Inspection Reports for Honeybee Home
1821 E Ambush St, Pahrump, NV 89048, USA, NV, 89048
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Inspection Report
Annual Inspection
Census: 6
Capacity: 10
Deficiencies: 3
Oct 2, 2024
Visit Reason
This inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for a Residential Facility for Groups.
Findings
The facility received a grade of A but was cited for deficiencies including failure to ensure medication reviews were conducted every six months for some residents, lack of a comprehensive infection control policy, and failure to ensure required infection control training for employees.
Severity Breakdown
E: 1
F: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure medication reviews were conducted every six months for 3 of 6 residents as required. | E |
| Failure to adopt a comprehensive infection control policy and ensure primary and secondary infection control staff completed 15 hours of infection control training. | F |
| Failure to ensure 6 of 9 employees obtained the required annual infection control training. | F |
Report Facts
Residents present: 6
Total licensed beds: 10
Residents reviewed for medication: 6
Employee files reviewed: 9
Residents with missing medication reviews: 3
Employees lacking infection control training: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Patricia Rippie | Administrator | Named as Administrator responsible for oversight and infection control policy |
| Employee #4 | Manager | Manager involved in medication review process and infection control training monitoring |
| Employee #2 | Caregiver / Primary Infection Control Staff | Primary infection control staff lacking required training |
| Employee #9 | Administrator / Secondary Infection Control Staff | Secondary infection control staff lacking required training |
Inspection Report
Complaint Investigation
Census: 7
Deficiencies: 0
Feb 27, 2024
Visit Reason
The inspection was conducted as a result of a complaint investigation at the facility on 02/27/24, in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
One complaint was investigated and verified with no deficient practice. The investigation included observations, interviews, clinical record reviews, and document reviews. No regulatory deficiencies were identified and no further action was necessary.
Complaint Details
One complaint (#NV00070199) was investigated and verified with no deficient practice.
Report Facts
Sample size: 3
Inspection Report
Annual Inspection
Census: 6
Capacity: 10
Deficiencies: 3
Oct 12, 2023
Visit Reason
This 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 but had several regulatory deficiencies related to tuberculosis (TB) screenings for employees and residents, and failure to complete an Activities of Daily Living (ADL) assessment upon admission for one resident.
Severity Breakdown
2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure annual tuberculosis (TB) screening was completed for 1 of 5 employees (Employee #2). | 2 |
| Failed to ensure annual TB screening and initial two-step TB screening were completed and documented for 2 of 6 residents (Resident #3 and Resident #6). | 2 |
| Failed to ensure an Activities of Daily Living (ADL) assessment was completed upon admission for 1 of 6 residents (Resident #5). | 2 |
Report Facts
Number of beds: 10
Census: 6
Employee files reviewed: 5
Resident files reviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Patricia Rippie | Administrator | Signed the inspection report and plan of correction |
| Employee #2 | Administrator | Named in deficiency for failure to complete annual TB screening |
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 1
Oct 13, 2022
Visit Reason
The 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 received a grade of A. One deficiency was identified related to personnel files: one of six employees lacked documented evidence of an annual tuberculosis (TB) test. The employee was reprimanded and corrective actions including inservice training and monitoring were implemented.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure 1 of 6 employees had an annual tuberculosis (TB) test documented. | Severity: 2 |
Report Facts
Number of employees reviewed: 6
Number of resident files reviewed: 9
Facility licensed capacity: 10
Census: 9
Inspection Report
Annual Inspection
Census: 5
Capacity: 10
Deficiencies: 1
Oct 21, 2021
Visit Reason
The inspection was conducted as an annual State Licensure and infection control inspection in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Findings
The facility was found to be licensed for ten beds with a census of five residents and received a grade of A. A regulatory deficiency was identified for admitting and retaining a resident with Alzheimer's disease without the required endorsement for Alzheimer's care.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The facility admitted and retained a resident with Alzheimer's disease without an endorsement for persons with Alzheimer's disease. | Severity: 2 |
Report Facts
Licensed beds: 10
Resident census: 5
Deficiency severity: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Patricia Rippie | Administrator | Named as the administrator acknowledging the facility was not endorsed for admitting and retaining residents with Alzheimer's disease |
| Employee #1 mentioned in relation to resident wandering behavior but no full name provided |
Inspection Report
Abbreviated Survey
Census: 7
Capacity: 10
Deficiencies: 0
Oct 29, 2020
Visit Reason
The inspection was a COVID-19 focused infection control survey initiated at the facility on 10/29/2020 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified. The facility demonstrated compliance with COVID-19 infection control measures including PPE availability, staff training, resident monitoring, social distancing, and cleaning protocols.
Report Facts
N-95 respirators: 20
7700 series respirators: 1
gloves: 2000
surgical style masks: 45
gowns: 15
face shields: 30
hand sanitizer: 1.5
licensed beds: 10
residents present: 7
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 4
Oct 15, 2019
Visit Reason
This inspection was conducted as an annual State Licensure survey to assess compliance with state regulations for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of B with several deficiencies noted including failure to ensure caregivers completed required training hours, failure to ensure elder abuse training was completed by all employees, incomplete Activities of Daily Living assessments for residents, and incomplete caregiver training documentation. Plans of correction were provided for all deficiencies.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Facility failed to ensure 5 of 8 employees completed at least eight hours of annual Caregiver training. | Severity: 2 |
| Facility failed to ensure 1 of 8 employees obtained Elder Abuse training before providing care to residents. | Severity: 2 |
| Facility failed to ensure 2 of 10 residents had initial Activities of Daily Living (ADL) assessments completed. | Severity: 2 |
| Facility failed to ensure 3 of 8 employees received four hours of initial caregiver training within 60 days of hire. | Severity: 2 |
Report Facts
Employees not completing annual caregiver training: 5
Employees not completing elder abuse training: 1
Residents without initial ADL assessments: 2
Employees not receiving initial caregiver training within 60 days: 3
Facility licensed capacity: 10
Census at time of survey: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Administrator | Named in deficiency for not completing annual caregiver training. |
| Employee #2 | Manager/Caregiver | Named in deficiency for not completing annual caregiver training. |
| Employee #3 | Caregiver/Med Tech | Named in deficiency for not completing annual caregiver training. |
| Employee #4 | Wellness Nurse | Named in deficiency for not completing annual caregiver training. |
| Employee #5 | Caregiver/Med Tech | Named in deficiency for not completing annual caregiver training. |
| Employee #6 | Medication Technician/Caregiver | Named in deficiency for not receiving initial caregiver training within 60 days. |
| Employee #7 | Medication Technician/Caregiver | Named in deficiency for not receiving initial caregiver training within 60 days and elder abuse training. |
| Employee #8 | Medication Technician/Caregiver | Named in deficiency for not receiving initial caregiver training within 60 days. |
Inspection Report
Annual Inspection
Census: 4
Capacity: 10
Deficiencies: 0
Oct 12, 2018
Visit Reason
This Statement of Deficiencies was generated as a result of a complaint investigation and an annual survey initiated at the facility on October 12, 2018 and finalized on October 16, 2018.
Findings
No deficiencies were identified during the survey. The facility received a grade of A after reviewing four resident files and seven employee files.
Complaint Details
The visit was complaint-related and included a complaint investigation; however, no deficiencies were found.
Report Facts
Resident files reviewed: 4
Employee files reviewed: 7
Inspection Report
Re-Inspection
Census: 8
Capacity: 10
Deficiencies: 0
May 9, 2018
Visit Reason
This Statement of Deficiencies was generated as a result of a re-grading survey initiated at the facility on May 09, 2018, conducted in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with no deficiencies identified after review of three resident files and two employee files.
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 9
Oct 4, 2017
Visit Reason
The inspection was conducted as an annual State Licensure survey of the residential facility for group beds for elderly and disabled persons.
Findings
The facility was found deficient in multiple areas including caregiver training, elder abuse training, health and sanitation maintenance, resident physical examinations, medication administration and storage, tuberculosis testing, and chronic illness training. The facility received a grade of C.
Severity Breakdown
Level 2: 9
Deficiencies (9)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 8 employees completed required medication management training and post-training examination. | Level 2 |
| Failed to ensure 2 of 8 employees received initial and/or annual elder abuse training before providing care. | Level 2 |
| Failed to ensure the interior and exterior premises were clean and well-maintained, including loose closet doors, unsecured concentrator hoses causing trip hazards, and unsecured patio railing. | Level 2 |
| Failed to ensure 3 of 9 residents had required initial and/or annual physical examinations. | Level 2 |
| Failed to ensure doctor's order for PRN medication included specific instructions on frequency of administration for 1 of 9 residents. | Level 2 |
| Failed to ensure medications were stored and secured in a locked area; medications found unsecured in resident's room. | Level 2 |
| Failed to ensure 1 of 9 residents met tuberculosis testing requirements; annual TB test was completed late. | Level 2 |
| Failed to ensure 1 of 8 employees had minimum 4 hours training related to care of elderly/disabled within 60 days of hire. | Level 2 |
| Failed to ensure 2 of 8 employees had minimum 4 hours training related to care of persons with chronic illness within 60 days of hire. | Level 2 |
Report Facts
Residents files reviewed: 9
Employee files reviewed: 8
Facility licensed capacity: 10
Current census: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Patricia Rippie | Administrator | Signed the inspection report and involved in oversight |
| Employee 3 | House Manager | Acknowledged deficiencies, responsible for monitoring training and compliance |
| Employee 6 | Caregiver and Medication Technician | Failed to complete required medication management training on time |
| Employee 8 | Caregiver and Medication Technician | Failed to complete required caregiver and chronic illness training within 60 days |
| Employee 4 | Failed to receive elder abuse training before providing care |
Inspection Report
Re-Inspection
Census: 8
Capacity: 10
Deficiencies: 4
Nov 19, 2015
Visit Reason
This inspection was a required grading re-survey conducted by the Division of Public and Behavioral Health to assess compliance following a previous survey.
Findings
The facility received a re-survey grade of A. Deficiencies were identified related to personnel files, tuberculosis testing, first aid and CPR certification, and medication administration including errors in medication records and administration documentation.
Severity Breakdown
Severity: 2: 3
Severity: 1: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to ensure 2 of 2 employees met tuberculosis testing and pre-employment physical examination requirements. | Severity: 2 |
| Failure to ensure 1 of 2 employees were trained in first aid and cardiopulmonary resuscitation (CPR). | Severity: 2 |
| Failure to ensure 1 of 1 resident received medications as prescribed, including errors in transcription and administration. | Severity: 2 |
| Failure to maintain complete medication administration records for 2 of 8 residents receiving PRN medications. | Severity: 1 |
Report Facts
Census: 8
Total Capacity: 10
Deficiency Severity 2 Count: 3
Deficiency Severity 1 Count: 1
Inspection Report
Re-Inspection
Census: 8
Capacity: 10
Deficiencies: 4
Nov 19, 2015
Visit Reason
This was a required grading re-survey conducted as a State Licensure survey by the Division of Public and Behavioral Health to assess compliance with regulations.
Findings
The facility received a re-survey grade of A. Deficiencies were identified related to personnel files lacking timely pre-employment physicals and TB testing, incomplete first aid and CPR certification for one employee, and multiple medication administration and documentation errors for residents.
Severity Breakdown
Level 2: 3
Level 1: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure 2 of 2 employees met tuberculosis testing and pre-employment physical examination requirements; physical exams and TB tests were dated after hire dates. | Level 2 |
| Failed to ensure 1 of 2 employees was trained in first aid and cardiopulmonary resuscitation; training was acquired online. | Level 2 |
| Failed to ensure 1 of 1 resident received medications as prescribed; medication was administered regularly instead of as needed. | Level 2 |
| Failed to maintain complete medication records for 2 of 8 residents receiving PRN medications; records lacked documentation of amount, time, reason, and results of administration. | Level 1 |
Report Facts
Deficiencies cited: 4
Facility licensed capacity: 10
Census at time of survey: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Failed to have pre-employment physical examination dated before hire date. | |
| Employee #2 | Failed to have pre-employment physical examination and TB test dated before hire date; CPR and first aid training acquired online. |
Inspection Report
Annual Inspection
Census: 5
Capacity: 10
Deficiencies: 3
Jul 1, 2014
Visit Reason
The inspection was conducted as a required annual grading survey of the residential facility for elderly and disabled persons.
Findings
The facility received a grade of A but had several deficiencies including failure to ensure background checks for employees, maintenance issues with the facility interior, and incomplete annual physical examinations for residents. All deficiencies were repeat from a prior resurvey.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure 2 of 6 employees completed the required background check. | Severity: 2 |
| Facility failed to ensure the interior was well-maintained, including a very loose commode, lint accumulation in laundry dryer, and dirt behind the dryer. | Severity: 2 |
| Facility failed to ensure 1 of 5 residents completed the required annual physical examination. | Severity: 2 |
Report Facts
Resident census: 5
Total licensed capacity: 10
Employee files reviewed: 6
Resident files reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #3 | Named in deficiency for missing updated background check fingerprints | |
| Employee #5 | Named in deficiency for missing updated background check fingerprints and physical exam follow-up | |
| Patricia Koggi | Administrator | Signed the report as administrator |
Inspection Report
Annual Inspection
Census: 5
Capacity: 10
Deficiencies: 3
Jul 1, 2014
Visit Reason
This document is a required annual grading survey conducted on 7/1/2014 to assess compliance with state licensure regulations for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of A but had several deficiencies including failure to ensure two employees completed required background checks, failure to maintain the interior and exterior premises properly, and failure to ensure one resident completed the required annual physical examination. All deficiencies were repeat from a prior survey.
Severity Breakdown
2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure 2 of 6 employees completed the required background check. | 2 |
| Failed to ensure the interior was well-maintained, including a loose commode, lint collection in the laundry dryer, and dirt behind the dryer. | 2 |
| Failed to ensure 1 of 5 residents completed the required annual physical examination. | 2 |
Report Facts
Employees with incomplete background checks: 2
Resident files reviewed: 5
Employee files reviewed: 6
Residents census: 5
Total licensed capacity: 10
Inspection Report
Re-Inspection
Census: 8
Capacity: 10
Deficiencies: 6
Jan 2, 2014
Visit Reason
This inspection was a required State Licensure grading re-survey conducted on 1/2/2014 to assess compliance with state regulations for a residential facility for elderly or disabled persons.
Findings
The facility received a grade of B with multiple deficiencies identified including failure to provide elder abuse training upon re-hire, incomplete background checks, insufficient documentation of scheduled activities, inaccurate medication administration records, failure to provide required caregiver training within 60 days of hire, and admitting a resident with a chronic illness without the required endorsement.
Severity Breakdown
Level 2: 4
Level 1: 2
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to provide initial elder abuse training upon re-hire to 1 of 9 employees before interaction with residents. | Level 2 |
| Failed to ensure 1 of 9 employees met background check requirements; missing current fingerprints and background checks after re-hire. | Level 2 |
| Failed to document at least 10 hours per week of scheduled activities for all 8 residents. | Level 1 |
| Medication administration records (MAR) were inaccurate for 4 of 8 residents inspected, including missing medications on MAR and inconsistent medication orders. | Level 1 |
| Failed to ensure 1 of 9 caregivers received at least 4 hours of training related to care of elderly and disabled residents within 60 days of hire. | Level 2 |
| Admitted a resident with a chronic illness without obtaining the required chronic illness endorsement on the facility license. | Level 2 |
Report Facts
Deficiencies cited: 6
Census: 8
Total Capacity: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver #2 | Named in deficiencies related to lack of elder abuse training, incomplete background check, and missing caregiver training. | |
| Caregiver #8 | Mentioned in relation to medication administration record deficiencies. | |
| Administrator | Interviewed regarding multiple deficiencies including training and background checks. |
Inspection Report
Renewal
Census: 8
Capacity: 10
Deficiencies: 7
Jan 2, 2014
Visit Reason
The inspection was a required State Licensure grading re-survey conducted on 1/2/14 to assess compliance with state regulations for a residential facility for elderly or disabled persons.
Findings
The facility received a grade of B with several deficiencies identified including failure to provide elder abuse training to a caregiver, incomplete background checks, insufficient documentation of scheduled activities, and inaccuracies in medication administration records. The administrator was unaware of some regulatory requirements but corrective actions were noted.
Severity Breakdown
Level 1: 2
Level 2: 5
Deficiencies (7)
| Description | Severity |
|---|---|
| Failure to provide initial elder abuse training upon re-hire to 1 of 9 employees before interaction with residents. | Level 2 |
| Failure to ensure background check requirements were met for 1 of 9 employees; caregiver's file had outdated fingerprint and FBI checks. | Level 2 |
| Failure to document at least 10 hours of scheduled activities per week for residents; activities schedule did not show 10 hours per week. | Level 1 |
| Medication administration records were inaccurate for 4 of 8 MARs inspected; missing change order stickers and unlisted medications in MAR. | Level 1 |
| Failure to ensure minimum 4 hours of training related to care of elderly and disabled residents within 60 days of hire for 1 of 9 caregivers. | Level 2 |
| Failure to provide caregiver training upon re-hire as required; repeat deficiency from prior survey. | Level 2 |
| Facility admitted a resident with chronic illness without a chronic illness endorsement on license. | Level 2 |
Report Facts
Deficiencies cited: 7
Census: 8
Total Capacity: 10
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 8
Jul 10, 2013
Visit Reason
This document is a State Licensure annual grading survey conducted on 7/10/13 to assess compliance with regulations for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of B with several deficiencies identified related to caregiver training, fire safety inspections, oxygen equipment storage, medication administration and storage, tuberculosis testing, and mental illness endorsement. Some deficiencies were corrected or in progress at the time of the report.
Severity Breakdown
Level 1: 1
Level 2: 5
Deficiencies (8)
| Description | Severity |
|---|---|
| One of seven caregivers did not receive the required 8 hours of annual training. | Level 2 |
| Facility failed to ensure the fire alarm system was inspected annually; referral to State Fire Marshall. | — |
| Facility failed to secure oxygen tanks in a rack or to the wall; unsecured oxygen tank observed. | Level 2 |
| Medication administration records (MAR) were inaccurate for 6 of 9 residents inspected. | Level 1 |
| Medications were not stored in locked containers in several unsecured locations. | Level 2 |
| Facility failed to ensure 2 of 9 residents complied with tuberculosis testing requirements. | Level 2 |
| Facility failed to obtain a mental illness endorsement prior to admitting 1 of 9 residents with mental illness. | Level 2 |
| Administrator failed to ensure 6 of 7 caregivers received annual training in elder abuse recognition, prevention, and response. | — |
Report Facts
Number of caregivers reviewed: 7
Number of resident files reviewed: 9
Facility licensed capacity: 10
Current census: 9
Deficiencies cited: 7
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 8
Jul 10, 2013
Visit Reason
This document is a State Licensure annual grading survey conducted on 7/10/2013 to assess compliance with regulations for a residential facility for group beds for elderly and disabled persons.
Findings
The facility received a grade of B with multiple deficiencies identified including caregiver training, fire safety inspection, oxygen equipment monitoring, medication administration and storage, resident file maintenance, mental illness endorsement, and elder abuse training for caregivers.
Severity Breakdown
1: 1
2: 5
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to ensure that 1 of 7 caregivers received eight hours of annual training (Employee #3 had only 6.5 hours documented). | 2 |
| Failed to ensure the fire alarm system was inspected annually; the last inspection expired on 3/12/2012. | — |
| Failed to secure oxygen tanks in a rack or to the wall; an unsecured oxygen tank was observed in the employee storage room. | 2 |
| Medication administration records (MAR) were inaccurate for 6 of 9 residents inspected, with medications not listed on MAR or no change orders observed on medication bottles. | 1 |
| Failed to ensure medications were kept in a locked container; unsecured medications were observed in multiple rooms and common areas. | 2 |
| Failed to ensure 2 of 9 residents complied with tuberculosis testing regulations; one resident had a positive TB result without further testing, another had no TB test conducted within required timeframe. | 2 |
| Failed to obtain a mental illness endorsement prior to admitting 1 of 9 residents with a diagnosis of mental illness (Resident #1 with Bipolar disorder). | 2 |
| Failed to ensure 6 of 7 caregivers received annual training in recognition, prevention, and response to elder abuse as required by Nevada Revised Statutes. | — |
Report Facts
Number of caregivers reviewed: 7
Number of resident files reviewed: 9
Facility licensed capacity: 10
Current census: 9
Number of inaccurate MARs: 6
Number of caregivers missing elder abuse training: 6
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 1
Apr 23, 2013
Visit Reason
The inspection was conducted as a result of a complaint investigation initiated on 2013-04-04 regarding allegations of inappropriate admission of a resident.
Findings
The facility was found to have failed to ensure that a resident with a diagnosis of dementia was appropriately placed in a facility endorsed to provide care for Alzheimer's disease. The complaint was substantiated.
Complaint Details
Complaint #NV00035132 was substantiated regarding inappropriate admission of a resident. Complaint investigative process was initiated on 2013-04-04.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure a resident with a diagnosis of dementia was appropriately placed in a facility endorsed to provide care for Alzheimer's disease. | Severity: 2 |
Report Facts
Licensed capacity: 10
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