Inspection Reports for Henderson Health and Rehab
1180 E Lake Mead Pkwy, Henderson, NV 89015, NV, 89015
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
Inspection Report
Complaint Investigation
Census: 246
Deficiencies: 3
May 29, 2025
Visit Reason
The inspection was conducted as a result of complaint and facility reported incident (FRI) investigations at the facility from 05/29/2025 through 05/30/2025.
Findings
The investigation included observations, interviews, and document reviews. Several deficiencies were identified related to physical restraints, ADL care, and respiratory/tracheostomy care. Corrective actions were implemented including staff education, suspension and termination of staff, and policy reviews.
Complaint Details
There were eight complaints and one FRI investigated. Three complaints and the FRI were substantiated, some with regulatory deficiencies and some without. Several complaints were unsubstantiated. The investigation included interviews with multiple staff and residents, clinical record reviews, and document reviews.
Severity Breakdown
SS=D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to ensure a resident was free from physical restraints without a physician order, placing the resident at risk of physical and psychosocial harm. | SS=D |
| Facility failed to provide documented evidence assistance with activities of daily living (ADL) for a sampled resident, risking skin integrity. | SS=D |
| Facility failed to ensure respiratory care, including tracheostomy care and suctioning, was provided consistent with professional standards and care plans. | SS=D |
Report Facts
Sample size: 8
Complaints investigated: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse LPN1 | Involved in failure to monitor resident restraints and was suspended and terminated following investigation | |
| Licensed Practical Nurse LPN2 | Discovered restraints without physician order and notified Director of Nursing | |
| Director of Nursing | Director of Nursing | Notified of restraint issue, initiated investigation, confirmed LPN1's actions, and oversaw corrective actions |
| Administrator | Administrator (Abuse Coordinator) | Confirmed facility attempts to avoid restraints and provided information on resident restraint history |
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Explained facility restraint policy and procedures |
| Registered Nurse RN | Registered Nurse | Indicated facility general practice was not to use restraints |
Inspection Report
Complaint Investigation
Census: 229
Deficiencies: 1
Jan 28, 2025
Visit Reason
The inspection was conducted as a complaint investigation following 8 complaints and Facility Reported Incidents (FRIs) at the facility.
Findings
The facility failed to ensure the call light buttons were within reach of one sampled resident, posing potential safety risks. Several complaints and FRIs were substantiated with no deficient practice, while two FRIs were not substantiated. Corrective actions including staff reeducation and call light audits were implemented.
Complaint Details
There were 8 complaints and Facility Reported Incidents (FRIs) investigated. Complaint NV00072771 was substantiated. Complaints NV00073174 and FRIs NV00072870, NV00072918, NV00073164, NV00073222 were substantiated with no deficient practice. FRIs NV00072865 and NV00073182 were not substantiated with no regulatory deficiencies identified.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The facility failed to ensure the call light buttons were within the reach of residents, specifically for 1 of 11 sampled residents, leading to potential safety risks. | SS=D |
Report Facts
Sample size: 11
Complaints and FRIs investigated: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Stated call lights should be placed within reach of the resident and responsible for reporting trends or concerns related to corrective actions. | |
| Licensed Practical Nurse (LPN) | Verbalized call light should have been within reach and communicated staff responsibility. | |
| Infection Preventionist | Responsible for corrective action and reeducation of staff on call light policy/procedures. |
Inspection Report
Annual Inspection
Census: 238
Deficiencies: 1
Aug 23, 2024
Visit Reason
This inspection was conducted as a state licensure survey in conjunction with a Federal Recertification survey at Henderson Health and Rehabilitation from 08/20/2024 through 08/23/2024 to assess compliance with Nevada Administrative Code (NAC) 449 for Skilled Nursing Facilities.
Findings
The facility was found deficient in maintaining personnel records, specifically failing to ensure that one of ten employee files contained evidence of a Nevada Automated Background System (NABS) clearance, placing residents at risk for inappropriate care.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Personnel records lacked evidence of a Nevada Automated Background System (NABS) clearance for 1 of 10 employees. | Severity: 2 |
Report Facts
Census: 238
Sample size: 35
Employee files reviewed: 10
Deficiency scope: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Seth Anderson | Executive Director | Signed the Statement of Deficiencies report |
Inspection Report
Annual Inspection
Census: 238
Deficiencies: 2
Aug 17, 2023
Visit Reason
This inspection was conducted as a state licensure survey in conjunction with a Federal Recertification survey to assess compliance with Nevada Administrative Code (NAC) 449 for Skilled Nursing Facilities.
Findings
The facility was found deficient in maintaining complete personnel records, including missing employee screening reference checks, physical examinations, and Nevada Automated Background System (NABS) clearances for several employees. Additionally, the facility failed to ensure required dementia training was provided to some employees. These deficiencies placed residents at risk for receiving inappropriate care.
Severity Breakdown
Severity 2 Scope 1: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Personnel records lacked evidence of employee screening reference checks for 2 of 11 employees, missing physical examinations for 7 of 11 employees, and missing NABS clearance for 4 of 11 employees. | Severity 2 Scope 1 |
| Failure to provide required dementia training to 3 of 11 employees who provide care to persons with dementia. | Severity 2 Scope 1 |
Report Facts
Census: 238
Sample size: 38
Employees reviewed: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee 4 | Assistant Director of Nursing | No record of employee reference checks and physical examination; terminated |
| Employee 7 | Administrator | No record of employee reference checks and physical examination; employee file updated |
| Employee 10 | Certified Nursing Assistant | No record of physical examination and NABS clearance; terminated |
| Employee 3 | Director of Nursing | No record of physical examination and annual dementia training; personnel file updated |
| Employee 5 | Registered Nurse | No record of dementia training; personnel file updated |
| Employee 11 | Nurse Aide in Training | No record of physical examination and dementia training; personnel file updated |
Inspection Report
Complaint Investigation
Census: 236
Deficiencies: 0
May 18, 2023
Visit Reason
The inspection was conducted as a complaint investigation based on four complaints received about the facility from 05/17/2023 through 05/18/2023.
Findings
The investigation included observations, interviews with staff and residents, clinical record reviews, and document reviews. No regulatory deficiencies were identified and no further action was necessary.
Complaint Details
Four complaints were investigated: one complaint (#NV00068299) was verified with no deficient practice; three complaints (#NV00067539, #NV00068069, #NV00067375) could not be verified and no regulatory deficiencies were identified.
Report Facts
Sample size: 7
Complaints investigated: 4
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