Inspection Reports for Casa Olivia
3209 Cedar St, Las Vegas, NV 89104, NV, 89104
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
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Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 8
Capacity: 9
Deficiencies: 1
Oct 18, 2023
Visit Reason
The inspection was conducted as an annual State Licensure survey of the residential facility for groups to assess compliance with Nevada Administrative Code Chapter 449.
Findings
The facility was found to be generally compliant and received a grade of A; however, deficiencies were identified related to caregiver training, specifically that 10 of 14 employees lacked documented evidence of completing the required 8 hours of annual caregiver training.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure 10 of 14 employees had completed 8 hours of annual Caregiver training as required by NAC 449.196. | Severity: 2 |
Report Facts
Number of employees lacking required training: 10
Number of employee files reviewed: 14
Number of resident files reviewed: 8
Facility licensed capacity: 9
Census at time of survey: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shelle Sponseller | Administrator | Administrator acknowledged lack of required annual caregiver training for multiple employees. |
| Employee #2 | Program Service Specialist | Lacked documented evidence of annual caregiver training for 2020-2023. |
| Employee #3 | Service Supervisor | Lacked documented evidence of annual caregiver training for 2019-2023. |
| Employee #4 | Behavior Technician | Lacked documented evidence of annual caregiver training for 2022 and 2023. |
| Employee #6 | Behavior Technician | Lacked documented evidence of annual caregiver training for 2023. |
| Employee #8 | Behavior Technician | Lacked documented evidence of annual caregiver training for 2021-2023. |
| Employee #9 | Behavior Technician | Lacked documented evidence of annual caregiver training for 2020-2023. |
| Employee #10 | Behavior Technician | Lacked documented evidence of annual caregiver training for 2022 and 2023. |
| Employee #11 | Behavior Technician | Lacked documented evidence of annual caregiver training for 2020-2023. |
| Employee #13 | Behavior Technician | Lacked documented evidence of annual caregiver training for 2022 and 2023. |
| Employee #14 | Behavior Technician | Lacked documented evidence of annual caregiver training for 2020-2023. |
Inspection Report
Annual Inspection
Census: 8
Capacity: 9
Deficiencies: 0
Oct 18, 2023
Visit Reason
This inspection was conducted as an annual State Licensure survey of the facility in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A. Deficiencies identified during the survey were corrected at the time of the visit, and no further action was necessary.
Report Facts
Resident files reviewed: 8
Employee files reviewed: 10
Inspection Report
Annual Inspection
Census: 9
Capacity: 9
Deficiencies: 1
Oct 24, 2022
Visit Reason
The inspection was conducted as a State Licensure annual and infection control survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A overall, but one regulatory deficiency was identified related to failure to complete an annual Standard Placement determination for a resident with Alzheimer's disease.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure a Standard Placement determination was completed annually for a resident with Alzheimer's disease (Resident #6). | Severity: 2 |
Report Facts
Number of residents present: 9
Total licensed capacity: 9
Number of resident files reviewed: 9
Number of employee files reviewed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shelle Sponseller | Administrator | Named as Laboratory Director's or Provider/Supplier Representative who signed the report |
Inspection Report
Annual Inspection
Census: 9
Capacity: 9
Deficiencies: 2
Nov 9, 2021
Visit Reason
This inspection was conducted as a State Licensure annual and infection control survey in accordance with Nevada Administrative Code Chapter 449 for a residential facility for groups.
Findings
The facility received a grade of A but was cited for deficiencies including failure to administer medications per physician's orders for one resident and failure to ensure annual tuberculosis signs and symptoms screening for two residents. Corrective actions and ongoing monitoring were planned.
Severity Breakdown
2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure medications were administered per physician's orders for 1 of 9 sampled residents (Resident #6). | 2 |
| Failure to ensure 2 of 9 sampled residents received annual signs and symptoms screening for tuberculosis (Residents #4 and #7). | 2 |
Report Facts
Deficiencies cited: 2
Resident files reviewed: 9
Employee files reviewed: 3
Licensed capacity: 9
Current census: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shelle Sponseller | Administrator | Named as the administrator responsible for oversight and signature on the report |
Inspection Report
Abbreviated Survey
Census: 5
Capacity: 9
Deficiencies: 1
Nov 12, 2020
Visit Reason
The inspection was a COVID-19 focused infection control survey conducted to assess the facility's compliance with infection control measures during the pandemic.
Findings
The facility had adequate PPE supplies and infection control practices such as temperature checks and sanitization, but deficiencies were found in the infection control policy, specifically lacking staff fit testing for N-95 masks, a respirator program, and an emergency staffing plan for COVID-19 positive staff.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The facility COVID-19 infection control policy lacked standards for staff fit testing for N-95 masks and respirator program, and an emergency staffing plan if a staff member tests positive. | Severity: 2 |
Report Facts
Licensed capacity: 9
Census: 5
PPE supplies: 13
PPE supplies: 2
PPE supplies: 20
PPE supplies: 30
PPE supplies: 20
PPE supplies: 5
PPE supplies: 50
Completion date: Nov 15, 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shelle Sponseller | Administrator | Signed the report and mentioned in relation to infection control oversight |
Inspection Report
Annual Inspection
Census: 9
Capacity: 9
Deficiencies: 10
Nov 20, 2019
Visit Reason
This inspection was conducted as a result of a State Licensure annual survey at the facility on 11/20/2019, in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility was found deficient in several areas including failure to designate an employee in charge during the Administrator's absence, lack of evidence of caregiver training and qualifications for all employees, missing personnel files and background checks, and incomplete resident medical documentation such as annual physical exams, TB testing, and ADL assessments. The facility received a grade of D.
Severity Breakdown
Severity: 2: 10
Deficiencies (10)
| Description | Severity |
|---|---|
| Failed to designate in writing one or more employees to be in charge of the facility during the Administrator's absence; no current written posted designation. | Severity: 2 |
| Evidence of caregiver training for 12 of 12 employees was not observed. | Severity: 2 |
| Evidence of initial and annual medication management training for 12 of 12 employees was not observed. | Severity: 2 |
| Personnel files for 12 of 12 employees were not available during survey. | Severity: 2 |
| Evidence of background checks for 12 of 12 employees was not observed. | Severity: 2 |
| Evidence of age verification for 12 of 12 employees was not observed. | Severity: 2 |
| Failed to ensure documentation of First Aid/CPR training and TB testing was on premises and immediately available for 12 of 12 employees. | Severity: 2 |
| Failed to ensure 2 of 9 residents had annual physical exams completed. | Severity: 2 |
| Failed to ensure 4 of 9 residents had annual TB tests completed. | Severity: 2 |
| Failed to ensure 3 of 9 residents had an activities of daily living (ADL) assessment completed annually. | Severity: 2 |
Report Facts
Licensed beds: 9
Residents present: 9
Residents files reviewed: 9
Employees without training evidence: 12
Residents without annual physical exams: 2
Residents without annual TB tests: 4
Residents without annual ADL assessments: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shelle Sponseller | Administrator | Named as Administrator responsible for facility and plan of correction |
Inspection Report
Annual Inspection
Census: 9
Capacity: 9
Deficiencies: 2
Jan 2, 2019
Visit Reason
The inspection was conducted as a result of an annual State Licensure survey of the facility in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A. Deficiencies were identified related to failure to ensure annual physical examinations for 3 of 9 residents and failure to ensure required annual Tuberculosis testing for 2 of 9 residents. The facility acknowledged these errors and implemented corrective actions including retraining staff and setting up electronic alert systems.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure 3 of 9 residents received an annual physical examination as required. | Severity: 2 |
| Failure to ensure 2 of 9 residents completed the required annual Tuberculosis testing. | Severity: 2 |
Report Facts
Residents missing annual physical examination: 3
Residents missing annual TB testing: 2
Facility licensed capacity: 9
Census at time of survey: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shelle L Sponseller | Administrator | Signed the report as the facility administrator. |
| Service Supervisor | Acknowledged the deficiencies related to missing annual physicals and TB testing. |
Inspection Report
Annual Inspection
Census: 8
Capacity: 9
Deficiencies: 2
Jan 3, 2018
Visit Reason
This inspection was conducted as an annual State Licensure survey of the facility on 01/03/2018 to assess compliance with state regulations.
Findings
The facility was found to have deficiencies related to personnel background checks and resident tuberculosis testing. The facility received a grade of A, with two deficiencies each rated Severity 2, Scope 1.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| The facility failed to ensure one of ten employees met background check requirements; Employee #6's fingerprinting was not completed timely as required by NRS 449. | Severity: 2 |
| The facility failed to ensure one of eight residents met tuberculosis testing requirements; Resident #1's TB test did not document when the first step was read. | Severity: 2 |
Report Facts
Number of employees reviewed: 10
Number of residents reviewed: 8
Facility licensed capacity: 9
Facility census at time of survey: 8
Inspection Report
Annual Inspection
Census: 9
Capacity: 9
Deficiencies: 4
Jan 10, 2017
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 01/10/2017 at the facility Casa Oliva.
Findings
The facility received a grade of A but was found deficient in medication labeling for over-the-counter medications for 4 of 9 residents, tuberculosis testing documentation for 2 residents, and training deficiencies related to mental illness and chronic illness for employees. Severity levels of deficiencies were noted as 2 for medication container and tuberculosis documentation issues.
Severity Breakdown
2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Medication container labeling deficiencies for over-the-counter medications for 4 of 9 residents. | 2 |
| Failure to ensure documented evidence of two-step tuberculosis testing for residents #6 and #9. | 2 |
| Failure to ensure 8 hours of mental illness training for 1 of 9 employees within 60 days of hire. | 2 |
| Failure to ensure 4 hours of chronic illness training for 2 of 9 employees within 60 days of hire. | 2 |
Report Facts
Residents present: 9
Total licensed capacity: 9
Deficiencies cited: 4
Training hours required: 8
Training hours required: 4
Inspection Report
Original Licensing
Capacity: 9
Deficiencies: 0
Jan 20, 2016
Visit Reason
This visit was conducted as an initial State licensure survey for a residential facility for group beds for elderly and disabled persons, and/or persons with chronic illnesses and/or persons with mental retardation.
Findings
The survey found no deficiencies requiring further action as all identified deficiencies were corrected at the time of the survey. One sample resident file and one employee file were reviewed.
Report Facts
Licensed capacity: 9
Census: 0
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