reason
This inspection was conducted as an annual State Licensure and infection control survey of the facility.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and was provided guidance on certain regulatory requirements related to discrimination, privacy, and cultural competency.
Report Facts
Licensed beds: 6
Residents present: 5
Inspection Report
Routine
Census: 6
Capacity: 6
Deficiencies: 2
Nov 2, 2020
Visit Reason
The inspection was a COVID-19 focused infection control State Licensure survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility had no residents or staff positive for COVID-19. Observations included infection control practices such as signage, screening, and sanitization. However, deficiencies were found including a caregiver not wearing a mask while working and lack of staff fit testing and medical clearance for N95 masks, respirator program, emergency staffing plan, and documented staff training on PPE use.
Severity Breakdown
Severity: 2: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| A caregiver was observed not wearing a mask while assisting residents, violating safe infection control practices. | Severity: 2 |
| Infection Control Program policies and procedures did not address staff fit testing and medical clearance for N95 masks, respirator program, emergency staffing plan, staff training on proper PPE use, new admissions or readmissions with unknown COVID-19 status, and required notifications. | — |
Report Facts
Facility licensed beds: 6
Current census: 6
Masks and PPE inventory: 50
Masks and PPE inventory: 10
Masks and PPE inventory: 8
Masks and PPE inventory: 8
Masks and PPE inventory: 4
Masks and PPE inventory: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Charo Dale | Administrator | Signed as Laboratory Director's or Provider/Supplier Representative |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Jul 23, 2019
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
Capacity: 6
Deficiencies: 1
Aug 22, 2018
Visit Reason
The inspection was conducted as an annual survey of the facility in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A. One deficiency was identified related to medication administration where a resident's medication was administered at the wrong time of day, not as prescribed by the physician.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to administer Trazodone medication to Resident #4 at bedtime as prescribed; medication was administered in the morning instead. | Severity: 2 |
Report Facts
Resident files reviewed: 6
Employee files reviewed: 3
Facility licensed beds: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Charo Dale | Administrator | Signed the report and responsible for corrective actions |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 1
Sep 19, 2017
Visit Reason
The inspection was conducted as an annual State Licensure survey of the facility on 09/19/2017 by the Division of Public and Behavioral Health.
Findings
The facility received a grade of A. One deficiency was identified related to medication storage where a prescription ointment was found unsecured on a resident's nightstand. The medication was subsequently secured and corrective actions were implemented.
Severity Breakdown
2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Medication was found unsecured in Room #5: tube of triamcinolone acetonide prescription ointment on resident nightstand. | 2 |
Report Facts
Licensed beds: 6
Residents present: 4
Employee files reviewed: 3
Resident files reviewed: 4
Deficiency severity: 2
Deficiency scope: 3
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Aug 31, 2016
Visit Reason
The inspection was conducted as an annual State Licensure survey for re-licensure of the facility.
Findings
No regulatory deficiencies were identified during the inspection. The facility received a grade of A.
Report Facts
Resident files reviewed: 6
Employee files reviewed: 3
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Aug 31, 2016
Visit Reason
This inspection was conducted as an annual State Licensure survey of the facility on 8/31/16.
Findings
The facility received a grade of A with no regulatory deficiencies identified at the time of the survey.
Report Facts
Resident files reviewed: 6
Employee files reviewed: 3
Inspection Report
Complaint Investigation
Census: 3
Deficiencies: 0
Mar 8, 2016
Visit Reason
The inspection was conducted as a result of a complaint investigation initiated on 2016-02-24 and completed on 2016-03-08 regarding an allegation of physical abuse by a caregiver.
Findings
The complaint alleging physical abuse was investigated through observations, interviews, and record reviews, and the allegation was not substantiated. No regulatory deficiencies were identified and no further action was necessary.
Complaint Details
Complaint #NV00045200 alleged physical abuse of a resident by a caregiver; the allegation was not substantiated after investigation.
Report Facts
Sample size: 4
Inspection Report
Complaint Investigation
Census: 3
Deficiencies: 0
Jan 5, 2016
Visit Reason
The inspection was conducted as a complaint investigation following an allegation of physical abuse of a resident at the facility.
Findings
The complaint investigation found no regulatory deficiencies and the allegation of physical abuse was not substantiated. Observations, interviews, and record reviews were conducted with no further action necessary.
Complaint Details
Complaint #NV00044860 alleged physical abuse of a resident, which was investigated and found to be unsubstantiated.
Report Facts
Residents present: 3
Residents in hospital: 1
Sample size: 5
Complaints investigated: 1
Inspection Report
Annual Inspection
Census: 3
Capacity: 6
Deficiencies: 2
Oct 5, 2015
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 10/05/15 at Becky’s Home Care, a residential facility for elderly and disabled persons.
Findings
The facility received a grade of A. Deficiencies were identified related to personnel background checks and health and sanitation hazards, including failure to ensure all employees completed background checks and unsafe furniture posing hazards to residents.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Personnel File - Background Check: Facility failed to ensure 1 of 3 employees completed the required background checks, including lack of documented State and FBI clearance. | Severity: 2 |
| Health and Sanitation-Hazards: Facility failed to ensure the premises were free from hazards, including a wooden bench with a broken seat and splitting wood that was pointed and sharp. | Severity: 2 |
Report Facts
Number of residents present: 3
Total licensed capacity: 6
Deficiency severity count: 2
Deficiency scope: 1
Deficiency scope: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Named in background check deficiency for incomplete background check |
Inspection Report
Annual Inspection
Census: 3
Capacity: 6
Deficiencies: 2
Oct 5, 2015
Visit Reason
This annual State Licensure survey was conducted to assess compliance with regulatory requirements for Becky’s Home Care, a residential facility for elderly and disabled persons.
Findings
The facility received a grade of A but had two regulatory deficiencies: failure to ensure one employee completed required background checks and failure to maintain safe furniture in the backyard, specifically a broken wooden bench with sharp, splitting wood.
Severity Breakdown
2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 3 employees completed background check requirements, including missing documented evidence of State and FBI clearance. | 2 |
| Failed to ensure furniture was safe for use by residents; observed a wooden bench with a broken seat slat and sharp, splitting wood. | 2 |
Report Facts
Licensed beds: 6
Current census: 3
Employee files reviewed: 3
Resident files reviewed: 3
Repeat deficiency: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Named in background check deficiency and furniture safety interview |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 2
Oct 28, 2014
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with licensing and zoning regulations for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of A but was found deficient in licensing-zoning compliance due to failure to ensure background checks for employees and improper storage of perishable foods, including refrigerated and frozen items.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure 1 of 3 employees met background check requirements of NRS 449. | Severity: 2 |
| Facility failed to ensure perishable foods were stored properly, including eggs found at room temperature. | Severity: 2 |
Report Facts
Resident census: 5
Total licensed capacity: 6
Number of eggs found at room temperature: 29
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 2
Oct 28, 2014
Visit Reason
This document is an annual State Licensure survey conducted to assess compliance with state regulations for Becky's Home Care facility.
Findings
The facility received a grade of A but had deficiencies including failure to ensure one employee met background check requirements and improper storage of perishable foods, specifically eggs stored at room temperature.
Severity Breakdown
2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 3 employees met background check requirements of NRS 449 (Employee #3). | 2 |
| Failed to ensure perishable foods were stored properly; a carton of 29 eggs was found stored at room temperature. | 2 |
Report Facts
Number of residents present: 5
Total licensed capacity: 6
Number of eggs improperly stored: 29
Number of employee files reviewed: 3
Number of resident files reviewed: 5
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 3
Oct 8, 2013
Visit Reason
The inspection was conducted as a State Licensure annual grading survey to evaluate compliance with licensing requirements for a residential facility for elderly and disabled persons and/or persons with mental illness.
Findings
The facility received a grade of A but had deficiencies including failure to ensure monthly evacuation drills were conducted for several months, failure to keep medications in original containers for six residents, and violation of the low income rate agreement by having three low income beds occupied by residents who did not qualify.
Severity Breakdown
Severity: 2: 1
Severity: 1: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure monthly evacuation drills were conducted for 12 of 12 months (missing Oct 2012, Jan 2013, April 2013, and July 2013) - State Fire Marshall referral. | — |
| Failure to keep medications belonging to 6 of 6 residents in their original container. | Severity: 2 |
| Violation of low income rate agreement by having three of three low income beds occupied by residents who did not qualify as low income residents. | Severity: 1 |
Report Facts
Months missing evacuation drills: 4
Residents with medications not in original container: 6
Low income beds occupied by ineligible residents: 3
Facility licensed capacity: 6
Current census: 6
Low income bed fee: 35
Payment started by owner: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria L. Felix | Administrator | Signed as administrator on plan of correction |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 3
Oct 8, 2013
Visit Reason
This document is a State Licensure annual grading survey conducted to assess compliance with regulatory requirements for Becky’s Home Care facility.
Findings
The facility received a grade of A but had deficiencies including failure to conduct monthly evacuation drills for four months, failure to keep medications in original containers for all residents, and violation of low income bed occupancy requirements.
Severity Breakdown
Level 2: 1
Level 1: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure monthly evacuation drills were conducted for 12 of 12 months (missing Oct 2012, Jan 2013, April 2013 and July 2013) - State Fire Marshall referral. | — |
| Failed to keep medications belonging to 6 of 6 residents in their original container. | Level 2 |
| Violated license agreement by having three of three low income beds occupied by residents who did not qualify as low income residents (Residents #1, #2, and #4). | Level 1 |
Report Facts
Deficiencies cited: 3
Low income beds occupied by non-qualifying residents: 3
Residents with medications not in original containers: 6
Months missing evacuation drills: 4
Licensed capacity: 6
Census at time of survey: 6
Inspection Report
Complaint Investigation
Capacity: 6
Deficiencies: 6
Oct 23, 2012
Visit Reason
This document is a Statement of Deficiencies generated as a result of a complaint investigation conducted on the facility from 10/09/12 through 10/23/12 regarding allegations including financial exploitation and other deficiencies.
Findings
The investigation found multiple deficiencies including failure to ensure proper handling of residents' money and property, admission policy violations, inadequate pressure ulcer care, incomplete medical care records, failure to conduct required physical examinations, and medication administration errors.
Complaint Details
Complaint #NV00033351 regarding financial exploitation was referred to Elder Protective Services. The complaint investigation was initiated by the Bureau of Health Care Quality and Compliance on 10/09/12.
Severity Breakdown
Level 1: 1
Level 2: 4
Level 3: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Failure to ensure that an operator did not accept an appointment as power of attorney for residents. | Level 2 |
| Failure to follow admission policy by retaining a bedfast resident without approval. | Level 2 |
| Failure to ensure pressure ulcer precautions were taken for a resident with a pressure ulcer. | Level 2 |
| Failure to ensure a resident's file contained an incident report documenting a change in condition. | Level 1 |
| Failure to ensure a resident received required physical examinations after significant change in condition. | Level 3 |
| Failure to ensure medications were administered as prescribed, including proper documentation and communication with pharmacist. | Level 2 |
Report Facts
Licensed capacity: 6
Residents: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Le Felix | Administrator | Signed the Statement of Deficiencies form |
Inspection Report
Complaint Investigation
Capacity: 6
Deficiencies: 6
Oct 23, 2012
Visit Reason
The inspection was conducted as a complaint investigation initiated by the Bureau of Health Care Quality and Compliance on 2012-10-09 regarding allegations of financial exploitation and other deficiencies at Becky’s Home Care.
Findings
The facility was found deficient in multiple areas including failure to prevent an operator from becoming power of attorney for a resident, retaining a bedfast resident without approval, inadequate pressure ulcer precautions, lack of incident reports for a resident's change in condition, failure to ensure periodic physical examinations after significant changes, and failure to administer medications as prescribed.
Complaint Details
Complaint #NV00033351 regarding financial exploitation was referred to Elder Protective Services. The complaint investigation was initiated on 2012-10-09 by the Bureau of Health Care Quality and Compliance.
Severity Breakdown
Severity: 1: 1
Severity: 2: 4
Severity: 3: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Facility failed to ensure an operator did not accept appointment as power of attorney for a resident. | Severity: 2 |
| Facility failed to obtain approval to retain a bedfast resident. | Severity: 2 |
| Facility failed to ensure pressure ulcer precautions were taken for a resident. | Severity: 2 |
| Facility failed to ensure a resident's file contained an incident report documenting a change in condition. | Severity: 1 |
| Facility failed to ensure a resident received a physical examination after a significant change in condition. | Severity: 3 |
| Facility failed to ensure medications were administered as prescribed for a resident. | Severity: 2 |
Report Facts
Licensed beds: 6
Category I residents: 3
Category II residents: 3
Severity 1 deficiencies: 1
Severity 2 deficiencies: 4
Severity 3 deficiencies: 1
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 3
Oct 9, 2012
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted at the facility on 10/9/12.
Findings
The facility was found to have deficiencies related to medication administration, including incorrect medication dosing and incomplete medication administration records for residents. The facility received a grade of A.
Severity Breakdown
D: 1
2: 1
1: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Medication / OTCs, Supplements, Change Order - Administration of medication responsibilities not met. | D |
| Resident #2 received Risperidone 0.5 mg incorrectly and Ferrous Sulfate 325 mg with no order change listed on label. | 2 |
| Medication Administration Records (MAR) inaccurate for Resident #2 and Resident #3. | 1 |
Report Facts
Licensed beds: 6
Census: 4
Deficiency severity: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maura L. Silvis | Administrator | Signed as Laboratory Director/Provider/Supplier Representative |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 2
Oct 9, 2012
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted at Becky’s Home Care on 10/9/2012 to assess compliance with state regulations.
Findings
The facility received a grade of A but had deficiencies related to medication administration, including failure to ensure one resident received medications as prescribed and inaccuracies in medication administration records for two residents.
Severity Breakdown
Severity: 2: 1
Severity: 1: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 4 residents received medications as prescribed, including incorrect administration of Risperidone and missing order change for Ferrous Sulfate. | Severity: 2 |
| Failed to maintain accurate medication administration records (MAR) for 2 of 4 residents inspected, including missing medication on MAR and incorrect dosage listed. | Severity: 1 |
Report Facts
Licensed beds: 6
Current census: 4
Residents reviewed: 4
Employee files reviewed: 3
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 6
Sep 22, 2011
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 9/22/2011 at Becky’s Home Care, a residential facility for group beds for elderly and disabled persons.
Findings
The facility received a grade of B with several deficiencies identified including failure to comply with tuberculosis testing for employees, improper temperature control in one resident bedroom, incomplete medication management plan, medication storage and labeling issues, and failure to ensure daily assessment of certain medications.
Severity Breakdown
Severity: 1: 1
Severity: 2: 5
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 3 employees complied with tuberculosis testing requirements (missing second TB test). | Severity: 2 |
| Interior temperature of 1 of 4 bedrooms was 84.3 degrees Fahrenheit, exceeding the allowed maximum of 82 degrees due to a broken air conditioning unit. | Severity: 2 |
| Failed to maintain a medication plan including all required components. | Severity: 1 |
| Failed to ensure medications were not at a maintenance level and required daily assessment (Resident #1 - Hydralazine 25mg). | Severity: 2 |
| Failed to keep medications for 6 of 6 residents in a locked area; caregiver's bedroom door where surplus medications were stored was unlocked and left open. | Severity: 2 |
| Failed to ensure medications were plainly labeled for 1 of 6 residents (Resident #3 - Vitamin C 250 mg and Bayer 325 mg). | Severity: 2 |
Report Facts
Resident census: 6
Total licensed capacity: 6
Temperature reading: 84.3
Deficiency counts: 6
Inspection Report
Re-Inspection
Deficiencies: 0
Apr 14, 2011
Visit Reason
This document is a required grading re-survey conducted at the facility on 04/14/2011 as part of the State Licensure survey by the Health Division.
Findings
The facility received a re-survey grade of A and no deficiencies were identified during this inspection.
Report Facts
Re-survey grade: A
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 6
Oct 26, 2010
Visit Reason
This document is an annual State Licensure survey conducted to assess compliance with state regulations for a residential facility for group beds for elderly and disabled persons and/or persons with mental illness.
Findings
The facility received a grade of C with multiple deficiencies identified including failure to meet background check requirements for employees, poor maintenance and cleanliness of the premises, unclean kitchen equipment, failure to post meal times, medication administration issues due to unavailable medication, and incomplete resident tuberculosis testing and physical exam documentation.
Severity Breakdown
2: 5
3: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 4 employees met background check requirements (Employee #4 no fingerprints, no state background check results). | 2 |
| Facility failed to ensure the premises was clean and well maintained (damaged exterior water heater door, torn screen door, bent window screen, lint behind dryer). | 2 |
| Food preparation area was not clean allowing for sanitary preparation of food (grease on range hood and wall). | 2 |
| Facility failed to post meal times as required. | 2 |
| Unable to administer prescribed medication (Risperidone) for 1 of 6 residents due to medication not being available on site. | 3 |
| Failed to ensure 2 of 6 residents complied with tuberculosis testing requirements and 1 of 6 residents lacked a pre-admission physical exam. | 2 |
Report Facts
Number of residents present: 6
Total licensed capacity: 6
Number of employee files reviewed: 4
Number of resident files reviewed: 6
Number of discharged resident files reviewed: 1
Days medication not received: 10
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Deficiencies: 6
Apr 28, 2010
Visit Reason
This Statement of Deficiencies was generated as a result of a complaint investigation conducted in the facility from 4/27/10 to 4/28/10.
Findings
The facility was found to have multiple deficiencies related to incomplete employee records, failure to comply with tuberculosis testing requirements, background check requirements, first aid and CPR training, and training related to care of elderly and disabled residents for 2 of 5 employees. The complaint #NV00025152 was substantiated.
Complaint Details
Complaint #NV00025152 was substantiated.
Severity Breakdown
2: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Administrator failed to ensure 2 of 5 employee records were complete. | 2 |
| Facility failed to ensure 2 of 5 employees complied with tuberculosis testing requirements. | 2 |
| Facility failed to ensure 2 of 5 caregivers met background check requirements. | 2 |
| Facility failed to ensure 2 of 5 caregivers had received training in first aid and cardiopulmonary resuscitation. | 2 |
| Facility failed to ensure caregiver tuberculosis records and proof of first aid and CPR training were available for review for 2 of 5 employees. | 2 |
| Facility failed to ensure that a minimum of 4 hours of training related to care of elderly and disabled residents was received by 2 of 5 employees. | 2 |
Report Facts
Licensed capacity: 6
Census: 5
Employees reviewed: 5
Employees with deficiencies: 2
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 5
Oct 15, 2009
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with state regulations for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of B with several deficiencies identified, including failure to complete required criminal background checks for staff, inappropriate admission of a resident requiring protective supervision, medication administration errors, incomplete PRN medication records, and failure to maintain required resident files including tuberculosis compliance and physical examinations.
Severity Breakdown
2: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 2 caregivers had current criminal history background checks completed; repeat deficiency from prior survey. | 2 |
| Failed to ensure 1 of 5 residents was appropriately admitted to the facility requiring protective supervision. | 2 |
| Failed to ensure 2 of 5 residents received medications as prescribed, including incorrect timing and missed doses. | 2 |
| Failed to ensure PRN medication records were complete for 2 of 5 residents, lacking documentation of reasons for administration. | 2 |
| Failed to ensure 1 of 5 residents complied with tuberculosis regulations and 1 of 5 residents had an initial or annual physical examination. | 2 |
Report Facts
Residents present: 5
Total licensed capacity: 6
Deficiency repeat: 1
Residents reviewed: 5
Employee files reviewed: 3
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 12
Nov 25, 2008
Visit Reason
The inspection was conducted as the annual state licensure survey for Becky’s Home Care, a residential facility for groups, to assess compliance with Nevada Administrative Code (NAC) 449 regulations.
Findings
The facility was found deficient in multiple areas including caregiver qualifications, training, personnel files, medication administration, resident records, emergency drills, smoke detector maintenance, and provision of special diets. Deficiencies were noted in staff training, documentation, and resident care records.
Severity Breakdown
Level 2: 12
Deficiencies (12)
| Description | Severity |
|---|---|
| Failed to ensure a signed statement indicating understanding of NAC provisions by 1 of 3 employees. | Level 2 |
| Failed to ensure 8 hours of annual training related to resident needs for 3 of 3 employees. | Level 2 |
| Failed to ensure 3 hours of medication management training every 3 years for 1 of 3 employees. | Level 2 |
| Failed to ensure tuberculosis testing was completed for 3 of 3 employees. | Level 2 |
| Failed to ensure updated criminal background check was completed for 1 of 3 employees. | Level 2 |
| Failed to provide special diets as prescribed by a physician for 2 of 6 residents. | Level 2 |
| Failed to ensure fire drills were completed for 2 out of 12 months. | Level 2 |
| Failed to ensure smoke detector checks were performed for 2 out of 12 months. | Level 2 |
| Failed to ensure physician's orders were received for administration of over-the-counter medications for 3 of 6 residents. | Level 2 |
| Failed to ensure written instructions were received before administering PRN medications for 2 of 6 residents. | Level 2 |
| Failed to maintain complete personnel files with mandatory requirements for 3 of 3 employees. | Level 2 |
| Failed to maintain complete resident records with all required documents for 6 of 6 residents. | Level 2 |
Report Facts
Licensed beds: 6
Residents present: 6
Employees reviewed: 3
Resident records reviewed: 6
Closed resident records reviewed: 1
Fire drills missing: 2
Smoke detector checks missing: 2
Residents with special diet deficiencies: 2
Residents with OTC medication order deficiencies: 3
Residents with PRN medication instruction deficiencies: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Administrator | Named in multiple findings including lack of signed NAC statement, training deficiencies, TB testing, background checks, and incomplete personnel file |
| Employee #2 | Caregiver | Named in findings related to lack of training for mental illness, missing TB testing, incomplete personnel file, and inability to locate fire drill and smoke detector documentation |
| Employee #3 | Caregiver | Named in findings related to lack of training for mental illness, missing TB testing, and incomplete personnel file |
Loading inspection reports...



