Inspection Reports for B’s Caring Hands Care Home
1060 Rain Water Ct, Sparks, NV 89436, NV, 89436
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
16.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
135% worse than Nevada average
Nevada average: 7.1 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
86% occupied
Based on a March 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Census: 6
Capacity: 7
Deficiencies: 5
Mar 31, 2025
Visit Reason
This was an annual State Licensure survey conducted in accordance with Nevada Administrative Code Chapter 449 for a Residential Facility for Groups.
Findings
The facility received a grade of B with several regulatory deficiencies identified including failure to develop person-centered service plans for all residents, lack of annual physical exams for some residents, incomplete tuberculosis testing, failure to post state contact information for discrimination complaints, and failure to document residents' preferred pronouns and gender identity in records.
Severity Breakdown
Level 2: 3
Level 1: 2
Deficiencies (5)
| Description | Severity |
|---|---|
| Failed to develop a person-centered service plan addressing all required focus areas and interventions for 6 of 6 residents. | Level 2 |
| Failed to ensure an annual general physical exam with review of systems was completed for 2 of 6 residents. | Level 2 |
| Failed to ensure 2 of 6 residents met tuberculosis testing requirements, including missing annual TB test and incomplete two-step TB test. | Level 2 |
| Failed to post prominently in the facility the State contact information to file a complaint for discrimination. | Level 1 |
| Failed to ensure resident records reflected the resident's preferred pronoun and gender identity for 3 of 6 residents. | Level 1 |
Report Facts
Residents reviewed: 6
Employee files reviewed: 4
Facility licensed beds: 7
Facility census: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marcus Raudszus | Manager | Signed the Statement of Deficiencies report |
Inspection Report
Annual Inspection
Census: 7
Capacity: 7
Deficiencies: 13
Aug 6, 2024
Visit Reason
This was an annual State Licensure survey conducted in accordance with Nevada Administrative Code (NAC) Chapter 449 for a Residential Facility for Groups.
Findings
The facility was found to have multiple regulatory deficiencies including failure to maintain monthly staffing schedules, failure to conduct monthly fire drills, failure to post current activity calendars, medication administration issues including missing medications and improper destruction of discontinued medications, and incomplete medication administration records.
Severity Breakdown
A: 1
B: 1
C: 2
D: 4
E: 2
F: 1
Deficiencies (13)
| Description | Severity |
|---|---|
| Staffing Schedule - The administrator failed to maintain a monthly written schedule including number and type of staff for each shift. | A |
| Health & Sanitation - The premises were not maintained clean and well kept. | D |
| Service of Food - Menus were not properly documented, dated, posted, and kept on file for 90 days. | C |
| Requirements and Precautions - Fire drills were not conducted monthly; July 2024 fire drill was missed. | — |
| First Aid & CPR - First aid kit requirements were not fully met. | D |
| Activities for Residents - Failed to post current activities calendar for August 2024. | C |
| Medication Administration - Failed to notify physician within 72 hours of report and review medication orders properly. | B |
| Medication/OTCS, Supplements, Change Order - Missing medications for Resident #2 and failure to document medication order changes. | D |
| Medication - Destruction - Failed to destroy discontinued medications for Residents #1, #2, and #5. | E |
| Administration of Medication Maintenance - Medication Administration Record (MAR) was inaccurate for Resident #1 and Resident #7 with missing documentation of administered medications. | E |
| Medication: Storage - Medication storage requirements were not fully met. | D |
| Maintenance and Contents of Separate File - Resident files were not properly maintained and secured. | D |
| Infection Control Required Training - Infection control training requirements were not met. | F |
Report Facts
Residents present: 7
Total licensed beds: 7
Severity A deficiencies: 1
Severity B deficiencies: 1
Severity C deficiencies: 2
Severity D deficiencies: 4
Severity E deficiencies: 2
Severity F deficiencies: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marcus Raudszus | Assistant Administrator | Signed the report and involved in review of medication administration training |
Inspection Report
Annual Inspection
Census: 5
Capacity: 7
Deficiencies: 13
Mar 18, 2024
Visit Reason
This was an annual State Licensure survey conducted in accordance with Nevada Administrative Code (NAC) Chapter 449 for a Residential Facility for Groups.
Findings
The facility was found deficient in multiple areas including staffing schedule maintenance, health and sanitation, menu posting, fire safety compliance, first aid kit contents, activities calendar, medication administration and storage, resident file maintenance, and infection control training. The facility received a grade of D.
Severity Breakdown
Level 1: 5
Level 2: 8
Deficiencies (13)
| Description | Severity |
|---|---|
| Failed to maintain monthly written staff schedule for at least six months. | Level 1 |
| Failed to ensure cigarette butts were cleaned up from designated smoking area. | Level 2 |
| Failed to post a current menu for residents. | Level 1 |
| Failed to ensure smoke detectors were tested and fire drills conducted monthly. | Level 2 |
| Failed to maintain required CPR device in first aid kit. | Level 2 |
| Failed to post a current activities calendar for residents. | Level 1 |
| Failed to ensure medication profile reviews were reviewed and initialed by administrator within 72 hours for 2 of 5 residents. | Level 1 |
| Medication not available for 1 of 5 residents. | Level 2 |
| Medication Administration Record (MAR) was inaccurate for 1 of 5 residents. | Level 2 |
| Failed to ensure resident medications were kept secured in the facility for 1 of 5 residents. | Level 2 |
| Over-the-counter medications were not labeled with resident's and physician's name for 1 of 5 residents. | Level 2 |
| Failed to ensure 1 of 5 residents met tuberculosis testing requirements (missing second step TB test). | Level 2 |
| Primary and secondary infection control persons lacked required infection control training. | Level 2 |
Report Facts
Facility licensed beds: 7
Resident census: 5
Deficiency count: 13
Resurvey application fee: 600
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marcus Raudszus | administrator asst | Signed the report as Laboratory Director's or Provider/Supplier Representative |
Inspection Report
Re-Inspection
Census: 6
Capacity: 7
Deficiencies: 19
Oct 20, 2023
Visit Reason
This inspection was conducted as a State Licensure mandatory regrading survey and a change of ownership survey for a Residential Facility for Groups, in accordance with Nevada Administrative Code Chapter 449.
Findings
The facility was licensed for seven beds and had a census of six residents at the time of the survey. Several regulatory deficiencies were identified, including failure to ensure annual tuberculosis testing for one employee and other referenced deficiencies related to personnel files, health and sanitation, medication administration, and training requirements. The facility received a grade of A.
Severity Breakdown
Level 2: 2
Level F: 4
Level E: 1
Level D: 7
Level C: 4
Deficiencies (19)
| Description | Severity |
|---|---|
| Failure to ensure employees met tuberculosis (TB) testing requirements for 1 of 4 sampled employees; missing annual TB test for 2023. | Level 2 |
| Personnel files - Background Checks - Refer to original Statement of Deficiency/Plan of Correction - Event ID 28I311. | Level F |
| Health & Sanitation - Maintain Interior and Exterior - Refer to original Statement of Deficiency/Plan of Correction - Event ID 28I311. | Level 2 |
| Service of Food - Nutritious Meals; Frequency - Refer to original Statement of Deficiency/Plan of Correction - Event ID 28I311. | Level E |
| Bathrooms and Toilet Facilities - Refer to original Statement of Deficiency/Plan of Correction - Event ID 28I311. | Level C |
| First Aid & CPR - Refer to original Statement of Deficiency/Plan of Correction - Event ID 28I311. | Level D |
| Telephones & Telephone Numbers - Refer to original Statement of Deficiency/Plan of Correction - Event ID 28I311. | Level C |
| Activities for Residents - Refer to original Statement of Deficiency/Plan of Correction - Event ID 28I311. | Level F |
| Activities for Residents - Posting of calendar - Refer to original Statement of Deficiency/Plan of Correction - Event ID 28I311. | Level C |
| Written Policy on Admissions - Refer to original Statement of Deficiency/Plan of Correction - Event ID 28I311. | Level D |
| Medication Administration - Refer to original Statement of Deficiency/Plan of Correction - Event ID 28I311. | Level D |
| Administration of Medication Maintenance - Refer to original Statement of Deficiency/Plan of Correction - Event ID 28I311. | Level D |
| Medication Storage - Refer to original Statement of Deficiency/Plan of Correction - Event ID 28I311. | Level D |
| Elderly Care Training for Caregivers - Refer to original Statement of Deficiency/Plan of Correction - Event ID 28I311. | Level D |
| Care for Persons with Mental Illnesses - Refer to original Statement of Deficiency/Plan of Correction - Event ID 28I311. | Level D |
| Care for Persons with Chronic Illnesses - Refer to original Statement of Deficiency/Plan of Correction - Event ID 28I311. | Level D |
| Discrimination prohibited - Refer to original Statement of Deficiency/Plan of Correction - Event ID 28I311. | Level C |
| Cultural Competency Training - Refer to original Statement of Deficiency/Plan of Correction - Event ID 28I311. | Level C |
| Infection Control Program - Refer to original Statement of Deficiency/Plan of Correction - Event ID 28I311. | Level F |
Report Facts
Licensed beds: 7
Resident census: 6
Employee files reviewed: 4
Resident files reviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Beatriz Tristan | Owner | Owner/Caregiver confirmed missing TB test for Employee #1 |
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