Inspection Reports for Kryston’s Home Care II

The inspection was conducted as a result of a State Licensure mandatory re-grading survey and complaint investigation at the facility on 11/19/2024.

The facility was licensed for six beds and had a census of five at the time of the survey. One complaint was investigated but not substantiated due to lack of evidence. Several regulatory deficiencies were identified including lapses in CPR and first aid certification for two employees and failure to ensure a physical examination was completed prior to admission for one resident.

Complaint #NV00070705 with allegations regarding missing lightbulbs, loose grab bars and handrails, and lack of handrails on backyard steps was investigated and not substantiated due to lack of evidence.

This inspection was conducted as a State Licensure annual grading survey of the residential facility for groups, to assess compliance with Nevada Administrative Code Chapter 449.

The facility was found deficient in multiple areas including incomplete and inaccurate personnel and resident medical records, late elder abuse training for employees, missing tuberculosis testing documentation, incomplete background checks, expired CPR and first aid certifications, failure to obtain medical exemption for a bedfast resident, missing annual physical exams for residents, incomplete standard placement determinations for residents with dementia, lack of designated infection control personnel, and missing required infection control training.

This inspection was conducted as an annual State Licensure Survey by the Division of Public and Behavioral Health in accordance with NAC 449 for Residential Facility for Groups.

The facility received a grade of A. Deficiencies identified included failure to ensure a caregiver completed a pre-employment physical examination, and failure to screen visitors for COVID-19 symptoms and temperature, placing residents at risk of infection.

This annual State Licensure Survey was conducted to assess compliance with regulations for a Residential Facility for Groups, focusing on medication administration, resident files, and facility operations.

The facility was found deficient in ensuring medication profile reviews were conducted every six months for all residents, proper medication orders without ranges, tuberculosis testing compliance, and annual Activities of Daily Living assessments. The facility received a grade of A despite these deficiencies.

The inspection was conducted as a result of a complaint investigation regarding an allegation that the facility failed to ensure a resident received their scheduled medication.

The complaint allegation was not substantiated after review of resident records, employee files, medication administration records, and interviews. However, a deficiency unrelated to the complaint was identified involving failure to document the time, reason, and results of administration of as needed medications for one resident.

Complaint #NV00062982 with one allegation that the facility failed to ensure a resident received their scheduled medication was investigated and could not be substantiated.

This inspection was a mandatory grading, State Licensure resurvey conducted as part of the State Licensure Survey for renewal of the facility license.

No regulatory deficiencies were identified during the survey. The facility received a grade of A. Three resident files and four employee files were reviewed.

The inspection was conducted as a State Licensure COVID-19 Infection Control and Prevention Plan Survey to assess the facility's compliance with infection control requirements.

No regulatory deficiencies were identified; however, the facility did not have a documented Infection Control and Prevention Plan. Resources were provided and the Administrator stated the plan would be documented and ready for follow-up by 09/25/20.

This annual State Licensure Survey was conducted to assess compliance with NAC 449 for a Category II Residential Facility for Group beds for elderly and disabled persons and/or persons with mental illness and/or intellectual disabilities.

The facility received a grade of D with multiple deficiencies identified including medication administration training by unapproved instructors, incomplete staffing schedules, missing background check documentation, lack of physical examination prior to admission for a resident, incomplete medication administration records, improper medication storage, missing physician orders, and failure to obtain required endorsements for Alzheimer's care.

This inspection was conducted as a State Licensure annual grading survey of the facility to assess compliance with regulations for a Category II Residential Facility for Group beds for elderly and disabled persons and/or persons with mental illness and/or mental retardation.

The facility received a grade of B with multiple deficiencies identified including failure to meet tuberculosis screening requirements for one employee, incomplete background checks for two employees, failure to prepare and retain activity calendars properly, lack of annual physical exams for two residents, missing medication profile reviews for multiple residents, and failure to obtain physician placement determinations for residents diagnosed with dementia.

This annual State Licensure survey was initiated on 2016-09-22 and completed on 2016-09-27 to assess compliance with Nevada Revised Statutes and regulations for a residential facility for group beds for elderly and disabled persons.

The facility received a grade of C with multiple deficiencies identified including failure to ensure elder abuse training for one employee, incomplete background checks, inadequate facility cleanliness, missing physician assessments for residents, lack of annual physical exams, unsecured medication storage, failure to obtain required endorsements for residents with mental retardation, and insufficient mental illness training for staff.

The inspection was conducted as a result of a complaint investigation regarding allegations that a resident was not appropriate for the facility setting and that the facility had an unsafe environment.

The investigation included observations, interviews, and record reviews, and found that the allegations could not be substantiated. No regulatory deficiencies were identified and no further action was necessary.

Complaint #NV00046284 with allegations that a resident was not appropriate for the facility setting and that the facility had an unsafe environment were investigated and found to be unsubstantiated.

The inspection was conducted as a complaint investigation based on Complaint #NV00045779, which included allegations of resident neglect and Medication Administration Record (MAR) inaccuracies.

The investigation included observations, interviews, and record reviews, and concluded that the allegations could not be substantiated. No regulatory deficiencies were identified and no further action was necessary.

Complaint #NV00045779 with allegations of resident neglect and MAR inaccuracies was investigated and found to be unsubstantiated.

This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted at the facility on 08/25/15.

The facility was found to be in substantial compliance with regulations, with no deficiencies identified. The facility received a grade of A.

The inspection was conducted as a complaint investigation regarding an allegation of employee to resident abuse involving a caregiver yelling and throwing things when a resident requested bathroom assistance frequently.

The investigation included review of six resident records and interviews with involved parties, revealing no documented evidence of abuse or unfavorable incidents. No regulatory deficiencies were identified and the complaint was not substantiated.

Complaint #NV00040568 contained one allegation of employee to resident abuse. The complaint could not be substantiated after investigation.

This inspection was conducted as an annual State Licensure survey of a residential facility for elderly or disabled persons and/or persons with mental illnesses.

The facility received a grade of A. Deficiencies were identified related to failure to ensure required initial and annual physical examinations for 5 of 6 residents and failure to ensure timely completion of annual Medication Management training by 1 of 3 employees.

This annual State Licensure survey was conducted on 9/9/2014 by the Division of Public and Behavioral Health to assess compliance with state regulations for the licensed residential facility.

The facility received a grade of A but was found deficient in ensuring 5 of 6 residents completed required initial and/or annual physical examinations. Additionally, the administrator failed to ensure timely completion of required annual Medication Management training by one employee.

This document is a State Licensure annual grading survey conducted from 10/7/13 to 10/8/13 to assess compliance with licensing requirements for Krystons Home Care 2, a residential facility for elderly and disabled persons.

The facility received a grade of A. Several deficiencies were identified including failure to ensure proper training for employees caring for residents with mental retardation, incomplete tuberculosis testing for staff, and medication administration errors including inaccurate medication records and failure to comply with medication administration protocols.

This document is a State Licensure annual grading survey conducted from 10/7/13 to 10/8/13 to assess compliance with state regulations for a residential facility for group beds for elderly and disabled persons.

The facility received a grade of A but had several deficiencies including lack of appropriate endorsement and training for caring for a resident with mental retardation, incomplete tuberculosis testing for employees, medication administration errors, and inaccurate medication administration records.

This document is the result of an annual State Licensure survey conducted at the facility to assess compliance with state regulations and licensing requirements.

The facility received a grade of A but had several deficiencies including insufficient caregiver staffing, failure to meet background check requirements for some employees, prohibition from caring for one resident due to medical condition, and failure to administer prescribed medication to a resident.