Inspection Reports for Bella Estate Care Home

The inspection was conducted as an annual State Licensure survey combined with a complaint investigation at the facility on 07/22/2025.

The facility received a grade of A. Three complaints were investigated, with one substantiated without deficient practice and two unsubstantiated. One regulatory deficiency was identified related to failure to ensure an annual person-centered service plan for one resident.

Three complaints were investigated: Complaint #NV00073098 was substantiated with no deficient practice; Complaints #NV00074116 and #NV00073105 were unsubstantiated with no regulatory deficiencies identified.

This inspection was conducted as a State Licensure Annual Grading Survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.

The facility was reviewed for compliance with licensing requirements, including review of nine resident files and three employee files. The facility received a grade of A with no regulatory deficiencies identified.

The inspection was conducted as a result of a complaint investigation survey triggered by Complaint #NV00069557 at the facility.

No regulatory deficiencies were identified during the complaint investigation. The complaint could not be verified and no further action was necessary.

Complaint #NV00069557 could not be verified. The investigation included interviews with the Owner and a Caregiver, review of two resident records including the resident of concern, and document review of the facility's Infection Control & Prevention Plan and Resident Rights.

The inspection was conducted as a State Licensure Annual Grading Survey to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.

The facility was found to have regulatory deficiencies including failure to ensure the number of residents did not exceed the licensed categories and failure to obtain an approved medical exemption for a resident requiring gastrostomy care. The facility received an overall grade of A.

The inspection was conducted as a State Licensure Annual Grading Survey to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.

The facility was licensed for ten beds and had a census of ten residents at the time of inspection. Two regulatory deficiencies were identified: the facility failed to ensure the number of residents did not exceed the licensed categories, and it failed to obtain an approved medical exemption for a resident requiring gastrostomy care.

This inspection was conducted as a State Licensure Annual Grading Survey to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.

The facility received a grade of A. One deficiency was identified related to the lack of documented cultural competency training for three of four sampled employees, which was subsequently corrected with training completed on 07/29/22.

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.

No regulatory deficiencies were identified during the survey. The facility received a grade of A and was provided guidance on compliance with certain state regulations related to discrimination, privacy, and cultural competency.

The inspection was conducted as a result of a complaint investigation at the facility on 02/02/21, triggered by Complaint #NV00062951 with four allegations.

The investigation substantiated one allegation that residents were not allowed to leave their bedrooms before 7:30 AM due to caregivers not being awake. The other three allegations regarding diabetic diet, nutritious meals, and double dosing of medication were unsubstantiated based on observations, interviews, and record reviews.

Complaint #NV00062951 with four allegations was investigated. One allegation was substantiated regarding residents being made to sleep until 7:30 AM because caregivers were not awake. The other three allegations were unsubstantiated.

This 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.

The facility demonstrated compliance with infection control measures including signage, screening, PPE use, social distancing, cleaning protocols, and staff training. No residents or staff were positive for COVID-19, and no regulatory deficiencies were identified.

The inspection was conducted as an annual State Licensure survey combined with a complaint investigation at the facility.

No regulatory deficiencies were identified during the inspection. One complaint was investigated but was not substantiated.

Complaint #NV00058588 alleged that a family member was hung up on by a staff member with no explanation when questioned about a resident's mail and if social security was the only source of payment; this complaint was not substantiated.

The inspection was conducted as a result of a complaint investigation initiated on 2019-06-13 and finalized on 2019-07-16 regarding allegations about food quality, medication administration, caregiver behavior, resident care, and possible retaliation.

The investigation included observations of residents, environmental inspections, food storage checks, interviews, and record reviews. The complaint allegations were not substantiated based on the findings.

One complaint (#NV00057447) was investigated with seven allegations including insufficient food, unlabeled food items, unsanitary pantry conditions, missed medication administration, verbal abuse by caregiver, inadequate care for a bed-bound resident, and possible retaliation after reporting lack of care. None of these allegations were substantiated.

This complaint investigation was conducted due to a complaint (#NV00048133) with three allegations regarding resident care and notification of family members about changes in condition.

The investigation substantiated that the responsible party was not notified of a resident's change in condition. Two other allegations regarding sexual abuse and a resident fall were not substantiated. The investigation included observations, interviews, and record reviews.

Complaint #NV00048133 with three allegations was investigated. One allegation was substantiated (failure to notify family of resident change in condition). Two allegations were not substantiated (resident sexual abuse and resident fall).

This document is a State Licensure re-survey conducted on 12/10/15 to assess compliance with medication administration and storage regulations at a residential facility for elderly and disabled persons.

The facility failed to ensure proper monitoring of residents' medications and secure storage of medications, resulting in repeat deficiencies from prior surveys. The facility received a re-survey grade of A.

This document is a State Licensure re-survey conducted to evaluate compliance with medication administration and storage regulations at Bella Estate Care Home.

The facility failed to ensure proper monitoring of medications for 2 of 6 residents and failed to store medications in a locked, secure area. These deficiencies were repeat findings from previous surveys.

The inspection was conducted as a result of a complaint investigation regarding allegations of restraints/seclusion at the facility.

The complaint was investigated through observation, interviews, and record review, and was found to be unsubstantiated. No regulatory deficiencies were identified.

Complaint #NV00044492 was investigated and found to be unsubstantiated. The allegation involved restraints/seclusion and included observation of four residents, a facility tour, interviews with caregiver and facility manager, and review of four resident files.

This inspection was conducted as a result of a State Licensure grading re-survey and complaint investigation triggered by complaint #NV00043140, which was substantiated regarding medication administration, resident care, and staff attentiveness.

The facility received a grade of D with multiple deficiencies including failure to provide adequate oversight by the administrator, improper use of facility areas as bedrooms, retention of bedfast residents without waivers, inadequate pressure ulcer care, failure to notify family and physician of significant resident condition changes, incomplete and inaccurate medication administration and documentation, unsecured medications, and incomplete tuberculosis testing documentation.

Complaint #NV00043140 was substantiated. Allegations included medications not given as prescribed, resident not turned in bed, staff inattentiveness, resident fall, family not notified of condition changes, and medications administered by unqualified person. Some allegations such as resident elopement and lack of activities were not substantiated.

This inspection was conducted as a result of a State Licensure grading re-survey and complaint investigation completed on 8/5/15.

The facility received a grade of D. One complaint (#NV00043140) was substantiated involving medication errors, resident not turned in bed, staff inattentiveness, resident fall, family not notified of condition changes, and medications administered by an unqualified person. Several regulatory deficiencies were identified with varying severity levels.

Complaint #NV00043140 was substantiated. Allegations included medications not given as prescribed, resident not turned in bed, staff inattentiveness, resident fall, family not notified of condition changes, and medications administered by an unqualified person. Other allegations such as resident eloping, lack of activities, and resident discomfort were not substantiated.

The notice informs the facility that sanctions and monetary penalties are being imposed due to repeat deficiencies identified in a prior survey dated 4/2/14.

The Division of Public and Behavioral Health is imposing a monetary penalty of $300 for a repeat deficiency at TAG Y936, with details of the severity and scope scores provided in an attachment.

The inspection was conducted as an annual State Licensure survey combined with a complaint investigation initiated by the Division of Public and Behavioral Health on 4/1/15.

The facility received a grade of D with multiple deficiencies identified including failure of the administrator to provide adequate oversight, failure to ensure fire extinguishers were inspected annually, and multiple medication administration and storage issues. The complaint allegation regarding a resident living in a garage was not substantiated.

Complaint #NV00042345 alleged a resident was living in the garage, which was not substantiated after investigation.

The inspection was conducted as an annual State Licensure survey combined with a complaint investigation triggered by Complaint #NV00042345 regarding a safe environment allegation.

The facility received a grade of D with multiple deficiencies identified including failure to provide adequate oversight by the administrator, medication management issues, improper medication storage, unsecured resident files, and missing tuberculosis testing documentation for one resident. The complaint allegation was not substantiated.

Complaint #NV00042345 alleged unsafe physical environment with a resident living in the garage. The allegation was not substantiated after investigation including observation and interviews.

The inspection was conducted as a result of a State Licensure complaint investigation regarding an allegation of a caregiver working without a background check clearance.

The complaint was not substantiated as the review of three employee records showed that criminal background checks for both caregivers were conducted according to Nevada Administrative Code requirements, with negative State and FBI search results.

Complaint #NV00039258 alleged a caregiver working without a background check clearance; this was not substantiated after review of employee records and background checks.

This document is an annual grading survey conducted by the State Licensure authority to assess compliance with regulatory requirements at Bella Estate Care Home.

The facility received an annual survey grade of A. One deficiency was identified related to the failure to maintain documented evidence of an initial two-step tuberculosis screening for one resident.

This document is a statement of deficiencies generated as a result of an annual grading survey conducted at the facility on 04/02/14 by the authority of NRS 449.0307, Powers of the Health Division.

The facility received an annual survey grade of A. One deficiency was identified related to tuberculosis screening documentation for Resident #1, where the facility failed to ensure the resident's file contained evidence of an initial two-step TB screening.

The inspection was conducted as a result of a complaint investigation regarding two allegations about Quality of Care and a fall resulting in death.

The facility failed to have a policy in place to notify medical professionals and the guardian after a resident sustained an injury requiring an emergency room visit. Specifically, the facility lacked documented evidence of a policy or procedure to obtain a medical assessment and notify the resident's guardian after a fall with suspected injury.

Complaint #NV00038533 contained two allegations regarding Quality of Care and a fall resulting in death. The complaint was substantiated.

This inspection was conducted as a result of a complaint investigation regarding quality of care and a fall resulting in death at the facility.

The facility was found to have failed to ensure a policy was in effect to notify medical professionals and the resident's guardian after a resident sustained an injury requiring an emergency room visit following a fall.

Complaint #NV00038533 contained two allegations regarding Quality of Care and a fall resulting in death. The complaint was substantiated.

This document is the result of an initial State licensure survey conducted on 4/17/2013 for Bella Estate Care Home requesting licensure for ten Residential Facility for Groups beds for elderly and disabled persons.

Deficiencies were found at the time of the survey but were corrected. The survey was conducted under the authority of NRS 449.150 by the Health Division.