Inspection Reports for Kind Hearts Care Home
386 Severn Ct, Henderson, NV 89002, NV, 89002
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: 0
Feb 13, 2025
Visit Reason
This inspection was conducted as a State licensure annual survey of the facility in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Findings
The facility was licensed for 10 beds and had a census of 9 at the time of the survey. Nine resident files and four employee files were reviewed. The facility received a grade of A with no regulatory deficiencies identified and no further action necessary.
Report Facts
Resident files reviewed: 9
Employee files reviewed: 4
Inspection Report
Annual Inspection
Capacity: 10
Deficiencies: 0
Jul 10, 2024
Visit Reason
The inspection was conducted as a State licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups, including a review of the facility's licensed bed capacity and approval of a three-bed increase.
Findings
No regulatory deficiencies were identified during the inspection. The facility was licensed for 7 beds and approved for an increase to 10 beds for elderly and disabled persons with Alzheimer's Disease and/or requiring assisted living services.
Report Facts
Licensed beds: 7
Approved bed increase: 3
Inspection Report
Annual Inspection
Census: 6
Capacity: 7
Deficiencies: 0
Feb 22, 2024
Visit Reason
The inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified. Six resident files and five employee files were reviewed during the survey.
Report Facts
Resident files reviewed: 6
Employee files reviewed: 5
Inspection Report
Annual Inspection
Census: 6
Capacity: 7
Deficiencies: 0
Feb 22, 2023
Visit Reason
This 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 with no regulatory deficiencies identified. Six resident files and five employee files were reviewed, and no further action was necessary.
Inspection Report
Annual Inspection
Census: 6
Capacity: 7
Deficiencies: 2
Feb 14, 2022
Visit Reason
The inspection was conducted as an annual state licensure and infection control survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for a Residential Facility for Groups.
Findings
The facility received a grade of A but was found deficient in ensuring medication reviews were completed every six months for 3 of 6 residents and failed to complete annual or admission activities of daily living (ADL) assessments for 3 of 6 residents. Corrective actions and plans were implemented to address these deficiencies.
Severity Breakdown
Level 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure a six-month medication review was completed for 3 of 6 residents sampled (Residents #1, #2, and #3). | Level 2 |
| Failed to ensure an activities of daily living (ADL) assessment was completed annually and/or upon admission for 3 of 6 residents (Residents #1, #2, and #3). | Level 2 |
Report Facts
Residents sampled: 6
Employee files reviewed: 6
Resident files reviewed: 7
Facility licensed capacity: 7
Facility census: 6
Inspection Report
Annual Inspection
Census: 6
Capacity: 7
Deficiencies: 0
Jun 23, 2021
Visit Reason
This inspection was conducted as an annual state licensure and infection control survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified. Seven resident files and six employee files were reviewed, and no further action was necessary.
Inspection Report
Abbreviated Survey
Census: 4
Capacity: 7
Deficiencies: 3
Aug 28, 2020
Visit Reason
A focused COVID-19 infection control survey was conducted to investigate regulatory compliance with infection control and prevention measures during the COVID-19 pandemic.
Findings
The facility had three residents and one staff positive for COVID-19. Deficiencies included failure to check the inspector's temperature and screen for symptoms, lack of signage on bedroom doors for COVID-19 positive residents, and absence of N95 respirators for staff caring for COVID-19 positive residents. Caregivers were observed following some infection control practices such as PPE use and hand hygiene.
Severity Breakdown
F: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| A caregiver did not check the temperature of the health facilities inspector prior to entry or conduct a questionnaire about COVID-19 symptoms and travel history. | F |
| Signage was not observed on bedroom doors for three residents identified as positive for COVID-19. | F |
| The facility did not have N95 respirators and caregivers were unaware that N95 masks were required while providing care to COVID-19 positive residents. | F |
Report Facts
Residents positive for COVID-19: 3
Staff positive for COVID-19: 1
Licensed capacity: 7
Current census: 4
Gloves in stock: 200
Single-use disposable face masks in stock: 200
Gowns in stock: 15
KN95 masks in stock: 100
Face shields in stock: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marilou Cayanan | Owner | Signed as Laboratory Director's or Provider/Supplier Representative. |
Inspection Report
Annual Inspection
Census: 6
Capacity: 7
Deficiencies: 0
Nov 13, 2019
Visit Reason
The inspection was conducted as an annual State licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified. Six resident and six employee files were reviewed, and no further action was necessary.
Report Facts
Resident files reviewed: 6
Employee files reviewed: 6
Inspection Report
Annual Inspection
Census: 6
Capacity: 7
Deficiencies: 8
Dec 19, 2018
Visit Reason
The inspection was an annual survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for a Residential Facility for Groups.
Findings
The facility was found deficient in multiple areas including staffing with insufficient qualified caregivers on duty, health and sanitation issues such as unclean furniture and damaged premises, unsecured oxygen tanks, medication administration errors, failure to properly label PRN medications, malfunctioning Alzheimer's facility door alarms, unsecured dangerous items and toxic substances accessible to residents.
Severity Breakdown
F: 6
D: 2
Deficiencies (8)
| Description | Severity |
|---|---|
| Administrator failed to ensure a qualified caregiver was on duty to provide care for all residents; one caregiver was left alone while others were absent. | F |
| Facility failed to maintain cleanliness and proper maintenance of interior and exterior premises including heavy dust on vents, displaced wall panel, black substance in bathtub, stained chairs, and damaged backyard fence. | F |
| Oxygen tanks were unsecured in a common area, posing safety risks. | F |
| Medication administration errors including incorrect dosage recorded and administered for Resident #5. | D |
| PRN medications lacked specific instructions and did not offer a range for administration times. | D |
| Back door alarm failed to sound when opened, compromising resident safety. | F |
| Dangerous items such as knives, razors, and scissors were unsecured and accessible to residents. | F |
| Toxic substances including hand sanitizer, ointments, mouthwash, and cleaning supplies were unsecured and accessible to residents. | F |
Report Facts
Licensed beds: 7
Residents present: 6
Severity 2 Scope 3 deficiencies: 3
Severity 2 Scope 1 deficiency: 1
Severity 2 Scope 1 deficiency: 1
Severity 2 Scope 3 deficiency: 1
Severity 2 Scope 3 deficiency: 1
Severity 2 Scope 3 deficiency: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Margie Antonio | Administrator | Named as responsible for plan of correction and reprimanding staff regarding staffing and medication errors |
| Caregiver #5 | Reprimanded for leaving facility without replacement caregiver present | |
| Caregiver #6 | Trainee caregiver left alone during shift without proper qualifications or employment file | |
| Caregiver #7 | Caregiver expected to arrive to replace Caregiver #5 |
Inspection Report
Re-Inspection
Census: 6
Deficiencies: 0
Jul 16, 2018
Visit Reason
This inspection was conducted as a State Licensure re-grading survey at the facility in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified. Six resident files and three employee files were reviewed. No further action is necessary.
Report Facts
Resident files reviewed: 6
Employee files reviewed: 3
Inspection Report
Re-Inspection
Census: 6
Capacity: 7
Deficiencies: 11
Apr 2, 2018
Visit Reason
This inspection was a required grading re-survey conducted on 4/2/18 following a previous survey, to assess compliance with state licensure regulations for a residential facility for groups.
Findings
The facility received a re-survey grade of D with multiple deficiencies identified including failure to ensure elder abuse training, incomplete tuberculosis testing documentation, inadequate first aid and CPR training, medication administration errors, improper medication storage and labeling, malfunctioning door alarms, and failure to timely notify the Bureau of a change in administrator.
Severity Breakdown
Level 2: 9
Level 1: 1
Deficiencies (11)
| Description | Severity |
|---|---|
| Administrator failed to receive initial elder abuse training as required by NRS 449.093. | Level 2 |
| Facility failed to ensure 3 of 3 employees met tuberculosis testing and physical examination requirements. | Level 2 |
| Facility failed to ensure 2 of 3 caregivers received first aid and CPR training within 30 days of employment. | Level 2 |
| Medications were not administered as prescribed for 2 of 5 residents, including failure to follow physician orders and improper medication changes. | Level 2 |
| Medication Administration Records (MAR) for PRN medications were incomplete for 3 of 5 residents, lacking documentation of medication effectiveness. | Level 1 |
| Facility failed to ensure a physician's order for medications for 1 of 5 residents included required assessment instructions. | Level 2 |
| Medications were not stored securely; medications for deceased residents were found in unlocked refrigerator and not separated from others. | Level 2 |
| Medications for 1 of 5 residents were not kept in original containers and 2 residents' medications were not plainly labeled. | Level 2 |
| Alarm on back sliding door in dining room did not sound when door was opened, violating safety requirements for Alzheimer's care. | Level 2 |
| Facility failed to display the grade placard conspicuously in a public area as required. | Level 2 |
| Facility failed to notify the Bureau of a change in administrator within 10 days as required by NAC 449.0114. | Level 2 |
Report Facts
Residents present: 6
Total licensed beds: 7
Deficiencies cited: 11
Medication administrations missing effectiveness documentation: 22
Medication administrations missing effectiveness documentation: 25
Medication administrations missing effectiveness documentation: 11
Medication administrations missing effectiveness documentation: 22
Medication administrations missing effectiveness documentation: 13
Medication administrations missing effectiveness documentation: 33
Medication administrations missing effectiveness documentation: 19
Medication administrations missing effectiveness documentation: 34
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Margie Antonio | Administrator | Named as facility administrator and responsible party in findings and plan of correction |
| Employee #1 | Failed to have complete TB testing and timely CPR/First Aid training | |
| Employee #2 | Had incomplete TB testing documentation | |
| Employee #3 | Administrator who failed initial elder abuse training and had incomplete TB testing and CPR/First Aid training |
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