Inspection Reports for Dignity Care Home

The inspection was conducted as a result of a complaint investigation triggered by three complaints received by the facility.

The investigation found no regulatory deficiencies; all three complaints were unsubstantiated. Observations, interviews, and record reviews were conducted with no issues identified.

Three complaints were investigated: Complaint #NV00074299, Complaint #NV00074581, and Complaint #NV00074694. All were unsubstantiated with no regulatory deficiencies identified.

This inspection was a State licensure mandatory grading resurvey conducted in accordance with Nevada Administrative Code (NAC) Chapter 449 for a Residential Facility for Groups.

The facility received a grade of A with no regulatory deficiencies identified. Seven resident files and three employee files were reviewed, and the premises were found to be clean and well maintained.

The inspection was conducted as a result of an annual State Licensure and a complaint investigation survey initiated at the facility on 12/10/2024.

The facility received a grade of C with one complaint investigated and unsubstantiated. Multiple regulatory deficiencies were identified including failure to maintain the facility's interior and exterior, medication administration documentation issues, lack of readily available keys for secured gates, incomplete Alzheimer's/Dementia training for employees, and incomplete background checks for staff.

One complaint (NV00072394) was investigated and found to be unsubstantiated.

The inspection was conducted as an annual State Licensure survey combined with a complaint investigation at the facility on 12/11/23, completed on 12/20/23, to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

The facility was found deficient in several areas including expired food items unsuitable for residents, failure to develop person-centered service plans for all residents, admission of a resident with mental illness without proper endorsement, and failure to ensure infection control designees completed required training. One complaint was substantiated regarding the inappropriate admission of a resident with mental illness.

Complaint #NV00069998 was verified. The complaint involved the admission of a resident with documented mental illnesses without the required mental illness endorsement for the facility. The resident exhibited aggressive and combative behavior and required constant supervision. The Administrator acknowledged the resident was not appropriate for the facility.

The inspection was conducted as a State Licensure annual and infection control survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.

The facility received a grade of A. Deficiencies were identified including failure to complete an annual tuberculosis test for one resident and failure to ensure operational alarms on exit doors, with corrective actions implemented promptly.

The inspection was conducted as a State Licensure Annual Grading and infection control survey at the facility on 12/02/21 in accordance with Nevada Administrative Code Chapter 449, Residential Facilities for Groups.

The facility received a grade of A with no regulatory deficiencies identified. Guidance was provided on compliance with NRS 449.101, NRS 449.102, and LCB File No. R016-20 regarding discrimination, privacy, and cultural competency policies.

This inspection was a COVID-19 focused infection control survey conducted to assess the facility's compliance with infection control practices during the pandemic.

The facility maintained several infection control measures such as temperature checks, social distancing, PPE usage, and sanitization practices. However, a deficiency was found as staff were not fit-tested or medically cleared for N95 respirators, and the facility lacked an infection control policy.

The inspection was conducted as a result of a re-grading, State Licensure survey, and focused COVID-19 infection control survey initiated and finalized on 08/25/2020.

No deficiencies were identified during the survey. The facility was observed to follow COVID-19 infection control protocols including staff wearing masks, hand hygiene, PPE inventory, resident screening, social distancing, and cleaning procedures. The facility received a grade of A.

This inspection was conducted as a result of a State Licensure annual survey at the facility on 01/22/2020, in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.

The facility received a grade of D with multiple deficiencies identified including failure to maintain wound care documentation, lack of bedfast exemptions, missing annual physical exams, incomplete medication reviews, improper medication storage, missing tuberculosis testing, non-functional exit door alarms, unsecured sharp objects, and unsecured toxic substances.

This inspection was conducted as a result of a complaint investigation initiated on 2019-07-08 and finalized on 2019-09-12 regarding medication administration and staff qualifications at the facility.

The facility was found to have substantiated deficiencies related to failure to administer medications according to physician orders, failure to accommodate medication needs, and failure to provide adequate oversight and compliance with policies. Resident #1 did not receive prescribed insulin injections for eleven days, and the facility failed to notify the physician of missed doses or changes in the resident's condition. The facility admitted a resident requiring insulin injections without the ability to provide such care.

Complaint #NV00057474 with three allegations: 1) Resident was not administered medications according to physician's instructions (substantiated). 2) Resident's medication needs were not accommodated (substantiated). 3) Facility had unqualified staff to administer insulin (not substantiated).

This document reports the results of an annual State Licensure survey conducted at the facility on 12/7/15 by the Division of Public and Behavioral Health.

The facility was found to be in compliance with no regulatory deficiencies identified and received a grade of A.

The inspection was conducted as a complaint investigation initiated by the Division of Public and Behavioral Health on 3/26/15 due to a complaint containing two allegations regarding medication administration and medication cart security.

The complaint was substantiated with deficiencies found in medication administration records (MAR) not being signed and incomplete documentation for PRN medications. Additional deficiencies were identified during the investigation, including failure to administer medications as prescribed for 2 of 9 residents and incomplete medication administration records for 8 of 9 residents. The administrator acknowledged the findings and agreed to corrective actions.

Complaint #NV00042233 contained two allegations: 1) Medication cart was unlocked with keys in the lock (not substantiated). 2) MAR was not signed for medications given and reason/results were not recorded for PRN medications (substantiated). The complaint investigation was initiated by the Division of Public and Behavioral Health on 3/26/15.

The inspection was conducted as a complaint investigation initiated by the Division of Public and Behavioral Health on 3/26/15 due to two allegations regarding medication administration and medication cart security.

The complaint was substantiated for failure to properly sign the Medication Administration Record (MAR) for medications given and failure to record reasons/results for PRN medications. Additional deficiencies were identified related to medication administration not being given as prescribed for some residents. The medication cart allegation was not substantiated.

Complaint #NV00042233 contained two allegations: 1) medication cart was unlocked with keys in the lock (not substantiated), and 2) MAR was not signed and PRN medication reasons/results were not recorded (substantiated).

This inspection was conducted as a State Licensure grading re-survey of the residential facility on 12/30/14 to assess compliance with state regulations and licensing requirements.

The facility received a grade of A but was found deficient in providing adequate oversight and direction to ensure residents received needed services, specifically for Resident #3. Additionally, the facility failed to maintain accurate medication administration records for Resident #3, with six medications not properly documented or prescribed.

This inspection was a State Licensure grading re-survey conducted to assess compliance with regulatory requirements at the facility.

The facility received a grade of A but was found deficient in providing adequate oversight and direction to staff, resulting in failure to ensure needed services for one resident. Additionally, the facility failed to maintain accurate medication administration records for one resident, with six medications listed that were not prescribed or approved.

This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 11/13/14 to evaluate compliance with state regulations for a residential facility.

The facility was found deficient in several areas including administrator oversight, elder abuse training, health and sanitation, fire safety, oxygen tank security, periodic physical examinations, medication administration, and resident file maintenance. The facility received a grade of C.

This annual State Licensure survey was conducted to assess compliance with state regulations for a residential facility for group beds for elderly and disabled persons, including those with mental illness or chronic illness.

The facility received a grade of C with multiple deficiencies identified including failure to provide adequate oversight by the administrator, lack of elder abuse training for employees, poor health and sanitation conditions, incomplete fire safety documentation, unsecured oxygen tanks, failure to ensure annual physical exams for residents, medication administration issues, and incomplete resident tuberculosis testing documentation.

The inspection was conducted as a complaint investigation from 10/8/14 through 10/28/14 based on complaint #NV00040647 which contained two allegations regarding quality of care and administration/personnel.

The complaint was substantiated for the allegation that resident medications were not given according to physician instructions. The facility failed to ensure one resident received medications as prescribed, specifically Resident #1 who did not receive a prescribed stool softener medication. The allegation regarding administration/personnel was not substantiated.

Complaint #NV00040647 contained two allegations: #1 Quality of care/treatment - resident medications not given according to physician instructions (substantiated); #2 Administration/personnel (not substantiated).

The inspection was conducted as a complaint investigation from 10/8/14 through 10/28/14 regarding allegations of quality of care and administration/personnel.

The complaint investigation substantiated that resident medications were not given according to physician instructions, specifically one resident did not receive prescribed medication timely. The allegation related to administration/personnel was not substantiated. The facility implemented a new medication received log and plans to improve communication with physicians.

Complaint #NV00040647 contained two allegations: #1 Quality of care/treatment - resident medications not given according to physician instructions (substantiated); #2 Administration/personnel (not substantiated).

This document is a Statement of Deficiencies generated as a result of an initial State licensure survey conducted on 11/13/13 for a residential facility requesting licensure for ten group beds for elderly and disabled persons.

The facility was found to have multiple deficiencies including failure to maintain clean premises, lack of window screens to prevent insect entry, insufficient bedroom storage space, lack of non-slip surfaces in bathrooms, absence of a complete first aid kit, and an incomplete medication plan missing all eight required components.

This visit was an initial State licensure survey conducted to license the facility for ten Residential Facility for Group beds for elderly and disabled persons and/or persons with mental illness, and/or persons with chronic illness.

The facility was found to have multiple deficiencies including failure to maintain the premises, missing window screens, inadequate bedroom storage space, lack of non-slip surfaces in bathrooms, incomplete first aid kit, and failure to prepare a comprehensive medication plan.