Inspection Reports for Liberty Residential Care
3060 Liberty Cir S, Las Vegas, NV 89121, NV, 89121
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Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 0
Sep 24, 2024
Visit Reason
The inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.
Report Facts
Resident files reviewed: 9
Employee files reviewed: 3
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 0
Sep 26, 2023
Visit Reason
This inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 0
Sep 28, 2022
Visit Reason
The inspection was conducted as an annual and infection control State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.
Report Facts
Resident files reviewed: 9
Employee files reviewed: 3
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 0
Sep 30, 2021
Visit Reason
The inspection was conducted as a State Licensure annual survey and infection control survey at the facility in accordance with Nevada Administrative Code (NAC) Chapter 449.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and was provided guidance on compliance with certain state regulations related to discrimination, privacy, cultural competency, and complaint policies.
Inspection Report
Abbreviated Survey
Census: 6
Capacity: 10
Deficiencies: 1
Oct 19, 2020
Visit Reason
The inspection was a COVID-19 focused infection control survey initiated at the facility to assess compliance with infection control measures during the pandemic.
Findings
The facility had one resident positive for COVID-19 who was isolated, and infection control measures such as PPE use, social distancing, and sanitization were observed. However, the administrator failed to ensure staff were medically cleared and fit tested for N95 respirators as required.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Administrator failed to obtain N95 respirator fit testing for staff as an infection control measure related to the COVID-19 pandemic. | Severity: 2 |
Report Facts
PPE inventory: 200
PPE inventory: 16
PPE inventory: 5
PPE inventory: 24
PPE inventory: 300
PPE inventory: 12
Hand sanitizer bottles: 12
Caregivers on staff: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Restina A. Angat | Administrator | Named as administrator responsible for oversight and infection control compliance |
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 1
Jun 12, 2019
Visit Reason
The inspection was an annual survey conducted to assess compliance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facilities for Groups.
Findings
The facility received a grade of A, but a deficiency was identified related to the incomplete two-step Tuberculosis (TB) testing for one resident. The second step TB test for Resident #3 was not read, indicating a failure to complete the required testing properly.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure the two-step Tuberculosis (TB) Testing was completed for 1 of 10 sampled residents (Resident #3). The second step TB test was administered but not read, lacking induration results. | Severity: 2 |
Report Facts
Resident files reviewed: 10
Employee files reviewed: 3
Facility licensed capacity: 10
Census: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Restina Angat | Administrator | Administrator confirmed the second step TB test was not read and was involved in the plan of correction. |
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 0
May 14, 2018
Visit Reason
This inspection was an annual survey initiated at the facility on May 14, 2018, conducted in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A, and no further action was necessary.
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 0
May 3, 2017
Visit Reason
The inspection was conducted as an annual State Licensure grading survey to assess compliance with regulatory requirements for the facility.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A, with nine resident files and three employee files reviewed.
Report Facts
Resident files reviewed: 9
Employee files reviewed: 3
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 2
May 26, 2016
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 5/26/16 to assess compliance with regulatory requirements for a residential facility for elderly and disabled persons.
Findings
The facility was found deficient in meeting nutritional requirements and medication storage regulations. Specifically, the facility failed to provide a reasonable portion of daily dietary allowances of fruits and vegetables and failed to ensure medications were securely stored.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to provide a reasonable portion of the daily dietary allowances of fruits and vegetables as recommended by the Food and Nutrition Board. | Severity: 2 |
| Failure to ensure medications were stored securely, including an unlocked file cabinet containing resident files and medications. | Severity: 2 |
Report Facts
Residents diagnosed with obesity: 3
Residents diagnosed with diabetes: 2
Residents diagnosed with hypertension: 6
Days soda posted for lunch: 26
Days soda posted for dinner: 29
Days fruits listed on menu: 8
Days vegetables listed on menu: 11
Days with no listing of fruit or vegetables: 12
Residents observed eating lunch: 5
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 2
May 26, 2016
Visit Reason
This annual State Licensure survey was conducted on 5/26/16 by the Division of Public and Behavioral Health to assess compliance with state regulations for Liberty Residential Care.
Findings
The facility received a grade of A but was cited for deficiencies related to nutritional requirements and medication storage. Meals did not consistently provide reasonable portions of recommended daily dietary allowances, and medications were not always stored securely.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Meals failed to provide a reasonable portion of the recommended daily dietary allowances, with frequent serving of soda and limited fruits and vegetables. | Severity: 2 |
| Medications were not stored securely; a file cabinet containing resident files and medications was found unlocked. | Severity: 2 |
Report Facts
Resident files reviewed: 10
Employee files reviewed: 3
Days soda posted for lunch: 26
Days soda posted for dinner: 29
Days fruits listed on menu: 8
Days vegetables listed on menu: 11
Days sandwiches posted for lunch: 26
Days no fruit or vegetables listed: 12
Residents diagnosed with obesity: 3
Residents diagnosed with diabetes: 2
Residents diagnosed with hypertension: 6
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 0
Jul 3, 2014
Visit Reason
Annual State Licensure grading survey conducted in accordance with NRS 449.0307, Powers of the Health Division.
Findings
No deficiencies were identified during the survey. The facility received a grade of A.
Report Facts
Resident files reviewed: 9
Employee files reviewed: 3
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 0
Jun 13, 2013
Visit Reason
This document is the result of an annual State Licensure grading survey conducted at the facility on 6/13/2013 to assess compliance with state regulations.
Findings
The facility received a grade of A with no deficiencies identified during the survey. Nine resident files and three employee files were reviewed.
Report Facts
Resident files reviewed: 9
Employee files reviewed: 3
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 0
Feb 15, 2011
Visit Reason
The inspection was conducted as a result of a complaint investigation initiated by the Bureau of Health Care Quality and Compliance on 8/18/10 regarding allegations about facility temperature and snack provision.
Findings
The complaint allegations that the facility failed to maintain a comfortable temperature and did not provide snacks were found to be unsubstantiated after interviews, observations, and review of menus and temperature readings.
Complaint Details
Complaint #NV00025236 was unsubstantiated. The allegation regarding the facility not maintaining a comfortable temperature and the allegation regarding residents not being offered snacks were both not substantiated through observation and interviews with facility staff and residents.
Report Facts
Complaint investigation period: 182
Facility licensed capacity: 10
Temperature range: 68
Temperature range: 82
Menu review period: 90
Inspection Report
Complaint Investigation
Census: 10
Capacity: 10
Deficiencies: 2
Jan 21, 2010
Visit Reason
The inspection was conducted as a complaint investigation from 12/24/2009 to 1/21/2010 following complaint #NV00023976 which was substantiated.
Findings
The facility was found to have inadequate lighting in one resident bedroom and failed to maintain appropriate facility temperatures, resulting in an unsafe and uncomfortable environment for all 10 residents.
Complaint Details
Complaint #NV00023976 was substantiated. The complaint involved inadequate lighting and failure to maintain safe and comfortable temperatures for residents.
Severity Breakdown
Severity: 2: 1
Severity: 3: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility did not provide adequate lighting in 1 of 4 resident bedrooms (Companion Bedroom #3 had no overhead light, only one bedside lamp with 40 watt bulbs). | Severity: 2 |
| Facility did not maintain appropriate temperatures from 68 F to 82 F, resulting in cold conditions affecting all 10 residents. | Severity: 3 |
Report Facts
Number of residents present: 10
Total licensed capacity: 10
Temperature readings: 65
Temperature readings: 66
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 2
Apr 21, 2009
Visit Reason
The inspection was conducted as an annual State Licensure survey of the facility on April 21, 2009.
Findings
Two deficiencies were identified: failure to maintain proper personnel files related to tuberculosis skin testing for employees, and failure to maintain the premises clean and well maintained, specifically bathroom tile damage caused by water.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Personnel file did not meet requirements for tuberculosis skin testing documentation for employees. | Severity: 2 |
| Facility premises were not kept clean and well maintained; bathroom tile integrity compromised by water damage. | Severity: 2 |
Report Facts
Licensed beds: 10
Resident census: 9
Severity level: 2
Scope: 3
Scope: 1
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 2
Apr 21, 2009
Visit Reason
The inspection was conducted as an annual State Licensure survey to assess compliance with state regulations for a residential care facility.
Findings
The facility received a grade of A but had deficiencies including failure to ensure tuberculosis testing compliance for 2 of 3 caregivers and failure to maintain the premises clean and well maintained, specifically water damage causing tiles to fall off in a bathroom.
Severity Breakdown
2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure 2 of 3 caregivers complied with tuberculosis testing requirements. | 2 |
| Failed to ensure the premises were kept clean and well maintained; water damage caused tiles to fall off in Bathroom #1. | 2 |
Report Facts
Number of resident files reviewed: 9
Number of employee files reviewed: 3
Number of discharged resident files reviewed: 1
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