Inspection Reports for Lake Mead Care Home

This inspection was a mandatory grading resurvey conducted to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups, focusing on assisted living services for elderly and disabled persons including those with Alzheimer's disease.

The facility received a grade of A but was found deficient in maintaining adequate food supplies and permits, staff ratios for Alzheimer's care, securing toxic substances, and employee training requirements. Specific deficiencies included failure to maintain required staff-to-resident ratios during waking hours, unsecured kitchen door, and incomplete training documentation.

The inspection was a Mandatory regrading State Licensure survey conducted to assess compliance with Nevada Administrative Code Chapter 449 at the facility.

The facility was found deficient in multiple areas including staffing presence, staffing schedule maintenance, food storage labeling, development of person-centered service plans, obtaining medical exemptions for bedfast residents, hospice care coordination, and infection control training. Severity levels ranged from 1 to 2 with varying scopes.

The inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.

The facility was found deficient in multiple areas including inadequate food supplies, failure to comply with food service permits and standards, insufficient staffing ratios for Alzheimer's care, unsecured kitchen doors posing safety risks, and incomplete employee training in dementia care and cultural competency. Several deficiencies were repeat findings from previous surveys.

The inspection was conducted as a result of a Facility Reported Incident complaint investigation regarding a resident elopement incident at the facility.

The facility failed to ensure proper procedures were followed for a resident who eloped, including failure to conduct rounds, head counts, and systematic searches after door alarms sounded. Employee #1 was terminated for not following policy and procedure related to elopement prevention and response.

The complaint investigation was substantiated with deficient practice related to Facility Reported Incident #10682 involving Resident #1 eloping from the facility. Employee #1 failed to respond appropriately to door alarms and did not conduct required rounds or searches. Employee #1 was terminated for violation of company policy.

The inspection was conducted as an annual State Licensure survey of the residential facility for groups in accordance with Nevada Administrative Code Chapter 449.

The facility received a grade of C with multiple deficiencies including failure to ensure caregivers were present at all times with residents, lack of a written staffing schedule retained for six months, failure to develop person-centered service plans for residents, failure to obtain medical exemption for a bedfast resident, failure to obtain hospice plan of care for a resident receiving hospice, and failure to ensure the primary infection control designee completed required infection control training.

The inspection was conducted as a result of a complaint investigation at the facility on 12/09/24, in accordance with Nevada Administrative Code, Chapter 449, for Residential Facilities for Groups.

One complaint was investigated and substantiated without deficient practice. The investigation included tours, interviews, clinical record reviews, and document reviews. No regulatory deficiencies were identified and no further action was required.

Complaint #NV00072009 was substantiated with no deficient practice.

The inspection was conducted as a complaint investigation triggered by Complaint #NV00070980, which was substantiated. The investigation included observations, interviews, and record reviews related to resident care and facility conditions.

The facility was found to have a pervasive urine odor, particularly in the room of Resident #3, which was acknowledged by the Owner. The facility failed to ensure the premises were free from offensive odors as required by Nevada Administrative Code 449.209.

Complaint #NV00070980 was substantiated. The investigation included observations of grooming, interactions, odors, cleanliness, interviews with residents, caregivers, and the Owner, and record reviews of six resident and six employee files.

This inspection was a mandatory State Licensure re-grading survey conducted to assess compliance with Nevada Administrative Code (NAC) Chapter 449 for a Residential Facility for Groups.

The facility received a grade of B with multiple deficiencies identified, including missing pre-employment physical examination for an employee, inadequate kitchen sanitation, failure to update medication administration agreements, unsecured kitchen doors, and delayed cultural competency training for an employee. Several deficiencies were repeats from the prior annual survey.

This inspection was conducted as an annual State Licensure survey of the facility in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facilities for Groups.

The facility was found to have multiple deficiencies including incomplete personnel files, inadequate food supplies and safety issues in the kitchen, unsecured toxic substances, incomplete resident medical documentation, and missing required employee trainings. The facility received a grade of D.

The inspection was an annual State Licensure survey initiated on 12/20/2023 to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.

The facility received a grade of B with several regulatory deficiencies identified, including failure to maintain proper refrigeration temperatures for perishable foods, failure to ensure medical care and physician notification after resident illness or injury, and failure to properly administer and document medications.

The inspection was conducted as a result of a Facility Reported Incident complaint investigation regarding a resident elopement incident at the facility.

The facility failed to ensure proper elopement prevention procedures were followed for a resident who eloped from the facility. Staff failed to conduct required head counts, rounds, and systematic searches after alarms sounded, resulting in a resident leaving the facility unnoticed.

The complaint investigation was substantiated. The incident involved Resident #1 who eloped from the facility on 10/21/23 and was found at a nearby grocery store. Staff member E6 failed to conduct rounds, head counts, and searches after alarms sounded and was terminated for violation of facility policy.

The inspection was conducted as a result of a Facility Reported Incident complaint investigation in accordance with Nevada Administrative Code, Chapter 449, Requirements for Residential Facilities for Groups.

The investigation included a tour of the facility, interviews with staff, clinical record reviews, and document reviews. No regulatory deficiencies were identified and no further action was necessary.

One Facility Reported Incident (FRI #8177) was investigated and verified without deficient practice.

The inspection was conducted as an annual, infection control, and complaint investigation survey of the residential facility for groups, in accordance with Nevada Administrative Code Chapter 449.

The facility received a grade of B with no regulatory deficiencies identified from the complaint investigation, which was unsubstantiated. However, three deficiencies were cited related to laundry room sanitation, kitchen food service permits and procedures, medication administration, and Alzheimer's care safety standards, all with severity level 2.

One complaint (#NV00088038) was investigated and found to be unsubstantiated after observations, interviews, and record reviews.

The inspection was conducted as a result of a complaint investigation completed on 02/08/23, triggered by two substantiated complaints regarding the facility's compliance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.

The facility was found to have regulatory deficiencies including failure to keep premises free from hazards and insects, and water temperatures in six resident rooms exceeding 110 degrees Fahrenheit, which was deemed potentially harmful to residents.

Two complaints were investigated: Complaint #NV00067383 and Complaint #NV00067531, both substantiated as per TAG Y174.

This 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.

The facility was found deficient in multiple areas including failure to screen visitors for COVID-19, lack of staff wearing face masks, absence of a written staffing schedule, unclean and poorly maintained backyard area, failure to ensure annual physical exams for residents, medication administration errors, and lack of initial cultural competency training for an employee.

The inspection was conducted as a result of a State Licensure Facility Reported Incident Investigation triggered by an allegation that a caregiver locked an agitated resident in their room causing bruises and marks.

The allegation was substantiated with no regulatory deficiencies found. The facility increased protective supervision, provided staff in-servicing on behavior management, and disciplined and terminated the employee involved. No deficiencies were identified and no further action was necessary.

One Facility Reported Incident (FRI #9548) with one allegation was substantiated with no regulatory deficiencies. The allegation involved a caregiver locking an agitated resident in their room resulting in bruises and marks. The investigation included interviews, observations, and record reviews.

The inspection was conducted as an annual grading and infection control survey of the residential facility for groups, in accordance with Nevada Administrative Code Chapter 449.

The facility received a grade of A. Deficiencies were identified related to failure to conduct COVID-19 screenings for visitors upon entry and failure to ensure annual tuberculosis testing for one resident.

This inspection was a COVID-19 focused infection control survey conducted to assess the facility's compliance with infection control practices during the pandemic.

The facility lacked a COVID-19 infection control policy and staff were not medically cleared or fit-tested to wear N95 respirators. The Administrator failed to ensure safe infection control practices were implemented to protect residents and staff.

The inspection was conducted as a result of a complaint investigation at the facility on 03/10/20, including one complaint and one self-report investigated.

The inspection found multiple deficiencies related to medication administration, health and sanitation temperature, safety requirements including call light systems, and residents' rights and dignity. Several allegations were substantiated, including medications not administered according to physician orders, residents found in uncomfortable conditions, and call lights inoperable.

Complaint #NV00060542 was substantiated with allegations including medications not administered according to physician's orders, resident found shivering due to temperature issues, call lights inoperable, and resident moved without bedding and furniture. Some allegations were not substantiated.

This inspection was conducted as an annual State licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.

The facility received a grade of A with no regulatory deficiencies identified. Two resident files and three employee files were reviewed during the survey.

This Statement of Deficiencies was generated as a result of a grading resurvey conducted at the facility on 11/18/19 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

The facility was licensed for six beds and had a census of four at the time of the survey. Two resident files were reviewed. The facility received a grade of A and no regulatory deficiencies were identified.

This inspection was conducted as an annual State Licensure survey of a residential facility for groups, focusing on compliance with Nevada Administrative Code Chapter 449.

The facility received a grade of D with multiple deficiencies identified related to oxygen use, exemption requests, medical condition reviews, medication administration, resident files, and Alzheimer's endorsement. Several residents lacked proper documentation or orders for medications and care, and the facility failed to ensure required assessments and agreements were completed.

This inspection was an annual State Licensure survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for a Residential Facility for Groups.

The facility was found deficient in several areas including oxygen use monitoring, exemption requests, medical condition reviews, medication administration, resident assessments, and Alzheimer's endorsement requirements. The facility received a grade of C and multiple deficiencies were cited with severity levels mostly at 2.

This inspection was conducted as a State Licensure re-grading survey of the facility in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action is necessary.

Complaint investigation initiated on 2018-05-16 and completed on 2018-06-11 due to substantiated complaints regarding medication administration and notification of resident hospitalization.

The facility was found deficient in multiple areas including failure to ensure caregivers completed required training, inadequate staffing and scheduling, failure to notify responsible parties of resident hospitalization, improper medication administration and documentation, incomplete resident records, and failure to display current grading placard. Several deficiencies were substantiated related to medication errors and failure to notify family of hospitalization.

Complaint #NV00052980 with two substantiated allegations: 1) medications were not administered as prescribed, and 2) responsible party was not notified of resident hospitalization.

The inspection was an annual State Licensure Grading Survey conducted to assess compliance with regulations for a residential facility for elderly and disabled persons and/or persons with mental illnesses.

The facility received a grade of A. Deficiencies were identified related to the administration of PRN medication, specifically the lack of written physician instructions for the dosage and symptoms for medication given on an as-needed basis for two residents.

The inspection was conducted as an annual State Licensure Grading Survey to assess compliance with state regulations for the residential facility.

The facility received a grade of A, but deficiencies were identified related to failure to obtain written physician's instructions specifying dosage and symptoms for as-needed medications for 2 of 4 residents.

The inspection was conducted as a complaint investigation triggered by two complaints regarding resident care and facility practices.

The investigation substantiated allegations that meals served were not to residents' preferences and identified deficiencies related to food service documentation and nutrition. Other allegations regarding resident admission and treatment with dignity were not substantiated.

Complaint #NV00040271 contained one allegation substantiated regarding meals not served to residents' preference. Complaint #NV00040764 contained three allegations: two were substantiated (meals not to preference, failure to admit resident properly not substantiated, and resident not treated with dignity not substantiated).

The inspection was conducted as a complaint investigation triggered by two complaints regarding meal preferences, admission procedures, and resident treatment.

The investigation substantiated complaints that meals served were not to residents' preferences and that menu substitutions were not documented. Additional deficiencies included failure to provide nutritious meals as residents reported receiving frozen box meals and lack of fresh vegetables. One complaint about improper admission was not substantiated, nor was an allegation of residents not being treated with dignity and respect.

Complaint #NV00040271 contained one substantiated allegation that meals served were not to residents' preferences. Complaint #NV00040764 contained three allegations: one substantiated regarding meals not to residents' preferences, one unsubstantiated regarding improper admission, and one unsubstantiated regarding lack of dignity and respect toward residents.

This document is a State Licensure annual survey conducted on 06/02/2014 to assess compliance with regulations for a residential facility for elderly and disabled persons with mental illness.

The facility received a grade of B with identified deficiencies including failure to screen windows to prevent insect entry, laundry equipment not maintained in good repair, and medication administration plan not followed for several residents.

This document is an annual State Licensure survey conducted on 06/02/2014 to assess compliance with state regulations for the Lake Mead Care Home, a residential facility for group beds for elderly and disabled persons and/or persons with mental illness.

The facility received a grade of B and several deficiencies were identified including missing window screens, laundry equipment in disrepair, multiple medication administration issues such as failure to follow medication plans, failure to notify physicians of medication refusals, and inaccurate medication administration records.

The inspection was an annual grading State Licensure survey conducted to assess compliance with regulatory requirements for a residential facility for elderly and disabled persons.

The facility received a grade of A. Several deficiencies were identified including failure to ensure background checks for employees, failure to ensure emergency lights were operational, improper use of restraints, inaccurate medication administration records, and improper storage of resident files.

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