Inspection Reports for Johnson’s Group Care
1895 Carville Dr, Reno, NV 89512, NV, 89512
Back to Facility Profile
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 1
Jul 15, 2024
Visit Reason
This inspection was a State Licensure annual grading survey conducted by the Division of Public and Behavioral Health 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 for failing to designate a primary and secondary person responsible for the infection control program, potentially affecting all 4 residents. A plan of correction was submitted to address this deficiency.
Severity Breakdown
Severity: 2 Scope: 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure a primary and secondary person responsible for the facility's infection control program were identified. | Severity: 2 Scope: 3 |
Report Facts
Licensed beds: 6
Residents present: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Peggy Montgomery | Administrator | Signed as Laboratory Director's or Provider/Supplier Representative on the report |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 2
Aug 29, 2023
Visit Reason
This inspection was a State Licensure annual grading survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with deficiencies identified related to caregiver medication management training and resident tuberculosis (TB) testing compliance. Employee #2 failed to complete required annual medication management training due to illness. Resident #1 did not complete the required two-step TB test and lacked documented evidence of a 2023 TB test, resulting in removal from the facility.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 2 employees administering medications received at least eight hours of Medication Management training annually (Employee #2). | Severity: 2 |
| Failed to ensure 1 of 6 residents met tuberculosis (TB) testing requirements, including completion of two-step TB test and annual testing (Resident #1). | Severity: 2 |
Report Facts
Census: 6
Total Capacity: 6
Deficiencies cited: 2
Employee start date: 19921101
Medication Management training expiration: Mar 4, 2023
Resident admission date: 19931112
TB test date: May 17, 2022
Resident removal date: Sep 27, 2023
Medication Management training completion date: Feb 26, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Peggy Montgomery | Administrator | Signed report and responsible for ensuring plan of correction implementation |
| Owner/Caregiver | Interviewed regarding expired medication management training and TB testing compliance | |
| Employee #1 | Sole caregiver providing medication assistance during Employee #2's training lapse and responsible for plan of correction implementation | |
| Employee #2 | Failed to complete annual medication management training due to illness |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 1
Oct 13, 2022
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 failed to obtain a Standard Physician Assessment and Placement Determination for all six residents. The administrator was unaware of the requirement and the necessary form. A plan of correction was submitted to ensure all residents will have the required documentation completed during their upcoming annual physician evaluations.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to obtain a Standard Physician Assessment and Placement Determination for 6 of 6 residents. | Severity: 2 |
Report Facts
Number of residents: 6
Total licensed beds: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Peggy Montgomery | Administrator | Named as responsible for plan of correction implementation |
Inspection Report
Census: 7
Capacity: 6
Deficiencies: 1
Mar 21, 2022
Visit Reason
The inspection was a regrading State Licensure survey initiated at the facility to assess compliance with Nevada Administrative Code Chapter 449.
Findings
No regulatory deficiencies were identified during the survey. The facility was found to have a census exceeding its licensed capacity temporarily due to a waiting period for resident placement, but corrective actions were taken to adjust the census to match the licensed capacity.
Severity Breakdown
F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Limitation on Number of Residents - The facility must not accept residents in excess of the number specified on the license. | F |
Report Facts
Licensed capacity: 6
Census at time of survey: 7
Census after discharge: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Peggy Montgomery | Administrator | Signed as Laboratory Director's or Provider/Supplier Representative |
Inspection Report
Re-Inspection
Census: 7
Capacity: 6
Deficiencies: 4
Nov 3, 2020
Visit Reason
This Statement of Deficiencies was generated as a result of a State Licensure mandatory regrading survey conducted at the facility on 11/03/2020.
Findings
The facility was surveyed in accordance with NAC 449 for Residential Facility for Groups. The facility received a grade of A with no regulatory deficiencies identified and no further action necessary.
Severity Breakdown
Level C: 1
Level D: 1
Level E: 1
Level F: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Housing for staff members - Bedrooms must be provided for any members of the staff of a residential facility and their families who live at the facility, complying with NAC provisions. | Level D |
| Medical Care of Resident After Illness - Facility must obtain results of general physical examinations before admission and annually or more frequently if condition changes. | Level E |
| Medication Administration-Accuracy & Report - Administrator must ensure review of medication regimen every 6 months by qualified professional and maintain reports. | Level F |
| Administration of Medication Maintenance - Facility must maintain records of medication administered including type, date/time, refusals, and instructions reflecting current physician orders. | Level C |
Inspection Report
Routine
Census: 9
Capacity: 6
Deficiencies: 2
Sep 23, 2020
Visit Reason
The inspection was conducted as a Wellness Visit survey to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility was found to have admitted more residents than the licensed capacity, with nine residents present despite a license for six beds. The administrator allowed residents from another facility to reside temporarily due to an emergency fire evacuation but failed to notify the Ombudsman as required.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Administrator failed to ensure the facility did not admit more residents than the licensed number of six beds. | Severity: 2 |
| Administrator allowed residents from Johnson Group Care II to reside at Johnson Group Care I due to emergency fire evacuation without notifying the Ombudsman. | Severity: 2 |
Report Facts
Licensed capacity: 6
Census: 9
Deficiency severity count: 2
Inspection Report
Follow-Up
Census: 5
Capacity: 6
Deficiencies: 0
Aug 26, 2020
Visit Reason
This visit was a State Licensure COVID-19 Infection Control and Prevention Plan follow-up survey conducted to review the facility's infection control plan and implementation.
Findings
The facility had documented and ready components of an Infection Control and Prevention Plan including staff interviews, visitor screening, emergency staffing plans, PPE inventory, staff training, respirator program, and notification procedures. No regulatory deficiencies were identified.
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 6
Aug 5, 2020
Visit Reason
This annual State Licensure survey was conducted to assess compliance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of C with multiple deficiencies identified including failure to screen visitors for COVID-19 symptoms, poor facility maintenance and sanitation, inadequate housing for staff, missing annual physical exams for residents, lack of required six-month medication profile reviews, and inaccuracies in medication administration records.
Severity Breakdown
Level 2: 5
Level 1: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Administrator failed to ensure non-essential visitors were screened for COVID-19 symptoms and wore facial coverings during the pandemic. | Level 2 |
| Facility failed to maintain cleanliness and proper upkeep of common areas and outside premises, including clutter and damaged drywall. | Level 2 |
| Facility failed to provide appropriate housing for a staff member, who was sleeping in a non-bedroom area. | Level 2 |
| Facility failed to ensure residents received annual physical examinations for 2 of 5 residents. | Level 2 |
| Facility failed to ensure medication profile reviews were performed at least every six months for 4 of 5 residents. | Level 2 |
| Medication Administration Records (MAR) were inaccurate for 4 of 5 residents, with discrepancies between physician orders and MAR documentation. | Level 1 |
Report Facts
Facility licensed beds: 6
Resident census: 5
Severity 2 deficiencies: 5
Severity 1 deficiencies: 1
Inspection Report
Routine
Census: 5
Capacity: 6
Deficiencies: 0
Aug 5, 2020
Visit Reason
The inspection was conducted as a State Licensure COVID-19 Infection Control and Prevention Plan Survey to assess compliance with infection control requirements.
Findings
The facility was found lacking in visitor screening, hand hygiene supplies, and did not have a documented Infection Control and Prevention Plan. No regulatory deficiencies were identified, and the Administrator planned to document a facility-specific plan for follow-up review.
Report Facts
Visitors not screened: 3
Bathrooms without towels: 2
Facility licensed beds: 6
Resident census: 5
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 6
Nov 26, 2019
Visit Reason
This inspection was an annual State Licensure survey conducted in accordance with Nevada Administrative Code Chapter 449 for a Residential Facility for Groups.
Findings
The facility received a grade of B with several regulatory deficiencies identified, including failure to ensure annual elder abuse prevention training for caregivers, failure to post menus and activities calendars, incomplete annual physical examinations for residents, missing administrator initials on medication reviews, and incomplete tuberculosis testing documentation.
Severity Breakdown
F: 1
E: 1
D: 1
C: 3
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to ensure 2 of 2 caregivers received annual elder abuse prevention training with documented evidence for 2019. | F |
| Failed to post menus in a visible location for residents. | C |
| Failed to post an activities calendar for residents in a common area. | C |
| Failed to obtain annual physical examinations containing a review of systems for 2 of 5 residents. | E |
| Failed to ensure medication profile reviews were initialed by the Administrator at least once every six months for 4 residents. | C |
| Failed to ensure tuberculosis testing documentation met requirements for 1 of 5 residents; chest X-ray did not rule out TB and lacked valid two-step TB test or positive TB test documentation. | D |
Report Facts
Licensed beds: 6
Residents present: 5
Deficiencies cited: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brenda Mahan | Office Manager | Signed the report as Laboratory Director or Provider/Supplier Representative |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 3
Mar 30, 2016
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 3/30/16 to assess compliance with state regulations for a residential facility.
Findings
The facility received a grade of A but was found deficient in maintaining cleanliness free of insects and rodents, ensuring timely first aid and CPR training for employees, and meeting tuberculosis screening requirements for residents.
Severity Breakdown
Level 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to ensure it was clean and free of insects; piles of dead bugs and a spider with webs were found inside a kitchen cabinet. | Level 2 |
| Facility failed to ensure 1 of 2 employees renewed first aid and CPR training in a timely manner; training expired in 10/2015 and was not renewed until 12/15/15. | Level 2 |
| Facility failed to ensure 1 of 5 residents met tuberculosis screening requirements; annual TB test was not read as negative until 6/4/15, which was late. | Level 2 |
Report Facts
Licensed capacity: 6
Census: 5
Deficiencies cited: 3
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 3
Mar 30, 2016
Visit Reason
The inspection was conducted as an annual State Licensure survey to assess compliance with regulatory requirements for the residential facility.
Findings
The facility received a grade of A but had several deficiencies including failure to keep the premises free of insects, failure to ensure timely renewal of first aid and CPR training for one employee, and failure to ensure one resident met tuberculosis screening requirements.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to ensure the premises were clean and free of insects; dead bugs and spider webs found inside a kitchen cabinet. | Severity: 2 |
| Facility failed to ensure one employee renewed first aid and CPR training in a timely manner; certification expired and was renewed late. | Severity: 2 |
| Facility failed to ensure one resident met tuberculosis screening requirements; annual TB test was completed late. | Severity: 2 |
Report Facts
Resident census: 5
Total licensed capacity: 6
Deficiency count: 3
Severity 2 deficiencies: 3
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Feb 5, 2015
Visit Reason
This visit was a State Licensure annual grading survey conducted on the facility on 2/5/15 by the authority of NRS 449.0307.
Findings
No deficiencies were identified during the survey. The facility received a grade of A.
Report Facts
Employee files reviewed: 2
Resident files reviewed: 5
Discharged resident files reviewed: 1
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 2
Feb 21, 2014
Visit Reason
This inspection was conducted as an annual State Licensure grading survey of a residential facility for elderly or disabled persons and/or persons with mental illnesses.
Findings
The facility received a grade of A. Deficiencies were identified related to elder abuse training for employees and the security of resident files.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Administrator failed to ensure 1 of 2 employees received annual elder abuse training as required; employee #2's file lacked evidence of 2013 training. | Severity: 2 |
| Facility failed to ensure resident files were secured; employee files were observed unsecured in a locked box in the office which was unlocked. | Severity: 2 |
Report Facts
Licensed beds: 6
Resident census: 5
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 2
Feb 21, 2014
Visit Reason
The inspection was conducted as an annual State Licensure grading survey in accordance with NRS 449.0307, Powers of the Health Division.
Findings
The facility received a grade of A. Deficiencies were identified related to elder abuse training for employees and the security of resident files. Specifically, one employee lacked documented annual elder abuse training, and resident files were not secured as required.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Administrator failed to ensure 1 of 2 employees received annual elder abuse training as required by NRS 449.093. | Severity: 2 |
| Facility failed to ensure resident files were secured; the Administrator's office containing files was unlocked during inspection. | Severity: 2 |
Report Facts
Resident census: 5
Total licensed capacity: 6
Employee files reviewed: 2
Resident files reviewed: 5
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Dec 20, 2012
Visit Reason
This State Licensure survey was conducted as an annual State Licensure survey on 12/20/12 by the authority of NRS 449.150, Powers of the Health Division.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A.
Inspection Report
Annual Inspection
Capacity: 6
Deficiencies: 0
Nov 28, 2011
Visit Reason
The facility completed a self-attestation questionnaire in lieu of a 2011 annual survey as it was in good standing with no major regulatory deficiencies from the 2010 annual survey.
Findings
The questionnaire indicated the facility was in regulatory compliance and will receive a grade of A. No further action is necessary.
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Nov 3, 2010
Visit Reason
This document is the result of an annual grading survey conducted at the facility on 11/3/2010 as part of the State Licensure survey.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action is necessary.
Report Facts
Resident files reviewed: 5
Employee files reviewed: 2
Discharged resident files reviewed: 1
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 2
Nov 6, 2009
Visit Reason
This inspection was an annual State Licensure survey conducted to assess compliance with state regulations for a residential facility for elderly and disabled persons and/or persons with mental illness.
Findings
The facility received a grade of A but had two deficiencies: failure to maintain the interior walls and caulk seal of bathroom #1 resulting in black mold growth, and failure to provide evidence that one resident received medications as prescribed.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to maintain the interior walls and caulk seal of bathroom #1, causing black mold growth on the sheet rock behind the tub surround. | Severity: 2 |
| Failed to provide evidence that one resident received medications as prescribed. | Severity: 2 |
Report Facts
Licensed beds: 6
Residents present: 5
Resident files reviewed: 5
Employee files reviewed: 2
Discharged resident files reviewed: 1
Report
File
Group
Report
File
Johnson
Report
File
POC.pdf
Loading inspection reports...
