Inspection Reports for Golden Brook Residential Facility
205 Pancho Via Dr, Henderson, NV 89012, NV, 89012
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 4
Jul 22, 2025
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A but had several deficiencies including failure to ensure timely elder abuse training, pre-employment physical examinations and TB testing, CPR training within 30 days of hire, and failure to notify physicians after residents missed medications as ordered.
Severity Breakdown
E: 3
D: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to ensure 2 of 7 employees received elder abuse training prior to providing care to residents. | E |
| Failure to ensure 3 of 7 employees had evidence of pre-employment physical examination and/or two-step tuberculosis test at time of hire. | E |
| Failure to ensure 1 of 7 employees received in-person CPR or first aid training within 30 days of hire. | D |
| Failure to ensure residents received medications per physicians' orders and failure to notify physicians after missed doses for 4 of 9 sampled residents. | E |
Report Facts
Number of employees reviewed: 7
Number of resident files reviewed: 9
Number of residents present: 9
Total licensed capacity: 10
Number of residents with missed medications: 4
Inspection Report
Re-Inspection
Census: 8
Capacity: 10
Deficiencies: 0
Oct 7, 2024
Visit Reason
This inspection was a State Licensure mandatory grading resurvey conducted in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the inspection. The facility received a grade of A and no further action was necessary.
Report Facts
Licensed beds: 10
Residents present: 8
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 10
Jul 11, 2024
Visit Reason
Annual State Licensure survey conducted in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of D with multiple deficiencies including failure to ensure elder abuse training, incomplete personnel files, inadequate TB screening, incomplete CPR and first aid training, unscreened windows, unsecured oxygen tanks, and lack of designated infection control personnel.
Severity Breakdown
E: 3
F: 7
Deficiencies (10)
| Description | Severity |
|---|---|
| Failed to ensure 3 of 8 employees received elder abuse training as required by regulation NRS 449.196. | E |
| Failed to have an employee file on site for 1 of 9 employees. | E |
| Failed to ensure 3 of 8 employees received a 2-Step TB skin test or chest X-ray when required. | E |
| Failed to ensure 6 of 8 employees received cardiopulmonary resuscitation (CPR) and/or first aid training. | F |
| Failed to ensure 7 of 9 windows capable of being opened were screened to prevent entry of insects. | F |
| Failed to ensure the laundry room was free of fire hazards due to excessive lint and debris behind dryer. | F |
| Failed to ensure 2 of 6 bedrooms had operational windows that opened to the outside. | F |
| Failed to store oxygen tanks securely; five tanks found unsecured and free-standing in garage. | F |
| Failed to identify primary and secondary persons responsible for infection control program. | F |
| Failed to ensure 5 of 8 employees obtained required infection control training. | F |
Report Facts
Employees reviewed: 8
Employees reviewed: 9
Residents reviewed: 7
Windows without screens: 7
Oxygen tanks unsecured: 5
Bedrooms with non-operational windows: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Susan Scheidler | Assistant to the Administrator | Signed report and involved in corrective action plans |
| Prescila Barcelon | Infection Prevention Officer | Designated as one of the officers responsible for infection control |
| Susan Scheidler | Infection Prevention Officer | Designated as one of the officers responsible for infection control |
| Employee #2 | Caregiver | Failed elder abuse training and incomplete CPR/first aid training |
| Employee #3 | Caregiver | Failed elder abuse training, incomplete TB screening, incomplete CPR/first aid training |
| Employee #4 | Caregiver | Failed elder abuse training, incomplete CPR/first aid training |
| Employee #6 | Caregiver | Incomplete TB screening and CPR/first aid training |
| Employee #7 | Caregiver | Incomplete TB screening |
| Employee #9 | Caregiver | No employee file on site |
| Employee #1 | Caregiver | Incomplete CPR/first aid and infection control training |
| Employee #5 | Caregiver | Incomplete CPR/first aid and infection control training |
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 2
Jul 18, 2023
Visit Reason
The inspection was an annual State Licensure survey initiated on 07/18/2023 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A but was found deficient in ensuring elder abuse training for employees and cultural competency training. Specifically, 3 of 5 sampled employees lacked required elder abuse training and 1 of 5 lacked cultural competency training within 30 days of hire.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure 3 of 5 sampled employees received elder abuse training per regulation NRS 449.196. | Severity: 2 |
| Facility failed to ensure one of five sampled employees had training in cultural competency within 30 days of hire. | Severity: 2 |
Report Facts
Number of beds: 10
Census: 7
Employees sampled: 5
Residents sampled: 7
Inspection Report
Renewal
Census: 7
Capacity: 10
Deficiencies: 6
Sep 29, 2022
Visit Reason
This inspection was a mandatory grading State Licensure resurvey conducted in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A. Several regulatory deficiencies were identified including unsecured resident files, unsecured toxic substances, and failure to post the grade placard. The facility implemented staff training and corrective actions for each deficiency.
Severity Breakdown
F: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Medication storage not compliant with NAC 449.2748; medication must be stored in a locked, cool, and dry area. | F |
| Resident files were unsecured in a cabinet in the sitting area, violating confidentiality requirements. | F |
| Failure to install operational alarms on all exit doors as required for Alzheimer's care safety standards. | F |
| Knives, matches, firearms, tools and other dangerous items were not inaccessible to residents as required. | F |
| Toxic substances (Lysol spray) were unsecured and accessible to residents. | F |
| Failure to post the grade placard conspicuously within 24 hours of receipt. | F |
Report Facts
Resident files unsecured: 7
Employee files reviewed: 6
Facility licensed beds: 10
Census at time of survey: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Patricia Theresa Brushfield | Administrator | Signed the report and responsible for corrective actions and staff training. |
Inspection Report
Annual Inspection
Census: 6
Capacity: 10
Deficiencies: 6
Jul 18, 2022
Visit Reason
The inspection was an annual and infection control State Licensure survey conducted at the facility from 07/18/22 to 07/21/22 in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility was found deficient in multiple areas including medication storage security, maintenance and confidentiality of resident files, lack of audible alarms on exit doors, unsecured sharp items, accessibility of toxic substances, and failure to ensure employees completed required cultural competency training within 30 days of hire.
Severity Breakdown
Severity: 2: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to ensure medications were stored securely and made inaccessible to residents; medication closet was unlocked with unsecured medications for multiple residents. | Severity: 2 |
| Failed to ensure medical records were secured and protected against unauthorized use; resident files cabinet was unlocked. | Severity: 2 |
| Failed to ensure an audible alarm system was activated on the exit door to the garage area. | Severity: 2 |
| Failed to ensure sharp items such as scissors and knives were secured from residents with Alzheimer's disease and/or dementia; locking mechanism on drawer was broken. | Severity: 2 |
| Failed to ensure toxic substances were inaccessible to residents; chemical-based cleaning solutions were stored in unsecured cabinets. | Severity: 2 |
| Failed to ensure employees received cultural competency training within 30 days of their date of hire for 9 of 10 employees. | Severity: 2 |
Report Facts
Facility licensed beds: 10
Resident census: 6
Employee files reviewed: 10
Resident files reviewed: 6
Employees lacking cultural competency training: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Patricia Theresa Brushfield | Administrator | Named as responsible for implementation of corrections |
Inspection Report
Original Licensing
Capacity: 10
Deficiencies: 0
Sep 21, 2021
Visit Reason
The inspection was conducted as an initial State Licensure and infection control survey for the facility's request for licensure of 10 Residential Facility for Groups beds for elderly and disabled persons and/or persons with Alzheimer's disease.
Findings
No regulatory deficiencies were identified during the survey. The facility was provided guidance on infection control planning and compliance with relevant Nevada statutes and regulations regarding discrimination, privacy, and cultural competency.
Report
File
7.18.22.pdf
Report
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B91E11
Report
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Golden
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