Inspection Reports for Bella Care Home

The inspection was conducted as a result of a complaint investigation regarding hot temperatures in multiple rooms of the facility, lack of air conditioning, and lack of portable air conditioning units.

The facility failed to maintain temperatures between 68-82 degrees Fahrenheit, with temperatures reaching up to 91 degrees in resident rooms due to a non-functional air conditioning unit since 08/08/25. Portable AC units were purchased but were initially not in use or ineffective. Immediate Jeopardy was declared on 08/15/25, and a new AC unit was installed the same day, resolving the issue.

Complaint #NV00074821 was substantiated. The complaint involved observations of hot temperatures in multiple rooms, lack of air conditioning, and lack of portable air conditioning. Immediate Jeopardy was declared on 08/15/25 due to unsafe temperatures affecting residents.

The inspection was conducted as a result of a complaint investigation completed on 07/10/25, triggered by two complaints received by the facility.

The investigation substantiated one complaint with a regulatory deficiency related to incomplete medication administration records for one resident. The facility failed to ensure the Medication Administration Record (MAR) accurately documented medications given for Resident #6, missing initials for a medication administered on 03/07/25.

Two complaints were investigated: Complaint #NV00073691 was substantiated with a deficiency; Complaint #NV00074568 was substantiated with no deficient practice.

This inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.

The inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.

The inspection was conducted as a result of a complaint investigation at the facility on 10/05/23, in accordance with Nevada Administrative Code, Chapter 449, Requirements for Residential Facilities for Groups.

The complaint was unverified and no regulatory deficiencies were identified. Observations, interviews, and record reviews were conducted, and the facility received a grade of A. No action was necessary.

One complaint (#NV00069496) was investigated and found to be unverified with no regulatory deficiencies identified.

The inspection was conducted as a complaint survey following a complaint investigation at the facility on 08/29/23.

The complaint was verified with no deficient practice found. The investigation included observations, interviews, and record reviews, and no regulatory deficiencies were identified.

Complaint #NV00069165 was verified with no deficient practice.

The inspection was conducted as a complaint survey triggered by Complaint #NV00068873 to investigate alleged issues at the facility.

No regulatory deficiencies were identified during the complaint investigation. The complaint could not be verified after observations, interviews, and record reviews.

Complaint #NV00068873 was investigated and found to be unverified; no regulatory deficiencies were identified.

The inspection was conducted as a result of a complaint investigation at the facility on 05/16/23, triggered by two complaints, one of which was substantiated.

The facility failed to ensure that one of four employees was a qualified caregiver with complete personnel records, and medications were not administered in a timely manner to all residents, including one resident who did not receive prescribed pain medication as ordered.

Two complaints were investigated; one complaint (#NV00068500) was substantiated with deficiencies, and the other (#NV00068433) was substantiated without deficient practice.

The inspection was conducted as a result of an annual state licensure, complaint investigation, and infection control survey at the facility on 02/09/23.

The facility was found to have multiple deficiencies including failure to treat a resident with respect and dignity, failure to have medication on-site as prescribed, improper medication storage, and failure to properly label medications. Two complaints were investigated, one substantiated with deficient practice and one substantiated with no deficient practice.

Two complaints were investigated: Complaint #NV00067575 was substantiated with deficient practice; Complaint #NV00067652 was substantiated with no deficient practice.

The inspection was conducted as a complaint investigation survey following a complaint alleging that a resident's family was denied visitation.

The allegation that a resident's family was denied visitation was unsubstantiated based on interviews with a caregiver and five residents, review of visitor sign-in logs, and observation. No deficiencies were identified during the investigation.

Complaint #NV00067096 with one allegation was unsubstantiated. The allegation that a resident's family was denied visitation was found to be unsubstantiated after investigation.

The inspection was conducted as an annual State Licensure survey for re-licensure of the facility.

The facility received a grade of A but had deficiencies including failure to ensure a resident had a timely initial physical exam, failure to maintain clean and well-maintained premises, and incomplete and inaccurate Medication Administration Records for three residents.

This inspection was conducted as an annual State Licensure survey to assess compliance with regulatory requirements for the residential facility.

The facility received a grade of A but had several deficiencies including failure to maintain clean and well-maintained premises, lack of initial physical examination documentation for one resident, and incomplete and inaccurate Medication Administration Records for three residents.

The inspection was conducted as a result of a complaint investigation initiated on 2016-05-04 and completed on 2016-05-06 regarding allegations of failure to follow discharge requirements and failure to provide residents with all medications at discharge.

The facility was found to have substantiated deficiencies including failure to destroy medications for discharged residents, failure to provide medications to discharged residents, and failure to provide proper discharge documentation for multiple discharged residents.

Complaint #NV00045679 was substantiated. The allegations included failure to follow discharge requirements and failure to provide residents with all medications at discharge.

The inspection was conducted as a result of a complaint investigation initiated on 5/4/16 and completed on 5/6/16, focusing on allegations related to discharge requirements and medication provision at discharge.

The facility was found to have substantiated deficiencies including failure to destroy medications of discharged residents, failure to provide all medications at discharge, and failure to provide proper discharge documentation for multiple residents. The administrator is responsible for corrective actions.

One complaint (#NV00045679) was investigated and substantiated. Allegations included failure to follow discharge requirements and failure to provide all medications at discharge.

The inspection was conducted as a complaint investigation following a complaint regarding the facility's failure to contact the guardian of a resident at the time of an incident.

The investigation substantiated that the facility failed to notify the guardian of a resident who had a fall on 12/9/15. The caregiver did not contact the guardian until several hours later and did not leave a message. The staff was retrained on facility protocol to ensure timely notification in the future.

Complaint #NV00044709 was substantiated. The allegation that the facility failed to contact the guardian of a resident at the time of an incident was substantiated. The resident had a fall on 12/9/15 and the guardian was not contacted until 0800 hrs on the same day, with no message left. The guardian was unaware of the fall until a representative from the guardian's office came to the facility.

The inspection was conducted as a result of a complaint investigation regarding the facility's failure to contact the guardian of a resident at the time of an incident.

The investigation substantiated that the facility failed to notify the guardian of Resident #1 at the time of the incident. The resident's file lacked documentation of the call, and the caregiver delayed contacting the guardian until several hours after the fall. The administrator acknowledged this failure.

Complaint #NV00044709 was substantiated. The allegation that the facility failed to contact the guardian of a resident at the time of an incident was substantiated. Other allegations related to a resident fall were not substantiated.

This visit was an annual State Licensure survey conducted to assess compliance with regulations for a residential facility for elderly and disabled persons.

The facility received a grade of A. One deficiency was identified related to medication administration where one resident's discontinued medication was not properly documented or removed from the medication record.

This inspection was conducted as an annual State Licensure survey of the facility on 10/19/2015 by the Division of Public and Behavioral Health.

The facility received a grade of A. One deficiency was identified related to medication management where discontinued medication was found in a resident's medication bin without proper documentation or destruction.

The inspection was an annual State Licensure survey conducted to assess compliance with regulations for a residential facility for elderly and disabled persons, including those with mental illnesses and chronic illnesses.

The facility received a grade of B and was found deficient in several areas including caregiver training, personnel file documentation, medication administration, medication record accuracy, and tuberculosis testing documentation. Multiple deficiencies were noted with varying severity levels.

This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted at Bella Care Home on 11/6/2014 to assess compliance with state regulations.

The facility received a grade of B and was found deficient in several areas including caregiver training, personnel health documentation, medication administration, medication record accuracy, and resident tuberculosis testing. Multiple deficiencies were repeated or had significant scope and severity.

The inspection was conducted as a complaint investigation regarding quality of care, specifically that a resident was improperly restrained.

The facility failed to ensure that 2 of 10 residents were free from restraints, with specific findings that Resident #5 was restrained in his wheelchair and Resident #3 was restrained when in the wheelchair. The hospice nurse ordered a lap buddy restraint for Resident #3.

Complaint #NV0038201 regarding Quality of Care, resident improperly restrained was substantiated.

The inspection was conducted as a complaint investigation initiated on 2014-02-03 regarding allegations of quality of care and improper restraint of residents.

The facility was found to have failed to ensure that 2 of 10 residents were free from restraints, specifically Residents #3 and #5 were improperly restrained in violation of regulations.

Complaint #NV0038201 regarding Quality of Care and resident improperly restrained was substantiated.

This inspection was conducted as a State Licensure annual grading survey to assess compliance with regulations for a residential facility for elderly and disabled persons.

The facility received a grade of A but had deficiencies including failure to ensure one caregiver received the required 8 hours of annual training, premises cleanliness and maintenance issues, and medication administration errors related to resident #7's suppository orders.

This inspection was conducted as a State Licensure annual grading survey of Bella Care Home on 11/5/2013 to assess compliance with state regulations for residential facilities.

The facility received a grade of A but had several deficiencies including failure to ensure one caregiver received the required 8 hours of annual training, failure to maintain clean and well-maintained premises with multiple sanitation issues, and failure to comply with medication administration requirements for one resident.

The inspection was conducted as a complaint investigation triggered by complaint #NV00035469 regarding allegations that the facility failed to obtain an exemption for a resident with an indwelling catheter and changed a resident's home health agency without proper authorization.

The investigation found that the allegation regarding failure to obtain an exemption for the indwelling catheter was not substantiated as the exemption request was submitted on 4/26/13 and approved. The allegation that the facility changed a resident's home health agency was also not substantiated; interviews confirmed the resident independently decided to switch agencies.

Complaint #NV00035469 was initiated on 5/14/13. The allegations were not substantiated after interviews with the facility Administrator, resident, and resident's Power of Attorney, and record review.

The inspection was an annual State Licensure survey conducted to assess compliance with regulatory requirements for a Residential Facility for Groups.

The facility received a grade of A but had several deficiencies related to food service menus and medication administration, storage, and destruction. Deficiencies included failure to post planned menus, improper medication labeling, incomplete medication administration records, and unsecured medication storage.

This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted at Bella Care Home on 11/13/2012.

The facility received a grade of A but had several deficiencies related to food service menus, medication destruction, medication administration records, and medication storage. Specific issues included failure to post a planned menu, failure to destroy discontinued or expired medications, inaccuracies in medication administration records, and unsecured medications.

The inspection was conducted as a complaint investigation from 09/20/12 to 10/22/12 regarding allegations about resident personal items, extended periods of residents being left wet, resident safety, insufficient food, and facility cleanliness.

The complaint allegations were not substantiated except for deficiencies related to mental illness endorsement and training requirements. The facility failed to obtain a mental illness endorsement for a resident and failed to ensure employees received required training.

Complaint #NV00032976 involved allegations regarding a resident's personal items, extended periods of being left wet, resident safety, insufficient food, and facility cleanliness. None of these allegations were substantiated through document review, interviews, and observations.

The inspection was conducted as a complaint investigation initiated by the Bureau of Health Care Quality and Compliance from 9/20/12 to 10/22/12, regarding allegations about lost personal items, residents being left wet, staff not awake at night, insufficient food, resident safety, and facility cleanliness.

The investigation found that none of the allegations were substantiated. However, deficiencies unrelated to the complaint were cited, including failure to obtain a mental illness endorsement prior to admitting a resident with mental illness and failure to ensure employees received required mental illness training.

Complaint #NV00032976 included allegations regarding lost personal items, residents left wet, staff not awake at night, insufficient food, resident safety, and facility cleanliness. None of these allegations were substantiated based on document review, interviews, and observations.

This visit was a grading State Licensure resurvey conducted by the Health Division to assess compliance with state regulations for the facility.

No deficiencies were found during the resurvey. The facility received a resurvey grade of A.

The inspection was an annual State Licensure survey conducted on 12/1/2011 to assess compliance with regulatory requirements for Bella Care Home.

The facility received a grade of C with multiple deficiencies identified including personnel file background checks, failure to ensure annual physicals for residents, lack of physician orders for over-the-counter medications, medication administration errors, failure to notify physicians of missed medications, improper medication container storage, and incomplete tuberculosis testing compliance.

The inspection was an annual State Licensure survey conducted to assess compliance with state regulations for the facility licensed for ten Residential Facility for Groups beds for elderly and disabled persons.

The facility received a grade of C with multiple deficiencies identified including failure to meet background check requirements for one employee, failure to ensure annual physicals for five residents, lack of physician orders for over-the-counter medications for four residents, medication administration errors, failure to notify physicians of medication refusals, inaccurate medication administration records, improper medication storage, and incomplete tuberculosis testing for three residents.

This document is the result of an initial State licensure survey conducted to determine compliance for licensure of a Residential Facility for Groups with 10 beds for elderly and disabled persons.

The facility was determined to be in compliance with regulations on 2010-10-19 after policy and procedure manual review and on-site surveys conducted on 2010-10-14 and 2010-10-19. Five employee files and one sample resident file were reviewed.

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