Inspection Reports for Best Solutions Home Care

7245 Scottsmoor Ct., Las Vegas, NV 89156, NV, 89156

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Deficiencies per Year

12 9 6 3 0
2020
2021
2022
2023
2024
2025
Severe High Moderate Low Unclassified

Census Over Time

0 3 6 9 May '21 Mar '22 Apr '23 Jan '25
Census Capacity
Inspection Report Renewal Capacity: 5 Deficiencies: 0 Jul 30, 2025
Visit Reason
The inspection was conducted as a Bed Increase survey to approve an increase in licensed beds from four to five for the facility, in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility was approved to add one bed, increasing total licensed beds to five. No deficiencies were identified during the survey.
Report Facts
Licensed beds: 4 Licensed beds: 5
Inspection Report Annual Inspection Census: 4 Capacity: 4 Deficiencies: 4 Jan 6, 2025
Visit Reason
This inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for a Residential Facility for Groups.
Findings
The facility was found deficient in several areas including failure to ensure one employee met background check requirements, failure to review and initial medication reviews for all residents, medication administration errors including mismatched labels and physician orders, and failure to ensure employees received required dementia training.
Severity Breakdown
Level 2: 4
Deficiencies (4)
DescriptionSeverity
Facility failed to ensure 1 of 3 employees met background check requirements; Employee #1 lacked a Nevada Automated Background Check System clearance letter specific to the facility.Level 2
Facility failed to ensure 6-month medication reviews were reviewed and initialed by the Administrator for 4 of 4 residents.Level 2
Facility failed to ensure medication labels matched physician orders for 1 of 4 residents and failed to follow physician orders for 2 of 4 residents.Level 2
Facility failed to ensure 2 of 3 employees received annually 3 hours of Tier 2 Alzheimer's/Dementia training as required.Level 2
Report Facts
Residents present: 4 Licensed capacity: 4 Employees reviewed: 3 Residents reviewed: 4
Employees Mentioned
NameTitleContext
Nichole SchmalAdministratorNamed as Administrator and involved in findings related to medication review initials and background check
Employee #1AdministratorFailed to have proper background check clearance specific to the facility
Employee #2Owner/CaregiverFailed to have documented Tier 2 dementia training
Employee #3CaregiverFailed to have documented Tier 2 dementia training
Inspection Report Annual Inspection Census: 4 Capacity: 4 Deficiencies: 2 Jan 4, 2024
Visit Reason
The inspection was conducted as a State Licensure annual survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A but had regulatory deficiencies including failure to keep resident files locked, lack of an Emergency Preparedness Plan, and issues related to maintenance and contents of resident files.
Severity Breakdown
2: 1 1: 1
Deficiencies (2)
DescriptionSeverity
Facility failed to ensure resident records were properly stored in a locked cabinet; file cabinet containing resident files was found unlocked.2
Facility failed to ensure an Emergency Preparedness Plan was created and available onsite.1
Report Facts
Resident files reviewed: 4 Employee files reviewed: 3 Severity 2 deficiency scope: 3 Severity 1 deficiency scope: 3
Employees Mentioned
NameTitleContext
Maria T N AcobaAdministratorNamed as responsible person for corrective actions and acknowledged unlocked file cabinet
Inspection Report Complaint Investigation Census: 3 Deficiencies: 1 Apr 10, 2023
Visit Reason
The inspection was conducted as a result of a complaint investigation triggered by a complaint intake form received on 03/17/23, regarding staff leaving residents unattended at the facility.
Findings
The facility failed to ensure a qualified staff member was on site to monitor and care for residents with Alzheimer's disease or dementia. On 02/17/23, the only staff member on duty left the facility unattended, leaving residents alone. The facility provided training to staff after the incident to prevent recurrence.
Complaint Details
One complaint was investigated and substantiated (Complaint #NV000068192). The complaint involved the Ombudsman observing residents left unattended by staff during a routine visit on 02/17/23.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
DescriptionSeverity
Facility failed to ensure a qualified staff member was awake and on duty at all times, leaving residents unattended on 02/17/23.Severity: 2
Report Facts
Census: 3 Sample size: 2 Complaint count: 1
Inspection Report Annual Inspection Census: 4 Capacity: 4 Deficiencies: 4 Jan 5, 2023
Visit Reason
This inspection was conducted as an annual grading and infection control survey of the facility in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Findings
The facility was found to have multiple regulatory deficiencies including failure to have a signed medication administration agreement for one resident, incomplete and unsigned medication administration records for three residents, lack of an annual Activities for Daily Living assessment for one resident, and non-operational audible alarms on three exit doors. The facility received a grade of B.
Severity Breakdown
Level 2: 4
Deficiencies (4)
DescriptionSeverity
Failed to ensure a signed agreement to administer medications was completed for 1 of 4 residents (Resident #4).Level 2
Failed to ensure the Medication Administration Record was accurate and signed off daily for 3 of 4 residents (Residents #1, #2, and #4).Level 2
Failed to ensure an annual Activities for Daily Living (ADL) assessment was completed for 1 of 4 sampled residents (Resident #2).Level 2
Failed to ensure audible alarms were operational on all exits; alarms on three doors leading out of the facility were turned off.Level 2
Report Facts
Residents present at time of survey: 4 Licensed capacity: 4 Deficiency severity count: 4
Employees Mentioned
NameTitleContext
Maria T N AcobaAdministratorNamed as the Administrator responsible for corrective actions and acknowledged deficiencies
Inspection Report Re-Inspection Census: 4 Capacity: 4 Deficiencies: 8 Mar 8, 2022
Visit Reason
This inspection was a mandatory grading resurvey conducted on 03/08/2022 in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Findings
The facility received a grade of B with multiple regulatory deficiencies identified, including failure to perform COVID-19 temperature screenings upon entry, inadequate staffing coverage during night shifts, failure to post the current grade placard, and allowing a resident with mental illness to remain without proper endorsement. Several deficiencies were repeat from previous surveys.
Severity Breakdown
Severity: 2: 3 Severity: 1: 1 Severity: F: 3 Severity: D: 2 Severity: C: 1
Deficiencies (8)
DescriptionSeverity
Failed to ensure a COVID-19 screening with temperature check was completed upon entry.Severity: 2
Failed to maintain monthly written staffing schedule including number and type of staff assigned for each shift.Severity: C
Personnel files lacked required health certificates and certifications such as TB screening and CPR.Severity: D
Failed to post license, rates for services, and contact information conspicuously in the facility.Severity: F
Failed to ensure at least one staff member was awake throughout the night; staff scheduled for 24 hours without relief.Severity: 2
Failed to keep knives, matches, firearms, tools and other dangerous items inaccessible to residents.Severity: F
Allowed a resident with a diagnosis of mental illness to remain in the facility without proper endorsement and protective supervision.Severity: 2
Failed to post the current grade placard from the most recent survey conspicuously in the facility.Severity: 1
Report Facts
Census: 4 Total Capacity: 4 Repeat Deficiencies: 3 Staffing Schedule Violations: 19
Employees Mentioned
NameTitleContext
Maria AcobaAdministratorSigned the report and named as person responsible for corrective actions
Inspection Report Annual Inspection Census: 4 Capacity: 4 Deficiencies: 12 Jan 6, 2022
Visit Reason
This inspection was conducted as an annual grading and infection control survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Findings
The facility received a grade of D with multiple deficiencies identified including failure to conduct COVID-19 screenings for visitors, lack of posted staffing schedules, incomplete employee health and training records, missing resident documentation, medication administration errors, safety hazards such as unlocked pool gate and unsecured dangerous items, and failure to comply with licensing endorsement requirements for residents with mental illness.
Severity Breakdown
Level 1: 1 Level 2: 11
Deficiencies (12)
DescriptionSeverity
Failed to ensure a COVID-19 screening was completed upon entry for a visitor; no temperature or COVID-19 questions were asked.Level 2
Failed to ensure a written staffing schedule was posted and retained for at least six months.Level 1
Failed to ensure a physical exam and annual tuberculosis test was completed for one employee.Level 2
Failed to ensure cardiopulmonary resuscitation (CPR) training was completed every two years for one employee.Level 2
Failed to ensure signage was posted indicating the designated representative in the absence of the Administrator.Level 2
Failed to ensure an Ultimate User Agreement was signed prior to administering medications for one resident.Level 2
Failed to ensure medications were given in accordance with physician's orders for one resident.Level 2
Failed to ensure an Activities of Daily Living (ADL) screening was completed upon admission for one resident.Level 2
Failed to ensure a gate leading to a swimming pool was locked.Level 2
Failed to ensure at least one staff member was awake throughout the night.Level 2
Failed to ensure dangerous items such as knives and cleaning chemicals were inaccessible to residents.Level 2
Failed to ensure a resident with a diagnosis of mental illness was not allowed to remain in the facility without proper endorsement.Level 2
Report Facts
Residents present: 4 Licensed capacity: 4 Deficiency count: 12
Employees Mentioned
NameTitleContext
Maria AcobaAdministratorNamed as person responsible for corrective actions and oversight
Employee #2Failed CPR training compliance
Employee #3Missing physical exam and TB screening
Inspection Report Annual Inspection Census: 4 Capacity: 4 Deficiencies: 6 May 4, 2021
Visit Reason
The inspection was conducted as an annual state licensure and infection control survey in accordance with Nevada Administrative Code Chapter 449 for a Residential Facility for Groups.
Findings
The facility was found deficient in several areas including failure to complete initial physical examinations for residents, incomplete medication administration reviews, lack of tuberculosis testing documentation, insufficient staff awake at night, and inadequate initial training for employees. The facility received a grade of B.
Severity Breakdown
Severity: 2: 6
Deficiencies (6)
DescriptionSeverity
Failed to ensure 1 of 4 residents completed an initial physical examination.Severity: 2
Failed to ensure a pharmacy review was completed at least once every six months for 2 of 4 residents.Severity: 2
Failed to ensure 1 of 4 residents complied with tuberculosis testing requirements; lacked documentation of an initial two-step TB test.Severity: 2
Did not ensure a staff member was awake at night while residents slept; only one caregiver was observed and the owner was the sole caregiver 24 hours a day.Severity: 2
Failed to ensure 1 of 1 employees received four hours of initial training to care for elderly and disabled residents.Severity: 2
Failed to ensure 1 of 1 employee received four hours of initial training to care for persons with chronic illness.Severity: 2
Report Facts
Census: 4 Total Capacity: 4 Deficiencies cited: 6
Employees Mentioned
NameTitleContext
Maria T. N. AcobaAdministratorNamed in relation to findings and responsible for corrective actions
Rosa De AndaCaregiverNamed as newly hired caregiver undergoing required training
Inspection Report Deficiencies: 0 Jun 2, 2020
Visit Reason
The document is a statement of deficiencies and plan of correction for Best Solutions Home Care, indicating a regulatory inspection was conducted.
Findings
No specific deficiencies or findings are detailed in the report; only initial comments are noted without further elaboration.
Report
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1.5.23.pdf
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Best
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Care
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Home
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JQIY11
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