Inspection Reports for Darlington Manor

339 Emden St, Henderson, NV 89015, United States, NV, 89015

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Deficiencies (last 16 years)

Deficiencies (over 16 years) 3.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

55% better than Nevada average
Nevada average: 7.1 deficiencies/year

Deficiencies per year

16 12 8 4 0
2008
2009
2011
2012
2013
2014
2015
2016
2018
2019
2020
2021
2022
2023
2024
2025

Census

Latest occupancy rate 100% occupied

Based on a June 2025 inspection.

This facility has shown a decline in demand based on occupancy rates.

Census over time

0 4 8 12 16 Nov 2008 Dec 2013 Apr 2016 Aug 2020 May 2022 May 2024 Jun 2025
Inspection Report Annual Inspection Census: 9 Capacity: 9 Deficiencies: 0 Jun 30, 2025
Visit Reason
This inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified. Nine resident files and five employee files were reviewed, and no further action was necessary.
Report Facts
Resident files reviewed: 9 Employee files reviewed: 5
Inspection Report Annual Inspection Census: 5 Capacity: 9 Deficiencies: 5 May 23, 2024
Visit Reason
The inspection was an annual State Licensure survey initiated on 05/23/24 and finalized on 05/24/24 to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Findings
The facility was found deficient in several areas including failure to provide required TB testing for employees and residents, expired first aid and CPR certification for an employee, and failure to administer medications according to physician orders for multiple residents. Infection control training requirements were also not met by designated employees.
Severity Breakdown
Level 2: 4 Level 3: 1
Deficiencies (5)
DescriptionSeverity
Failure to provide tuberculin (TB) testing for one employee; no documentation of positive TB test and chest x-ray.Level 2
Failure to ensure one employee was certified in first aid and CPR; certification expired.Level 2
Failure to administer medications in accordance with physician orders for four residents.Level 3
Failure to provide tuberculin (TB) testing for two residents; no documented evidence of initial or annual TB testing.Level 2
Failure to ensure Infection Control Officer and designee completed required 15 hours of infection control training.Level 2
Report Facts
Facility licensed beds: 9 Resident census: 5 Deficiency severity counts: 5
Employees Mentioned
NameTitleContext
Faith RamosAdministratorSigned report and referenced as Administrator acknowledging deficiencies
Employee #1Former AdministratorNamed in deficiencies related to TB testing, CPR certification, infection control training, and medication administration
Employee #2CaregiverNamed in deficiency related to infection control training
Inspection Report Renewal Deficiencies: 0 Mar 1, 2024
Visit Reason
The inspection was conducted as a State Licensure Address Verification Survey to verify the facility's licensure status and to ensure the facility was operating with a valid license.
Findings
The surveyor found that the facility was operating as an unlicensed facility and informed the administrator that they must immediately renew their license through the Aithent Licensing System. Failure to renew may result in an unlicensed investigation and civil penalties.
Report Facts
Civil penalty amount: 10000 Civil penalty amount: 25000
Inspection Report Re-Inspection Census: 5 Capacity: 9 Deficiencies: 2 Aug 21, 2023
Visit Reason
The inspection was a State Licensure mandatory grading resurvey conducted to assess compliance with Nevada Administrative Code Chapter 449 for a Residential Facility for Groups.
Findings
The facility was found deficient in maintaining locked resident files and securing sharp tools, with failures to keep files locked for 5 of 5 residents and sharp tools accessible to 5 of 5 residents. The facility received a grade of A.
Severity Breakdown
Severity 2: 2
Deficiencies (2)
DescriptionSeverity
Facility failed to keep resident files locked for 5 of 5 residents; resident files were found in an unlocked file cabinet in the kitchen.Severity 2
Facility failed to keep sharp tools out of reach of 5 of 5 residents; a jar opening tool with sharp projections was found in an unlocked kitchen drawer.Severity 2
Report Facts
Licensed beds: 9 Resident census: 5 Severity 2 deficiencies: 2
Employees Mentioned
NameTitleContext
Maggie Dawleyowner/adm.Named in relation to acknowledgment of deficiencies and corrective actions
Inspection Report Annual Inspection Census: 7 Capacity: 9 Deficiencies: 14 May 15, 2023
Visit Reason
This inspection was conducted as an annual State Licensure and infection control survey in accordance with Nevada Administrative Code Chapter 449 for a Residential Facility for Groups.
Findings
The facility was found to have multiple deficiencies including failure to maintain required postings, incomplete employee certifications, inadequate laundry and kitchen sanitation, missing resident physical exams and medication reviews, unsecured resident records, lack of resident tuberculosis testing and ADL evaluations, unsafe access to dangerous items, and unsecured outdoor gates. The facility received a grade of D.
Severity Breakdown
Level 1: 1 Level 2: 13
Deficiencies (14)
DescriptionSeverity
Failure to post required facility documents including staff schedule, current activities calendar, valid license, and current grade placard.Level 1
One employee lacked current CPR and first aid certification documentation.Level 2
Lint trap in dryer was full of lint, indicating inadequate laundry maintenance.Level 2
Kitchen stove area was greasy and dusty, not clean.Level 2
Two residents lacked initial physical examinations upon admission.Level 2
Medication reviews were not conducted every six months for three residents.Level 2
Administrator lacked documentation of 8 hours annual medication management training.Level 2
Two residents had medication bottles without change order labels reflecting physician orders.Level 2
Confidential resident records were found unsecured and exposed on the facility patio.Level 2
Two residents lacked documented tuberculosis testing within 24 hours of admission.Level 2
Two residents lacked documented evaluation of activities of daily living upon admission.Level 2
Sharp items such as a can opener and wine bottle opener were accessible to residents in an unlocked kitchen drawer.Level 2
Gate leading from the back yard to driveway was unsecured and unlocked.Level 2
Toxic substances including eye drops, hair spray, nail polish, detergents, and ointments were accessible to residents in various rooms.Level 2
Report Facts
Licensed beds: 9 Residents present: 7 Employee files reviewed: 2 Resident files reviewed: 7 Medication reviews missing: 3 Residents missing physical exams: 2 Residents missing TB testing: 2 Residents missing ADL evaluation: 2
Inspection Report Annual Inspection Census: 7 Capacity: 9 Deficiencies: 16 May 15, 2023
Visit Reason
The inspection was an annual State Licensure and infection control survey conducted in accordance with Nevada Administrative Code (NAC) Chapter 449 for a Residential Facility for Groups.
Findings
The facility received a grade of D with multiple deficiencies identified including failure to post required schedules and licenses, incomplete personnel files, inadequate laundry maintenance, missing physical examinations for residents, medication administration and review issues, expired medication training for the administrator, unsecured resident files, and unsafe conditions related to Alzheimer's care standards.
Severity Breakdown
Severity 1: 3 Severity 2: 12
Deficiencies (16)
DescriptionSeverity
Facility staff schedule was not posted.Severity 1
April 2023 activities calendar was not posted.Severity 1
Health Care Quality and Compliance license posted had an expiration date of 2021 and was not current.Severity 1
Personnel file for one employee lacked current CPR and first aid certification.Severity 2
Lint trap in dryer was not clean.Severity 2
Kitchen stove area was greasy and dusty above the stove.Severity 2
Two residents' files did not contain documentation of initial physical examinations.Severity 2
Medication reviews were not conducted every six months for 3 of 7 residents.Severity 2
Administrator did not have current medication management training; training expired September 2023.Severity 2
Two residents had missing change order labels on medication bottles.Severity 2
Administrator failed to ensure 8 hours of annual medication management training documentation.Severity 2
Confidential resident files were found unsecured and left outside the facility.Severity 2
Two residents lacked documented evidence of TB testing within 24 hours of admission.Severity 2
Unsafe items such as knives and tools were accessible to residents in the kitchen.Severity 2
Backyard gate lock was unsecured and left open.Severity 2
Toxic substances were accessible to residents in the facility.Severity 2
Report Facts
Licensed capacity: 9 Census: 7 Deficiency count: 15 Medication reviews missed: 3 Residents missing physical exams: 2 Residents missing TB testing: 2
Inspection Report Annual Inspection Census: 7 Capacity: 9 Deficiencies: 0 May 17, 2022
Visit Reason
This inspection was conducted as an annual State Licensure and infection control survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and was provided guidance on nondiscrimination, privacy, and cultural competency policies.
Report Facts
Resident files reviewed: 7 Employee files reviewed: 2
Inspection Report Annual Inspection Census: 5 Capacity: 9 Deficiencies: 1 Aug 31, 2021
Visit Reason
The inspection was conducted as an annual grading and infection control survey of the facility in accordance with Nevada Administrative Code, Chapter 449, Residential Facilities for Groups.
Findings
The facility received a grade of A. The survey included review of five resident files and two employee files. A regulatory deficiency was identified related to personnel files and background checks, where two employees lacked documented evidence of Nevada Automated Background Check System clearance letters.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
DescriptionSeverity
Facility failed to ensure 2 of 2 employees met background check requirements; both lacked evidence of Nevada Automated Background Check System clearance letters.Severity: 2
Report Facts
Licensed beds: 9 Resident census: 5 Employees lacking background check clearance: 2 Severity level: 2 Scope: 3
Employees Mentioned
NameTitleContext
Myrna DarlingtonAdministratorNamed as Administrator who confirmed employees lacked documented evidence of background check clearance
Inspection Report Routine Census: 5 Capacity: 9 Deficiencies: 1 Oct 14, 2020
Visit Reason
This was a COVID-19 focused infection control, State Licensure survey initiated at the facility to assess compliance with infection control practices during the pandemic.
Findings
The facility was found to have adequate PPE supplies but lacked a written COVID-19 infection control policy. The administrator and a caregiver were observed not wearing masks, and no employees were medically cleared and fitted for N95 masks. Guidance was provided to have at least one caregiver medically cleared and fit tested for N95 masks.
Severity Breakdown
2: 1
Deficiencies (1)
DescriptionSeverity
Facility staff did not follow proper infection controls; Administrator and a caregiver were observed not wearing face masks during the infection control survey; facility lacked a COVID-19 infection control policy.2
Report Facts
Gloves: 2500 Surgical style masks: 300 KN95 masks: 50 Disposable gowns: 12 Census: 5 Total licensed capacity: 9
Employees Mentioned
NameTitleContext
Myrna DarlingtonAdministrator/OwnerNamed as the administrator who reported the facility lacked a COVID-19 infection control policy and was observed not wearing a face mask during the survey
Inspection Report Complaint Investigation Census: 4 Deficiencies: 0 Aug 18, 2020
Visit Reason
The inspection was conducted as a result of a complaint investigation at the facility on 08/18/2020.
Findings
One complaint was investigated with three allegations regarding verbal abuse, physical abuse, and neglect. All allegations were found to be unsubstantiated based on observations, interviews with residents and staff, and record reviews.
Complaint Details
Complaint # NV00061789 was unsubstantiated. Allegation #1 - verbal abuse was unsubstantiated. Allegation #2 - failure to ensure safety from physical abuse was unsubstantiated. Allegation #3 - neglect was unsubstantiated.
Report Facts
Complaint investigated: 1 Sample size: 4
Inspection Report Annual Inspection Census: 9 Capacity: 9 Deficiencies: 4 Oct 8, 2019
Visit Reason
The inspection was an annual state licensure survey initiated on 10/08/2019 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A but had several regulatory deficiencies including failure to ensure elder abuse training for two employees, incomplete tuberculosis screening for one employee, medication administration errors for one resident, and failure to destroy discontinued medication for another resident.
Severity Breakdown
E: 1 D: 3
Deficiencies (4)
DescriptionSeverity
Failed to ensure Elder Abuse training was completed for two employees (Employee #1 and #3).E
Failed to ensure an annual signs and symptoms assessment for tuberculosis was completed for one employee (Employee #3).D
Failed to administer medications at the scheduled time for one resident (Resident #5).D
Failed to destroy a medication discontinued three months ago for one resident (Resident #2).D
Report Facts
Number of resident files reviewed: 9 Number of employee files reviewed: 3
Employees Mentioned
NameTitleContext
Myrna DarlingtonAdministrator/OwnerSigned the report and responsible for implementing plans of correction
Inspection Report Annual Inspection Census: 7 Capacity: 9 Deficiencies: 0 Oct 18, 2018
Visit Reason
The inspection was an annual survey initiated at the facility on 10/18/18 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified. One complaint was investigated but the allegations were not substantiated.
Complaint Details
One complaint (#NV00054874) alleging inappropriate discharge of a resident was investigated and found to be unsubstantiated.
Report Facts
Resident files reviewed: 7 Employee files reviewed: 3
Inspection Report Complaint Investigation Census: 4 Deficiencies: 0 Apr 27, 2016
Visit Reason
The inspection was conducted as a result of a complaint investigation triggered by allegations including presence of flies, a resident injury of unknown origin, and caregivers not following infection control practices.
Findings
The investigation included observations, interviews, and record reviews, and concluded that the allegations could not be substantiated. No regulatory deficiencies were identified and no further action was necessary.
Complaint Details
Complaint #NV00045743 included three allegations: flies in the facility, a resident injury of unknown origin, and caregivers not following infection control practices. None of these allegations were substantiated.
Report Facts
Sample size: 5 Complaint count: 1
Inspection Report Annual Inspection Census: 8 Capacity: 9 Deficiencies: 0 Nov 4, 2015
Visit Reason
This document reports on an annual State Licensure survey conducted at the facility on 11/4/15 by the Division of Public and Behavioral Health.
Findings
The facility received a grade of A with no deficiencies identified and is in substantial compliance with the regulations.
Inspection Report Annual Inspection Census: 7 Capacity: 9 Deficiencies: 2 Dec 2, 2014
Visit Reason
This annual grading survey was conducted to assess compliance with state licensure requirements for a residential facility for elderly and disabled persons and/or persons with mental illness.
Findings
The facility received a grade of A. Two regulatory deficiencies were identified related to elder abuse training and personnel background checks, each with a severity level of 2 and scope of 1.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
DescriptionSeverity
Failure to ensure 1 of 5 employees received required training on recognition and prevention of elder abuse.Severity: 2
Failure to ensure 1 of 5 employees complied with background check requirements.Severity: 2
Report Facts
Number of employees reviewed: 5 Number of resident files reviewed: 7 Licensed capacity: 9
Inspection Report Annual Inspection Census: 7 Capacity: 9 Deficiencies: 2 Dec 2, 2014
Visit Reason
This inspection was conducted as an annual grading survey of the facility to assess compliance with state licensure requirements.
Findings
The facility received a grade of A. Two regulatory deficiencies were identified: failure to ensure one employee received required elder abuse recognition and prevention training, and failure to ensure one employee complied with background check requirements.
Severity Breakdown
2: 2
Deficiencies (2)
DescriptionSeverity
Facility failed to ensure 1 of 5 employees received required training on recognition and prevention of elder abuse.2
Facility failed to ensure 1 of 5 employees complied with background check requirements in accordance with NRS 449.123.2
Report Facts
Resident files reviewed: 7 Employee files reviewed: 5
Employees Mentioned
NameTitleContext
Employee #4HousekeeperFailed to receive required elder abuse training; occasionally helped in serving meals
Employee #1Owner/AdministratorFailed to comply with background check requirements
Inspection Report Annual Inspection Census: 7 Capacity: 9 Deficiencies: 0 Dec 11, 2013
Visit Reason
This Statement of Deficiencies was generated as a result of a State Licensure annual grading survey conducted in the facility on 12/11/13.
Findings
The facility received a grade of A. No regulatory deficiencies were observed and no further action is necessary.
Inspection Report Annual Inspection Capacity: 9 Deficiencies: 0 Dec 3, 2012
Visit Reason
The facility completed a self-attestation questionnaire in lieu of the 2012 annual survey as it was in good standing with no major regulatory deficiencies found in the 2011 annual survey.
Findings
The self-attestation questionnaire indicated the facility was in regulatory compliance and would receive a grade of A. No further action was necessary.
Inspection Report Annual Inspection Census: 8 Capacity: 9 Deficiencies: 1 Nov 10, 2011
Visit Reason
This document is a statement of deficiencies generated as a result of an annual State Licensure survey conducted at Darlington Manor on 11/10/2011.
Findings
The facility received a grade of A. One deficiency was identified related to medication administration where one of eight residents' medications was not at a maintenance level and required a medical assessment before administration.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
DescriptionSeverity
Facility failed to comply with medication administration regulations as one of eight residents' medications was not at a maintenance level and required a medical assessment before administering.Severity: 2
Report Facts
Residents present: 8 Licensed capacity: 9 Deficiency count: 1
Inspection Report Annual Inspection Census: 8 Capacity: 9 Deficiencies: 1 Nov 10, 2011
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted at the facility on 11/10/2011.
Findings
The facility received a grade of A. One deficiency was identified related to medication administration where one of eight residents' medications was not at a maintenance level and required a medical assessment before administering.
Severity Breakdown
2: 1
Deficiencies (1)
DescriptionSeverity
Failed to comply with subsection 6 of NRS 449.037 as 1 of 8 residents' medications were not at a maintenance level and required a medical assessment before administering (Resident #1 prescribed Ramipril 10 mg, to be held if systolic blood pressure is below 100).2
Report Facts
Residents present: 8 Total licensed capacity: 9
Inspection Report Original Licensing Census: 9 Capacity: 9 Deficiencies: 2 Nov 24, 2009
Visit Reason
This State Licensure survey was conducted by the authority of NRS 449.150 to evaluate compliance with licensing requirements for a residential facility for elderly and disabled persons and/or persons with mental illness.
Findings
The facility received a survey grade of A. Deficiencies were found related to medication administration where one resident did not receive medication as prescribed, and tuberculosis testing documentation was missing for five residents.
Severity Breakdown
Severity: 3: 1
Deficiencies (2)
DescriptionSeverity
Failed to administer medication as prescribed by a physician to one of nine residents (Resident #3) regarding Lorazepam 0.5 MG administration.
Failed to ensure five of ten residents complied with tuberculosis testing requirements; files lacked documentation of a current 2009 TB test (One-Step).Severity: 3
Report Facts
Census: 9 Total Capacity: 9 Residents affected by TB testing deficiency: 5
Inspection Report Annual Inspection Census: 7 Capacity: 7 Deficiencies: 0 Nov 7, 2008
Visit Reason
The inspection was conducted as a result of a bed increase request and the annual State licensure survey at the facility on November 7, 2008.
Findings
No regulatory deficiencies were identified at the time of the survey. The facility was approved for a two-bed increase to provide care for nine residents.
Report Facts
Bed capacity increase: 2

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