Inspection Reports for Life Care Center of Reno

This inspection was conducted as a State Licensure Survey in conjunction with a Federal Re-Certification Survey at the facility from 06/22/2025 through 07/01/2025 to assess compliance with Nevada Administrative Code Chapter 449 for Skilled Nursing Facilities.

The survey identified multiple regulatory deficiencies related to personnel records, including failure to ensure timely fingerprinting and background checks, incomplete dementia-specific training documentation, and lack of cultural competency training for some employees. Corrective actions and plans of correction were submitted to address these issues.

The inspection was conducted as a State Licensure Survey in conjunction with a Federal Recertification survey at the facility from July 29, 2024 through August 1, 2024, to assess compliance with Nevada Administrative Code Chapter 449 for Skilled Nursing Facilities.

The facility was found deficient in personnel records related to fingerprinting and tuberculosis (TB) testing for employees, as well as in ensuring timely annual dementia training for staff. These deficiencies placed residents at risk due to incomplete employee eligibility requirements and training.

The inspection was conducted as a result of complaint and Facility Reported Incident (FRI) investigations from April 25, 2023, to May 8, 2023, to investigate multiple allegations regarding resident care and facility operations.

The investigation included observations, interviews, and document reviews related to medication administration, therapy services, resident care, and staff interactions. Multiple allegations were investigated but none were substantiated due to lack of evidence. No regulatory deficiencies were identified and no further action was necessary.

Complaint #NV00068348 and others included allegations such as improper medication administration, failure to order CT scans after falls, inadequate use of side rails, use of portable heaters, inappropriate prescribing without lab tests, failure to inform family about therapy discontinuation, failure to communicate care, and resident abuse. None of these allegations were substantiated due to lack of evidence.

An offsite revisit was conducted on December 8, 2022 for all previous deficiencies cited on September 22, 2022.

All deficiencies have been corrected, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was conducted as a Medicare recertification survey including an Emergency Preparedness survey and a Medicare Life Safety Code recertification survey.

The facility was found to be in substantial compliance with the Emergency Preparedness program but had multiple deficiencies related to Life Safety Code including issues with self-closing doors, exit signage, sprinkler system maintenance, portable fire extinguishers, electrical receptacles, and door inspections.

The inspection was conducted as a State Licensure Survey in conjunction with a Federal Recertification survey to assess compliance with Nevada Administrative Code Chapter 449 for Skilled Nursing Facilities.

The facility was found deficient in ensuring timely tuberculosis testing and background checks for employees, and in maintaining proper backflow prevention devices to protect potable water. No residents were affected by these deficiencies.

This Statement of Deficiencies was generated as a result of an annual Medicare Recertification Survey and Facility Reported Incident (FRI) investigation conducted at the facility from September 12, 2022, through September 15, 2022.

The facility was found deficient in multiple areas including resident rights, privacy and confidentiality, freedom from abuse, comprehensive assessments, baseline and comprehensive care planning, medication administration, dietary services, and behavioral health services. Specific incidents included verbal abuse by a CNA, failure to complete timely and accurate assessments, incomplete care plans, medication errors, and failure to provide care consistent with resident preferences.

The inspection was conducted as a result of a Focused Infection Control Survey and Complaint Investigation triggered by one complaint regarding resident care and infection control practices.

The investigation found no substantiated abuse or neglect related to the complaint. However, a deficiency was identified in infection prevention and control where an unvaccinated healthcare worker (LPN) was not correctly wearing required Personal Protective Equipment (N95 mask). The facility was otherwise compliant with healthcare worker vaccination requirements.

Complaint #NV00065898 was investigated with allegations of resident falls due to lack of supervision, delayed care for a fractured hip, and delayed reporting of blood in urine. The complaint was not substantiated due to lack of evidence.

The inspection was conducted as a State Licensure Survey in conjunction with a Federal Recertification survey at the facility from September 13 through September 16, 2021, to assess compliance with Nevada Administrative Code Chapter 449 for Skilled Nursing Facilities.

The facility failed to ensure that physical examinations were completed prior to employment for one employee and that background checks through the Nevada Automated Background Check System (NABS) were submitted timely for two employees. No residents were affected by these deficiencies.

The inspection was conducted as a result of a complaint investigation and a Focused Infection Control survey in accordance with 42 CFR Part 483 for Long Term Care Facilities.

The facility was found to have no COVID-19 positive residents or staff at the time of the survey and had implemented infection control measures including PPE use, testing, and cleaning protocols. However, the complaint investigation substantiated that the facility failed to provide a safe discharge plan for one resident, who was discharged to an unsafe environment without proper coordination or verification of the discharge location's safety and accessibility.

Complaint #NV00063150 was substantiated. The allegation that the facility failed to provide discharge planning to ensure a resident was discharged to a safe environment was substantiated.

This inspection was a Centers for Medicare and Medicaid Services (CMS) COVID-19 Focused Infection Control survey initiated at the facility on 11/16/20 to assess compliance with infection control regulations.

The investigation included review of the Infection Prevention and Control Program, policies, procedures, staff and resident testing, and hygiene practices. No regulatory deficiencies were identified and no further action was necessary.

The inspection was conducted as a result of a complaint investigation initiated on 10/06/20 in accordance with federal regulations for long term care facilities.

Three complaints were investigated involving allegations related to respiratory isolation signs, resident care, staff behavior, and discharge procedures. None of the allegations were substantiated and no regulatory deficiencies were identified.

Three complaints were investigated: #NV00060597 regarding respiratory isolation signs; #NV00061805 regarding oral care assistance, staff yelling, skin infection care, and wound dressing; and #NV00061958 regarding family notification of discharge and condition changes. All allegations were found to be unsubstantiated.

The inspection was a COVID-19 Focused Infection Control survey initiated by CMS to assess compliance with infection prevention and control requirements for long term care facilities.

No regulatory deficiencies were identified during the survey. The investigation included review of infection prevention policies, staff and resident screening, testing practices, and facility procedures related to COVID-19.

This visit was a COVID-19 Follow-up Focused Infection Control survey initiated by the Centers for Medicare and Medicaid Services (CMS) to assess regulatory compliance with infection control and prevention requirements.

The investigation included reviews of resident histories, facility maps, cleaning supplies, and interviews with key staff. No regulatory deficiencies were identified during this follow-up survey, and no further action was necessary.

This inspection was a Centers for Medicare and Medicaid Services (CMS) COVID-19 Focused Infection Control survey initiated at the facility to assess compliance with infection control requirements during the COVID-19 pandemic.

No regulatory deficiencies were identified during the survey. The investigation included review of infection prevention policies, staff practices, and interviews with key facility personnel.

The inspection was conducted as a Medicare Life Safety Code (LSC) recertification survey and an Emergency Preparedness survey at the facility.

The facility had several deficiencies including incorrect directional exit signage, incomplete sprinkler system maintenance, corridor doors not resisting smoke for at least 20 minutes due to mail slots, inadequate staff knowledge during fire drills, unlabeled medical gas alarm panels, and an oxygen storage closet that was not properly protected or documented. Corrective actions were planned or implemented for each deficiency.

This inspection was conducted as a State Licensure Survey completed in conjunction with a Federal Recertification survey at the facility from April 08, 2019 through April 11, 2019.

No regulatory deficiencies were identified during the survey. Employee records were reviewed as part of the inspection.

This Statement of Deficiencies was generated as a result of a Medicare Recertification survey conducted from April 8, 2019 through April 11, 2019, including one complaint investigation.

The survey identified multiple deficiencies including failure to develop baseline care plans for Foley catheter and oxygen, failure to update fall care plans, medication administration errors, improper catheter care, inadequate respiratory monitoring, food storage violations, and infection control issues including nebulizer storage and lack of antibiotic stewardship program.

One complaint investigated (Complaint #NV00056202) with allegations including catheter care, fecal matter presence, pain management, call light response, falls, bedpan use, and urinary tract infection. The allegations were not substantiated.

The inspection was conducted as a result of a complaint investigation initiated on 01/28/19 regarding allegations about improper medical treatment at the facility.

The complaint allegations were investigated through facility tour, interviews, and medical record review, and were found to be unsubstantiated. No regulatory deficiencies were identified.

Complaint #NV00055660 included allegations that a physician scraped out ear wax with a paperclip and that the facility treated a resident's sore with ointment and a band-aid. Both allegations were not substantiated.

The inspection was conducted as a result of a complaint investigation triggered by two complaints with multiple allegations regarding quality of care, physician services, resident rights, staffing, neglect, falsification of records, and dietary services.

The investigation included observations, interviews with staff and residents, and document reviews. No regulatory deficiencies were identified and no further action was necessary.

Two complaints were investigated with multiple allegations including over sedation, rude physician behavior, denial of visitation, call light accessibility and response, abuse/neglect, resident rights violations, insufficient staffing, malnutrition/dehydration, medication errors, inaccurate records, and insufficient food/meals skipped. None of the allegations were substantiated.

This report was generated as a result of the Medicare recertification survey conducted from 05/07/18 to 05/10/18, including investigation of two complaints during the survey.

The survey identified deficiencies related to required notices and contact information, notice requirements before transfer/discharge, comprehensive assessments and timing, psychotropic medication use, and food safety requirements. One complaint was substantiated regarding failure to provide a 30-day notice of discharge to residents.

Two complaints were investigated during the survey. Complaint #NV00051884 was substantiated related to failure to provide a 30-day notice of discharge to residents. Complaint #NV00050996 was not substantiated.

The survey was conducted as an Emergency Preparedness survey in conjunction with a Medicare recertification survey at the facility on 2018-05-08.

No deficiencies were cited during this survey.

The survey was conducted as a Medicare Life Safety Code (LSC) and Emergency Preparedness recertification survey.

The facility was found to be fully equipped with an automatic fire sprinkler system and no deficiencies were cited during this survey.

The inspection was conducted as a complaint investigation following two complaints received on October 9, 2017, regarding discharge procedures, physician orders, and care concerns at the facility.

The investigation found that the facility failed to obtain physician orders for discharge and physician signatures on discharge summaries for sampled residents. Multiple allegations related to resident care, including bruising, grooming, staffing, and falsified paperwork, were reviewed but found unsubstantiated.

Complaint #NV00049636 was unsubstantiated but noted failure to obtain physician orders and signatures on discharge summaries. Complaint #NV00050166 was unsubstantiated but noted failure to obtain physician's signature on discharge summary and no alarm on bed.

The inspection was conducted as a Medicare recertification survey on April 13, 2017, including investigation of two complaints during the survey period.

The survey identified multiple deficiencies related to quality of care, treatment, pressure sore management, catheter care, accident prevention, medication storage, special needs treatment, and infection control. Several residents were found to have unmet care needs or safety risks, and corrective actions were planned.

Two complaints were investigated during the survey period: Complaint #NV00048887 and Complaint #NV00048329. Both complaints could not be substantiated.

This document is a Medicare Life Safety Code (LSC) recertification survey conducted to assess the facility's compliance with fire safety standards, specifically the NFPA 101 Life Safety Code, 2012 edition.

The facility was found deficient in maintaining the automatic fire sprinkler system, portable fire extinguishers, corridor doors, fire drills, electrical equipment, and gas equipment storage. Multiple sprinkler system issues were observed in two smoke compartments affecting residents, staff, and guests. Corrective actions were planned and assigned to the Director of Environmental Services.

The inspection was conducted as a result of a complaint investigation involving three complaints with multiple allegations including resident abuse, medication errors, falsified records, insufficient supplies, injury of unknown origin, resident neglect, and quality of care concerns.

The investigation included review of three resident records, interviews with key facility staff, and policy review. All allegations were found to be unsubstantiated and no regulatory deficiencies were identified. No further action was necessary.

Three complaints were investigated: Complaint #NV00047754 with four allegations, Complaint #NV00047552 with one allegation, and Complaint #NV00047473 with four allegations. All allegations were unsubstantiated.

The inspection was conducted as a result of a complaint investigation regarding allegations about a resident's air mattress not being implemented until discharge and wound care documentation issues.

The complaint investigation found that the allegations could not be substantiated and no regulatory deficiencies were identified. No further action was necessary.

Complaint # NV00046846 included two allegations: 1) a resident's air mattress was not implemented until discharge, and 2) a resident's wound care was not documented. Both allegations were not substantiated after interviews and record reviews.

The inspection was conducted as a result of a complaint investigation regarding an allegation of resident client neglect and injury of unknown origin.

The complaint was investigated through record review and interviews with the Director of Nursing and acting Administrator. The allegation was not substantiated and no deficiencies were identified.

Complaint #NV00046059 involved an allegation of resident client neglect and injury of unknown origin, which was not substantiated.

The survey was conducted as a Medicare Life Safety Code (LSC) survey to assess compliance with Chapter 19, EXISTING Health Care Occupancies, of the 2000 Edition of the National Fire Protection Association's (NFPA) 101, Life Safety Code.

No deficiencies were cited during this survey.

The inspection was conducted as an annual Medicare Recertification Survey from April 25, 2016 through April 28, 2016, in accordance with 42 CFR Chapter IV Part 483 Requirements for Long Term Care Facilities.

The survey identified multiple deficiencies related to resident care including failure to prevent decrease in range of motion, failure to ensure drug regimens were free from unnecessary drugs, failure to ensure proper medication dose reductions, and failure to maintain proper drug records and infection control practices. Corrective actions and plans of correction were outlined for affected residents and systemic changes to prevent recurrence were described.

This Statement of Deficiencies was generated as a result of an annual Medicare Recertification Survey conducted from May 4, 2015 through May 7, 2015, in accordance with 42 CFR Chapter IV Part 483 Requirements for Long Term Care Facilities.

The survey investigated three complaints, none of which were substantiated. Multiple deficiencies were identified related to resident care, medication administration, drug regimen, infection control, and drug storage and labeling.

Three complaints were investigated during the survey period. Complaint #NV000042036 contained one allegation which was not substantiated. Complaint #NV000042054 contained four allegations which were not substantiated. Complaint #NV000040736 contained one allegation which was not substantiated.

The inspection was conducted as an annual Medicare Recertification Survey from May 4, 2015 through May 7, 2015, including investigation of three complaints during the survey period.

The facility was found to have multiple deficiencies including failure to complete timely swallow evaluations, improper use and monitoring of psychotropic medications, failure to act on pharmacist recommendations, improper medication storage and labeling, and lapses in infection control practices such as inadequate hand hygiene.

Three complaints were investigated during the survey period. Complaint #NV000042036 with one allegation of failure to protect resident with safe discharge was not substantiated. Complaint #NV000042054 with four allegations including improper infection control, failure to assess and monitor resident condition, failure to provide adequate personal care, and nursing services professional standards not met were all not substantiated. Complaint #NV000040736 with one allegation that resident was not informed of discharge to another facility was not substantiated.

The inspection was conducted to assess compliance with clinical record-keeping requirements, specifically regarding documentation of daily catheter care for residents.

The facility failed to ensure accurate documentation of daily catheter care for one sampled resident with a supra-pubic catheter, despite orders requiring daily care. Licensed nursing staff confirmed catheter care was performed daily, but documentation was incomplete.

This survey was conducted as a Medicare Life Safety Code (LSC) survey to assess compliance with Chapter 19, EXISTING Health Care Occupancies, of the 2000 Edition of the National Fire Protection Association's (NFPA) 101, Life Safety Code.

No deficiencies were cited during this Life Safety Code survey.

This survey was conducted as a Medicare Life Safety Code (LSC) survey to assess compliance with Chapter 19, EXISTING Health Care Occupancies, of the 2000 Edition of the NFPA 101 Life Safety Code.

There were no deficiencies cited during this Life Safety Code survey.

The inspection was conducted as a State Licensure Survey in conjunction with a federal recertification survey at the facility from 2/19/2014 through 2/24/2014 to assess compliance with Nevada Administrative Code Chapter 449 for Skilled Nursing Facilities.

The facility failed to ensure proper infection control practices, including inadequate use of barriers and cleaning during medication administration for a resident with C-diff, improper handling of food items dropped on the floor, and failure to keep catheter bags off the floor. Observations and interviews confirmed these lapses in infection control and policy adherence.

The inspection was conducted as a complaint investigation initiated by the Bureau of Health Care Quality and Compliance on 8/28/13 regarding allegations of medications not being given timely.

The facility failed to ensure timely administration of pain medication for 2 of 6 residents reviewed, specifically Resident #2 and Resident #4, resulting in substantiated medication timing deficiencies.

Complaint #NV00036369 was substantiated regarding medications not being given timely.

The inspection was conducted as a complaint investigation triggered by allegation #NV00036369 regarding medications not being given in a timely manner.

The facility failed to ensure timely administration of pain medication for 2 of 6 residents reviewed. Specifically, delays in pain medication delivery and authorization from the pharmacy caused residents to experience unmanaged pain, leading one resident to leave the facility against medical advice.

Complaint #NV00036369 was substantiated regarding medications not being given timely.

The inspection was conducted as a result of a complaint investigation regarding allegations that the facility failed to properly care for a resident's pressure sores.

The allegation was found to be unsubstantiated based on observation, interview, and record review. The resident was admitted with several pressure sores and appropriate individualized interventions were only partially effective due to the resident's numerous co-morbidities and fragile condition. No violations of regulations were found.

Complaint #NV000 35017 involved allegations that the facility failed to properly care for Resident #1's pressure sores. The allegation was unsubstantiated.

This survey was conducted as a Medicare Life Safety Code (LSC) survey to assess compliance with the National Fire Protection Association's (NFPA) 101, Life Safety Code.

No deficiencies were cited during this Life Safety Code survey conducted on 1/3/13 and 1/4/13.

The inspection was conducted as the annual Medicare recertification survey from January 2, 2013 through January 8, 2013, including one complaint investigation during the survey period.

Multiple deficiencies were identified including failure to obtain informed consent and physician orders for physical restraints and psychotropic medications, inadequate housekeeping and maintenance services, failure to meet professional standards in medication administration, unsecured medication carts, inadequate infection control practices, and incomplete clinical records documentation.

Complaint #NV 00034242 alleged failure to obtain consent and orders for a physical restraint. The complaint was substantiated after medical record review, policy review, and staff interview.

The inspection was conducted as an annual Medicare recertification survey from January 2 through January 8, 2013, including investigation of one complaint regarding failure to obtain consent and orders for physical restraint.

The facility was found deficient in obtaining informed consent and physician orders for physical restraints and psychotropic medications for certain residents. Additional deficiencies included housekeeping and maintenance issues, failure to meet professional standards in medication administration, failure to secure drugs properly, and inadequate infection control practices.

Complaint #NV 00034242 alleged failure to obtain consent and orders for a physical restraint. The complaint was substantiated based on medical record review, policy review, and staff interviews.

The inspection was conducted as a result of complaint investigations regarding allegations of linens not being changed, handwashing/sanitizing not done, and physician neglect for Resident #1.

The investigation found that linens were changed as needed and the facility was clean. Staff were sanitizing their hands between patient contacts, though housekeeping noted a need to replenish sanitizer dispensers more often. Resident #1 was seen multiple times by medical staff with new orders carried out. Allegations related to Resident #1 were unsubstantiated. For Resident #2, who had respiratory failure and was declining, the physician was notified immediately upon condition change and emergency services were called promptly. Allegations of delay in emergency contact were unsubstantiated.

Complaint #NV000 33163 included allegations that linens were not changed, handwashing/sanitizing was not done, and the physician did not act for Resident #1. Additional allegation was that staff delayed contacting emergency services for Resident #2. All allegations were found unsubstantiated based on observations, interviews, and record reviews.

The inspection was conducted as a result of a complaint investigation (Complaint #30921) regarding allegations of infection control issues, delayed physician notification, feeding tube problems, insufficient fluids, and low antibiotic dosage for Resident #1.

The investigation found that the resident left the facility multiple times, making infection source unclear. The facility was under a plan of correction for infection control from a prior annual survey and could not be cited again. Physician notification and orders were timely after symptoms appeared. Appropriate actions were taken for feeding tube issues and hydration. No violations of regulations were found.

Complaint #30921 involved allegations of C-diff infection, delayed physician notification, feeding tube clogging requiring ER visits, insufficient fluids, and low antibiotic dosage. The complaint was not substantiated as no violations were found.

This inspection was conducted as an annual Medicare Recertification survey in accordance with 42 CFR Chapter IV Part 483 for States and Long Term Care Facilities, covering the period from March 5, 2012 to March 8, 2012.

The facility was found to have multiple deficiencies including failure to prevent administration of an antibiotic to a resident with a documented allergy, unsanitary food procurement and preparation conditions, and inadequate infection control practices related to cleaning agents and procedures. Corrective actions and education plans were outlined for dietary, nursing, and housekeeping staff to address these issues.

This inspection was conducted as an annual Medicare Recertification survey in accordance with 42 CFR Chapter IV Part 483 for States and Long Term Care Facilities.

The facility was found deficient in multiple areas including failure to prevent administration of an antibiotic to a resident with a known allergy, unsanitary conditions in the dietary department and nourishment storage areas, inadequate infection control practices including improper cleaning agents used against C. difficile, and improper handling of ice and medical equipment.

The inspection was conducted as a Medicare Life Safety Code (LSC) survey to assess compliance with NFPA 101 Life Safety Code standards for existing health care occupancies.

The facility failed to maintain fire extinguishers in working condition for 3 of 13 extinguishers in the Landa building and 1 of 10 extinguishers in the Denton building. The Maintenance Director confirmed annual service was performed on 2/9/12, but the units in question were re-serviced on 3/6/12 due to faulty O-rings.

The inspection was conducted as a Medicare Life Safety Code (LSC) survey to assess compliance with fire safety standards at the Life Care Center of Reno.

The facility failed to maintain fire extinguishers in working condition in multiple locations, including the Landa and Denton buildings. The Maintenance Director arranged for re-servicing of the extinguishers during the survey.

The inspection was conducted as a result of a complaint investigation at the facility on 01/18/2012, focusing on allegations including unanswered call bells, pain medication not given as requested, poor quality of colostomy care, falls due to poor quality of care, and facility-acquired infections.

The investigation found that the allegations regarding call bells and pain medication were not substantiated due to lack of evidence, while the allegation of poor quality of colostomy care was substantiated. The facility failed to have a system in place to ensure colostomys were assessed and care was routinely performed for residents with colostomys.

Complaint #NV00029871 alleging call bells not being answered and pain medication not given as requested were not substantiated. Complaint #NV000300445 alleging falls due to poor quality of care and facility-acquired infection were not substantiated. The allegation of poor quality of colostomy care was substantiated.

The inspection was conducted as a result of a complaint investigation triggered by allegations including call bells not being answered, pain medication not given as requested, poor quality of colostomy care, falls due to poor quality of care, and facility acquired infections.

The investigation found that allegations regarding call bells, pain medication, falls, and facility acquired infections were not substantiated due to lack of evidence. However, poor quality of colostomy care was substantiated due to failure to have a system ensuring routine assessment and care of colostomies for 2 sampled residents.

Complaint #NV00029871 included allegations of call bells not being answered, pain medication not given as requested, and poor quality of colostomy care; only the colostomy care allegation was substantiated. Complaint #NV00030445 included allegations of falls due to poor care and facility acquired infections; these were not substantiated.

The inspection was conducted as a Medicare complaint investigation regarding allegations of dirty dishes at the facility.

The allegation regarding dirty dishes was not substantiated based on observations of two kitchens, staff and resident interviews, and document review. No violations of regulations were found.

Complaint NV00029222: The allegation regarding dirty dishes was not substantiated.

The inspection was conducted as a result of a Medicare complaint investigation at the facility on 2011-10-03, completed on 2011-10-18, to investigate allegations of lack of quality care regarding medication administration, assessment and treatment of a urinary tract infection, and provision of nutrition and hydration.

The investigation included interviews and review of clinical and hospital records. All complaints were found to be unsubstantiated, and no regulatory deficiencies were identified.

Three complaints were investigated: 1) failure to administer medications as ordered and failure to notify family when resident failed to take medications; 2) failure to properly assess and treat a urinary tract infection; 3) failure to provide nutrition and hydration to a resident. All complaints were unsubstantiated.

The inspection was conducted as a Medicare complaint investigation regarding quality of care and discharge planning at the facility.

The complaint allegations regarding quality of care and discharge planning were unsubstantiated through record review and interviews. No regulatory deficiencies were identified.

Complaint NV 0028102: The complaint allegation regarding quality of care was unsubstantiated. The complaint allegation regarding discharge planning and rights was unsubstantiated.

The inspection was conducted as a result of a complaint investigation at the facility on 3/24/2010, in accordance with Nevada Administrative Code, Chapter 449, Facilities for Skilled Nursing.

Complaint #NV00024719 was unsubstantiated and no regulatory deficiencies were identified during the investigation.

Complaint #NV00024719 was unsubstantiated.

Annual Medicare recertification survey conducted from 1/25/10 through 1/29/10 to assess compliance with 42 CFR Chapter IV Part 483 Requirements for long Term Care Facilities.

The facility was found deficient in multiple areas including informed consent for psychotropic medications, personal privacy breaches, physical restraint consent, dignity and respect, reasonable accommodation of needs, activities programming, provision of medically-related social services, comprehensive care planning, medication administration errors, food safety and sanitation, infection control practices, and medication error rates exceeding 5%.

The inspection was conducted as a Medicare Life Safety Code (LSC) survey using Chapter 19, EXISTING Health Care Occupancies, of the 2000 Edition of the NFPA 101 Life Safety Code.

No deficiencies were cited during this Life Safety Code survey conducted on 1/26/10 and 1/27/10.

This report documents the annual Medicare recertification survey conducted at the facility from January 25, 2010 through January 29, 2010, to assess compliance with federal regulations for long term care facilities.

The survey identified multiple deficiencies related to informed consent for psychotropic medications, personal privacy and confidentiality of records, physical restraints, dignity and respect of individuality, reasonable accommodation of needs, provision of medically related social services, medication error rates, food procurement and sanitation, infection control, and comprehensive care planning. The facility failed to meet several regulatory requirements as evidenced by observations, record reviews, and interviews.

The inspection was conducted as a result of a complaint investigation at the facility on 12/18/09.

The complaint #NV00023899 was substantiated but no deficiencies were cited during the investigation.

Complaint #NV00023899 was substantiated with no deficiencies cited.

The inspection was conducted as a result of a complaint investigation at the facility on 12/9/09, finalized on 12/23/09, in accordance with Nevada Administrative Code, Chapter 449, Facilities for Skilled Nursing.

The complaint #NV00023819 was unsubstantiated. No deficiencies were cited in this report.

Complaint #NV00023819 was investigated and found to be unsubstantiated.

The inspection was conducted as a result of a complaint investigation at the facility on 12/1/09.

The complaint #NV00023608 was found to be unsubstantiated. No deficiencies are explicitly cited in the report.

Complaint #NV00023608 was investigated and determined to be unsubstantiated.

The inspection was conducted as a result of a complaint investigation at the facility on 08/31/2009.

The complaint #NV00022864 was unsubstantiated and no regulatory deficiencies were identified during the investigation.

Complaint #NV00022864 was investigated and found to be unsubstantiated.

The document serves as a notice to the facility administrator that the Health Division intends to impose sanctions due to regulatory deficiencies identified in a prior survey.

The Health Division is imposing monetary penalties based on the severity and scope of deficiencies found during a survey, with a total penalty of $400. The Plan of Correction submitted by the facility was reviewed and deemed acceptable.

The inspection was conducted as a complaint investigation under State licensure following Complaint #NV00021344, which was substantiated. The investigation focused on the facility's compliance with Nevada Administrative Code (NAC) 449, Skilled Nursing Facilities Regulations.

The facility failed to monitor and assess the food and fluid intake of one resident, resulting in hospitalization for hypotension associated dehydration. The resident had poor nutrition, low oral intake, and fluid intake, leading to severe health decline and transfer to a hospital. Documentation and nursing interventions were inadequate to prevent this outcome.

Complaint #NV00021344 was substantiated. The investigation revealed inadequate monitoring and assessment of a resident's nutritional and fluid intake, leading to hospitalization.

Annual Medicare recertification survey conducted from 1/26/09 through 1/29/09, including investigation of complaint #NV00020738.

The facility was found deficient in multiple areas including failure to post state agency contact information, failure to provide timely rehabilitation equipment, failure to check gastrostomy tube placement before medication administration, failure to maintain acceptable nutritional parameters, unnecessary drug use, improper food temperature and sanitary conditions, inadequate infection control program, and failure to promptly notify physicians of lab results.

Complaint #NV00020738 was investigated and substantiated with a deficiency cited (F309) related to failure to provide necessary rehabilitation equipment in a timely manner for resident #26.

This inspection was conducted as an annual Medicare recertification survey from January 26, 2009 through January 29, 2009. A complaint (#NV00020738) was also investigated during this survey.

The facility was found deficient in multiple areas including failure to post state agency contact information, failure to provide necessary rehabilitation equipment in a timely manner, failure to ensure proper placement checks of gastrostomy tubes prior to medication administration, failure to maintain acceptable nutritional parameters for residents, failure to ensure medication regimens were free from unnecessary drugs, failure to maintain proper food temperatures and sanitary conditions, and failure to establish an effective infection control program.

Complaint #NV00020738 was investigated and substantiated with a deficiency cited (F309) related to failure to provide necessary rehabilitation equipment in a timely manner for Resident #26.

The inspection was conducted as a complaint survey based on complaint #NV00018821 alleging the facility failed to provide services and properly maintain equipment. The complaint was substantiated.

The facility failed to notify the physician of abnormal bladder scan results for one resident, failed to obtain a physician's order for a bladder scan, failed to assess and intervene on bladder scan results, and failed to maintain test equipment per manufacturer recommendations. The resident was discharged to an acute care facility after complications.

Complaint #NV00018821 was substantiated. The complaint alleged failure to provide services and properly maintain equipment.

This document is a Plan of Correction submitted following a Medicare recertification survey conducted from 02/25/08 through 02/29/08. The plan addresses deficiencies identified during the survey.

The facility was found deficient in multiple areas including staff treatment of residents, social services, urinary incontinence care, sanitary conditions in food preparation and service, pharmacy services, and infection control. Specific issues included failure to report abuse allegations, lack of timely social service care plans, inadequate urinary incontinence treatment, improper food transport, improper labeling and disposal of drugs, and failure to maintain infection control tracking.

This complaint investigation was conducted due to a facility-reported incident where a resident had a fall with injury, substantiated with deficiencies cited related to notification of changes and quality of care.

The facility failed to promptly notify the resident's physician of ongoing pain complaints following a fall, resulting in delayed assessment and treatment. Deficiencies were cited for failure to ensure timely physician notification and inadequate reassessment and response to the resident's pain.

Complaint #NV00015925 was a facility reported incident that a resident had a fall with injury. The incident was substantiated with deficiencies cited (F157 and F309).

The investigation was triggered by an allegation of inappropriate touching by Resident #1 reported by Resident #2, and the facility's failure to thoroughly investigate and report the alleged abuse in accordance with its abuse and neglect policy.

The facility failed to ensure that the allegation of abuse was properly investigated and reported to the Director of Nursing and state agencies in a timely manner. There was inadequate documentation, lack of staff interviews, and failure to protect residents from potential retaliation. The allegation was ultimately found to be unsubstantiated, but the facility did not follow its own abuse and neglect policies.

The complaint involved an allegation of inappropriate touching by Resident #1 reported by Resident #2. The allegation was investigated but found unsubstantiated. The facility failed to report the incident timely to the Director of Nursing and state agencies, and failed to protect residents from retaliation or ensure confidentiality. Resident #2 was transferred to a senior mental health inpatient facility due to behaviors placing others at risk.

This plan of correction was submitted as a result of a complaint investigation conducted at the facility on 2006-04-21 and finalized on 2006-05-02. The complaint involved a self-reported incident of injury to a resident caused by a staff member and alleged staff abuse.

The investigation found that the facility failed to ensure timely identification and investigation of the resident's injury and alleged staff abuse. The facility did not thoroughly investigate the allegations or protect the resident from further potential abuse. The resident sustained a non-displaced distal ulnar fracture of unknown origin, and the investigation lacked documentation of timely initiation and staff in-service training.

Complaint # NV00011228 was a self-reported incident of injury to a resident caused by a staff member. The allegation of staff abuse was unsubstantiated. The deficiency cited related to the facility's timeliness of identifying and investigating the cause of the resident's injury and alleged staff abuse.

The inspection was conducted as a result of three complaint investigations at the facility on 4/21/05, with investigations ongoing until 5/27/05. The complaints involved self-reported resident falls and allegations of neglect of care.

Two complaints of resident falls were substantiated with no deficiencies cited. One complaint alleging neglect of care was substantiated with deficiencies cited at F 309 (Quality of Care) and F 281 (Resident Assessment). The facility failed to provide services meeting professional standards of quality, including inadequate monitoring and assessment of a resident's injuries and skin condition.

Complaint #NV00007985 and #NV00007879 were self-reported resident falls and were substantiated with no deficiencies cited. Complaint #NV0007928 alleged neglect of care and was substantiated with deficiencies cited at F 309 and F 281.

The inspection was conducted as an annual Medicare Re-certification Survey from February 14, 2005 through February 18, 2005.

The survey identified multiple deficiencies across various areas including notification of rights and services, quality of life, resident assessments, social services, medication administration, dietary services, and pharmacy services. Several residents were found to have unmet needs or inadequate care plans, and systemic issues were noted in documentation, communication, and care delivery.

GYDR11

LCCReno

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