Inspection Reports for Lanikeha Residential

The inspection was conducted as a result of an endorsement addition completed on 08/20/25 for a mental illness endorsement at a Residential Facility for Groups licensed for elderly and disabled persons.

No regulatory deficiencies were identified during the inspection. No further action was necessary.

The inspection was conducted as an annual State Licensure survey combined with a complaint investigation at the facility.

No regulatory deficiencies were identified during the inspection. One complaint was investigated and found to be unsubstantiated, with no further action necessary.

One complaint (#NV00072687) was investigated and found to be unsubstantiated. The investigation included observations, interviews, and document reviews.

The inspection was conducted as a result of a complaint investigation initiated on 2024-11-05 and completed on 2024-11-18, following Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

The facility was found to have deficiencies including failure to maintain an accurate staffing schedule, failure to follow its own resident visitation policy, and failure to follow a person-centered service plan for one resident. One complaint was substantiated related to these issues.

One complaint (NV00072291) was investigated and substantiated. The complaint involved issues with staffing schedules, visitation policies, and resident care including a skin tear caused by improper transfer.

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

The facility was found deficient in developing person-centered service plans for all residents, obtaining a medical exemption for a bedfast resident, and ensuring infection control training compliance. The facility received a grade of A.

This inspection was a State Licensure voluntary grading resurvey conducted to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

The facility received a grade of A with no regulatory deficiencies identified. Three resident files and five employee files were reviewed, and no further action was necessary.

The inspection was conducted as a complaint investigation survey in response to a complaint received regarding the facility.

The investigation included observation, interviews, and record reviews. The complaint was unverified, and no regulatory deficiencies were identified. The facility received a grade of A and no action was required.

One complaint (#NV00068236) was investigated and found to be unverified.

This inspection was conducted as an annual and infection control State Licensure survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.

The facility was found deficient in several areas including failure to ensure annual tuberculosis testing for one employee, failure to submit medical exemption requests for two residents, failure to ensure operational alarms on exit doors, and failure to provide cultural competency training for staff. Corrective actions were planned and some were completed shortly after the inspection.

The inspection was conducted as a complaint investigation initiated on 2022-09-08 regarding allegations of abuse at the facility.

The facility was found to have failed in notifying Adult Protective Services after an allegation of abuse, and failed to complete an incident report after a resident developed a bruise. The complaint was substantiated with two allegations. Deficiencies were identified related to administrator oversight, personnel background checks, and failure to report abuse incidents.

Complaint #NV00066691 with two allegations was substantiated. Allegation #1: Failure to notify Adult Protective Services after an allegation of abuse was substantiated. Allegation #2: Failure to complete an incident report after a resident developed a bruise was not substantiated.

This inspection was a mandatory grading resurvey conducted at the facility in accordance with Nevada Administrative Code, Chapter 449, Residential Facilities for Groups.

The facility received a grade of A with no regulatory deficiencies identified. The premises were found to be clean and well maintained, and personnel files were reviewed. Several standards related to Alzheimer’s care, chronic illness care, and dementia care training for employees were noted.

The inspection was conducted as a State Licensure annual and infection control survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.

The facility was found deficient in several areas including incomplete tuberculosis testing for employees, maintenance issues such as missing shower faucet parts, missing audible alarms on exit doors, unsecured sharp items and toxic substances accessible to residents, and incomplete required training for employees related to chronic illness and dementia care.

The inspection was conducted as a State Licensure Change of Ownership full survey and a focused COVID-19 Infection Control Survey to license the facility for ten Residential Facility for Group beds for elderly or disabled persons with endorsements for chronic illness and Alzheimer's disease.

The facility had no residents at the time of the survey and no staff positive with COVID-19. Infection control policies and procedures were reviewed and found compliant with no regulatory deficiencies identified. No further action was required.

The inspection was conducted as a result of a focused COVID-19 infection control survey and a complaint investigation triggered by two complaints with multiple allegations regarding resident discharge consent, reporting of incidents and COVID-19 cases, staffing qualifications, and infection control policy adherence.

The facility was found to have substantiated deficiencies including operating without an approved administrator since 06/03/20 and failure to establish a comprehensive infection prevention and control plan related to COVID-19, including lack of written policies for cohorting residents and staffing during emergencies. Other allegations such as failure to report resident falls and COVID-19 positive cases were unsubstantiated. The facility was temporarily closed during the investigation due to a COVID-19 outbreak.

Complaint #NV0061736 with four allegations: three unsubstantiated (discharge without consent, failure to report resident fall, failure to report COVID-19 cases) and one substantiated (failure to ensure qualified staff and supervision). Complaint #NV0061811 with one substantiated allegation for failure to follow infection control policy.