Inspection Reports for Brookdale Las Vegas

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

The facility received a grade of B. Four complaints were investigated with one substantiated without deficient practice and three unsubstantiated. Several regulatory deficiencies were identified including missing chest X-ray for an employee, expired food items in the kitchen, non-functional audible alarms on memory care exit doors, incomplete mental illness training, and incomplete cultural competency training for staff.

Four complaints were investigated: one substantiated without deficient practice and three unsubstantiated with no regulatory deficiencies identified.

The inspection was conducted as a result of a State Licensure mandatory grading resurvey combined with a complaint investigation at the facility.

No regulatory deficiencies were identified during the inspection. One complaint was investigated and found to be unsubstantiated. The facility received a grade of A.

One complaint (#NV00071849) was investigated and determined to be unsubstantiated after observations, interviews, and record reviews.

The inspection was an annual State Licensure survey conducted on 07/23/24 to assess compliance with Nevada Administrative Code Chapter 449 for a Residential Facility for Groups.

The facility was found to have multiple deficiencies including unsafe hot water temperatures exceeding acceptable limits, poor maintenance and sanitation issues such as a damaged closet door, water damage to walls, and a malfunctioning drinking fountain, expired food products and cleanliness issues in the kitchen, non-operational bathroom vents, unsecured resident medications, and incomplete resident records regarding preferred names and pronouns.

The inspection was conducted as a result of a Facility Reported Incident (FRI) completed on 02/27/24, in accordance with Nevada Administrative Code, Chapter 449, Requirements for Residential Facilities for Groups.

The investigation included interviews with the Administrator and Wellness Director, clinical record reviews, and document reviews. No regulatory deficiencies were identified and no action was necessary.

The complaint investigation was related to FRI #9349, which was verified with no regulatory deficiencies found.

The inspection was conducted as a result of an Annual and Complaint State Licensure survey initiated on 07/25/2023 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

The facility received a grade of A with one complaint investigated and verified without deficient practice. Several regulatory deficiencies were identified including failure to ensure annual Elder Abuse Training for one employee, failure to comply with food service standards in the kitchen, and failure to ensure Cultural Competency Training within 30 days of hire for one employee.

One complaint (#NV00068070) was investigated and verified with no deficient practice. The investigation included observation of grooming, physical appearance, pressure sore treatment, meal observation, and interviews with the Regional Health and Wellness Coordinator and Administrator.

The inspection was conducted as a State Licensure Complaint Investigation survey triggered by Complaint #NV00067067 with eight allegations regarding resident care and facility conditions.

All eight allegations investigated were found to be unsubstantiated based on record reviews, interviews with staff, residents, family members, and observations. The facility was found to provide appropriate care, maintain cleanliness, and have adequate staffing. No regulatory deficiencies were identified.

Complaint #NV00067067 with eight allegations was investigated and all were unsubstantiated. Allegations included claims of multiple falls without precautions, inadequate food and water, staffing shortages, improper level of care, delayed call bell responses, residents left wet or soiled, unaddressed family concerns, and unsanitary resident room conditions. Investigations included interviews, observations, and document reviews.

This inspection was a mandatory grading resurvey conducted at the facility in accordance with Nevada Administrative Code, Chapter 449, Residential Facilities for Groups.

The facility was found to be in compliance with all regulatory requirements, received a grade of A, and no regulatory deficiencies were identified. No further action was necessary.

The inspection was an annual and infection control State Licensure survey conducted to assess compliance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.

The facility was found deficient in multiple areas including infection control practices related to COVID-19, facility maintenance, food service compliance, special diet provision, medical care documentation, medication administration, Alzheimer’s care safety standards, and secure storage of toxic substances. Several deficiencies were noted with severity level 2 and scope 3 or 1.

The inspection was an Annual Grading and infection control survey conducted in accordance with Nevada Administrative Code (NAC), Chapter 449, Residential Facilities for Groups.

The facility received a grade of B with multiple deficiencies identified including failure to ensure annual TB testing for employees, expired food items and cleanliness issues in the kitchen, missing physical exams for residents upon admission, incomplete medication administration documentation, and lack of written physician instructions for as-needed medications.

This inspection was conducted as an annual State Licensure survey to assess compliance with state regulations for the residential assisted living facility.

The facility received a grade of A but was cited for deficiencies related to cleanliness and maintenance of the premises, non-functional auditory call systems in resident bedrooms, and unsecured medication storage. Specific issues included damaged furniture, plumbing problems, and unsecured medications in resident rooms and medication carts.

The inspection was conducted as a complaint investigation triggered by Complaint #NV00049466 regarding quality of care and resident safety/falls.

The investigation included observations, interviews, and policy reviews, and concluded that the allegations could not be substantiated. No regulatory deficiencies were identified and no further action was necessary.

Complaint #NV00049466 with allegations of quality of care and resident safety/falls was investigated and found to be unsubstantiated.

The inspection was conducted as a complaint investigation triggered by complaint #NV00048738 regarding medication administration and resident falls.

The investigation substantiated that a resident missed at least ten doses of medication and had multiple falls with injury. Deficiencies were identified related to medication administration and failure to evaluate and plan for residents' changing conditions and fall prevention.

Complaint #NV00048738 was substantiated. The allegations that the resident missed at least ten doses of medication and had multiple falls with injury were confirmed.

The inspection was conducted as a complaint investigation triggered by complaint #NV00048738, which was substantiated regarding missed medication doses and multiple falls with injury.

The facility was found to have failed in ensuring medication was administered as prescribed for one resident, and failed to perform timely evaluations and develop service plans to prevent falls for three residents. The complaint allegations of missed medication doses and multiple falls with injury were substantiated.

Complaint #NV00048738 was substantiated. The allegations that Resident #1 missed at least ten doses of medication and had multiple falls with injury were substantiated.

The inspection was conducted as a complaint investigation triggered by complaint #NV00048075 regarding the facility's failure to provide a resident with needed medical equipment.

The complaint was investigated through interviews, record reviews, and policy examination, and the allegation was not substantiated. No deficiencies were identified during the investigation.

Complaint #NV00048075 was investigated and could not be substantiated. The allegation that the facility failed to provide a resident with needed medical equipment was not supported by the investigation.

The inspection was conducted as a required State Licensure grading resurvey combined with a complaint investigation triggered by two complaints alleging cleanliness issues, offensive odors, presence of roaches, and residents having scabies.

The facility was observed for odors and cleanliness in multiple areas including resident rooms and common areas. Visual inspections and interviews were conducted, and housekeeping schedules and extermination receipts were reviewed. Both complaints were investigated and the allegations could not be substantiated. The facility received a grade of A.

Two complaints were investigated: Complaint #NV00047250 alleging the facility was not clean and had offensive odors, and Complaint #NV00047080 alleging the facility was not clean, had roaches, offensive odors, and residents had scabies. None of the allegations were substantiated.

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

The facility received a grade of D with multiple deficiencies identified including failure to ensure required training and certifications for employees, unsafe storage of food, inadequate monitoring of resident call systems, unsecured oxygen tanks, missing medications for residents, and lack of required alarms on doors in the memory care unit.

Annual State Licensure survey conducted by the Division of Public and Behavioral Health to assess compliance with state regulations for assisted living and residential care facility.

The facility was found deficient in multiple areas including caregiver training, personnel file documentation, health and safety hazards, medication administration, resident care, and facility safety systems. Several repeat deficiencies were noted. The facility received a grade of D.

The inspection was conducted as a result of a complaint investigation regarding medication administration issues at the facility.

The investigation substantiated that medications were not given as prescribed and the Medication Administration Record (MAR) was not properly signed for some residents. Deficiencies were identified related to medication administration and record accuracy.

Complaint #NV00044759 was substantiated. The complaint alleged that the Medication Administration Record (MAR) was not signed after medication was given and medications were not given as prescribed.

This inspection was conducted as a complaint investigation based on Complaint #NV00044759, which was substantiated regarding medication administration issues.

The facility was found to have deficiencies related to medication administration, including failure to administer medications as prescribed to two residents and inaccurate Medication Administration Records (MAR) for three residents. These deficiencies were repeat findings from previous complaint investigations.

Complaint #NV00044759 was substantiated. The allegations that the Medication Administration Record (MAR) was not signed after medication administration and that medications were not given as prescribed were confirmed.

The inspection was conducted as a result of a complaint investigation regarding allegations of employee to resident abuse and resident overmedication due to medication not given as prescribed.

The complaint investigation included interviews and record reviews, and the allegations could not be substantiated. No regulatory deficiencies were identified and no further action was necessary.

Complaint #NV00043844 included allegations of employee to resident abuse and resident overmedication; these allegations were not substantiated.

The inspection was conducted as a complaint investigation from 6/16/15 through 6/18/15 based on Complaint #NV00043067, which included allegations regarding medication errors, missing tuberculosis tests, missing physician paperwork, and food preparation concerns.

The complaint investigation found that the allegations could not be substantiated. However, additional deficiencies were identified including failure to document incident reports for resident altercations and incomplete Medication Administration Records (MAR) for multiple residents.

Complaint #NV00043067 included allegations that residents were given other residents' medications from overflow stock, residents missed doses due to medications not on site, residents were missing tuberculosis tests, residents were missing paperwork from a physician, and meat was not cooked thoroughly. These allegations were not substantiated.

The inspection was conducted as a complaint investigation based on allegations regarding medication administration, missing tuberculosis tests, missing physician paperwork, and food preparation concerns.

The investigation found deficiencies including failure to submit an incident report, incomplete incident documentation, and incomplete medication administration records for several residents. The complaint allegations were not substantiated.

Complaint #NV00043067 with allegations including residents receiving others' medications, missed doses due to lack of medications on site, missing tuberculosis tests, missing physician paperwork, and improperly cooked meat. The complaint was not substantiated.

This inspection was a required State Licensure grading re-survey conducted on 5/22/15 to assess compliance with regulations.

The facility received a grade of A. One deficiency was identified related to failure to ensure that 1 of 9 caregivers received first aid and CPR training within 30 days of employment. This was a repeat deficiency from the 2/24/15 State Licensure survey.

This inspection was a required State Licensure grading re-survey conducted on 5/22/15 to assess compliance with state regulations.

The facility received a grade of A. One deficiency was identified related to failure to ensure that 1 of 9 caregivers received first aid and CPR training within 30 days of employment. This was a repeat deficiency from a prior survey.

This inspection was conducted as a complaint investigation triggered by Complaint #NV00042528 regarding an allegation of failure to provide a safe physical environment.

The complaint was unsubstantiated. The investigation included interviews, document reviews, and observations related to a fire incident in the resident laundry room on 4/13/15, which was extinguished by the sprinkler system. Residents were safely evacuated and additional fire training was implemented. No regulatory deficiencies were identified.

Complaint #NV00042528 contained one allegation regarding physical environment safety, which was unsubstantiated.

The inspection was conducted as a result of a complaint investigation on 4/8/15 regarding a resident's pain medication running out and medication not given according to physician's orders.

The facility failed to ensure a routine medication was onsite for one of five residents, resulting in harm to the resident. Multiple missed doses of Oxycodone 5 mg were documented due to delays in medication refills and approvals, inconsistent medication administration records, and communication issues with the pharmacy and physician.

Complaint # NV00042351 was substantiated. The complaint alleged that a resident's pain medication ran out and medication was not given according to the physician's order.

The inspection was conducted as a complaint investigation triggered by complaint #NV00042351 regarding an allegation that a resident's pain medication ran out and was not given according to the physician's order.

The facility failed to ensure a routine medication (Oxycodone 5 mg) was onsite for one resident, resulting in the resident missing multiple doses and experiencing withdrawal symptoms. The medication refill requests were not made in a timely manner, and documentation inconsistencies were noted.

Complaint #NV00042351 was substantiated. The allegation was that the resident's pain medication ran out and was not given according to the physician's order.

The inspection was conducted as a complaint investigation triggered by complaint #NV00042418 regarding dietary services and failure to have sufficient food.

The facility was found to have multiple deficiencies related to dietary services including failure to provide adequate food supplies, failure to post a planned and dated menu, failure to document menu substitutions, and failure to provide meals suitable for all residents' needs. The complaint was substantiated and additional deficiencies were identified.

Complaint #NV00042418 contained one allegation regarding dietary services failure to have sufficient food. The complaint was substantiated.

The inspection was conducted as a complaint investigation triggered by complaint #NV00042418 alleging failure to have sufficient food at the facility.

The investigation substantiated the complaint regarding insufficient food supplies, including lack of milk, eggs, bread, and other items. Additional deficiencies included failure to post a menu, failure to document menu substitutions, and failure to provide meals suitable for residents' needs, with repeated issues noted from a prior complaint.

Complaint #NV00042418 contained one allegation regarding dietary services and failure to have sufficient food. The complaint was substantiated.

The inspection was conducted as a complaint investigation triggered by complaint #NV00042139, which contained two allegations regarding failure to provide linens and towels and administrator's response during an emergency.

The complaint was unsubstantiated with no regulatory deficiencies identified. The facility was found to be providing required linens and towels, and the administrator was present during the emergency. Smoking policies were followed in approved areas.

Complaint #NV00042139 contained two allegations: 1) Failure to provide linens and towels, which was unsubstantiated after interviews and document review; 2) Administrator did not respond to facility during an emergency, which was unsubstantiated after interviews and observations.

The inspection was an annual State Licensure survey conducted to assess compliance with regulatory requirements for the facility licensed for 105 beds.

The facility was found deficient in several areas including caregiver training, elder abuse training, verification of employee references, health and sanitation, first aid and CPR training, periodic physical examinations, medication administration, and tuberculosis screening. The facility received a grade of C.

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

The facility was found deficient in multiple areas including caregiver training, elder abuse prevention training, personnel file documentation, health and sanitation maintenance, first aid and CPR training, timely physical examinations for residents, medication administration protocols, and tuberculosis screening compliance.

The inspection was conducted as a complaint investigation initiated by the Division of Public and Behavioral Health on 2/7/15 regarding allegations of lack of protective supervision and other deficiencies.

The investigation substantiated the complaint of lack of protective supervision for one resident and identified additional deficiencies including failure to ensure six residents could rest in their rooms at any time. The facility failed to provide adequate documentation and monitoring post-fall and had issues related to resident relocation during water pipe flooding.

Complaint #NV00042044 regarding lack of protective supervision was substantiated. The complaint investigation process was initiated on 2/7/15 by the Division of Public and Behavioral Health.

This inspection was conducted as a complaint investigation initiated on 2015-02-07 regarding allegations of lack of protective supervision and other deficiencies at the facility.

The investigation substantiated the allegation of inadequate protective supervision for one resident who experienced multiple falls resulting in serious injury. Additionally, the facility failed to ensure six residents could rest in their rooms due to construction-related displacement and did not properly document monitoring or post-fall tracking. Several residents were moved without their personal belongings, causing distress.

Complaint #NV00042044 was substantiated regarding lack of protective supervision. The complaint investigation was initiated on 2015-02-07 by the Division of Public and Behavioral Health.

The inspection was conducted as a complaint investigation triggered by complaint #NV00040525 containing four allegations regarding resident screening, quality of care, lack of protective supervision, and resident rights.

The complaint was substantiated with deficiencies found in resident screening, quality of care including falls and protective supervision, and failure to perform necessary evaluations and maintain confidential resident files. The facility failed to provide protective supervision to a resident, did not perform required evaluations upon admission and change of condition, and failed to maintain Assistance of Daily Living (ADL) logs for several residents.

Complaint #NV00040525 contained four allegations: 1) Resident screening for higher level of care - substantiated; 2) Quality of care related to resident safety and falls - substantiated; 3) Lack of protective supervision - substantiated; 4) Resident rights regarding family access to records - not substantiated.

The inspection was conducted as a complaint investigation from 9/22/14 through 9/25/14 based on Complaint #NV00040525 which contained four allegations regarding resident screening, quality of care, lack of protective supervision, and resident rights.

The complaint was substantiated for three allegations related to resident screening, quality of care including resident safety and falls, and lack of protective supervision. One allegation regarding family access to resident records was not substantiated. Several deficiencies were identified including failure to provide protective supervision and inadequate resident evaluations and service plans.

Complaint #NV00040525 contained four allegations: 1) Resident screening for higher level of care - substantiated; 2) Quality of care related to resident safety and falls - substantiated; 3) Lack of protective supervision - substantiated; 4) Family denied access to resident's records - not substantiated.

The inspection was conducted as a complaint investigation triggered by two complaints (NV00040092 and NV00040114) concerning quality of care and dietary services.

The investigation substantiated that one resident was left unsupervised during a shopping trip and another resident's call bell was not answered in a timely manner. The facility failed to provide protective supervision to prevent unsupervised absence and failed to ensure timely response to call bells.

Complaint #NV00040092 included allegations of quality of care and dietary services; quality of care and lack of protective supervision was substantiated, dietary services allegation was not substantiated. Complaint #NV00040114 alleged quality of care regarding untimely call bell response, which was substantiated.

This inspection was conducted as a result of a complaint investigation regarding an allegation of sexual abuse at the facility.

The investigation included interviews and record reviews which revealed the facility followed policy, complied with reporting processes, and conducted a thorough investigation. The allegation of sexual abuse was not substantiated.

Complaint #NV 00038924 regarding sexual abuse was not substantiated through document review and interviews. The complaint investigative process was initiated by the Bureau of Health Care Quality and Compliance on 4/17/14.

The inspection was conducted as a State Licensure annual grading survey combined with a complaint investigation regarding alleged resident abuse.

The facility received a grade of A. The complaint of resident abuse was not substantiated. Deficiencies were identified related to safety requirements and review of medical condition of a resident, including failure to have a working audible system in the Alzheimer's unit and failure to ensure a resident received a medical assessment.

Complaint #NV00038016 regarding verbal resident abuse was not substantiated after interviews with residents and staff and observation during the tour.

The inspection was conducted as a State Licensure annual grading survey combined with a complaint investigation regarding alleged verbal resident abuse.

The facility received a grade of A. The complaint of verbal abuse was not substantiated. Deficiencies were identified related to the lack of working audible systems in all Alzheimer's unit rooms and failure to ensure a resident received a medical assessment for confusion.

Complaint #NV00038016 regarding verbal resident abuse was investigated and not substantiated based on resident and staff interviews.

This inspection was conducted as a complaint investigation from 8/27/2013 through 9/5/2013 regarding allegations of abuse at the facility.

The investigation substantiated that the facility failed to report suspected abuse within the required 24 hours, delaying the report by eight days. Additionally, the administrator failed to prevent verbal and physical abuse of a resident by a caregiver, resulting in the caregiver's suspension and termination.

Complaint #NV00036689 was substantiated. The complaint involved abuse allegations against Caregiver #1 towards Resident #1, including verbal abuse and force feeding. The caregiver was suspended and later terminated following an internal investigation.

This complaint investigation was conducted from 8/27/13 through 8/30/13 following a complaint regarding suspected abuse and resident rights violations.

The facility failed to report suspected abuse immediately or within 24 hours, delaying the report by eight days. A caregiver verbally abused a resident, and the staff identified as abuser was terminated. The facility implemented education for staff and managers on timely reporting and posted procedures to ensure compliance.

Complaint #NV00036689 was substantiated. The investigation found delayed reporting of suspected abuse and verbal abuse of Resident #1 by Caregiver #1. The staff identified as abuser was terminated and corrective actions were implemented.

The inspection was conducted as a complaint investigation from 6/11/13 through 6/19/13 regarding allegations of improper seizure of medication, improper medication administration, reuse of paper cups after falling on the ground, food being served cold, and untimely cleaning of residents' rooms.

The complaint investigation found that none of the allegations were substantiated based on document reviews, interviews with residents and staff, observations of medication administration, food service, and room cleaning. The facility policies and practices were found to be appropriate and compliant.

Complaint #NV00035814 involved allegations of improper seizure of medication, improper medication administration, reuse of paper cups after falling on the ground, food being served cold, and untimely cleaning of residents' rooms. All allegations were not substantiated after investigation including interviews, observations, and document reviews.

This document is a plan of correction generated as a result of a required grading re-survey conducted on 6/19/13 for a residential facility providing assisted living and care for persons with Alzheimer's disease.

The facility was found deficient in medication administration records, specifically inaccuracies in the medication administration record (MAR) for 2 of 8 MARs inspected. The facility received a re-survey grade of A.

This document is a required grading re-survey conducted as a re-inspection of the facility to verify compliance following a prior inspection.

The facility received a re-survey grade of A. Deficiencies were identified related to inaccuracies in the medication administration records (MAR) for 2 of 8 MARs inspected, including incorrect dosage information and inconsistent medication orders.

The inspection was conducted as a result of a complaint investigation from 5/24/13 through 5/31/13 at Emeritus at Las Vegas.

The facility was found to have failed to ensure that 1 of 95 residents received medications as prescribed, specifically alprazolam and zolpidem for Resident #1.

Complaint #NV00035638 was substantiated.

The inspection was conducted as a complaint investigation regarding an allegation that the facility switched a resident's hospice agency without proper authorization.

The complaint was not substantiated. Interviews and document reviews confirmed that the resident's power of attorney directed the switch of the hospice agency.

Complaint #NV00035519 alleged the facility switched a resident's hospice agency. The allegation was not substantiated after interviews with the facility Administrator, Resident Care Director, a Social Worker, and review of facility service notes.

The inspection was conducted as a complaint investigation initiated by the Nevada State Health Division on 2013-05-23 regarding allegations that the facility had a resident with scabies and failed to administer a resident's medication as prescribed.

The allegations were not substantiated. The resident was treated for a rash, not scabies, and received medical oversight from physicians. Medication administration records confirmed the resident received prescribed topical cream and medicated shampoo.

Complaint #NV00035496 alleged the facility had a resident with scabies and failed to administer medication as prescribed. Both allegations were not substantiated through interviews and document review.

The inspection was conducted as a result of a complaint investigation from 5/24/13 through 5/31/13 at Emeritus at Las Vegas.

The facility was found to have failed to ensure that 1 of 95 residents received medications as prescribed, specifically Resident #1 did not receive alprazolam and zolpidem as ordered. The complaint #NV00035638 was substantiated.

Complaint #NV00035638 was substantiated.

The inspection was conducted as a result of a complaint investigation regarding medication administration and dehydration of a resident at the facility.

The investigation found that the facility failed to ensure a resident was not dehydrated, but hospital records showed the resident was not dehydrated. The facility also failed to ensure one of 95 residents received medications as prescribed, specifically a missed dose of metformin.

Complaint #NV00035166 alleged medication was not administered according to physician orders and that the facility failed to ensure a resident was not dehydrated. The medication allegation was substantiated; the dehydration allegation was not substantiated.

The inspection was conducted as a complaint investigation initiated by the Nevada State Health Division on 2013-04-25 regarding allegations of medication not administered according to physician orders and failure to ensure a resident was not dehydrated.

The allegation that medication was not administered according to physician orders was substantiated for one resident who did not receive a dose of metformin on 2013-02-05. The allegation that the facility failed to ensure a resident was not dehydrated was not substantiated based on interviews and hospital record review.

Complaint #NV00035166 was investigated. The allegation that medication was not administered according to physician orders was substantiated. The allegation that the facility failed to ensure a resident was not dehydrated was not substantiated.

The Health Division is imposing sanctions on the facility due to repeat deficiencies cited in a prior survey dated 2012-11-21, as detailed in the notice of intent to impose sanctions.

The notice states that monetary penalties of $300.00 are being imposed for a repeat deficiency at TAG Y393. The Plan of Correction submitted on 2013-02-28 was reviewed and accepted. The document outlines the statutory authority, penalty details, appeal rights, and procedures for reduction of penalties.

This complaint investigation was conducted from 12/27/12 through 3/20/13 due to a substantiated allegation regarding resident safety.

The facility failed to ensure emergency medical services were obtained in a timely manner for a resident who suffered an injury after a fall. Resident #1 was found with injuries and emergency services were delayed by approximately 14 hours.

Complaint #NV00034131 regarding resident safety was substantiated. The complaint investigation process was initiated on 12/27/12.

This inspection was conducted as a complaint investigation initiated on 2012-12-27 regarding allegations of resident safety at the facility.

The facility was found to have failed to ensure emergency medical services were obtained in a timely manner for one resident following an injury. The resident was not transported to the hospital until approximately 14 hours after a fall, despite bleeding and worsening condition.

Complaint #NV00034131 regarding resident safety was substantiated. The complaint investigative process was initiated on 2012-12-27.

This document is the result of an annual State Licensure survey conducted on 2/5/13 to assess compliance with regulatory requirements for a residential facility providing assisted living and memory care services.

The facility was found deficient in multiple areas including personnel files, health and sanitation, dietary services, medication administration, safety requirements, and resident care. The facility received a grade of D and several deficiencies were repeated from prior complaint investigations and surveys.

Annual State Licensure survey conducted by the Nevada State Health Division to assess compliance with state regulations for a residential facility providing assisted living and care for persons with Alzheimer's disease.

The facility received a grade of D with multiple deficiencies identified including personnel file issues, offensive odors in resident rooms, poor sanitation and maintenance, medication administration errors, inadequate fire safety documentation, unsecured medications, and failure to ensure resident safety in the Memory Care Unit.

The inspection was conducted as a complaint investigation regarding an allegation that staff was taking discontinued medications for personal use.

The complaint was not substantiated as observations, interviews, and record reviews showed medications and medication carts were secured, medication destruction logs were properly maintained, and facility policy for drug destruction was followed.

Complaint #NV00034317 alleged staff was taking discontinued medications for personal use; this was not substantiated through observations, interviews, and record review.

This Statement of Deficiencies was generated as a result of a complaint investigation conducted on the facility from 11/19/12 through 11/21/12.

The complaint #NV00033788 was substantiated regarding the facility call system not being answered timely by staff. Other allegations including improper infection control, untimely resident assessment after change of condition, and offensive odors were not substantiated. The facility failed to ensure the call system was responded to in a timely manner, which is a repeat deficiency.

Complaint #NV00033788 was substantiated for the allegation that the facility call system was not answered timely by staff. Other allegations were not substantiated.

The inspection was conducted as a complaint investigation from 11/19/12 through 11/21/12 following complaint #NV00033788 regarding allegations about the facility call system response time, infection control practices, timely resident assessment after change of condition, and offensive odors.

The complaint that the facility call system was not answered timely was substantiated. Allegations regarding improper infection control, untimely resident assessment after change of condition, and offensive odors were not substantiated based on interviews and observations. The facility failed to ensure timely response to the call system, which was a repeat deficiency.

Complaint #NV00033788 was substantiated regarding the facility call system not being answered timely by staff. Other allegations related to infection control, resident assessment, and offensive odors were not substantiated.

The inspection was conducted as a result of a complaint investigation initiated by the Bureau of Health Care Quality and Compliance on 2012-11-16 regarding allegations at the facility.

The complaint regarding residents in memory care being left soiled for extended periods was not substantiated. The allegation of understaffing was not substantiated. The allegation of improper medication administration was substantiated. One resident did not receive prescribed medication as ordered, which was a repeat deficiency.

Complaint #NV00033753 was substantiated for improper medication administration. Allegations that residents were left soiled and that the facility was understaffed were not substantiated.

The inspection was conducted as a result of a complaint investigation initiated on 2012-11-16 regarding allegations of residents in memory care being left soiled, understaffing, and improper medication administration.

The complaint that residents in memory care were left soiled and that the facility was understaffed was not substantiated. However, the allegation that resident medications were improperly administered was substantiated, specifically one resident did not receive prescribed medication from October 20, 2012 through November 11, 2012.

Complaint #NV00033753 was substantiated in part. The allegation residents in memory care were left soiled and the facility was understaffed were not substantiated. The allegation of improper medication administration was substantiated.

The inspection was conducted as a complaint investigation initiated by the Bureau of Health Care Quality and Compliance on 8/16/12 regarding allegations of inappropriate admission, call bells not answered timely, and insufficient staffing in the memory care unit.

The investigation substantiated the allegation of inappropriate admission related to caring for a resident with Alzheimer's disease without proper endorsement and caregiver training. Other allegations about call bell response and staffing levels in the memory care unit were unsubstantiated. Additional deficiencies included failure to retain staff schedules for the memory care unit and presence of offensive odors in the facility.

Complaint #NV00032763 was investigated. The allegation of inappropriate admission was substantiated. The allegation that call bells were not answered timely was unsubstantiated due to an ongoing plan of correction. The allegation of insufficient staffing in the memory care unit was unsubstantiated based on observation, record review, and staff interview.

The inspection was conducted as a complaint investigation initiated by the Bureau of Health Care Quality and Compliance on 8/16/12 regarding allegations of inappropriate admission, failure to answer call bells timely, and failure to schedule enough staff in the memory care unit.

The complaint regarding inappropriate admission was substantiated. The allegation about call bells was unsubstantiated due to a current plan to replace the auditory call system. The allegation that the facility failed to schedule enough staff in the memory care unit was unsubstantiated based on observation, record review, and staff interviews. Additional deficiencies were identified related to licensing multiple types, staffing schedule, and offensive odors.

Complaint #NV00032763 was initiated on 8/16/12. The allegation regarding inappropriate admission was substantiated. The allegation about call bells was unsubstantiated due to a current plan of correction. The allegation about staffing in the memory care unit was unsubstantiated.

This inspection was conducted as a result of two complaint investigations at the facility from 5/17/12 through 7/9/12, focusing on allegations related to resident care and safety.

The facility was found to have deficiencies including failure to respond timely to emergency call pendants, inadequate monitoring of diabetic residents' blood glucose testing, and failure to notify family or physician of a resident's change in condition. Two complaints were substantiated with severity levels ranging from 2 to 3.

Complaint #NV00031723 and Complaint #NV00031924 were substantiated based on review of records, interviews, and observations. The complaints involved delayed response to emergency call pendants and inadequate diabetes care.

The inspection was conducted as a result of two complaint investigations from 5/17/12 through 7/9/12 at the facility licensed for 105 beds providing assisted living services.

The facility was found deficient in timely response to auditory alarms for residents, proper blood glucose testing for a diabetic resident, and failure to notify family or physician of a resident's change in condition after a fall. Two complaints were substantiated with deficiencies related to safety requirements and medical care.

Two complaints were investigated and substantiated: Complaint #NV00031723 related to safety and response to emergency call pendants, and Complaint #NV00031924 related to diabetes care and medical notification failures.

The inspection was a required grading re-survey conducted on 6/12/12 to assess compliance with state licensure regulations and to verify correction of previous deficiencies.

The facility received a re-survey grade of A. Deficiencies were identified related to food service permits, kitchen sanitation, medication storage, and resident file maintenance, with corrective actions and completion dates outlined in the plan of correction.

This document is a required grading re-survey conducted as a State Licensure survey to assess compliance with regulatory standards at the facility.

The facility received a re-survey grade of A. Deficiencies were identified related to kitchen sanitation and permits, medication storage security, and resident tuberculosis testing compliance.

The inspection was conducted as a complaint investigation from 5/4/12 through 6/9/12 regarding allegations of short staffing and improper medication administration at the facility.

The complaint of short staffing was not substantiated based on staffing schedules and staff interviews. However, the allegation of improper medication administration was substantiated with multiple residents missing or late receiving medications due to unavailable medications or documentation errors.

Complaint #NV00031379 alleged short staffing and improper medication administration. Short staffing was not substantiated; medication administration issues were substantiated.

This inspection was conducted as a result of a complaint investigation from 2012-05-04 through 2012-06-09 regarding allegations of short staffing and improper medication administration at the facility.

The facility was found not to be short staffed as staffing schedules met minimum requirements. However, the facility failed to administer medications as prescribed for 7 of 31 residents due to medication unavailability and failed to notify physicians within 12 hours of missed medication doses for 3 residents. These deficiencies were repeat findings from previous complaint investigations.

Complaint #NV00031379 alleged short staffing and improper medication administration. The short staffing allegation was not substantiated. The improper medication administration allegation was substantiated.

This inspection was conducted as a result of a complaint investigation carried out from 3/15/12 through 4/19/12 at Emeritus at Las Vegas.

The facility failed to ensure one of 72 residents was cared for according to the physician's instructions, specifically regarding periodic physical examinations and follow-up blood work, resulting in hospitalization due to elevated Warfarin levels.

Complaint #NV00031030 was substantiated.

This inspection was conducted as a result of a complaint investigation from 3/15/12 through 4/19/12 regarding the facility's compliance with resident care requirements.

The facility failed to ensure that one resident (Resident #1) received follow-up blood work as ordered by the physician after a Coumadin dosage increase, resulting in the resident being hospitalized for a dangerously high Warfarin level.

Complaint #NV00031030 was substantiated based on the failure to provide required follow-up blood work for Resident #1 as ordered by the physician.

The inspection was conducted as a result of complaint investigations at the facility from 03/18/2012 through 03/20/2012, initiated by the Bureau of Health Care Quality and Compliance on 03/08/2012.

Multiple allegations were investigated including medication administration, employee file handling, resident money management, and resident file confidentiality. Several allegations were substantiated, including failure to ensure medications were given as prescribed and mishandling of residents' money, while one allegation regarding inappropriate employee behavior was unsubstantiated due to termination of involved employees.

Complaint #00031124 regarding failure to ensure medications were given as prescribed was substantiated. Complaint #00031017 regarding employee files being taken, inappropriate resident admission, mishandling of residents' money, residents not getting medications as prescribed, and misplaced medical information were substantiated. The allegation of inappropriate employee behavior was unsubstantiated due to termination of employees.

The inspection was conducted as a result of complaint investigations from 2012-03-18 through 2012-03-20 regarding multiple allegations including failure to ensure medications were given as prescribed, employee files being taken from the facility, inappropriate resident admission, mishandling of residents' money, misplaced medical information, and employee inappropriate behavior.

The investigation substantiated several allegations including failure to ensure medications were given as prescribed, mishandling of residents' money, missing employee files, inappropriate resident admission, and misplaced medical information. The allegation of employee inappropriate behavior was unsubstantiated due to corrective actions taken by the facility. Multiple deficiencies were cited related to personnel file availability, resident money handling, medication administration, medication records accuracy, and resident file confidentiality.

The complaint investigation was initiated by the Bureau of Health Care Quality and Compliance on 2012-03-08. Several allegations were substantiated including failure to ensure medications were given as prescribed, employee files being taken from the facility, inappropriate resident admission, mishandling of residents' money, and misplaced medical information. The allegation of employee inappropriate behavior was unsubstantiated due to corrective actions taken by the facility including termination of involved employees.

This inspection was conducted as a result of a complaint investigation initiated by the Bureau of Health Care Quality and Compliance on 2/27/12 regarding allegations of failure to notify a resident's responsible party after an illness, failure to respond to the auditory system in a timely manner, and failure to groom residents appropriately.

The complaint was substantiated for failure to notify a resident's responsible party after an illness. The facility failed to complete an incident report following a resident's psychotic episode and transfer to a behavioral hospital, and failed to maintain a discharge file for the resident. The allegations regarding failure to respond to the auditory system timely and failure to groom residents appropriately were not substantiated.

Complaint #NV00030567 was substantiated for failure to notify a resident's responsible party after an illness. The allegations of failure to respond to the auditory system timely and failure to groom residents appropriately were not substantiated.

This document is a Statement of Deficiencies generated as a result of a complaint investigation conducted by the Bureau of Health Care Quality and Compliance from 12/21/11 through 2/29/12 at Emeritus at Las Vegas.

The complaint allegations regarding failure to practice fall precautions, leaving a resident in a soiled incontinent pad for extended periods, improper dressing of a resident, failure to provide prescribed medication, and failure to provide transportation to medical appointments were all found to be unsubstantiated based on document review, observations, and interviews.

Complaint #NV00030086 was investigated and found to be unsubstantiated. Allegations included failure to practice fall precautions, leaving a resident in soiled incontinent pads, improper dressing of a resident, failure to administer prescribed medication, and failure to provide transportation to medical appointments. Investigations included review of assessments, home health agency records, medication administration records, observations, and interviews with caregivers and home health nurses.

The inspection was conducted as a complaint investigation regarding an allegation that the facility failed to recognize a resident showing signs of a urinary tract infection.

The complaint was not substantiated. Interviews with the resident, caregivers, and medication technicians, as well as record reviews, showed no evidence that the resident was confused or ill near the time of diagnosis, and no incident reports documented confusion or signs of illness.

Complaint #NV00030721 was not substantiated. The allegation that the facility failed to recognize a resident showing signs of a urinary tract infection was not substantiated through interviews and record review.

This document is a Statement of Deficiencies generated as a result of a complaint investigation conducted on the facility from 2/27/12 through 3/2/12 by the Bureau of Health Care Quality and Compliance.

The complaint #NV00030567 was substantiated regarding failure to notify a resident's responsible party after an illness. Other allegations related to timely response to the auditory system and grooming residents were not substantiated. Several deficiencies were identified related to medical care, incident reporting, and resident record storage.

Complaint #NV00030567 was substantiated. The allegation that the facility failed to notify a resident's responsible party after an illness was substantiated through interview with the facility Administrator. The allegation that the facility failed to respond to the auditory system in a timely manner was not substantiated. The allegation that the facility failed to groom residents appropriately was not substantiated.

This visit was conducted as a complaint investigation based on a complaint received regarding medication administration at the facility.

The facility failed to ensure a resident received medications as prescribed by a physician, specifically Resident #1 received the wrong dosage of methadone on two occasions.

Complaint #NV00030718 was substantiated.

This Statement of Deficiencies was generated as a result of a complaint investigation conducted on the facility on 2/22/12.

The facility was found to have failed to ensure a resident received medications as prescribed by a physician, specifically Resident #1 received the wrong dosage of methadone on 2/4/12 and 2/5/12.

Complaint #NV00030718 was substantiated.

This Statement of Deficiencies was generated as a result of a complaint investigation conducted on the facility from 9/29/11 through 1/18/12 by the Health Division.

The complaint allegations regarding residents being spoken to in a disrespectful manner, odors of urine on the memory care side, residents left in wet incontinent pads for extended periods, and residents always falling without help were all found to be not substantiated based on interviews and observations.

Complaint #NV00030379 was not substantiated. Allegations of disrespectful communication, odors of urine, residents left in wet pads, and residents falling without assistance were investigated through interviews with residents, caregivers, and medication technologists, as well as observations, and none were substantiated.

The inspection was conducted as a result of a complaint investigation from 9/21/11 through 10/5/11 regarding protective supervision of residents.

The facility failed to provide protective supervision for one resident with dementia who left the facility unattended and was found wandering outside, resulting in hospitalization. The resident was later readmitted to the locked memory care unit.

Complaint #NV00029308 was substantiated.

The inspection was conducted as a result of a complaint investigation initiated on 2011-08-02 regarding allegations including failure to obtain emergency services for a resident after a fall, falsification of time of death for a resident, failure to provide meal service to residents unable to get to the dining room, inadequate bathing assistance, leaving residents in soiled incontinence pads, untimely medication ordering, and caregivers performing insulin injections and catheter care.

The investigation did not substantiate the allegations of failure to obtain emergency services, falsification of time of death, failure to provide meal service, inadequate bathing assistance, leaving residents in soiled incontinence pads, untimely medication ordering, or caregivers performing insulin injections and catheter care. Interviews, observations, and record reviews supported that the facility met care standards in these areas.

Complaint #NV00028947 was investigated from 2011-08-02 through 2011-09-26. The allegations were not substantiated based on document review, interviews with facility staff, residents, family members, and observations.

This inspection was conducted as a result of a complaint investigation from 4/14/11 through 9/15/11 regarding care provided to residents with indwelling catheters and diabetes management.

The facility failed to ensure that staff assisting a resident with an indwelling catheter received required training before providing care, resulting in a urinary tract infection and hospitalization. Additionally, the facility did not ensure a resident with diabetes self-administered insulin without assistance, leading to unstable blood sugar levels and hospitalization.

Complaint #NV00028080 was substantiated. The investigation found failures in staff training for catheter care and diabetes medication administration.

This Statement of Deficiencies was generated as a result of a complaint investigation conducted on the facility from 2011-04-14 through 2011-09-15 regarding care concerns for Resident #1.

The facility was found to have failed in ensuring that staff providing care to Resident #1 with an indwelling catheter received required training before assisting the resident, and failed to ensure that Resident #1, who was receiving insulin, administered the medication themselves without assistance. These deficiencies contributed to the resident's hospitalizations for urinary tract infections and unstable diabetes management.

Complaint #NV00028080 was substantiated based on findings from interviews, record reviews, and observations conducted from 2011-04-14 through 2011-09-15.

This inspection was conducted as a complaint investigation from 4/14/11 through 9/14/11 based on Complaint #NV00028039, which was substantiated.

The facility failed to ensure timely staff response to auditory alarms for 1 of 89 residents, and failed to provide medical care and notify the resident's physician and family after a fall resulting in injury. The complaint was substantiated with deficiencies related to safety requirements and medical care.

Complaint #NV00028039 was substantiated. The complaint involved failure to respond to emergency call systems and failure to provide medical care after a fall.

This inspection was conducted as a result of a complaint investigation from 4/14/11 through 9/14/11 regarding failure to respond to emergency call systems and failure to provide medical care after a fall.

The facility failed to ensure timely staff response to auditory alarms for 1 of 89 residents and failed to provide prompt medical care after a fall resulting in two broken fingers and a bruised head. The complaint was substantiated with repeat deficiencies noted.

Complaint #NV00028039 was substantiated based on observations, interviews, and record reviews from 4/14/11 through 9/14/11.

The document serves as a notice to the facility regarding the imposition of sanctions following a complaint investigation conducted between April 14, 2011 and September 14, 2011.

The Health Division imposed sanctions based on deficiencies found during the complaint investigation, with severity and scope scores determining penalties. The Plan of Correction submitted by the facility was reviewed and deemed acceptable.

The Bureau conducted a complaint investigation on Emeritus at Las Vegas from 4/14/11 to 9/14/11. Specific factual findings are detailed in the Statement of Deficiencies (SOD) in Attachment A. The Plan of Correction submitted was acceptable.

The Bureau conducted a complaint investigation on Emeritus at Las Vegas from April 14, 2011 through September 15, 2011, which led to the imposition of sanctions and monetary penalties.

The Health Division imposed sanctions and monetary penalties totaling $800 based on deficiencies identified during the complaint investigation. The Plan of Correction submitted by the facility was reviewed and found acceptable.

The complaint investigation was conducted from 4/14/11 through 9/15/11. Specific factual findings are detailed in the Statement of Deficiencies (SOD) in Attachment A.

This State Licensure survey was conducted as a required grading resurvey of the facility on 03/10/11.

The facility received a grade of A. Two deficiencies were identified: failure to respond to auditory alarms in bathroom #11, and failure to maintain resident files for tuberculosis testing compliance.

This document is a required grading resurvey conducted as a State Licensure survey to assess compliance with regulatory standards at the facility.

The facility received a grade of A but had two repeat deficiencies related to failure to respond to auditory alarms and failure to ensure tuberculosis testing compliance for one resident.

This visit was an annual State Licensure survey conducted by the Health Division to assess compliance with regulatory requirements for the facility.

The facility received a grade of C and was found deficient in multiple areas including personnel file background checks, health and sanitation maintenance, food service permits compliance, safety requirements, periodic physical examinations, medication destruction, medication administration records, and resident tuberculosis file maintenance.

This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 1/6/11 at Emeritus at Las Vegas, a residential facility for elderly or disabled persons and persons with Alzheimer's disease.

The facility received a grade of 'C' with multiple deficiencies identified including failure to meet background check requirements for employees, poor health and sanitation conditions, critical food service violations, failure to respond to auditory alarms, incomplete resident physical examinations, medication destruction and administration record inaccuracies, tuberculosis testing noncompliance, and unsafe conditions in the Alzheimer's facility yard.

This was an annual State Licensure survey conducted to assess compliance with state regulations for a residential facility for elderly and disabled persons, including those with Alzheimer's disease.

The facility was found deficient in multiple areas including personnel background checks, first aid and CPR certification, food service sanitation, auditory alarm responsiveness, medication administration and destruction, tuberculosis testing, discharge documentation, and Alzheimer's facility door alarms. Several deficiencies were repeat findings from previous surveys.

This document is a statement of deficiencies generated as a result of a re-survey conducted at the facility to assess compliance with state licensure regulations.

The facility failed to ensure that one resident received medications as prescribed and was unable to administer as needed medications for three residents due to unavailability of prescribed medications.

This document is a statement of deficiencies generated as a result of a re-survey conducted on 2009-09-08 to assess compliance with state licensure regulations at Loyalton of Las Vegas, a residential facility for elderly, disabled persons, and persons with Alzheimer's disease.

The facility was found to have multiple deficiencies related to medication administration, including failure to ensure 8 of 20 residents received medications as prescribed, failure to destroy medications for discharged residents, and failure to properly manage medication changes upon resident transfers. These deficiencies were repeat issues from prior surveys.

Multiple complaint investigations were conducted between 5/11/09 and 6/30/09, citing failures to ensure residents received medications as prescribed. Substantiation status is not explicitly stated.

The Health Division is notifying the facility of its intent to impose sanctions based on deficiencies cited in multiple surveys conducted on January 30, 2009, May 13, 2009, and May 28, 2009.

The notice details the imposition of monetary penalties totaling $900 for repeat deficiencies at specific tags and outlines the statutory authority, appeal rights, and payment instructions related to the sanctions.

The Health Division is notifying the facility of its intent to impose sanctions and monetary penalties based on deficiencies found in a prior survey dated January 30, 2009.

The notice details the imposition of monetary penalties totaling $600 for repeat deficiencies cited at TAG Y878 and Y883, referencing the severity and scope of deficiencies as defined by Nevada regulations.

The inspection was conducted as a result of a complaint investigation and resurvey at the facility on 6/19/09 and completed on 6/30/09. The complaint #NV00022304 was substantiated.

The facility failed to follow changed medication orders and give medications as prescribed by a physician to 1 of 3 residents (Resident #1). The resident had multiple hospitalizations and medication changes that were not properly managed or clarified by the facility, leading to medication errors and overmedication. The facility also failed to contact the physician within 24 hours after the resident returned from the hospital to clarify medication changes.

Complaint #NV00022304 was substantiated.

This Statement of Deficiencies was generated as a result of a complaint investigation and resurvey conducted on 6/19/09 and completed on 6/30/09 at Loyalton of Las Vegas.

The facility failed to follow changed medication orders and administer medications as prescribed to one resident, Resident #1, resulting in overmedication. The facility also failed to contact the physician within 24 hours after the resident returned from the hospital to clarify medication changes. Multiple undocumented falls of Resident #1 were noted, and the resident was eventually transferred back to the hospital with low blood pressure and oxygen saturation.

Complaint #NV00022304 was substantiated. The complaint involved medication errors and failure to clarify medication changes for Resident #1 after hospital and rehabilitation transfers.

This inspection was conducted as a complaint investigation and resurvey based on complaints #22216 and #22175, with the latter substantiated. The facility is licensed for 89 group beds for elderly and disabled persons and 16 beds for Alzheimer's disease residents.

The facility was found to have multiple deficiencies related to personal care, medication administration, resident refusal of medication, and resident file maintenance. Several deficiencies were repeat findings from previous complaint investigations and state licensure surveys.

Complaint #22216 was substantiated without deficiencies. Complaint #22175 was substantiated with deficiencies related to medication administration and resident care.

The inspection was conducted as a complaint investigation and resurvey following substantiated complaints #22216 and #22175 at the facility.

The facility was found to have multiple deficiencies including failure to provide required personal care to a resident, failure to follow ultimate user medication agreements, failure to administer medications as prescribed for multiple residents, failure to notify physicians of missed medications, and failure to ensure compliance with tuberculosis testing requirements. Several deficiencies were repeat findings from previous surveys.

Complaint #22216 was substantiated without deficiencies. Complaint #22175 was substantiated with deficiencies noted under Tag 860 and others.

This inspection was conducted as a complaint investigation triggered by complaints #219914 and #21894. The investigation was to determine compliance with medication administration regulations.

The facility was found to have deficiencies related to over-the-counter medications, medication change orders, and medication refusals. Several residents did not have proper physician orders or notifications for medications, and these deficiencies were repeat issues from prior surveys.

Complaint #219914 was unsubstantiated. Complaint #21894 was substantiated with identified deficiencies related to medication administration.

This inspection was conducted as a complaint investigation triggered by complaints #219914 and #21894, with complaint #21894 substantiated.

The facility was found deficient in medication administration practices, including failure to obtain physician orders for over-the-counter medications, failure to administer medications as prescribed, and failure to notify physicians of missed medications. Several deficiencies were repeat findings from a prior survey.

Complaint #219914 was unsubstantiated. Complaint #21894 was substantiated with deficiencies cited under tags Y 0877, Y 0878, and Y 0883.

The document is a Notice of Intent to Impose Sanctions issued due to deficiencies found during surveys conducted at Loyalton of Las Vegas, including initial and multiple resurvey visits.

The Bureau found alleged false compliance with deficiencies at the facility during surveys on 5/13/09, 6/30/09, 9/8/09, and 10/21/09. The facility submitted Plans of Correction, but repeated surveys found ongoing issues until compliance was verified on 10/30/09.

The inspection was conducted as a complaint investigation from 05/11/09 to 05/13/09 based on substantiated complaints #NV00021567 and #NV00021825.

The facility failed to ensure that medications prescribed by a physician were administered as ordered to 10 of 20 residents, resulting in multiple missed doses due to unavailable medications or delays in refills.

Complaint #NV00021567 and #NV00021825 were substantiated during the investigation.

The inspection was conducted as a complaint investigation from 5/11/09 to 5/13/09 following substantiated complaints #NV00021567 and #NV00021825.

The facility failed to ensure all medications prescribed by a physician were administered as ordered to 10 residents, with multiple missed doses documented. The medication administration records for these residents showed discrepancies and delays in medication delivery.

Complaints #NV00021567 and #NV00021825 were substantiated as per the investigation conducted from 5/11/09 to 5/13/09.

This State Licensure Re-survey was conducted to evaluate compliance with state regulations for the licensed residential facility providing care to persons with Alzheimer's disease.

The facility failed to ensure that one of nineteen residents received medications as prescribed, specifically Resident #7 who missed multiple doses of Dilantin without documented reasons, resulting in a seizure and hospital transfer.

The inspection was conducted as an annual state licensure survey combined with a complaint investigation at the facility on January 29 and 30, 2009.

The survey identified multiple regulatory deficiencies including caregiver qualifications and training, personnel file documentation, health and sanitation issues, medication administration errors, resident physical examination compliance, and training requirements for staff related to care of elderly, disabled, and dementia residents.

The complaint investigation reviewed five complaints: NV00019748 (substantiated with deficiencies), NV00020050 (substantiated without deficiencies), NV00020188 (unsubstantiated), NV00020342 (substantiated without deficiencies), and NV00020699 (unsubstantiated).

The inspection was conducted as an annual state licensure survey combined with a complaint investigation at the facility on January 29 and 30, 2009.

The facility was found to have multiple regulatory deficiencies related to caregiver qualifications, personnel files, health and sanitation, medication administration, resident physical examinations, and training requirements. Several complaints were reviewed with some substantiated and others unsubstantiated.

Five complaints were reviewed: two were substantiated (NV00019748 and NV00020342), two were unsubstantiated (NV00020188 and NV00020699), and one was substantiated without deficiencies (NV00020050).

7.19.22.pdf

Brookdale

LV

VJCU11