Inspection Reports for L & J Group Homecare
1604 Wildwood Dr., Las Vegas, NV 89108, NV, 89108
Back to Facility ProfileDeficiencies per Year
16
12
8
4
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Renewal
Census: 9
Capacity: 10
Deficiencies: 13
Aug 5, 2025
Visit Reason
The inspection was a mandatory state licensure grading resurvey conducted to assess compliance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facilities for Groups.
Findings
The facility received a grade of A with several deficiencies identified related to personnel files, health and sanitation, housing for staff, fire safety, first aid and CPR training, supervision and treatment of residents, oxygen use, medication administration and storage, hospice care responsibilities, mental illness care training, and policies on preferred names and pronouns.
Severity Breakdown
D: 8
F: 5
Deficiencies (13)
| Description | Severity |
|---|---|
| Personnel File - TB Screening - NAC 449.200 Personnel files must include health certificates. | D |
| Personnel Files - Background Checks - NAC 449.200 Personnel files must include evidence of compliance with background checks. | D |
| Health & Sanitation - Maintain Interior and Exterior premises clean and well maintained. | F |
| Housing for staff members - Bedrooms must be provided and comply with NAC provisions. | D |
| Requirements and Precautions - Facility must comply with State Fire Marshal regulations for fire safety. | F |
| First Aid & CPR - Administrator or caregiver must be trained within 30 days of employment. | D |
| Supervision and Treatment of Residents - Staff must collaborate with residents and review person-centered service plans annually. | F |
| Residents Requiring Use of Oxygen - Facility must ensure proper monitoring and safety measures for residents using oxygen. | F |
| Medication Administration - Administrator must ensure medication regimen reviews every 6 months and maintain reports. | D |
| Medication Storage - Medications must be stored securely in locked areas with proper conditions. | D |
| Hospice Care Responsibilities - Facility must obtain plan of care for residents electing hospice care. | D |
| Care for Persons with Mental Illnesses - Employee failed to complete required 8 hours of mental illness training within 60 days of hire. | D |
| Preferred Name/Pronoun Policies - Facility must develop policies to address patients by preferred names and pronouns and adapt records accordingly. | F |
Report Facts
Licensed beds: 10
Census: 9
Mental illness training hours missing: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Minkyung Lim | Administrator | Signed the inspection report and acknowledged training deficiency |
| Employee #2 | Caregiver | Failed to complete required 8 hours of mental illness training within 60 days of hire |
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 12
Apr 2, 2025
Visit Reason
The inspection was conducted as an annual state licensure and complaint investigation survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of D with multiple deficiencies identified including personnel file issues, health and sanitation problems, housing for staff members, fire safety violations, medication administration errors, lack of person-centered service plans, unsecured oxygen tanks, and failure to obtain hospice care plans. Several complaints were investigated with two substantiated and one unsubstantiated.
Complaint Details
Three complaints were investigated: Complaint #NV00073361 and #NV00073811 were substantiated; Complaint #NV00073768 was unsubstantiated with no regulatory deficiencies identified.
Severity Breakdown
Level 2: 12
Deficiencies (12)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 4 employees had evidence of a pre-employment physical examination and two-step tuberculosis test at time of hire. | Level 2 |
| Failed to ensure 1 of 4 employees had a background check clearance through Nevada Automated Background Check System for this facility. | Level 2 |
| Failed to ensure the interior and exterior of the facility was maintained, including soiled oven, open rice bag on floor, excessive objects in yard, expired food in garage refrigerator, and unapproved living area in garage. | Level 2 |
| Failed to provide a bedroom for a live-in caregiver; garage used as living and sleeping area not approved for dwelling purposes. | Level 2 |
| Failed to ensure fire alarm monitoring, fire sprinkler, and smoke detectors were functioning properly; repeated deficiencies noted. | Level 2 |
| Failed to ensure 1 of 4 employees acquired first aid and CPR training within 30 days of hire. | Level 2 |
| Failed to develop a person-centered service plan for 9 of 10 residents. | Level 2 |
| Failed to ensure oxygen tanks were secured; tanks for a former resident left unsecured. | Level 2 |
| Failed to ensure six month medication reviews were signed off and reviewed by the Administrator for 1 of 10 residents. | Level 2 |
| Failed to ensure medications were stored in a locked area; medication box in refrigerator was unlocked. | Level 2 |
| Failed to obtain hospice care plans for 6 of 10 residents receiving hospice care. | Level 2 |
| Failed to document preferred pronoun, gender expression, and sexual orientation for 10 of 10 residents. | Level 2 |
Report Facts
Number of residents present: 9
Total licensed capacity: 10
Number of complaints investigated: 3
Number of employee files reviewed: 4
Number of resident files reviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Minkyung Lim | Administrator | Named as Administrator responsible for monitoring corrective actions and signing report |
| Employee #3 | Caregiver | Failed to have pre-employment physical exam and timely TB test; lacked first aid and CPR training within 30 days of hire |
| Employee #1 | Administrator | Failed to have background check clearance for this facility |
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 6
Apr 9, 2024
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 was found to have multiple regulatory deficiencies including failure to complete background checks for employees, impaired fire alarm system, improper storage of oxygen tanks, lack of medical exemption for a resident with an indwelling catheter, medication administration errors, and failure to properly destroy discontinued medications.
Severity Breakdown
Level 2: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to ensure a background check was completed for 1 of 4 employees; fingerprints were unreadable and no clearance letter was obtained. | Level 2 |
| Fire alarm system was impaired with a blinking trouble light; control panel needed replacement and backup battery was insufficient. | Level 2 |
| Oxygen tanks were improperly stored unsecured in the backyard shed with other items piled on top. | Level 2 |
| Failed to submit a medical exemption request to retain a resident with an indwelling catheter. | Level 2 |
| Medications were not on site and administered as prescribed for 1 of 8 residents; Hydrocodone was missing and administration records did not match physician's order. | Level 2 |
| Failed to ensure discontinued medications were destroyed; medications belonging to previous residents were found stored improperly in the backyard shed. | Level 2 |
Report Facts
Census: 8
Total Capacity: 10
Oxygen tanks unsecured: 13
Residents sampled: 8
Employee files reviewed: 4
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 1
Apr 12, 2023
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 regulatory deficiency was identified related to the exterior maintenance of the facility, including non-functional exercise machines, accumulation of refuse, weeds, and clutter in the backyard area.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The facility failed to ensure the exterior was well maintained, with non-functional exercise machines, multiple areas of grass and weeds, accumulation of plastic water containers, commodes, wheelchairs, walkers, boxes, old linen, and household items in the backyard. | Severity: 2 |
Report Facts
Licensed beds: 10
Resident census: 9
Non-functional exercise machines: 3
Empty plastic water containers: 20
Commode count: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Minkyung Lim | Administrator | Acknowledged the exterior of the facility needed cleaning and refuse needed to be discarded |
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 3
Apr 25, 2022
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 but was cited for deficiencies including failure to ensure CPR training for one employee, lack of a current six-month medication review for one resident, and inaccurate Medication Administration Records for two residents.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure initial cardiopulmonary resuscitation (CPR) training was completed for 1 of 4 employees (Employee #3). | Severity: 2 |
| Failure to ensure a six-month medication review was completed for 1 of 8 residents (Resident #2). | Severity: 2 |
| Failure to ensure the Medication Administration Record (MAR) accurately documented the medications for 2 of 8 residents (Resident #3 and Resident #7). | Severity: 2 |
Report Facts
Number of residents present: 8
Total licensed capacity: 10
Number of employees reviewed: 4
Number of resident files reviewed: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Minkyung Lim | Administrator | Named as Administrator and responsible for monitoring corrective actions |
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 0
Jul 28, 2021
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 with no regulatory deficiencies identified. No further action was necessary.
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 0
Jul 21, 2020
Visit Reason
The inspection was a focused COVID-19 infection control and state licensure annual survey initiated on 07/21/2020 at the facility.
Findings
The facility was found compliant with infection control procedures related to COVID-19, including staff screening, social distancing, mask usage, sanitation, and resident monitoring. All residents and staff tested negative for COVID-19 on 07/13/2020, and the facility received a Grade of A.
Report Facts
Number of hand sanitizer bottles: 10
Number of staff members: 4
Number of staff on duty during survey: 2
Boxes of gloves: 3
Boxes of surgical masks: 5
Boxes of N-95 masks: 2
Inspection Report
Routine
Census: 10
Capacity: 10
Deficiencies: 2
Jan 29, 2020
Visit Reason
The inspection was a wellness check and State Licensure survey initiated at the facility to ensure compliance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Findings
The facility was found to be non-compliant with local zoning regulations, including unpermitted conversion of the garage into two bedrooms without proper permits or inspections, unpermitted mechanical, plumbing, and electrical work, and lack of appropriate egress from the garage bedrooms. The garage was also used as bedrooms, which is prohibited.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to comply with local zoning regulations including unpermitted garage conversion into bedrooms, unpermitted mechanical, plumbing, and electrical work, and lack of appropriate egress. | Severity: 2 |
| Facility failed to ensure a bedroom did not occupy the garage, which is prohibited as the garage is only approved for storage and not habitable space. | Severity: 2 |
Report Facts
Licensed beds: 10
Census: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jane Ferrer | Owner/Manager | Named as Owner/Manager and signatory on the report |
Inspection Report
Annual Inspection
Census: 6
Capacity: 10
Deficiencies: 0
May 22, 2018
Visit Reason
This inspection was conducted as an annual, grading survey of 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 deficiencies identified during the survey. Six resident files and five employee files were reviewed.
Report Facts
Resident files reviewed: 6
Employee files reviewed: 5
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 4
Jun 26, 2017
Visit Reason
The inspection was conducted as an annual State Licensure survey combined with a complaint investigation on 6/26/17.
Findings
The facility received a grade of B with deficiencies identified including failure to ensure one caregiver had annual medication management training, failure to maintain facility temperatures within required limits, failure to house washer and dryer in an enclosure, and failure to secure medications in the refrigerator.
Complaint Details
One complaint (#NV00049572) was investigated with allegations including inadequate grooming, insufficient food, lack of dignity and respect, and quality of care. The complaint was not substantiated after observations, interviews, and record reviews.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Facility failed to ensure 1 of 3 caregivers had annual medication management training; medication management training certificate expired and caregiver administered medications without current training. | Severity: 2 |
| Facility failed to maintain ambient temperatures within required range; temperatures in bedroom #3, living room, and kitchen/dining area exceeded 82 degrees Fahrenheit. | Severity: 2 |
| Washer and dryer located outside were not housed in a room or enclosure to protect equipment from outdoor elements. | Severity: 2 |
| Medications were not secured in the refrigerator; multiple medications without resident names were found unsecured. | Severity: 2 |
Report Facts
Licensed beds: 10
Resident census: 8
Resident files reviewed: 9
Employee files reviewed: 3
Ambient temperature in Bedroom #3: 87
Ambient temperature in Living room: 86.4
Ambient temperature in Kitchen/dining area: 86.5
Medication management training hours required: 16
Medication management annual training hours: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Explained efforts to locate medication management training and acknowledged temperature issues and medication storage problems | |
| Employee #1 | Caregiver | Failed to have annual medication management training and administered medications without current certification |
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 4
Jun 26, 2017
Visit Reason
This inspection was conducted as a result of an annual State Licensure survey combined with a complaint investigation at the facility on 6/26/17.
Findings
The facility received a grade of B. One complaint was investigated and found to be not substantiated. Several deficiencies were identified related to caregiver medication training, health and sanitation temperature control, laundry equipment venting, and medication storage.
Complaint Details
Complaint #NV00049572 was investigated with allegations including inadequate grooming, insufficient food, lack of dignity and respect, and quality of care. The complaint was not substantiated.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Facility failed to ensure 1 of 3 caregivers had annual medication management training; Employee #1's training certificate expired on 6/12/17. | Severity: 2 |
| Facility failed to maintain ambient temperatures within required range; observed temperatures exceeded limits in bedroom #3, living room, and kitchen/dining area. | Severity: 2 |
| Laundry room washer and dryer were not housed in an enclosure or room to protect from outdoor elements. | Severity: 2 |
| Facility failed to ensure medications were secured in the refrigerator; unlabeled medications and improper storage observed. | Severity: 2 |
Report Facts
Licensed capacity: 10
Census: 8
Deficiency count: 4
Temperature readings: 86.3
Temperature readings: 83.5
Temperature readings: 87
Temperature readings: 86.4
Temperature readings: 86.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Caregiver | Named in deficiency for lack of annual medication management training and medication administration |
| Employee #2 | Named in relation to monitoring compliance and handling medication storage corrections | |
| Administrator | Administrator | Interviewed and provided explanations regarding temperature issues, medication management training, and laundry equipment |
Inspection Report
Annual Inspection
Census: 6
Capacity: 8
Deficiencies: 1
May 31, 2016
Visit Reason
This inspection was conducted as an annual State Licensure survey to assess compliance with regulations for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of A, but was found deficient in medication storage practices, specifically failing to secure medications such as eye drops, Neosporin, and Triamcinolone ointment in a locked area as required.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Medication, including over-the-counter medications, was not stored in a locked area as required; eye drops, Neosporin, and Triamcinolone ointment were found unsecured in Bedroom #2. | Severity: 2 |
Report Facts
Resident census: 6
Total licensed capacity: 8
Severity level: 2
Scope: 3
Inspection Report
Annual Inspection
Census: 6
Capacity: 8
Deficiencies: 1
May 31, 2016
Visit Reason
This Statement of Deficiencies was generated as a result of an annual State Licensure survey conducted in the facility on 5/31/16 by the Division of Public and Behavioral Health.
Findings
The facility received a grade of A. One deficiency was identified related to medication storage where medications were found unsecured in a resident's bedroom, violating regulations requiring medications to be stored in a locked area.
Severity Breakdown
2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure medications were secure; eye drops, Neosporin, and Triamcinolone ointment were observed unsecured in Bedroom #2. | 2 |
Report Facts
Resident files reviewed: 6
Employee files reviewed: 5
Facility grade: A
Inspection Report
Annual Inspection
Census: 6
Capacity: 8
Deficiencies: 1
May 21, 2015
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey and complaint investigation conducted on 5/21/2015 at the facility.
Findings
The facility received a grade of A. The complaint investigated could not be substantiated. One regulatory deficiency was identified related to caregiver qualifications: two of three employees lacked documented evidence of current medication training and passing a Bureau-approved examination.
Complaint Details
Complaint # NV00042508 was investigated during the survey and could not be substantiated. The allegation was that a resident was intimidated by the facility to select a particular home health care agency.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure 2 of 3 employees had documented evidence of 8 hours of medication training and a certificate indicating passing a Bureau-approved examination. | Severity: 2 |
Report Facts
Licensed beds: 8
Residents present: 6
Employees reviewed: 3
Resident files reviewed: 6
Discharged resident files reviewed: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Acknowledged missing medication training documentation | |
| Director of Nursing | Interviewed during complaint investigation | |
| Owner/Caregiver | Interviewed during complaint investigation |
Inspection Report
Annual Inspection
Census: 8
Capacity: 8
Deficiencies: 2
May 23, 2014
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 05/23/2014 at the facility.
Findings
The facility received a grade of A. Deficiencies were identified related to caregiver training and fire protection. Specifically, three employees failed to receive the required annual 8-hour caregiver training, and the facility failed to repair the fire sprinkler system after an impairment was identified during quarterly inspections.
Severity Breakdown
Level 1: 1
Level 2: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Caregiver training: Three employees did not receive the required annual 8-hour caregiver training. | Level 1 |
| Fire protection: Facility failed to repair the fire sprinkler system after an impairment was identified during quarterly inspections from 4/2013 through 10/2013. | Level 2 |
Report Facts
Employees without annual training: 3
Inspection date: May 23, 2014
Facility licensed capacity: 8
Census: 8
Inspection Report
Annual Inspection
Census: 8
Capacity: 8
Deficiencies: 2
May 23, 2014
Visit Reason
This inspection was an annual State Licensure survey conducted to assess compliance with state regulations for a residential facility providing care to persons with mental illness.
Findings
The facility received a grade of A but had two deficiencies: failure to ensure 3 of 4 employees received the required annual caregiver training, and failure to repair the fire sprinkler system after impairments were identified during quarterly inspections.
Severity Breakdown
Level 1: 1
Level 2: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure 3 of 4 employees received annual caregiver training as required. | Level 1 |
| Failure to repair the fire sprinkler system when impairments were identified during quarterly inspections from 4/2013 through 10/2013. | Level 2 |
Report Facts
Employees with expired training: 3
Deficiency scope: 3
Inspection Report
Annual Inspection
Census: 8
Capacity: 8
Deficiencies: 4
May 6, 2013
Visit Reason
This document is a State Licensure survey conducted as an annual inspection of a residential facility for persons with mental illness to assess compliance with state regulations.
Findings
The facility received a grade of B with deficiencies identified related to caregiver medication training, facility cleanliness and maintenance, resident file storage, and tuberculosis testing compliance.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Facility failed to ensure 3 of 4 caregivers completed annual medication management training as required. | Severity: 2 |
| Facility failed to ensure premises were clean and well maintained; paint peeling over 2 of 3 showers and one fan inoperable. | Severity: 2 |
| Facility failed to keep resident files in a locked cabinet; file cabinet found unlocked. | Severity: 2 |
| Facility failed to ensure 1 of 8 residents complied with tuberculosis testing requirements (missing two-step TB skin test). | Severity: 2 |
Report Facts
Number of caregivers: 4
Number of residents: 8
Number of deficiencies: 4
Inspection Report
Annual Inspection
Census: 8
Capacity: 8
Deficiencies: 4
May 6, 2013
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 5/6/2013 at the facility.
Findings
The facility received a grade of B and was found deficient in several areas including caregiver medication training, facility cleanliness and maintenance, resident file security, and tuberculosis testing compliance.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure 3 of 4 caregivers completed annual medication management training as required; medication training had expired December 2012 for Employees #2, #3, and #4. | Severity: 2 |
| Failed to ensure the premises was clean and well maintained; paint peeling over 2 of 3 showers and one fan inoperable. | Severity: 2 |
| Failed to keep resident files in a locked cabinet; file cabinet containing resident files was found to be unlocked. | Severity: 2 |
| Failed to ensure 1 of 8 residents complied with tuberculosis testing requirements; Resident #4 missing two step TB skin test. | Severity: 2 |
Report Facts
Number of caregivers with expired medication training: 3
Number of resident files reviewed: 8
Number of employee files reviewed: 4
Number of residents missing TB test compliance: 1
Inspection Report
Annual Inspection
Census: 7
Capacity: 8
Deficiencies: 6
Apr 5, 2012
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with state regulations for a residential facility for elderly or disabled persons and/or persons with mental illness.
Findings
The facility received a grade of B and was found deficient in several areas including caregiver training, medication administration, medication records, and mental illness training for employees. Multiple deficiencies were cited with varying severity levels.
Severity Breakdown
Level 1: 3
Level 2: 3
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 4 caregivers received eight hours of annual training (Employee #3-2011). | Level 2 |
| Facility did not include over-the-counter medications/dietary supplements on the medication administration record for 2 of 7 residents (Resident #2-Calcium/Vitamin D and Resident #4-Aspirin). | Level 1 |
| Failed to ensure 1 of 7 residents received medications as prescribed (Resident #3-Buspirone HCL). | Level 2 |
| Failed to ensure the medication administration record (MAR) was accurate for 3 of 7 MARs inspected (Residents #1, #2, and #4). | Level 1 |
| Failed to ensure the medication record was complete for 2 of 7 residents receiving PRN medications (Residents #4-Lorazepam and #2-Oxycod/APAP/Acetaminophen). | Level 1 |
| Failed to ensure 2 of 4 employees had received 8 hours of training concerning care for residents with mental illnesses (Employees #2 and #4). | Level 2 |
Report Facts
Residents present: 7
Licensed capacity: 8
Employees reviewed: 4
Resident files reviewed: 7
Inspection Report
Annual Inspection
Census: 7
Capacity: 8
Deficiencies: 6
Apr 5, 2012
Visit Reason
This document is the result of an annual State Licensure survey conducted on 4/5/2012 to assess compliance with state regulations for a residential facility for group beds for elderly or disabled persons and/or persons with mental illness.
Findings
The facility received a grade of B and was found deficient in several areas including caregiver training, medication administration, medication records, and mental illness training for employees. Multiple deficiencies were repeated from prior surveys.
Severity Breakdown
1: 3
2: 3
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 4 caregivers received eight hours of annual training (Employee #3-2011). This was a repeat deficiency. | 2 |
| Did not include over-the-counter medications/dietary supplements on the medication administration record for 2 of 7 residents (Resident #2-Calcium/Vitamin D and Resident #4-Aspirin). | 1 |
| Failed to ensure 1 of 7 residents received medications as prescribed (Resident #3- Buspirone HCL was given twice a day instead of three times). | 2 |
| Failed to ensure the medication administration record (MAR) was accurate for 3 of 7 MARs inspected (Residents #1, #2, and #4). | 1 |
| Did not ensure the medication record was complete for 2 of 7 residents receiving as needed (PRN) medications (Resident #1- Lorazepam and Resident #2- Oxycod/APAP and Acetaminophen). | 1 |
| Failed to ensure 2 of 4 employees had received 8 hours of training concerning care for residents suffering from mental illnesses (Employee #2 and #4). | 2 |
Report Facts
Licensed capacity: 8
Census: 7
Number of resident files reviewed: 7
Number of employee files reviewed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #3 | Named in deficiency for not receiving eight hours of annual training | |
| Employee #2 | Named in deficiency for not receiving mental illness training | |
| Employee #4 | Named in deficiency for not receiving mental illness training |
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