Inspection Reports for Desert Inn Residential Care
2845 Burnham Ave, Las Vegas, NV 89169, NV, 89169
Back to Facility ProfileDeficiencies per Year
20
15
10
5
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 4
Deficiencies: 2
Jul 21, 2025
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding the facility's compliance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Findings
The facility failed to ensure a resident with dementia who eloped was provided protective supervision according to the care plan, and toxic substances were accessible to residents. The care plan was not updated after the resident's elopement incidents, and toxic substances were found unsecured on the back patio accessible to residents.
Complaint Details
One complaint was investigated (Complaint #NV00074089) and substantiated. The complaint involved failure to provide protective supervision to a resident with dementia who eloped and was injured, and failure to secure toxic substances from resident access.
Severity Breakdown
Level 1: 1
Level 2: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to provide protective supervision to a resident who eloped, and failure to update the person-centered care plan after elopement incidents. | Level 1 |
| Toxic substances including paint, primer, bleach, and cleaning products were accessible to residents on the back patio. | Level 2 |
Report Facts
Census: 4
Sample size: 4
Severity Level 1 Deficiency: 1
Severity Level 2 Deficiency: 1
Scope: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jasmine Castillo | Administrator | Named in relation to monitoring and updating care plans and overseeing corrective actions |
Inspection Report
Annual Inspection
Census: 3
Capacity: 4
Deficiencies: 2
Jan 13, 2025
Visit Reason
The inspection was conducted as an annual State Licensure survey 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 substantiated without deficiencies. Two deficiencies were cited related to health and sanitation and medication administration, both with severity level 2 and scope 1.
Complaint Details
One complaint (#NV00072448) was investigated and substantiated without deficiencies. The investigation included observations of resident grooming, facility cleanliness, staff-resident interactions, and food handling. No regulatory deficiencies were identified.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure a resident's room was free of stored furniture; a bare mattress was inappropriately stored in Resident #3's room. | Severity: 2 |
| Facility failed to ensure a signed agreement was in place for Resident #1 who self-administered insulin and self-tested blood glucose levels. | Severity: 2 |
Report Facts
Licensed beds: 4
Residents present: 3
Deficiencies cited: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jasmine Castillo | Administrator | Named in relation to findings and corrective actions. |
Inspection Report
Complaint Investigation
Census: 3
Capacity: 4
Deficiencies: 0
Aug 13, 2024
Visit Reason
The inspection was conducted as a result of a complaint investigation at the facility on 08/13/24, in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
One complaint was investigated and substantiated without deficient practice. Observations, interviews, and record reviews found no regulatory deficiencies, and the facility received a grade of A. No further action was needed.
Complaint Details
One complaint (#NV00071048) was substantiated with no deficient practice.
Report Facts
Resident files reviewed: 3
Employee files reviewed: 4
Inspection Report
Annual Inspection
Census: 2
Capacity: 4
Deficiencies: 2
Jan 16, 2024
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for a Residential Facility for Groups.
Findings
The facility received a grade of A but had deficiencies including poor maintenance of the premises, peeling paint, dirty baseboards, and failure to develop person-centered service plans for residents.
Severity Breakdown
Level 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| The premises were not clean and well-maintained, with items such as an auto cover thrown over the fence, trash on the ground, peeling paint, and weathered lawn chairs. | Level 2 |
| Failure to develop a person-centered service plan for 2 of 2 residents. | Level 2 |
Report Facts
Licensed beds: 4
Residents present: 2
Pages in resident care plan: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jasmine Castillo | Administrator | Signed the report and acknowledged deficiencies |
Inspection Report
Annual Inspection
Census: 3
Capacity: 4
Deficiencies: 1
Jan 25, 2023
Visit Reason
The inspection was conducted as a result of an annual, complaint investigation, and infection control State Licensure survey at the facility on 01/25/23.
Findings
The facility received a grade of A. One complaint was investigated and found unsubstantiated. The main deficiency identified was failure to ensure background checks were initiated and completed through the Nevada Automated Background Check System for 3 of 4 employees.
Complaint Details
One complaint (#NV00067521) was investigated and found unsubstantiated. The investigation included observation of resident grooming/hygiene, facility tour, interviews with residents, caregivers, and the Administrator, and record review.
Severity Breakdown
Severity 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Undetermined Background Check - Lack of Follow up as required by NAC 449.0113 and NRS 449.0302 regarding employee background investigations. | Severity 2 |
Report Facts
Licensed beds: 4
Current census: 3
Employees lacking completed background checks: 3
Complaint number: 1
Severity level: 2
Scope: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jasmine Castillo | Administrator | Named as Administrator responsible for corrective actions and acknowledged deficiencies |
Inspection Report
Complaint Investigation
Census: 3
Deficiencies: 2
Jul 21, 2022
Visit Reason
The inspection was conducted as a result of a complaint investigation triggered by Complaint #NV00066364 with three allegations regarding caregiver training and the facility's physical environment.
Findings
The investigation substantiated two allegations related to a caregiver with expired medication administration training and expired elder abuse training. The third allegation regarding the outside physical environment was unsubstantiated. The facility received a grade of A.
Complaint Details
Complaint #NV00066364 with three allegations was investigated. Allegations #1 and #2 were substantiated, and allegation #3 was unsubstantiated based on observation and interviews.
Severity Breakdown
D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| A caregiver with expired Medication Administration training was administering medication to residents. | D |
| A caregiver with expired Elder Abuse training continued to work at the facility. | D |
Report Facts
Number of residents present: 3
Number of employees reviewed: 4
Number of residents reviewed: 3
Severity level: 2
Scope: 1
Inspection Report
Annual Inspection
Census: 2
Capacity: 4
Deficiencies: 5
Jan 24, 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
The facility was found to have multiple deficiencies including failure to implement safe infection control practices related to COVID-19, failure to designate an employee in charge during the administrator's absence, poor maintenance of the facility premises including structural damage and debris, failure to post updated menus, and unsecured pool gate. The facility received a grade of B.
Severity Breakdown
Severity: 1: 2
Severity: 2: 3
Deficiencies (5)
| Description | Severity |
|---|---|
| Failure to implement safe infection control practices; employee not wearing face mask when answering door and caring for residents. | Severity: 2 |
| Failure to designate in writing and post an employee in charge during the administrator's absence. | Severity: 1 |
| Failure to maintain interior and exterior of facility; cracked wall with loose cinder blocks and debris throughout yard. | Severity: 2 |
| Failure to post updated menu for the month of January. | Severity: 1 |
| Failure to secure pool gate; gate was unlocked during inspection. | Severity: 2 |
Report Facts
Licensed capacity: 4
Census: 2
Severity 1 deficiencies: 2
Severity 2 deficiencies: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jasmine Castillo | Administrator | Named as responsible for plan of correction and oversight |
Inspection Report
Annual Inspection
Census: 4
Capacity: 4
Deficiencies: 4
May 7, 2021
Visit Reason
This inspection was conducted as an annual and infection control survey of the Desert Inn Residential Care facility in accordance with Nevada Administrative Code Chapter 449.
Findings
The facility was found deficient in several areas including failure to complete annual physical exams for residents, failure to conduct medication reviews every six months, failure to conduct annual evaluations of residents' ability to perform activities of daily living, and admitting a resident with mental illness without proper endorsement. The facility received a grade of A despite these deficiencies.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to ensure a physical exam was completed annually for 2 of 4 residents. | Severity: 2 |
| Failure to ensure a review of medications was completed every six months for 2 of 4 residents. | Severity: 2 |
| Failure to conduct an annual evaluation on the residents' ability to complete activities of daily living for 2 of 4 residents. | Severity: 2 |
| Failure to ensure a resident with mental illness was not admitted to the facility without endorsement. | Severity: 2 |
Report Facts
Residents present: 4
Licensed capacity: 4
Deficiencies cited: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jasmine Castillo | Administrator | Named in relation to findings and plan of correction |
Inspection Report
Abbreviated Survey
Census: 3
Capacity: 10
Deficiencies: 2
Jun 4, 2020
Visit Reason
A focused COVID-19 infection control survey was conducted to assess compliance with infection control and prevention regulations during the COVID-19 pandemic.
Findings
The facility failed to conduct temperature checks and COVID-19 screening questions for visitors prior to entry, lacked an infection control policy, and did not promote social distancing during meals or activities. Staff had not received PPE training, and the facility lacked designated isolation and quarantine areas but had a cohort plan if necessary.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| No temperature check was conducted, and COVID-19 screening questions were not asked prior to the inspector entering the facility. | Severity: 2 |
| The facility failed to have an Infection Control Policy. | Severity: 2 |
Report Facts
Number of residents present: 3
Total licensed capacity: 10
Boxes of gloves: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jasmine Castillo | Administrator | Named in relation to oversight responsibilities and plan of correction |
Inspection Report
Annual Inspection
Census: 4
Capacity: 4
Deficiencies: 4
Nov 18, 2019
Visit Reason
This inspection was conducted as a result of an annual State Licensure survey at the facility on 11/18/19 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility was found deficient in several areas including failure to maintain a current staff schedule, inoperable bathroom sink and toilet, offensive odors, and poor maintenance and sanitation evidenced by dead roaches, dirt buildup, food stains, and accumulation of trash and debris both inside and outside the facility. The facility received a grade of B.
Severity Breakdown
C: 1
D: 1
F: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to ensure a current staff schedule was posted. | C |
| Bathroom sink and toilet were inoperable for over a week. | F |
| Facility failed to ensure an inoperable bathroom was free from a strong offensive odor. | D |
| Facility failed to ensure the premises were well maintained, including dead roaches and dirt buildup in kitchen cabinets, food stains on refrigerator shelves, dirt buildup in private bathroom, excess lint and clothes piled in laundry room, and accumulation of trash and debris in the yard. | F |
Report Facts
Deficiencies cited: 4
Census: 4
Total capacity: 4
Inspection Report
Routine
Census: 4
Capacity: 4
Deficiencies: 6
Aug 6, 2019
Visit Reason
The inspection was a Wellness Check conducted to ensure the facility had controlled an insect infestation, audible alarms were in working order, dangerous items were secured, and toxic substances were inaccessible to residents.
Findings
The facility was found to have multiple deficiencies including dead cockroaches in kitchen drawers and counters, failure to ensure a physical examination and Activities of Daily Living assessment for one resident, unsecured razors and cigarette lighter accessible to residents, and unsecured toxic substances such as perfume, aftershave, and hand sanitizer accessible to residents.
Severity Breakdown
Severity: 2: 5
Severity: F: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Dead cockroaches were found in kitchen drawers and on kitchen counters. | Severity: 2 |
| Failure to ensure a physical examination was performed for 1 of 4 residents. | Severity: 2 |
| Failure to ensure an Activities of Daily Living (ADL) assessment was conducted upon admittance for 1 of 4 residents. | Severity: 2 |
| Facility failed to ensure operational alarms were installed on all doors that may be used to exit the facility. | Severity: F |
| Razors and a cigarette lighter were accessible to residents and not secured. | Severity: 2 |
| Perfume, aftershave, and hand sanitizer were not secured and accessible to residents. | Severity: 2 |
Report Facts
Number of residents present: 4
Total licensed capacity: 4
Sample size: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jasmine Castillo | Administrator | Named as Laboratory Director's or Provider/Supplier Representative's signature on report |
Inspection Report
Annual Inspection
Census: 3
Capacity: 4
Deficiencies: 3
Feb 3, 2016
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with regulatory requirements for a residential facility for elderly and disabled persons and/or persons with Alzheimer's disease.
Findings
The facility received a grade of A but had deficiencies including failure to maintain current first aid and CPR certification for one employee, unsecured resident files containing personal medical information, and non-functioning audible alarms on exit doors.
Severity Breakdown
Level 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Personnel file - failure to ensure caregiver's first aid and CPR certification was current. | Level 2 |
| Resident file storage - failure to keep resident files secure and confidential. | Level 2 |
| Alzheimer's facility door alarm - failure to ensure operational audible alarms on exit doors. | Level 2 |
Report Facts
Number of residents present: 3
Total licensed capacity: 4
Number of employees reviewed: 3
Number of resident files reviewed: 3
Inspection Report
Annual Inspection
Census: 3
Capacity: 4
Deficiencies: 3
Feb 3, 2016
Visit Reason
This annual State Licensure survey was conducted to assess compliance with state regulations for Desert Inn Residential Care, a facility licensed for four Residential Facility for Group beds for elderly and disabled persons and/or persons with Alzheimer's disease.
Findings
The facility received a grade of A but had several deficiencies including one employee with expired first aid and CPR certification, unsecured resident files containing personal medical information, and two exit doors without operational alarms as required for Alzheimer's care facilities.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Personnel file for a caregiver lacked current first aid and CPR certification; Employee #3 had expired certification and worked during that period. | Severity: 2 |
| Resident files were observed unsecured in a filing cabinet in the kitchen, exposing personal identifiable medical information. | Severity: 2 |
| Two of three exit doors lacked operational alarms that activate when doors are opened, including the kitchen door and sliding glass door to the backyard. | Severity: 2 |
Report Facts
Licensed beds: 4
Current census: 3
Employee files reviewed: 3
Resident files reviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #3 identified as having expired first aid and CPR certification and acknowledged unsecured files and non-functioning alarms |
Inspection Report
Annual Inspection
Deficiencies: 0
Mar 2, 2015
Visit Reason
This document is the result of an annual state licensure survey conducted at the facility on 3/2/15 by the Division of Public and Behavioral Health.
Findings
No deficiencies were identified during the survey. The facility received a survey grade of A.
Inspection Report
Complaint Investigation
Census: 4
Capacity: 4
Deficiencies: 1
Dec 18, 2014
Visit Reason
The inspection was conducted as a complaint investigation regarding fire protection equipment (alarms, fire sprinkler system, and smoke detectors) not being inspected or operational.
Findings
The facility failed to ensure fire protection equipment inspections and functionality were maintained, including fire sprinkler system inspections and fire extinguisher recharging. The complaint was substantiated with deficiencies identified related to fire protection safety.
Complaint Details
Complaint NV00041444 contained one allegation regarding fire protection equipment not inspected or operational. The complaint was substantiated.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Protection from Fire - The facility failed to ensure fire protection equipment, inspections, and functionality were maintained as required by regulations. | Severity: 2 |
Report Facts
Census: 4
Total Capacity: 4
Severity Level: 2
Scope: 3
Inspection Report
Complaint Investigation
Census: 4
Capacity: 4
Deficiencies: 1
Dec 18, 2014
Visit Reason
This inspection was conducted as a complaint investigation triggered by a complaint alleging that fire protection equipment was not inspected or operational.
Findings
The facility failed to ensure that fire protection equipment, including fire sprinkler system inspections and fire extinguisher recharging, was maintained and operational. The complaint was substantiated with observations of past due fire extinguisher inspections and lack of quarterly sprinkler system inspections.
Complaint Details
Complaint NV00041444 contained one allegation regarding physical environment - fire protection equipment not inspected or operational. The complaint was substantiated.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure fire protection equipment inspections and functionality were maintained, including fire sprinkler system and fire extinguishers. | Severity: 2 |
Report Facts
Census: 4
Total Capacity: 4
Severity: 2
Scope: 3
Inspection Report
Annual Inspection
Census: 1
Capacity: 4
Deficiencies: 2
Feb 6, 2014
Visit Reason
The inspection was conducted as a State Licensure annual grading survey of a residential facility for elderly and disabled persons, including those with Alzheimer's Disease.
Findings
The facility received a grade of A but was found deficient in medication storage and Alzheimer's facility door alarm regulations. Specifically, medication was not stored in a secured location and two of three exit doors were not properly alarmed at all times.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Medication was found unsecured on a top shelf in a closet in the dining room, violating medication storage regulations. | Severity: 2 |
| Two of three exit doors were not alarmed at all times, violating Alzheimer's facility door alarm requirements. | Severity: 2 |
Report Facts
Census: 1
Total Capacity: 4
Severity Level 2 Deficiencies: 2
Scope: 1
Scope: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jarmine Castillo | Administrator | Signed the statement of deficiencies |
Inspection Report
Annual Inspection
Census: 1
Capacity: 4
Deficiencies: 2
Feb 6, 2014
Visit Reason
This inspection was conducted as a State Licensure annual grading survey of the Desert Inn Residential Care facility on 02/06/2014.
Findings
The facility received a grade of A but had two regulatory deficiencies: unsecured medication found in a closet and two of three exit doors lacking operational alarms at all times.
Severity Breakdown
2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Medication with no label on the bottle was found unsecured on a top shelf in a closet located in the dining room. | 2 |
| Two of three exit doors (front door and back patio exit door) were not alarmed at all times because alarms were turned off due to loudness. | 2 |
Report Facts
Licensed capacity: 4
Census: 1
Inspection Report
Annual Inspection
Census: 4
Capacity: 4
Deficiencies: 4
Feb 8, 2013
Visit Reason
This document is a State Licensure survey conducted as an annual inspection of a residential facility for group beds for elderly and disabled persons, including those with Alzheimer's Disease.
Findings
The facility received a grade of A but was found deficient in maintaining cleanliness of bathrooms, tuberculosis testing documentation, ensuring dangerous items were inaccessible, and providing elder abuse training to employees.
Severity Breakdown
Severity: 2: 3
Deficiencies (4)
| Description | Severity |
|---|---|
| Facility failed to ensure 1 of 2 bathrooms was clean and well maintained (Bathroom #2 toilet was soiled and needed cleaning). | Severity: 2 |
| Facility failed to ensure 2 of 2 residents complied with tuberculosis testing requirements; missing annual or initial step TB tests. | Severity: 2 |
| Facility failed to ensure dangerous items (razor and lighter) were inaccessible to residents. | Severity: 2 |
| Administrator failed to ensure 2 of 4 employees received training in recognition, prevention, and response to elder abuse. | — |
Report Facts
Number of residents present: 4
Total licensed capacity: 4
Number of deficiencies with Severity 2: 3
Number of employees lacking elder abuse training: 2
Inspection Report
Annual Inspection
Census: 4
Capacity: 4
Deficiencies: 4
Feb 8, 2013
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 2/8/2013 at Desert Inn Residential Care.
Findings
The facility received a grade of A but was found deficient in several areas including cleanliness and maintenance of bathrooms, tuberculosis testing compliance, accessibility of dangerous items to residents, and employee training on elder abuse recognition and prevention.
Severity Breakdown
2: 3
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 2 bathrooms were clean and well maintained (Bathroom #2 toilet was soiled and needed cleaning). | 2 |
| Failed to ensure 2 of 2 residents complied with tuberculosis testing requirements (Resident #1 missing annual 2012 1 step TB test; Resident #4 missing documentation of initial 2 step TB test). | 2 |
| Failed to ensure dangerous items were inaccessible to residents; unsecured razor in Bathroom #1 and lighter in unlocked kitchen drawer accessible to 3 of 4 residents. | 2 |
| Administrator failed to ensure 2 of 4 employees received training in recognition, prevention, and response to elder abuse per Senate Bill 129. | — |
Report Facts
Number of beds: 4
Census: 4
Employees reviewed: 4
Residents reviewed: 4
Employees not trained: 2
Residents non-compliant with TB testing: 2
Residents with access to dangerous items: 3
Inspection Report
Annual Inspection
Census: 3
Capacity: 4
Deficiencies: 3
Feb 1, 2012
Visit Reason
This document is an annual State Licensure survey conducted to assess compliance with regulatory standards for Desert Inn Residential Care.
Findings
The facility received a grade of A but had deficiencies related to health and sanitation, Alzheimer's facility door alarms, and dangerous items accessibility. Specific issues included uncovered trash cans, malfunctioning door alarms, and dangerous items accessible to residents.
Severity Breakdown
Level 1: 1
Level 2: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to ensure premises were clean and well maintained; uncovered trash cans observed. | Level 1 |
| Facility failed to ensure 1 of 3 exit doors had operational alarms as required for Alzheimer's care. | Level 2 |
| Facility failed to ensure dangerous items (large switchblade knife and long metal pipe) were inaccessible to residents. | Level 2 |
Report Facts
Census: 3
Total Capacity: 4
Deficiency Severity Level 1: 1
Deficiency Severity Level 2: 2
Inspection Report
Annual Inspection
Census: 3
Capacity: 4
Deficiencies: 3
Feb 1, 2012
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 2/1/2012 at Desert Inn Residential Care.
Findings
The facility received a grade of A but was found deficient in maintaining clean and well-maintained premises, ensuring operational door alarms on exit doors, and securing dangerous items from residents.
Severity Breakdown
Severity: 1: 1
Severity: 2: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to ensure the premises was clean and well maintained (one kitchen and three outdoor trash cans were without lids). | Severity: 1 |
| Facility failed to ensure 1 of 3 exit doors had installed alarms that operated when the exit door was opened (alarm to kitchen door leading to backyard had been turned off). | Severity: 2 |
| Facility failed to ensure dangerous items were not accessible to 3 of 3 residents (large switchblade knife and long metal pipe found in a resident bathroom cabinet). | Severity: 2 |
Report Facts
Licensed beds: 4
Resident census: 3
Deficiency count: 3
Inspection Report
Re-Inspection
Deficiencies: 0
May 31, 2011
Visit Reason
This document is a required grading re-survey conducted at the facility on 05/31/2011 as part of a State Licensure survey by the Health Division.
Findings
The facility received a re-survey grade of A and no deficiencies were identified during this inspection.
Report Facts
Re-survey grade: A
Inspection Report
Annual Inspection
Census: 4
Capacity: 4
Deficiencies: 4
Jan 6, 2011
Visit Reason
This document is the result of an annual State Licensure survey conducted at the facility on 01/06/2011 to assess compliance with regulatory requirements.
Findings
The facility received a grade of B. Deficiencies were identified related to incomplete and inaccurate resident records, insufficient caregiver training hours, inadequate laundry room ventilation, and failure to obtain ultimate user agreements for medication administration.
Severity Breakdown
Severity: 2: 2
Severity: 1: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Administrator failed to keep the records of the facility complete and accurate, including admission documents and resident contracts for residents #4 and #5. | Severity: 2 |
| Facility failed to ensure that 2 of 3 caregivers received eight hours of annual training. | Severity: 2 |
| Laundry room dryer was missing the ventilation duct and was not vented to the outside of the building. | Severity: 1 |
| Facility failed to ensure that an ultimate user agreement was obtained for 1 of 4 residents regarding medication administration. | Severity: 1 |
Report Facts
Resident census: 4
Total licensed capacity: 4
Caregivers not meeting training requirement: 2
Severity 2 deficiencies: 2
Severity 1 deficiencies: 2
Inspection Report
Annual Inspection
Census: 4
Capacity: 4
Deficiencies: 4
Jan 6, 2011
Visit Reason
This document is the result of an annual State Licensure survey conducted on 1/6/2011 to assess compliance with state regulations for a residential care facility.
Findings
The facility received a grade of B and was found deficient in several areas including incomplete and inaccurate resident records, insufficient caregiver training hours, improper laundry room ventilation, and missing ultimate user medication agreements.
Severity Breakdown
1: 2
2: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Administrator failed to keep the records of the facility complete and accurate, including missing admission documents and resident contracts for residents #4 and #5. | 2 |
| Facility failed to ensure that 2 of 3 caregivers received the required eight hours of annual training. | 2 |
| Laundry room dryer was not vented to the outside of the building; the ventilation duct was missing. | 1 |
| Facility failed to ensure that an ultimate user medication agreement was obtained for 1 of 4 residents. | 1 |
Report Facts
Residents present: 4
Total licensed capacity: 4
Caregivers not meeting training requirement: 2
Residents missing ultimate user agreement: 1
Inspection Report
Re-Inspection
Deficiencies: 0
Apr 21, 2010
Visit Reason
This document is a statement of deficiencies generated as a result of a required grading re-survey conducted at the facility on 4/21/2010 by the authority of NRS 449.150, Powers of the Health Division.
Findings
No further regulatory deficiencies were identified during this re-survey. The facility received a grade of A.
Inspection Report
Annual Inspection
Census: 3
Capacity: 4
Deficiencies: 13
Jan 13, 2010
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 1/13/2010 at Desert Inn Residential Care, a facility licensed for four Residential Facility for Group beds providing care to persons with Alzheimer's disease.
Findings
The facility received a grade of D with multiple deficiencies identified including failure to provide required caregiver training, incomplete personnel files, inadequate food supplies, medication administration errors, lack of proper safety measures for Alzheimer's residents such as unsecured pool fencing and non-functional door alarms, and failure to ensure awake staff at all times.
Severity Breakdown
Level 1: 1
Level 2: 12
Deficiencies (13)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 4 employees received eight hours of medical management annual training. | Level 2 |
| Failed to ensure 1 of 4 employees complied with tuberculosis testing requirements. | Level 2 |
| Failed to ensure 3 of 4 employees met background check requirements. | Level 2 |
| Failed to ensure 1 of 4 employees were trained in first aid and CPR. | Level 2 |
| Failed to provide at least a 2-day supply of fresh food for 3 of 3 residents. | Level 2 |
| Failed to ensure a planned, dated and posted menu was utilized. | Level 1 |
| Failed to ensure 1 of 3 residents received an annual physical examination. | Level 2 |
| Failed to ensure 2 of 3 residents received medications as prescribed. | Level 2 |
| Failed to notify physician within 12 hours after medication refusal or missed doses for 2 of 3 residents. | Level 2 |
| Failed to ensure swimming pool was protected by an acceptable means to prevent access by residents; fence gates were rusted through. | Level 2 |
| Failed to ensure that 1 of 2 exit doors had operational alarms that activated when the door was opened. | Level 2 |
| Failed to ensure at least one staff member was awake and on duty at all times; staff and residents were asleep at night. | Level 2 |
| Failed to ensure toxic substances were inaccessible to residents; gasoline container with gasoline was unsecured in the backyard. | Level 2 |
Report Facts
Licensed beds: 4
Residents present: 3
Employees reviewed: 4
Residents reviewed: 3
Discharged resident files reviewed: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Administrator/Owner | Named in medication administration and medication refill findings |
| Employee #3 | Named in medication administration and food supply findings | |
| Employee #4 | Named in caregiver training, tuberculosis testing, and background check deficiencies | |
| Employee #2 | Named in background check deficiency |
Inspection Report
Annual Inspection
Census: 4
Capacity: 4
Deficiencies: 20
Feb 11, 2009
Visit Reason
The inspection was conducted as the annual state licensure survey for Desert Inn Residential Care, a residential facility providing care to persons with Alzheimer's disease.
Findings
The survey identified multiple regulatory deficiencies including staffing schedule maintenance, incomplete personnel files, medication administration issues, resident file documentation deficiencies, and safety concerns related to accessibility of dangerous items and toxic substances.
Severity Breakdown
Level 1: 6
Level 2: 12
Deficiencies (20)
| Description | Severity |
|---|---|
| Administrator failed to maintain a monthly staffing schedule retained for at least six months. | Level 1 |
| Facility failed to keep a separate personnel file for 1 of 3 employees. | Level 1 |
| No hire date for 2 of 3 employees. | Level 1 |
| Failed to ensure 2 of 3 caregivers complied with tuberculosis testing requirements. | Level 2 |
| Failed to investigate references on 2 of 3 employees. | Level 1 |
| Failed to ensure 3 of 3 caregivers met background check requirements. | Level 2 |
| Failed to ensure 2 of 3 caregivers were trained in first aid and CPR. | Level 2 |
| Hall bathroom window screen was not intact. | Level 2 |
| Failed to keep calendar of activities on file for at least 6 months after expiration. | Level 1 |
| Failed to obtain ultimate user agreement for 1 of 4 residents. | Level 1 |
| Failed to label over-the-counter medication containers with resident and physician information for 2 of 4 residents. | Level 2 |
| Failed to ensure 1 of 4 residents received medications as prescribed. | Level 2 |
| Medication administration record (MAR) was inaccurate for 1 of 4 residents. | Level 2 |
| Medication record for PRN medications was incomplete for 1 of 4 residents. | Level 1 |
| Failed to ensure 2 of 4 resident files contained physician statements on mental and physical condition. | Level 2 |
| Failed to ensure 2 of 4 residents complied with tuberculosis testing requirements. | Level 2 |
| Failed to ensure 1 of 4 resident files contained types and amounts of protective supervision and personal services needed. | Level 2 |
| Failed to perform evaluation of resident's ability to perform activities of daily living upon admission for 1 of 4 residents. | Level 2 |
| Failed to ensure scissors in kitchen drawer were inaccessible to residents. | Level 2 |
| Failed to ensure toxic substances in bathrooms and kitchen were inaccessible to residents. | Level 2 |
Report Facts
Total beds: 4
Census: 4
Number of residents reviewed: 4
Number of employee files reviewed: 3
Number of residents with ultimate user agreement missing: 1
Number of residents with medication labeling issues: 2
Number of residents with medication administration issues: 1
Number of residents with inaccurate MAR: 1
Number of residents with incomplete PRN medication record: 1
Number of residents missing physician statements: 2
Number of residents missing protective supervision documentation: 1
Number of residents missing ADL evaluation upon admission: 1
Report
File
Care.pdf
Report
File
Desert
Report
File
Inn
Report
File
Notice
Report
File
Residential
Report
File
Sanction_Sanction
Report
File
signed
Loading inspection reports...



