Inspection Reports for Bella Estate Care Home
3140 Coachlight Circle, Las Vegas, NV 89117, NV, 89117
Back to Facility ProfileDeficiencies (last 11 years)
Deficiencies (over 11 years)
5.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% better than Nevada average
Nevada average: 7.1 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
50% occupied
Based on a July 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Census: 5
Capacity: 10
Deficiencies: 1
Date: Jul 22, 2025
Visit Reason
The inspection was conducted as an annual State Licensure survey combined with a complaint investigation at the facility on 07/22/2025.
Complaint Details
Three complaints were investigated: Complaint #NV00073098 was substantiated with no deficient practice; Complaints #NV00074116 and #NV00073105 were unsubstantiated with no regulatory deficiencies identified.
Findings
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.
Deficiencies (1)
The facility failed to ensure 1 of 5 residents had an annual person-centered service plan as required.
Report Facts
Complaints investigated: 3
Resident files reviewed: 5
Employee files reviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Sowers | administrator | Signed as Laboratory Director's or Provider/Supplier Representative. |
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 0
Date: Jul 15, 2024
Visit Reason
This inspection was conducted as a State Licensure Annual Grading Survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Findings
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.
Report Facts
Resident files reviewed: 9
Employee files reviewed: 3
Facility licensed beds: 10
Category I residents: 5
Category II residents: 5
Inspection Report
Complaint Investigation
Census: 9
Capacity: 10
Deficiencies: 0
Date: Dec 5, 2023
Visit Reason
The inspection was conducted as a result of a complaint investigation survey triggered by Complaint #NV00069557 at the facility.
Complaint Details
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.
Findings
No regulatory deficiencies were identified during the complaint investigation. The complaint could not be verified and no further action was necessary.
Report Facts
Licensed beds: 10
Resident census: 9
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 2
Date: Jul 26, 2023
Visit Reason
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.
Findings
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.
Deficiencies (2)
Facility failed to ensure the number of residents at the time of inspection did not exceed the specified number on the facility's license, with nine residents assessed as category II but licensed for only five category II residents.
Facility failed to ensure an approved medical exemption was obtained for one resident with a gastrostomy tube prior to admission.
Report Facts
Licensed beds: 10
Residents present: 10
Resident files reviewed: 10
Employee files reviewed: 3
Residents assessed as category II: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Sowers | Administrator | Acknowledged licensing and medical exemption issues during inspection |
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 2
Date: Jul 26, 2023
Visit Reason
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.
Findings
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.
Deficiencies (2)
Facility failed to ensure the number of residents at the time of inspection did not exceed the specified number on the facility's license, with nine residents assessed as category II but licensed for only five category II residents.
Facility failed to ensure an approved medical exemption was obtained for one resident with a gastrostomy tube prior to admission.
Report Facts
Licensed beds: 10
Resident census: 10
Category I licensed beds: 5
Category II licensed beds: 5
Residents assessed as Category II: 9
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 1
Date: Jul 27, 2022
Visit Reason
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.
Findings
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.
Deficiencies (1)
Failure to ensure employees were trained in cultural competency for three of four sampled employees (Employee #2, #3, and #4) with no documentation of approved training.
Report Facts
Resident files reviewed: 10
Employee files reviewed: 4
Deficiencies cited: 1
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 0
Date: Sep 28, 2021
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
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.
Report Facts
Resident files reviewed: 10
Employee files reviewed: 2
Inspection Report
Complaint Investigation
Census: 10
Capacity: 10
Deficiencies: 1
Date: Feb 2, 2021
Visit Reason
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.
Complaint Details
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.
Findings
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.
Deficiencies (1)
The facility failed to ensure three of five residents were allowed out of their rooms before 7:30 AM, restricting their independence and ability to make decisions.
Report Facts
Licensed beds: 10
Census: 10
Sample size: 5
Number of allegations: 4
Inspection Report
Routine
Census: 9
Capacity: 10
Deficiencies: 0
Date: Oct 21, 2020
Visit Reason
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.
Findings
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.
Report Facts
Hand sanitizer bottles: 6
Gloves: 1800
Disposable masks: 200
Facility licensed beds: 10
Resident census: 9
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 0
Date: Oct 14, 2019
Visit Reason
The inspection was conducted as an annual State Licensure survey combined with a complaint investigation at the facility.
Complaint Details
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.
Findings
No regulatory deficiencies were identified during the inspection. One complaint was investigated but was not substantiated.
Report Facts
Resident files reviewed: 10
Employee files reviewed: 3
Inspection Report
Complaint Investigation
Census: 9
Capacity: 10
Deficiencies: 0
Date: Jul 16, 2019
Visit Reason
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.
Complaint Details
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.
Findings
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.
Report Facts
Licensed beds: 10
Census: 9
Sample size: 6
Complaint count: 1
Resident records reviewed: 6
Employee records reviewed: 3
Inspection Report
Complaint Investigation
Census: 7
Deficiencies: 1
Date: Jan 30, 2017
Visit Reason
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.
Complaint Details
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).
Findings
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.
Deficiencies (1)
Failure to ensure one resident's family member was notified of a change in condition.
Report Facts
Census: 7
Sample size: 5
Complaint allegations: 3
Inspection Report
Re-Inspection
Census: 6
Capacity: 10
Deficiencies: 2
Date: Dec 10, 2015
Visit Reason
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.
Findings
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.
Deficiencies (2)
Failure to ensure 2 of 6 residents' medications were monitored by staff as required.
Failure to ensure medications were stored in a secure, locked area.
Report Facts
Census: 6
Total Capacity: 10
Repeat Deficiencies: 2
Inspection Report
Re-Inspection
Census: 6
Capacity: 10
Deficiencies: 2
Date: Dec 10, 2015
Visit Reason
This document is a State Licensure re-survey conducted to evaluate compliance with medication administration and storage regulations at Bella Estate Care Home.
Findings
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.
Deficiencies (2)
Failed to ensure 2 of 6 resident's medications were monitored by staff, including missing medications on the Medication Administration Record (MAR).
Failed to ensure medications were stored in a locked, secure area; medications were found in an unlocked pantry.
Report Facts
Licensed beds: 10
Resident census: 6
Repeat deficiency dates: 2
Inspection Report
Complaint Investigation
Census: 4
Deficiencies: 0
Date: Nov 17, 2015
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding allegations of restraints/seclusion at the facility.
Complaint Details
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.
Findings
The complaint was investigated through observation, interviews, and record review, and was found to be unsubstantiated. No regulatory deficiencies were identified.
Report Facts
Sample size: 4
Inspection Report
Complaint Investigation
Census: 10
Capacity: 10
Deficiencies: 11
Date: Aug 6, 2015
Visit Reason
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.
Complaint Details
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.
Findings
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.
Deficiencies (11)
Administrator failed to provide oversight and guidance to ensure residents received needed services and protective supervision.
Facility used an unfurnished garage as a bedroom without proper egress window.
Facility retained bedfast residents without required waivers and failed to ensure residents were turned as required.
Failed to ensure pressure ulcer precautions were taken for a resident with pressure ulcers.
Failed to notify family and physician of significant change in resident's condition.
Failed to maintain incident report documenting a resident fall.
Failed to ensure medications were monitored and administered as prescribed, including missed documentation and family interference.
Failed to ensure over-the-counter medications and dietary supplements were administered per physician orders and properly documented.
Medication administration records were incomplete or inaccurate for multiple residents.
Medications were not stored in a locked container as required.
Failed to ensure tuberculosis testing requirements were met for residents.
Report Facts
Deficiencies cited: 11
Residents files reviewed: 12
Employee files reviewed: 2
Discharge resident reviewed: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver #1 | Named in findings related to medication administration, resident care, and interviews. | |
| Resident #1's hospice nurse | Hospice Nurse | Provided information on resident care and medication administration issues. |
| Resident #1's social worker | Social Worker | Provided information on resident care and turning practices. |
| Manager | Unable to provide tuberculosis documentation. |
Inspection Report
Complaint Investigation
Census: 10
Capacity: 10
Deficiencies: 10
Date: Aug 5, 2015
Visit Reason
This inspection was conducted as a result of a State Licensure grading re-survey and complaint investigation completed on 8/5/15.
Complaint Details
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.
Findings
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.
Deficiencies (10)
Administrator failed to provide oversight and guidance to ensure residents received needed services and protective supervision.
Use of certain areas in facility as bedroom prohibited; garage used as bedroom without window.
Facility retained residents who were bedfast without a waiver.
Pressure or stasis ulcers precautions not ensured for one resident.
Medical care of resident failed to ensure family and physician notified of significant condition changes.
Medication administration plan and monitoring not adequately maintained or supervised.
Medication/OTCs administration responsibilities not fully met; medication errors documented.
Medication/PRN MAR maintenance and record keeping deficient.
Medication storage not secured properly; medications left unsecured in bathroom.
Resident tuberculosis testing requirements not met.
Report Facts
Residents reviewed: 12
Employee files reviewed: 2
Discharge resident reviewed: 1
Severity 1 deficiencies: 1
Severity 2 deficiencies: 8
Severity 3 deficiencies: 1
Notice
Deficiencies: 0
Date: Jun 12, 2015
Visit Reason
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.
Findings
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.
Report Facts
Monetary penalty amount: 300
Days until sanctions effective: 11
Fee for grading system re-survey application: 600
Days to submit appeal: 10
Days to pay penalty for reduction: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Pat Elkins | Health Facilities Inspector III | Signed the sanction notice |
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 10
Date: Apr 1, 2015
Visit Reason
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.
Complaint Details
Complaint #NV00042345 alleged a resident was living in the garage, which was not substantiated after investigation.
Findings
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.
Deficiencies (10)
Administrator failed to provide oversight and direction to ensure residents received needed services and protective supervision.
Facility failed to ensure 3 of 3 fire extinguishers were inspected annually as required.
Facility failed to follow its medication administration plan, including use of outdated, damaged, or contaminated medications.
Facility failed to destroy medications after they were discontinued, expired, or after resident discharge for 3 of 12 residents.
Medication administration records were inaccurate for 5 of 10 residents inspected.
Facility failed to ensure 4 of 10 residents received medications as prescribed and failed to maintain proper documentation of medication changes.
Medications were not stored securely and were found unsecured in resident rooms and kitchen pantry.
Facility failed to properly label and store medications for 1 of 10 residents.
Facility failed to maintain resident files in a secured location for all residents.
Facility failed to ensure resident #10 met tuberculosis testing requirements.
Report Facts
Residents present: 10
Total licensed capacity: 10
Deficiency severity count: 10
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 10
Date: Apr 1, 2015
Visit Reason
The inspection was conducted as an annual State Licensure survey combined with a complaint investigation triggered by Complaint #NV00042345 regarding a safe environment allegation.
Complaint Details
Complaint #NV00042345 alleged unsafe physical environment with a resident living in the garage. The allegation was not substantiated after investigation including observation and interviews.
Findings
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.
Deficiencies (10)
Administrator failed to provide oversight and direction to ensure 10 of 10 residents received needed services and protective supervision.
Facility failed to ensure 3 of 3 fire extinguishers were inspected annually.
Administrator failed to ensure the facility's medication administration plan was followed.
Facility failed to ensure 4 of 10 residents received medications as prescribed per physician order and failed to ensure medication change orders were properly indicated.
Facility failed to destroy discontinued, expired, or unclaimed medications for 3 of 12 residents.
Medication administration records (MAR) were inaccurate for 5 of 10 residents inspected.
Medications were not stored in a locked area; unsecured medications found in kitchen pantry and resident room.
Medications were not properly labeled and not kept in original containers for 1 of 10 residents.
Resident files for all 10 residents were not kept in a secured location.
Facility failed to ensure one resident met tuberculosis testing requirements; missing two-step TB test documentation.
Report Facts
Residents present: 10
Total licensed capacity: 10
Fire extinguishers inspected: 3
Residents with medication errors: 4
Residents with inaccurate MARs: 5
Residents with unsecured files: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 and Employee #2 were interviewed regarding medication orders and storage; Administrator acknowledged multiple deficiencies and findings. |
Inspection Report
Complaint Investigation
Census: 8
Deficiencies: 0
Date: May 15, 2014
Visit Reason
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.
Complaint Details
Complaint #NV00039258 alleged a caregiver working without a background check clearance; this was not substantiated after review of employee records and background checks.
Findings
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.
Report Facts
Number of employee records reviewed: 3
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 1
Date: Apr 2, 2014
Visit Reason
This document is an annual grading survey conducted by the State Licensure authority to assess compliance with regulatory requirements at Bella Estate Care Home.
Findings
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.
Deficiencies (1)
Failure to ensure documented evidence of initial two-step tuberculosis screening for Resident #1.
Report Facts
Resident files reviewed: 9
Employee files reviewed: 4
Facility licensed capacity: 10
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 1
Date: Apr 2, 2014
Visit Reason
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.
Findings
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.
Deficiencies (1)
Facility failed to ensure 1 of 9 residents met the requirements of NAC 441A.375 concerning tuberculosis (Resident #1) due to lack of documented evidence of an initial two-step TB screening.
Report Facts
Resident files reviewed: 9
Employee files reviewed: 4
Licensed capacity: 10
Census: 9
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 1
Date: Mar 19, 2014
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding two allegations about Quality of Care and a fall resulting in death.
Complaint Details
Complaint #NV00038533 contained two allegations regarding Quality of Care and a fall resulting in death. The complaint was substantiated.
Findings
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.
Deficiencies (1)
Facility failed to ensure a policy was in effect to notify medical professionals and the guardian after a resident sustained an injury requiring an emergency room visit.
Report Facts
Total licensed capacity: 10
Severity level: 3
Scope: 1
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 1
Date: Mar 19, 2014
Visit Reason
This inspection was conducted as a result of a complaint investigation regarding quality of care and a fall resulting in death at the facility.
Complaint Details
Complaint #NV00038533 contained two allegations regarding Quality of Care and a fall resulting in death. The complaint was substantiated.
Findings
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.
Deficiencies (1)
Failed to ensure a policy was in effect to notify medical professionals and the guardian after a resident sustained an injury requiring an emergency room visit.
Report Facts
Licensed beds: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Revealed the facility did not have a policy in place regarding what to do if a fall may occur to a resident. |
Inspection Report
Original Licensing
Capacity: 10
Deficiencies: 0
Date: Apr 17, 2013
Visit Reason
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.
Findings
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.
Report Facts
Licensed beds: 10
Category I beds: 5
Category II beds: 5
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