Inspection Reports for Canyon Vista Post-Acute

This follow-up survey was conducted in response to findings from the Recertification survey on 2025-03-06, and complaint and Facility Reported Incident (FRI) investigations from 2025-04-30 through 2025-05-01.

The facility was found to be in substantial compliance with Tag F689. One complaint (#NV00073805) was substantiated related to nephrostomy tube care deficiencies. The facility failed to ensure proper documentation and physician orders for nephrostomy tube site care for one resident, which could have contributed to infections. Corrective actions and monitoring plans were implemented.

Seven complaints and one Facility Reported Incident (FRI) were investigated. Complaint #NV00073805 was substantiated. The other six complaints and the FRI were not substantiated and no regulatory deficiencies were identified.

This inspection was conducted as a state survey in conjunction with a Federal Recertification survey to assess compliance with Nevada Administrative Code (NAC) 449 for Skilled Nursing Facilities.

The facility failed to maintain current Nevada Automated Background System (NABS) clearance documentation for 4 of 20 employee personnel records reviewed, placing residents at risk. The facility took corrective actions including fingerprinting and updating NABS status for the affected employees and implemented ongoing monitoring procedures.

The inspection was conducted as a Medicare Recertification Survey and Complaint investigation due to multiple complaints and a facility reported incident, including an immediate jeopardy situation related to smoking hazards.

The facility failed to maintain a safe environment related to smoking hazards, failed to develop and implement baseline and comprehensive care plans for residents who smoke or have communication deficits, failed to properly assess and document Foley catheter and IV access care, had delayed call light responses due to malfunctioning call light system, failed to properly monitor pain management and medication administration, and failed to ensure proper food storage and labeling.

Six complaints and one facility reported incident were investigated. Four complaints were substantiated, three were unsubstantiated. Immediate jeopardy related to smoking hazards was identified and removed during the survey.

The inspection was conducted as a result of a Complaint and Facility Reported Incident investigation at Canyon Vista Post Acute on 09/04/2024, involving four complaints and one facility reported incident.

The investigation included observations, interviews, clinical record reviews, and document reviews. No regulatory deficiencies were identified and all complaints and the facility reported incident were unsubstantiated.

Four complaints (#NV00071004, #NV00071632, #NV00071639, #NV00071654) and one Facility Reported Incident (#NV00071817) were investigated and all were found unsubstantiated with no regulatory deficiencies identified.

The inspection was a Medicare Recertification Complaint investigation conducted from 2024-03-26 through 2024-03-29 to investigate nine complaints regarding the facility.

The investigation found no substantiated deficient practices related to the complaints. However, deficiencies were cited related to resident self-determination, resident council responsiveness, respiratory care documentation, medication labeling and storage, and food safety practices.

Nine complaints were investigated; three were substantiated with no deficient practice found, and six were unsubstantiated with no regulatory deficiencies identified.

This inspection was conducted as a state licensure survey in conjunction with a Medicare Recertification Survey to assess compliance with Nevada Administrative Code (NAC) 449 for Skilled Nursing Facilities.

The facility was found deficient in personnel training related to dementia care and cultural competency. Specifically, one employee's dementia training certificate was inaccurate, and all 17 sampled employees lacked documented evidence of approved cultural competency training. No residents were found to be directly affected by these deficiencies.

The inspection was conducted as a result of a complaint investigation from 06/07/2022 through 06/10/2022, investigating seven complaints related to resident care, food service, nursing staff adequacy, and other allegations.

The investigation substantiated several complaints including issues with cancelled medical appointments, food not cooked thoroughly, nursing staff not providing timely medication and pain management, and failure to answer call lights promptly. Some allegations were not substantiated. The facility was found to have deficiencies in resident rights, quality of care, pain management, sufficient nursing staff, and radiology services.

Seven complaints were investigated. Complaint #NV00064926 was substantiated regarding a cancelled leg angiogram appointment and no transportation provided. Complaint #NV00065979 was substantiated without regulatory deficiencies. Complaint #NV00066002 was substantiated regarding call light response failures. Complaint #NV00066378 was substantiated regarding insufficient nursing staff and medication administration delays. Complaint #NV00066398 was substantiated with no regulatory deficiencies. Complaint #NV00066261 was substantiated regarding ignored call lights. Complaint #NV00064926 was substantiated regarding cancelled leg angiogram appointment and transportation issues.

The inspection was conducted as a result of a Complaint and Facility Reported Incident investigation initiated on 2022-03-31 and completed on 2022-04-07, involving six complaints and two facility reported incidents.

The investigation substantiated several allegations including improper feeding tube changes without physician orders, failure to involve family in care planning, failure to provide showers as scheduled, and failure to obtain physician orders for enteral feeding tube replacement. Other allegations such as call light response times, therapy provision, and staff behavior were not substantiated.

Six complaints were investigated. Substantiated complaints included improper feeding tube changes without physician orders, failure to provide proper showers, and failure to involve family in care planning. Other complaints such as call light response times, therapy provision, and staff behavior were not substantiated.

The inspection was conducted as a Medicare Recertification survey, complaint investigation, and facility reported incident investigation from 09/21/2021 through 09/24/2021.

The investigation included multiple allegations related to resident care, abuse, neglect, medication administration, and facility practices. Several allegations were substantiated without regulatory deficiencies, while others were not substantiated. Deficiencies were identified related to self-determination, baseline care plans, medication administration, infection control, abuse reporting, transfer notices, and catheter use.

The complaint investigation included multiple allegations such as improper placement of fall risk residents, inadequate assistance with toileting, failure to feed residents properly, lack of physical therapy, transfer issues, language barriers, verbal abuse, medication errors, and abuse allegations. Some allegations were substantiated without regulatory deficiencies, others were not substantiated.

The inspection was conducted as a Medicare Recertification survey, complaint investigation, and facility reported incident investigation from 09/21/2021 through 09/24/2021.

The survey investigated four complaints and one facility reported incident. Several allegations were substantiated without regulatory deficiencies, while others were not substantiated. The facility was found to be generally compliant with care standards, with no regulatory deficiencies cited in the substantiated complaints.

Complaint #NV00064868 involved multiple allegations including fall risk placement, use of bed pans, resident hygiene, food service, physical therapy, transfer orders, and language interpretation; none were substantiated. Complaint #NV00063509 involved allegations about family notification, bruising, pain evaluation, incontinence care, infection treatment, and resident care; substantiated without regulatory deficiencies. Complaint #NV00063762 involved allegations of resident deterioration, falls, call light response, verbal abuse, medication reactions, bathing, breathing treatments, and administrative responsiveness; none were substantiated. Complaint #NV00064124 involved allegations about video surveillance, medication effects, and family notification; none were substantiated. Facility Reported Incident #NV00064112 regarding alleged assault by unknown males was not substantiated.

An offsite revisit was conducted on 05/11/2021 for all previous deficiencies cited on 03/24/2021.

All deficiencies have been corrected, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a Focused Infection Control survey conducted from 03/23/2021 through 03/24/2021 to assess compliance with infection control and prevention regulations, including COVID-19 related practices.

The facility had two positive COVID-19 cases and 45 residents in quarantine. Deficiencies were found related to visitation rights, compassionate care visits, and infection control practices including improper use of PPE by staff and a physician not fit-tested for N95 mask use.

The inspection was conducted as a result of a Focused Infection Control survey, complaint investigations, and facility reported incidents in accordance with 42 CFR Part 483 for Long Term Care Facilities.

The investigation included review of infection control policies, resident care practices including COVID-19 cases, staff and visitor screening, PPE supply and usage, and complaint allegations. No regulatory deficiencies were identified. All complaints investigated were unsubstantiated based on medical record reviews, staff interviews, and observations.

Three complaints and two facility reported incidents were investigated. Complaint #NV00062271 involved allegations about untreated pressure wounds and injury of unknown origin; both were unsubstantiated. Complaint #NV00062791 involved family notification of COVID-19 status, discharge during isolation, resident being held against will, and visitation restrictions; all unsubstantiated. Complaint #NV00063012 involved bathing frequency, therapy services, resident care related to incontinence, diet, visitation, and skin condition; all unsubstantiated. Facility reported incidents #NV00062426 and #NV00062198 involved resident falls with injury; both unsubstantiated after review of care plans, assessments, and interventions.

The inspection was a focused infection control survey conducted due to concerns related to COVID-19 infection prevention and control practices in the facility.

The facility failed to ensure appropriate infection control measures to prevent and contain the spread of COVID-19, including improper use of N95 masks by dietary and kitchen staff, failure to perform proper hand hygiene by multiple staff members during food handling and medication administration, and inadequate adherence to PPE protocols.

The visit was complaint-related focusing on infection control and prevention practices during the COVID-19 pandemic.

The inspection was conducted as a result of a complaint investigation initiated on 2020-09-09 and finalized on 2021-02-02 regarding allegations of a resident admitted to an acute care hospital with pressure sores and infection concerns.

The complaint was substantiated without deficiencies. The facility demonstrated that skin assessments, turning and repositioning, and wound care interventions were appropriately conducted. The resident had a bacterial infection on admission, was treated with antibiotics, and transferred to acute care when condition worsened. No regulatory deficiencies were identified.

Complaint #NV00060366 was substantiated without deficiencies. Allegations included a resident admitted with five pressure sores and a resident developing an infection before hospital admission. Investigations confirmed appropriate wound care and infection management without deficiencies.

The inspection was a focused infection control survey, complaint investigation, and facility-reported incidents investigation conducted on 09/08/2020 and 09/09/2020 in accordance with 42 CFR Part 483 requirements for Long Term Care Facilities.

The facility was investigated for infection control compliance including policies, procedures, staff education, monitoring, and screening practices. Several complaints regarding resident care, discharge, and infection control were investigated and found unsubstantiated. Deficiencies related to infection control practices, resident care, and elopement risk were identified.

Five complaints and three facility-reported incidents were investigated. Allegations included failure to inform family of hospice care, resident discharged dirty and unshaven, unsafe discharge, verbal abuse by staff, refusal to assist resident, and improper resident transfer. None of these allegations were substantiated.

The inspection was conducted as a Centers for Medicare and Medicaid Services (CMS) Focused Infection Control survey in response to COVID-19 concerns at the facility.

The facility was divided into zones based on COVID-19 status, with appropriate PPE and infection control measures in place. There were no regulatory deficiencies identified during the inspection.

This inspection was a Centers for Medicare and Medicaid Services (CMS) Focused Infection Control survey initiated on 06/10/2020 and finalized on 06/11/2020 to assess compliance with infection prevention and control requirements, including COVID-19 related practices.

The facility failed to ensure proper mask use by staff and residents, including an Activities Assistant and a driver not wearing masks correctly or at all, and a resident ambulating without a mask. The facility had adequate PPE supplies but did not consistently enforce mask-wearing policies. Corrective actions included staff education, monitoring, and disciplinary measures to prevent recurrence.

The inspection was conducted as a Centers for Medicare and Medicaid Services (CMS) COVID-19 Focused Infection Control survey initiated at the facility on 04/17/2020 to investigate regulatory compliance with infection control and prevention requirements.

The facility failed to complete initial COVID-19 screening precautions at its rear entrance and failed to fit test employees for N95 masks. Observations included a staff member not using hand sanitizer before entering and boxes of N95 masks stored without proper fit testing. The facility did not meet the annual review requirement for its infection prevention and control program.

The investigation was complaint-related, focusing on infection control practices during the COVID-19 pandemic. The complaint was substantiated with findings of noncompliance in screening and fit testing procedures.

The inspection was conducted as a result of facility reported incidents and a complaint investigation at the facility on 02/19/2020.

The investigation included observations, interviews, clinical record reviews, and document reviews related to fall incidents and abuse allegations. One complaint was substantiated with no regulatory deficiencies identified, and several other allegations were not substantiated. No regulatory deficiencies were found overall.

Complaint #NV00059488 was substantiated. The allegation that the resident could not be discharged on 11/23/19 and was told to go against medical advice was substantiated with no deficiencies. Other allegations related to infusion treatment, discharge care, facility odor, discharge setup, and catheter line were not substantiated.

The inspection was conducted as a result of a complaint investigation completed on 10/08/19, involving two complaints regarding resident care and facility practices.

One complaint (#NV00058468) was substantiated involving a resident discharged with an intravenous (IV) access in their arm. Multiple other allegations were investigated but not substantiated. The facility failed to obtain a physician's order for removal of IV access for one resident, constituting a regulatory deficiency.

Two complaints were investigated. Complaint #NV00058468 was substantiated regarding a resident discharged with IV access. Complaint #NV00058577 was not substantiated, involving allegations of rough staff treatment, medication withholding, and other concerns.

The inspection was conducted as an Emergency Preparedness survey in conjunction with a Medicare recertification survey to evaluate the facility's compliance with emergency preparedness requirements.

The facility failed to develop, establish, and maintain a comprehensive emergency preparedness program including policies and procedures for interruptions in communication such as cyber-attacks, excessive heat/temperatures, and safe evacuation plans. The Administrator acknowledged these deficiencies during the exit interview.

This report documents a Medicare Life Safety Code recertification survey conducted at the facility on July 10-11, 2019, to assess compliance with the National Fire Protection Association (NFPA) Life Safety Code and Health Care Facilities Code.

The facility was found deficient in multiple areas related to life safety code compliance, including means of egress signage, corridor widths, emergency lighting, exit signage illumination, fire alarm system staffing, smoke detection testing, sprinkler system maintenance, fire extinguisher inspections, corridor door labeling, electrical system labeling, evacuation and relocation plans, fire drills, and fire safety plan updates. Corrective actions and monitoring plans were outlined for each deficiency.

This document is a Statement of Deficiencies generated as a result of an annual Medicare Recertification Survey conducted at the facility from July 9, 2019 through July 12, 2019, to assess compliance with federal regulations for long term care facilities.

The survey identified multiple regulatory deficiencies related to personal privacy/confidentiality of records, baseline care plans, comprehensive care plans, ADL care, quality of care, food safety, infection prevention and control, and other areas. The facility failed to ensure privacy for residents, develop appropriate care plans for oxygen use and activities, provide shaving assistance, follow physician orders for heel protectors and wound care, secure oxygen tanks, and maintain proper infection control measures.

The inspection was conducted as a result of a complaint investigation regarding allegations of inadequate resident care, including failure to assist a resident to use the bathroom when the call light was activated.

The facility failed to ensure call lights were answered within a reasonable time for 3 of 5 sampled residents and one unsampled resident, and staff failed to knock and identify themselves prior to entering rooms for 2 unsampled residents. The complaint regarding lack of assistance to use the bathroom was substantiated.

Complaint #NV00057031 was substantiated regarding a resident not receiving help to use the bathroom when the call light was activated. Other allegations were not substantiated. Complaint #NV00057301 related to staff not knocking before entering rooms.

The inspection was conducted as a complaint investigation based on complaint #NV00056478, which included multiple allegations regarding resident care and facility conditions.

The investigation included observations, interviews, and record reviews, and concluded that none of the allegations were substantiated. No regulatory deficiencies were identified and no further action was necessary.

Complaint #NV00056478 included allegations such as no greeting upon resident arrival, unkempt room conditions, food served cold, improper bathing, medication timing discrepancies, staff incompetence, unanswered call lights, and extended periods in wet diapers with strong odor. All allegations were investigated and found unsubstantiated.

The inspection was conducted as a result of a complaint investigation regarding allegations about resident care and administrative responsiveness.

The investigation included observations, interviews, and policy reviews. No regulatory deficiencies were identified and no further action was necessary.

Complaint #NV00056181 involved allegations that a resident was left in bed much of the day suffering muscle atrophy, was charged for an additional day despite not improving, and that the Administrator would not return calls. These allegations were not substantiated.

The inspection was conducted as a complaint investigation regarding an allegation that the Case Manager was receiving kickbacks for referrals to group homes, hospice, and patient care associate services.

The investigation included interviews with multiple staff and review of medical records and facility policies. The complaint could not be substantiated and no regulatory deficiencies were identified.

Complaint #NV00055501 alleged the Case Manager was receiving kickbacks for referrals. The allegation was investigated and found to be unsubstantiated.

The inspection was conducted as a complaint investigation initiated on 09/04/18 and completed on 09/28/18 regarding allegations of resident property misappropriation and other concerns.

The investigation substantiated one complaint involving theft of a resident's credit card and money that was not reported by the facility. Several other allegations related to wound care and resident treatment were not substantiated. Deficiencies were identified related to failure to protect residents from misappropriation and failure to report alleged violations to state agencies.

Complaint #NV00054148 was substantiated regarding a resident having a credit card and money stolen and the facility's failure to report the incident. Other allegations related to wound care and resident repositioning were not substantiated.

This document is a Statement of Deficiencies generated as a result of an annual Medicare Recertification Survey conducted from July 17, 2018 through July 20, 2018, to assess compliance with federal and state regulations for long term care facilities.

The survey identified multiple regulatory deficiencies related to resident rights, dignity, care, advance directives, safe environment, accuracy of assessments, comprehensive care plans, quality of care, medication administration, infection control, and other areas. Several residents reported verbal abuse and disrespect from staff, and the facility failed to ensure proper documentation and care practices.

This inspection was conducted as an Emergency Preparedness survey in conjunction with a Medicare recertification survey at the facility on 07/17/18 - 07/18/18, to assess compliance with federal and state emergency preparedness regulations.

The facility failed to develop and implement adequate emergency preparedness policies and procedures, including tracking the location of on-duty staff during emergencies, establishing a communication plan, providing emergency preparedness training, and conducting required emergency plan testing exercises.

This document is a Medicare Life Safety Code recertification survey conducted at the facility to assess compliance with NFPA 101 Life Safety Code requirements.

The facility was found deficient in several areas related to means of egress, fire alarm system installation, sprinkler system maintenance, portable fire extinguishers, corridor doors, smoke barrier construction, electrical systems, fire drills, smoking regulations, combustible decorations, and electrical equipment maintenance. Corrective actions and monitoring plans were outlined for each deficiency.

The inspection was conducted as a complaint investigation based on allegations including bed bugs, lack of rehabilitation services, dirty and bloody linens, unmarked water containers, staff not wearing gloves or washing hands, and lack of interaction between staff and residents.

The investigation included observations, interviews, and record reviews, and concluded that there were no regulatory deficiencies identified and no further action was necessary.

One complaint was investigated (Complaint #NV00053344) but it could not be substantiated.

The inspection was conducted as a result of a complaint investigation involving three complaints alleging issues such as failure to fax discharge information, nurse misconduct, and resident falls and infections.

The investigation included interviews with staff and residents, review of medical records, grievance logs, and facility policies. None of the allegations were substantiated and no regulatory deficiencies were identified.

Three complaints were investigated: #NV00051868 alleging failure to fax discharge information; #NV00051607 alleging nurse yelling at a resident; and #NV00051232 alleging resident falls resulting in injury and infection. All allegations were found to be unsubstantiated.

The inspection was initiated as a complaint investigation starting on 2017-11-02 and completed on 2017-11-28, to investigate four complaints regarding resident care and medication administration.

Four complaints were investigated, with three substantiated including failure to provide scheduled showers, medication administration errors, and insufficient nursing staff. Deficiencies were identified related to ADL care, quality of care, sufficient nursing staff, and infection prevention and control.

Four complaints were investigated. Complaint #NV00050873 was substantiated involving failure to provide showers, medication errors, and staff response delays. Complaint #NV00051015 was not substantiated regarding redness and wounds at discharge. Complaint #NV00051079 was substantiated for medication not prescribed by physician. Complaint #NV00050786 was substantiated for insufficient nursing staff.

This report documents a Medicare Life Safety Code (LSC) survey conducted at the facility on 08/16/17 to assess compliance with fire safety regulations under the National Fire Protection Association (NFPA) 101 Life Safety Code, 2012 edition.

The facility was found deficient in multiple areas related to fire safety, including delayed egress door signage and operation, self-closing doors, hazardous area enclosures, cooking facility fire extinguishing maintenance, sprinkler system maintenance, portable fire extinguishers inspection, smoke barrier construction and sealing, electrical junction box coverage, fire drills, smoking regulations, and gas equipment storage. Corrective actions and monitoring plans were established for each deficiency.

This document is a Statement of Deficiencies generated as a result of an annual Medicare Recertification Survey conducted from August 8, 2017 through August 11, 2017, including investigation of four complaints.

The survey found multiple deficiencies related to resident care, medication administration, environment safety, infection control, and food service sanitation. Several complaints were investigated but not substantiated. Deficiencies included failure to accommodate resident needs, medication errors, unsafe environment conditions, and inadequate infection control practices.

Four complaints were investigated but none were substantiated. Allegations included infections, bruises, improper feeding, failure to wear PPE, medication disposal, exposure of resident information, medication patch issues, physical therapy concerns, and others. Investigations included observations, interviews, and record reviews.

The inspection was conducted as a result of a complaint investigation completed on 06/14/2017, involving two complaints regarding medication administration and staff response to a resident's request to see a physician.

The facility failed to ensure call lights were answered in a timely manner for 4 of 7 sampled residents, with documented delays ranging from 30 minutes to two hours. Observations, interviews, and record reviews revealed systemic issues with call light response times and resident care.

Two complaints were investigated. Complaint #NV00049434 with allegations that a resident was given medications without physician approval, the facility administered medications the resident was allergic to, and staff ignored a resident's request to see a physician. The complaint could not be substantiated.

The inspection was conducted as a result of a complaint investigation completed from 3/30/17 through 3/31/17, investigating four complaints with multiple allegations regarding resident care and facility practices.

The investigation included observations, interviews with staff and residents, and medical record reviews. None of the allegations in the four complaints were substantiated, and no regulatory deficiencies were identified. No further action was necessary.

Four complaints were investigated: Complaint #NV00047518 with six allegations including untreated surgical sutures and bed sores, medication changes, diet adequacy, and lost hip brace; Complaint #NV00047816 regarding worsening pressure sores; Complaint #NV00048470 with allegations about care assistance, pain management, hygiene, and discharge readiness; Complaint #NV00048599 with allegations about unsanitary food trays, soaked diapers, falls, dehydration, lost personal items, over-sedation, and failure to notify next of kin. None of these allegations were substantiated.

This inspection was a state licensure survey conducted in accordance with Nevada Administrative Code (NAC) 449 for Facilities for Skilled Nursing to assess compliance with regulatory standards.

The facility was found deficient in several areas including pest harborages due to accumulated trash and items outside, improper ice dispensing methods posing infection control risks, and unlabeled chemicals stored improperly. Corrective actions were planned to address these issues by October 17, 2016.

This document is a Statement of Deficiencies generated as a result of a state licensure survey conducted at Canyon Vista Post Acute on 09/23/2016 in accordance with Nevada Administrative Code (NAC) 449 for Skilled Nursing facilities.

The survey identified multiple deficiencies including improper disposal of waste creating pest harborages, inadequate ice dispensing methods posing infection control concerns, and failure to properly label and store chemicals. These deficiencies were cited with severity level 2 and one with severity level D.

This report documents a Medicare Life Safety Code (LSC) survey conducted at the facility on 09/23/16 to assess compliance with NFPA 101 Life Safety Code standards.

The facility was found deficient in multiple areas of the Life Safety Code, including interior finish flame spread ratings, corridor door latching and smoke resistance, exit signage and marking, exit door operability, fire sprinkler system maintenance, medical gas storage, emergency generator inspections, and electrical wiring safety.

The inspection was a recertification survey conducted from 09/19/16 through 09/22/16, including investigation of two complaints with allegations related to resident care and facility practices.

The survey found deficiencies related to dignity and respect of individuality, ADL care, treatment/services, infection control, food procurement and storage, and other care standards. Two complaints were investigated but not substantiated. Corrective actions and plans of correction were documented for each deficiency.

Two complaints were investigated (Complaint #NV00046839 and Complaint #NV00046540) with multiple allegations including failure to provide antibiotics, failure to notify responsible party of resident status change, call bells not answered timely, resident not turned timely, lack of appropriate wheelchair, and lack of activities. None of the allegations were substantiated.

The inspection was conducted as a result of a complaint investigation at Canyon Vista Post Acute on 7/6/16, in accordance with 42 CFR Part 483 - Requirements for Long Term Care Facilities.

Four complaints were investigated, all of which were not substantiated. The investigation included interviews with staff and residents, observations, and review of medical records and grievance logs. Allegations involved issues such as refusal of re-admission, medication administration, therapy provision, resident care, and facility conditions.

Four complaints were investigated: #NV000045277, #NV00046077, #NV00045923, and #NV00045930. None of the allegations in these complaints were substantiated after investigation involving interviews, observations, and record reviews.

The inspection was conducted as a result of a complaint investigation triggered by two complaints alleging failure to provide pain medication prior to physical therapy and understaffing, as well as an allegation regarding improper disinfection of an oxygen nasal cannula.

The investigation included observations, interviews, and record reviews, and found that neither complaint was substantiated. No regulatory deficiencies were identified during the survey.

Two complaints were investigated: Complaint #NV00045030 alleging a resident did not receive pain medication prior to physical therapy and understaffing, and Complaint #NV00045141 alleging an oxygen nasal cannula was not disinfected after contamination. Both complaints were not substantiated.

The inspection was conducted as a result of a complaint investigation regarding allegations about resident care, staffing levels, and facility conditions.

The investigation included observations, interviews, and record reviews, and found no regulatory deficiencies. The allegations were not substantiated and no further action was necessary.

Complaint #NV00044782 included allegations that a resident had a reaction to an antibiotic and no response to the nurse call button, staffing concerns with only 2 Licensed Practical Nurses and no Registered Nurses for 79 patients, and water flow issues between the shower and toilet. None of these allegations were substantiated.

This inspection was conducted as the initial Medicare certification survey at the facility from 7/1/15 through 7/8/15 to assess compliance with federal regulations for long term care.

The facility failed to ensure coordination with the hospice agency for end of life care for 1 of 5 sampled residents, specifically Resident #3, resulting in inadequate pain management and care planning.

This inspection was conducted as the initial Medicare certification survey for the facility from July 7, 2015 through July 8, 2015.

The facility was found deficient in coordinating hospice care for one resident, specifically failing to ensure timely administration of PRN pain medication prior to hospice visits and lacking hospice care coordination in the resident's care plan.

This document is the result of an Initial Health State Licensure Survey conducted at the facility from April 23, 2015 to April 28, 2015, in accordance with Nevada Administrative Code Chapter 449 for Skilled Nursing Facilities.

No regulatory deficiencies were cited for the health portion of the state licensing survey. No further action is necessary concerning this Statement of Deficiencies.

This inspection was conducted as an initial state licensure survey for Canyon Vista Post Acute facility to evaluate compliance with Nevada Administrative Code 449 and applicable design and construction guidelines.

The survey identified deficiencies related to the facility's central ventilation system filter efficiency, inadequate electrical receptacles on each side of resident beds, and insufficient ventilation rates in the beauty salon.

This Statement of Deficiencies was generated as a result of an initial state licensure survey conducted at the facility on March 26 and 27, 2015.

The facility was found to have deficiencies related to compliance with AIA Guidelines, including inadequate ventilation system filters, failure to provide electrical receptacles on each side of resident beds, and insufficient ventilation in the Beauty Salon.

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