Inspection Reports for Life Care Center of South Las Vegas

The inspection was conducted as a Medicare Recertification Survey, Complaint and Facility Reported Incident (FRI) investigations from 06/10/2025 through 06/13/2025.

The facility had multiple deficiencies including failure to maintain resident dignity, failure to report elopement timely, incomplete baseline care plans, failure to provide incontinent care, failure to obtain physician orders and follow-up appointments, failure to obtain weekly weights, failure to follow IV site care orders, medication errors, and improper storage of medications and food items.

There were five complaints investigated: 3 were substantiated with deficiencies found, 1 substantiated with no deficient practice, and 3 unsubstantiated. Substantiated complaints involved resident dignity, reporting of incidents, and quality of care.

The inspection was conducted as a Medicare Recertification Survey, Complaint and Facility Reported Incident investigations from 06/10/2025 through 06/13/2025.

The facility was found to have multiple deficiencies including failure to maintain resident dignity, failure to report an elopement timely, inadequate baseline care planning, failure to provide incontinent care, quality of care issues including lack of physician orders and follow-up, failure to obtain weekly weights as ordered, failure to follow IV site care orders and obtain physician orders for IV access, medication errors exceeding 5%, expired medications not disposed, and improper food storage and labeling.

The survey included investigations of five complaints and three facility reported incidents. Three complaints and one FRI were substantiated with deficiencies, one FRI was substantiated without deficient practice, and three complaints and one FRI were unsubstantiated.

The inspection was conducted as a result of a complaint investigation at the facility on 03/11/2025, in accordance with 42 CFR Chapter IV, Part 483, Requirements for Long Term Care Facilities.

Four complaints were investigated; one complaint was substantiated with no deficient practice, and three complaints were unsubstantiated with no regulatory deficiencies identified. Observations, interviews, clinical record reviews, and document reviews were conducted. No regulatory deficiencies were identified and no further action was necessary.

Four complaints were investigated: Complaint #NV00073241 was substantiated with no deficient practice; Complaints #NV00073366, #NV00073240, and #NV00073197 were unsubstantiated with no regulatory deficiencies identified.

This inspection was conducted as a state licensure survey in conjunction with a Federal Recertification survey at the facility from 08/06/2024 through 08/09/2024.

The facility was found deficient in ensuring personnel records contained evidence of physical examinations for all staff when hired and failed to provide ongoing dementia training to required employees. These deficiencies posed potential risks to residents and staff.

The inspection was conducted as a result of Complaint and Facility Reported Incident (FRI) investigations initiated on 01/03/2023 and completed on 01/04/2023, in accordance with Nevada Administrative Code (NAC) 449 for Skilled Nursing Facilities.

The facility failed to ensure that a Nursing Assistant (Employee 1) had a Nevada certification at the time of hire. Employee 1 was hired on 05/13/2022 as a CNA but did not have documented evidence of Nevada certification at hire, which is required by facility policy and state regulations.

The investigation was complaint-driven and included review of employee files and interviews. The deficiency was substantiated based on documentation and interviews with HR personnel and the Director of Nursing.

The inspection was conducted as a result of four complaints and one Facility Reported Incident (FRI) investigation initiated at the facility on 01/03/2023, including a review of a resident elopement and other allegations.

The investigation substantiated some allegations without regulatory deficiencies, including staffing schedules and wound care availability. Several allegations were not substantiated. Deficiencies were identified related to pressure ulcer prevention and staff qualifications, including failure to ensure a Nursing Assistant had Nevada certification upon hire.

Four complaints and one FRI were investigated. One FRI related to resident elopement was substantiated without regulatory deficiencies. Complaint #NV00066669 was substantiated without regulatory deficiency. Complaint #NV00067549 was substantiated. Complaint #NV00067503 was not substantiated. Complaint #NV00067611 was substantiated. Allegations included staffing adequacy, wound care availability, resident treatment, and certification of staff.

The inspection was conducted as a complaint investigation based on two complaints received regarding medication administration and staffing levels.

Two complaints were substantiated: one involving a resident receiving intravenous medication late, and another regarding understaffing of nurses and CNAs. Several other allegations were investigated but not substantiated. A regulatory deficiency was identified related to the failure to administer intravenous antibiotics timely.

Complaint #NV00066808 was substantiated with the allegation that a resident received intravenous medication late. The allegation that the facility was understaffed for nurses and CNAs was substantiated without regulatory deficiency. Other allegations related to falls, staff assistance, COVID-19 exposure, CNA job performance, and housekeeping were not substantiated.

The inspection was conducted as a result of a complaint investigation regarding allegations about diabetic snack availability, insulin management, facility cleanliness, call bell response times, and staffing levels.

The investigation found no substantiated deficiencies. Snacks appropriate for diabetic residents were available, insulin management was appropriate, the facility was clean, call bell responses were timely, and staffing levels were adequate despite some challenges.

Complaint #NV00065566 included five allegations: 1) lack of sugar-free snacks, 2) inappropriate insulin management, 3) facility cleanliness issues, 4) delayed call bell responses, and 5) short staffing. None of these allegations were substantiated based on observations, staff interviews, resident feedback, and review of logs and records.

The inspection was conducted as a result of a Medicare Recertification survey, complaint investigation, and facility reported incident investigation from 12/14/2021 through 12/20/2021.

The facility was found to have multiple deficiencies including failure to develop baseline care plans for oxygen, Foley catheters, central venous catheters, and slings; failure to administer medications timely and according to physician orders; inadequate monitoring and documentation of dialysis treatments; improper infection control practices including PPE use and cleaning of glucometers; and failure to ensure staff had current CPR certification.

Complaint investigations #NV00064471, #NV00064209, and #NV00063925 were substantiated with multiple regulatory deficiencies identified.

The inspection was conducted as a Medicare Recertification survey, complaint investigation, and facility reported incident investigation from 12/14/2021 through 12/20/2021.

The survey identified multiple deficiencies including failure to develop baseline care plans for oxygen, sling, Foley catheter, and central vascular catheter; failure to follow physician orders for antibiotic administration, bowel regimen, blood glucose monitoring, and oxygen use; failure to obtain physician orders for Foley catheter use; failure to properly manage IV lines and dressings; incomplete dialysis assessments and communication; failure to complete annual nurse aide performance reviews; improper medication storage and labeling; and infection control lapses including improper PPE use and equipment cleaning.

The inspection included investigations of six complaints and three facility reported incidents. Several allegations were substantiated including issues with constipation management, antibiotic administration, oxygen requirements, dialysis catheter care, and staffing levels. Some allegations such as call light response, resident handling, diet, and abuse were not substantiated.

The inspection was conducted as an Emergency Preparedness survey in conjunction with a Medicare recertification survey to assess compliance with federal and state emergency preparedness regulations.

The facility lacked detailed and updated emergency preparedness policies and procedures, including safe evacuation plans, assembly area identification, volunteer and staffing strategies, emergency contact lists, and staff training. Several employees were unaware of emergency procedures, locations of emergency supplies, and their roles during emergencies.

An offsite revisit was conducted to verify correction of all previous deficiencies cited on September 17, 2021.

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

Complaint investigation initiated due to multiple complaints alleging issues such as inadequate staffing, improper discharge notification, rough handling of residents, room temperature concerns, and medication management.

The investigation substantiated some complaints including inadequate care plan provision, failure to isolate COVID-19 positive residents timely, medication order delays, lack of dentures provision, and incomplete fall management interventions. Other allegations such as rough handling, inadequate staffing, and failure to notify families were not substantiated. The facility had low census and sufficient staffing during the investigation.

The complaint investigation involved 11 complaints. Some allegations were substantiated such as inadequate care planning, failure to isolate COVID-19 positive residents, medication delays, and fall management issues. Other allegations including rough handling, inadequate staffing, and failure to notify families were not substantiated.

Complaint investigation initiated due to multiple complaints alleging issues such as inadequate staffing, improper discharge notification, room temperature concerns, medication administration, COVID-19 infection control, and resident care.

The investigation substantiated some complaints with no regulatory deficiencies, including room temperature issues, care plan receipt, and COVID-19 infection control measures. Several allegations were not substantiated, including staffing shortages, medication errors, and resident care concerns. Deficiencies were cited related to baseline care plan provision, care plan timing and revision, fall prevention and management, dental services, and equipment maintenance.

The complaint investigation included 11 complaints. Some complaints were substantiated with no regulatory deficiencies, such as room temperature issues, care plan receipt, and COVID-19 infection control. Other complaints were not substantiated, including allegations of staffing shortages, medication errors, and resident care concerns. Specific substantiated complaints included failure to provide care plans, failure to schedule care conferences, fall prevention deficiencies, failure to provide dentures, and equipment maintenance issues.

The inspection was conducted as a result of complaint and facility-reported incident investigations regarding multiple allegations including misappropriation of property, resident elopement, abuse, and neglect.

The investigation included review of clinical records, staff training, policies, observations, and interviews. Several allegations were substantiated without regulatory deficiencies, while others were unsubstantiated. Deficiencies were identified related to resident rights and abuse/neglect policies, including failure to provide a certified American Sign Language interpreter and failure to conduct background checks for employees.

The complaint investigation involved 9 complaints and 17 facility-reported incidents. Six facility-reported incidents regarding misappropriation of property were substantiated with regulatory deficiencies. One incident regarding elopement was substantiated with no regulatory deficiency. Multiple allegations related to abuse, neglect, and resident care were investigated with mixed substantiation results.

This inspection was a Focused Infection Control Survey conducted in accordance with 42 CFR Part 483 requirements for Long Term Care Facilities, triggered by the presence of COVID-19 cases in the facility.

The facility had four positive COVID-19 resident cases at the time of inspection. The survey reviewed infection control policies, staff screening, use of PPE, and staff education. A deficiency was identified related to failure to properly screen essential visitors, including inspectors and physicians, for COVID-19 symptoms and exposure according to CDC recommendations.

This inspection was a Focused Infection Control Survey conducted due to COVID-19 concerns, reviewing the facility's infection control and prevention program, policies, procedures, and practices related to COVID-19.

The facility maintained an infection prevention and control program including PPE inventory and staff training. However, deficiencies were identified related to improper disposal of used PPE, overflowing trash receptacles with contaminated PPE, and staff not consistently wearing required PPE such as face shields and gloves in the laundry area.

This inspection was a focused infection control survey conducted on September 15, 2020, in response to COVID-19 concerns, including review of infection control policies, resident care practices, and facility screening procedures.

The facility failed to post transmission-based precaution signs on 8 of 25 newly admitted resident rooms and did not ensure staff consistently used appropriate PPE. The facility also failed to timely notify residents, representatives, and families of confirmed COVID-19 cases as required.

The inspection was conducted as a result of a complaint investigation initiated on 2020-08-14 and completed on 2020-08-18, concerning two complaints about resident room temperature, broken television, and resident competency to sign out AMA.

Both complaints were not substantiated. The facility maintained appropriate air conditioning and maintenance logs, residents could request fans, and no issues with televisions were documented. The resident who signed out AMA had a physician's order for transfer, and the family was contacted prior to discharge. No regulatory deficiencies were identified.

Two complaints investigated: Complaint #NV00061646 regarding room temperature and broken television, both not substantiated; Complaint #NV00061168 regarding resident competency to sign out AMA and notification of emergency contact, both not substantiated.

The inspection was initiated as a complaint investigation based on two complaints received by the facility.

The investigation found that none of the allegations, including failure to provide water, necessary care for pressure sores, resident safety, reporting injuries, notifying responsible parties, and transportation to appointments, could be substantiated. However, the facility was cited for failing to ensure Certified Nursing Assistants documented self-performance and support for activities of daily living on the ADL Look Back Report.

Two complaints were investigated. Complaint #NV00061008 was not substantiated. Complaint #NV00061567 was also not substantiated for allegations of failure to report injuries and failure to provide necessary care for pressure sores. The facility was cited at F-Tag 677 for failure to document ADL assistance.

This inspection was a Centers for Medicare and Medicaid Services (CMS) Focused Infection Control survey conducted to review the effectiveness of the Infection Control and Prevention Program, including policies, procedures, and practices related to COVID-19.

The facility had implemented comprehensive infection control measures including screening, PPE use, and designated COVID units. Staff education and compliance with baseline testing were maintained. No regulatory deficiencies were identified during this survey.

The inspection was conducted as a state licensure complaint investigation triggered by three complaints alleging issues related to COVID-19 protective measures, staff behavior, and reporting practices at the facility.

The investigation found that none of the complaints were substantiated. Staff were observed complying with PPE protocols, adequate PPE supplies were available, and staff could report safety concerns without fear of retaliation. The facility reported COVID-19 cases appropriately and followed infection prevention policies. No regulatory deficiencies were identified.

Three complaints were investigated: #NV00060834, #NV00060896, and #NV00060922. Allegations included PPE shortages, staff fear of retaliation, staff working while awaiting COVID-19 test results, unreported COVID-19 cases, and inaccurate reporting to the State. None of these allegations were substantiated after interviews, record reviews, and policy assessments.

The inspection was conducted as a result of a complaint investigation involving three complaints related to COVID-19 protocols and reporting at the facility.

The investigation found that staff were generally complying with PPE use and COVID-19 protocols, with sufficient PPE available. Several complaints were not substantiated, including allegations of failure to report COVID-19 cases and staff working while awaiting test results. No regulatory deficiencies were identified.

Three complaints were investigated: #NV00060834 alleging PPE noncompliance and staff fear of retaliation, which was not substantiated; #NV00060896 alleging failure to report COVID-19 cases, not substantiated; and #NV00060922 alleging staff worked while awaiting test results, also not substantiated.

This inspection was a Centers for Medicare and Medicaid Services (CMS) COVID-19 Focused Infection Control follow-up survey conducted to assess the facility's infection prevention and control program in response to the COVID-19 pandemic.

The facility had one positive COVID-19 resident and two presumptive residents awaiting test results at the time of the survey. The investigation found deficiencies in monitoring and tracking staff COVID-19 test results, including incomplete line listings and failure to include a staff member pending test results. The facility was re-educated on updating line listings daily and conducting audits to ensure accuracy.

This inspection was a COVID-19 Focused Infection Control survey initiated by the Centers for Medicare and Medicaid Services (CMS) to assess infection control and prevention measures in the facility.

The survey found no positive COVID-19 residents or presumptive residents awaiting test results at the time of the survey. Staff followed proper infection control practices including screening, hand hygiene, and use of personal protective equipment. No regulatory deficiencies were identified.

The inspection was conducted as a result of a complaint investigation and facility reported incidents completed on February 21, 2020, in accordance with federal regulations for long term care facilities.

One complaint was substantiated regarding the facility's failure to provide antibiotic medication to a resident. Four facility reported incidents were investigated, all substantiated with no regulatory deficiencies identified. Two regulatory deficiencies were identified related to parenteral fluids and pharmacy services, both with severity level D.

Complaint #NV00059479 was substantiated. The allegation that the facility failed to provide antibiotic medication to a resident was substantiated. Other allegations related to staffing and resident care were not substantiated.

The inspection was conducted as a complaint investigation based on allegations regarding resident care and facility practices.

The investigation included observations, interviews, and record reviews. No regulatory deficiencies were identified and the complaint allegations could not be substantiated.

Complaint #NV00058206 involved four allegations: a resident not receiving air due to oxygen tank issues, failure to change DNR status, resident manhandling by staff, and changes in vital sign check frequency. None of these allegations were substantiated.

The inspection was conducted as a complaint investigation at Life Care Center of South Las Vegas on 09/13/19, triggered by two complaints with multiple allegations regarding resident care and facility practices.

The investigation found that none of the allegations in the complaints could be substantiated. However, regulatory deficiencies unrelated to the complaints were identified, including failures in resident rights to survey results, bowel/bladder incontinence care, and parenteral/IV fluids management.

Two complaints were investigated: Complaint #NV00058473 with five allegations including missing resident clothing, unanswered call bells, residents left wet and soiled, nurse jamming a Q-tip in a wound, and nurses not answering questions; and Complaint #NV00058329 with four allegations including unreturned family messages, incorrect email addresses, lack of call returns about discharge, and concerns about resident mental status. None of these allegations were substantiated.

The inspection was conducted as a complaint investigation following Complaint #NV00057259 regarding the facility's failure to convey pertinent information about a resident's care prior to transfer to an acute care facility.

The investigation substantiated the complaint that the facility failed to provide appropriate transfer and discharge information for one resident. The facility did not convey necessary medical and care information to the receiving acute care hospital for Resident #1.

Complaint #NV00057259 was substantiated. The allegation that the facility failed to convey pertinent information regarding the resident's care prior to transfer was substantiated. Other allegations related to resident falls and changes to Social Security were not substantiated.

This was a Medicare Recertification Follow-up survey conducted to verify compliance following the original recertification survey completed on April 30, 2019.

No regulatory deficiencies were identified during this follow-up survey, and no further action was necessary.

This inspection was conducted as an Emergency Preparedness survey in conjunction with a Medicare recertification survey, to assess compliance with federal regulations and state operations manual requirements related to emergency preparedness.

The facility failed to develop and maintain a comprehensive emergency preparedness program including a documented, facility-based and community-based risk assessment, patient population assessment, delegation of authority, collaboration with local emergency officials, policies and procedures for evacuation, sheltering, communication, training, testing, and emergency power systems. Multiple deficiencies were identified related to these requirements.

This report documents a Medicare Life Safety Code (LSC) recertification survey conducted at the facility on 05/08/19 and 05/09/19 to assess compliance with fire safety and electrical system regulations.

The facility was found deficient in maintaining the automatic fire sprinkler system, electrical wiring and equipment, fire drills, and oxygen storage safety. Multiple deficiencies were noted including failure to correct previous sprinkler system issues, inadequate electrical panel labeling, blocked electrical panels, missing outlet covers, incomplete fire drills, and unsecured oxygen cylinders.

The inspection was conducted as part of the annual Medicare Recertification survey from 04/23/19 to 04/26/19 and an extended survey on 04/30/19, including one complaint investigation.

Substandard quality of care was identified related to parenteral fluids/intravenous fluids. One complaint was substantiated regarding failure to assist a resident in locating a missing wallet and clothing. Multiple deficiencies were identified across resident rights, self-administered medications, reasonable accommodations, grievances, reporting of alleged violations, baseline care plans, quality of care, pain management, hospice services, and nursing services.

Complaint #NV00056938 was substantiated regarding failure to assist a resident in locating a missing wallet and clothing. The complaint investigation included observations of staff-to-resident interaction, staff response time to call lights, meal preparation, and the facility's dining room during breakfast and lunch.

The inspection was conducted as a complaint investigation initiated on 03/13/19 and completed on 03/14/19 regarding allegations about medication management and resident care.

The investigation substantiated one complaint regarding unexplained medication reduction and limited pain medication administration. Other allegations related to staff mistreatment and elevated blood pressure were not substantiated. Deficiencies were identified in baseline care planning, quality of care, pain management, and pharmacy services.

Complaint #NV00056168 was substantiated regarding a resident's medications being reduced without explanation and staff only administering Tylenol for pain. Other allegations about staff torturing a resident and elevated blood pressure were not substantiated.

The inspection was conducted as a result of a complaint investigation initiated at the facility on 02/01/19 regarding allegations about the facility's response to a family's request concerning finances after a resident passed away.

The investigation included interviews with residents and staff, and review of medical records and policies. The complaint could not be substantiated and no regulatory deficiencies were found.

Complaint #NV00055881 alleged that a resident passed away and the facility did not respond to the family's request regarding finances in a timely manner. The complaint was not substantiated.

The inspection was conducted as a Complaint Investigation Survey triggered by complaint #NV00055014 regarding allegations of pressure ulcer care and staff behavior.

The complaint was substantiated regarding a pressure ulcer not being cleaned. Deficiencies were found in baseline care planning and timely treatment of pressure ulcers for one of five sampled residents. Several allegations were not substantiated, including failure to reposition a resident and staff being heartless and rude.

Complaint #NV00055014 was substantiated regarding a pressure ulcer not being cleaned. Allegations that a resident was not turned or repositioned, a pressure ulcer became infected, the responsible party was not notified, and staff were heartless and rude were not substantiated.

The inspection was conducted as a Complaint Investigation Survey triggered by one complaint regarding pressure ulcer care in the facility.

The investigation substantiated one complaint about a pressure ulcer not being cleaned, citing deficiencies in baseline care planning and treatment for pressure ulcers for one of five sampled residents. Several other allegations were not substantiated.

One complaint (#NV00055014) was investigated and substantiated regarding a pressure ulcer not being cleaned. Other allegations including failure to reposition a resident, infection of a pressure ulcer, failure to notify family, and staff behavior were not substantiated.

The inspection was conducted as a Compliance Investigation Survey triggered by two complaints alleging issues such as call bell response delays, resident left wet, and incidents involving resident safety and abuse.

Two complaints were investigated; one was not substantiated while the other was substantiated involving abuse and neglect allegations. The facility failed to report allegations timely and did not investigate abuse allegations properly for one resident. Additionally, the facility failed to ensure a resident was seen by a physician within required timeframes.

Two complaints were investigated. Complaint #NV00050156 was not substantiated. Complaint #NV00054129 was substantiated involving incidents where a resident was left alone in the cafeteria, an unknown man entered the resident's bed at night, and the resident was not seen by a physician. The facility failed to report and investigate abuse allegations properly.

This Statement of Deficiencies was generated as a result of the Medicare Certification Survey conducted at the facility from 04/10/18 to 04/13/18 in accordance with 42 CFR Chapter IV Part 483 Requirements for Long Term Care Facilities.

The facility was found to have multiple deficiencies including failure to properly assess residents for self-administration of medications, inadequate use and assessment of bed side rails, failure to develop and implement baseline care plans and discharge plans, medication errors, insufficient nursing staff, inadequate infection control, and deficiencies in food safety and medical record keeping.

The inspection was conducted as an Emergency Preparedness survey in conjunction with a Medicare recertification survey at the facility on April 10, 2018, to assess compliance with federal and state emergency preparedness regulations.

The facility failed to provide evidence of a fully completed and reviewed emergency preparedness plan, including a community-based all-hazards risk assessment, cooperation with local and state emergency officials, policies and procedures for medical documentation, communication plans, training and testing programs. Multiple deficiencies were identified related to emergency preparedness requirements.

This report documents a Medicare Life Safety Code (LSC) recertification survey conducted at the facility to assess compliance with fire safety and life safety codes.

The facility was found deficient in maintaining means of egress free of obstructions, sprinkler system installation, maintenance and testing, portable fire extinguishers placement and maintenance, smoke barrier construction and sealing, utilities compliance, and fire drills. Several deficiencies were acknowledged by the Administrator and Environmental Services Director, with corrective actions planned.

The inspection was conducted as a Complaint Investigation Survey due to five complaints alleging issues such as inappropriate resident discharge, failure to notify the Ombudsman of discharges, and failure to provide insulin upon admission.

The investigation substantiated four of the five complaints, including inappropriate resident discharge, failure to notify the Ombudsman, failure to provide insulin upon admission, and untimely dressing changes. Deficiencies were identified related to discharge planning, skin integrity, and pharmacy services.

Five complaints were investigated. Four complaints were substantiated: inappropriate resident discharge requiring insulin assistance, failure to notify the Ombudsman of discharges, failure to provide insulin upon admission, and dressing changes not done timely. One complaint regarding missing jogging suits was not substantiated.

The inspection was conducted as a result of a complaint investigation triggered by two complaints alleging inadequate ostomy care and failure to provide insulin for a resident.

The facility was found to have failed to provide qualified staff to perform ileostomy care and to document the administration of ileostomy care for one sampled resident. One complaint was substantiated regarding ostomy care deficiencies, while another complaint regarding insulin administration was not substantiated. The investigation included observations, interviews, and record reviews revealing skin irritation and improper ostomy care practices.

Complaint #NV00051773 was substantiated regarding failure to provide qualified staff for ileostomy care and documentation. Complaint #NV00051593 regarding failure to administer insulin for six days was not substantiated.

The inspection was conducted as a result of a complaint investigation triggered by two complaints alleging inadequate ostomy care and failure to provide insulin to a resident.

The facility was found to have failed to provide qualified staff to perform ileostomy care and properly document the care for one sampled resident, resulting in skin irritation and redness around the ostomy site. Several allegations related to ostomy care were substantiated, including improper handling of ostomy bags by CNAs and lack of documented training. Another complaint regarding failure to provide insulin was not substantiated.

Complaint #NV00051773 was substantiated regarding failure to provide qualified staff for ileostomy care and documentation. Complaint #NV00051593 alleging a resident did not receive insulin for six days was not substantiated.

The inspection was conducted as a result of two complaint investigations regarding allegations about resident re-admission refusal, call bell response times, medication administration, staff documentation accuracy, and staff assessments and monitoring.

The investigation found that none of the allegations were substantiated and no regulatory deficiencies were identified. No further action was necessary.

Two complaints were investigated: Complaint #NV00050766 alleging refusal to re-admit a resident, which was unsubstantiated; and Complaint #NV000050652 with allegations of untimely call bell response, medication errors, inaccurate staff documentation, and incomplete staff assessments, all of which were unsubstantiated.

The inspection was conducted as a complaint investigation based on two complaints alleging issues such as call bell response delays, insufficient staffing, pressure sore treatment with peanut butter and honey, rough resident bathing, and other care concerns.

The investigation found that the complaints could not be substantiated. However, a separate deficiency related to treatment and care for special needs was identified involving improper care of a midline catheter for Resident #4.

Two complaints were investigated: Complaint #NV00049470 and Complaint #NV00049605. Both complaints included multiple allegations such as call bell issues, insufficient staffing, pressure sores, lost hearing aids, cold food, and improper billing. None of the allegations were substantiated.

The inspection was conducted as a complaint investigation in response to one complaint with four allegations regarding lack of supervision, failure to provide appropriate care, lack of documentation, and resident safety.

The complaint allegations were investigated through observations, interviews, and clinical record reviews, and none of the allegations were substantiated. No regulatory deficiencies were identified and no further action was necessary.

Complaint # NV00048969 included allegations of lack of supervision for a resident who left the facility, failure to provide appropriate care, lack of documentation of a significant event, and resident safety. All allegations were found to be not substantiated.

This document is a Medicare Life Safety Code (LSC) recertification survey conducted to assess compliance with fire safety regulations at a skilled nursing facility licensed for 120 beds.

The facility was found deficient in several fire safety areas including egress door locking mechanisms, emergency lighting testing, interior wall and ceiling finish flame spread classification, corridor door resistance to smoke passage, and staff familiarity with fire drills and response procedures. These deficiencies affected multiple smoke compartments and residents.

This report was generated as a result of a Medicare recertification survey conducted from February 28, 2017 through March 3, 2017, including investigation of four complaints during the survey.

The survey identified multiple regulatory deficiencies related to informed consent for psychoactive medications, pain management, medication administration, treatment and care, drug regimen, infection control, and medication storage and security. Four complaints investigated were not substantiated.

Four complaints were investigated during the survey; none were substantiated. Allegations included unknown medications found at bedside, residents not receiving prescribed medications, failure to notify responsible party of transfer, call bell not answered timely, and residents left wet.

The inspection was conducted due to the facility's failure to participate in the National Healthcare Safety Network data submission as required by NAC 439.930 and 439.935.

The facility failed to enroll in the National Healthcare Safety Network, subscribe to the designated NHSN user group, and submit required data related to catheter-associated urinary tract infections (CAUTI), Clostridium difficile infections, and the Influenza Vaccination Module by the specified deadlines.

The inspection was conducted in response to complaints regarding the facility's failure to provide wound care in accordance with physician's orders and failure to obtain physician orders for care and services related to a Peripherally Inserted Central Catheter (PICC) for sampled residents.

The facility failed to ensure proper wound care for Resident #11 as per physician's orders, with a dressing change missed and improperly signed Treatment Administration Record. Additionally, the facility failed to obtain physician orders for care and services related to a PICC line for Resident #3, with no documented follow-up to obtain such orders until prompted by a complaint.

Complaint #NV00045907 related to wound care for Resident #11 and Complaint #NV00046714 related to PICC line care for Resident #3.

The inspection was conducted as a result of a complaint survey from 08/16/2016 through 08/18/2016 to investigate four complaints regarding resident care and facility practices.

Two complaints were substantiated involving failure to change a resident's dressing per physician's order and failure to change a resident's PICC line since admission. Other allegations including lack of pain medication, insufficient care for pulmonary edema, stolen wallet, deprivation of fluids, failure to communicate with family, unaddressed hypotension, failure to notify responsible party of condition change, and over sedation were not substantiated.

Four complaints were investigated: Complaint #NV00045907 and #NV00046714 were substantiated; complaints #NV00045898 and #NV00046407 were not substantiated. Investigations included observations, interviews with staff and residents, medical record reviews, and policy reviews.

This inspection was conducted as a Medicare recertification survey from 4/12/16 through 4/21/16, including investigation of two complaints.

The survey found multiple deficiencies including failure to notify changes related to injury/decline, failure to ensure drug regimens free from unnecessary drugs, failure to maintain free medication error rates, and failure to ensure timely physician visits. Two complaints were substantiated involving a resident seen by a physician assistant instead of a physician and medication not administered as ordered.

Two complaints were investigated. Complaint #NV00045334 was substantiated involving a resident seen by a physician assistant instead of a physician. Complaint #NV00045765 was substantiated involving medication not administered as ordered.

This inspection was conducted as a Medicare recertification survey from 2016-04-12 through 2016-04-21, including investigation of two complaints.

The survey identified multiple deficiencies including failure to notify physicians of changes, improper medication administration, failure to verify feeding tube placement, medication errors, and failure to ensure timely physician visits. Two complaints were substantiated related to physician oversight and medication administration.

Two complaints were investigated. Complaint #NV00045334 was substantiated regarding a resident being seen by a physician assistant instead of a physician. Complaint #NV00045765 was substantiated regarding medication not administered as ordered. Other allegations related to weight loss, ulcers, injury during therapy, discharge due to insurance, and staffing inadequacy were not substantiated.

This inspection 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.

The facility was found to have multiple deficiencies related to life safety code standards including impeded corridor doors, inadequate exit signage, malfunctioning delayed egress locks, special locking features not installed in accordance with code, failure to maintain fire sprinkler systems, and issues with the piped-in medical gas system.

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 was found deficient in multiple life safety code areas including impeded corridor doors, inadequate exit signage, improper locking mechanisms on egress doors, insufficient fire drill staff response, poorly maintained fire sprinkler systems, and unrepaired medical gas system issues.

The inspection was conducted as a complaint investigation in response to allegations including theft of resident money, overmedication, refusal to provide medication records, and failure to administer eye drops as instructed.

The investigation included observations, interviews with residents, family, and staff, and review of medical records and facility policies. No regulatory deficiencies were identified and all allegations were found to be unsubstantiated.

Complaint #NV00044832 included four allegations: theft of resident money, overmedication twice, refusal to provide medication records, and failure to administer eye drops as instructed. All allegations were not substantiated.

This inspection was conducted as a complaint investigation following substantiated allegations regarding medication administration practices at the facility.

The investigation found that nurses were giving patients medication without watching them take it, and the facility failed to ensure medication was not left at the resident bedside and consistent administration of medication was not maintained for some residents. Several medication administration record (MAR) documentation deficiencies were identified.

Complaint #NV00044710 was substantiated. The allegation that nurses were giving patients medication without watching them take it was substantiated. Other allegations regarding wrong medication, certified nursing assistants sleeping in patient rooms, and call lights not being answered timely were not substantiated.

The inspection was conducted as a result of a complaint investigation regarding allegations that nurses were giving patients their medication without watching them take it.

The complaint was substantiated for medication administration without supervision, with deficiencies found in medication being left at the bedside without physician orders and inconsistent medication administration documented in medical records for two residents. Other allegations related to wrong medication, staff sleeping, and call light response were not substantiated.

Complaint #NV00044710 was substantiated regarding nurses giving patients medication without watching them take it. Other allegations about wrong medication, CNAs sleeping, and call light response were not substantiated.

This Life Safety Code survey was conducted as a Medicare survey at the facility from 3/19/15 through 3/20/15 to assess compliance with NFPA 101, Life Safety Code standards.

The facility was found deficient in ensuring correct directional indicators on exit signage. Specifically, an EXIT sign outside the dining room incorrectly indicated an exit through doors leading to an outdoor patio with uneven terrain, which is not a safe exit route.

This document is a Medicare Life Safety Code (LSC) survey conducted at the facility from 3/19/15 through 3/20/15 to assess compliance with NFPA 101 Life Safety Code standards.

The facility was found deficient in marking access to exits with approved, readily visible signs where the exit or way to reach exit was not readily apparent. Specifically, directional indicators on exit signs were incorrectly placed, and exit signs such as 'EXIT ONLY' were misleading and did not ensure safe egress.

This Plan of Correction was generated as a result of a Medicare Recertification survey and complaint investigation initiated on 3/10/15 and completed on 3/13/15 in accordance with 42 CFR Chapter IV, Part 483 - Requirements for Long Term Care Facilities.

The complaint #NV00042100 was investigated and found not substantiated. Multiple allegations related to resident care, including failure to contact Power of Attorney, failure to provide physical therapy, and failure to respond to requests, were all not substantiated. Deficiencies were identified related to dignity and respect of individuality, provision of care/services for highest well-being, treatment and prevention of pressure sores, free of accident hazards, medication error rates, and immunizations.

Complaint #NV00042100 was investigated during the survey and was not substantiated.

The inspection was conducted as a Medicare Recertification survey and complaint investigation initiated on 2015-03-10 and completed on 2015-03-13.

The facility was found to have multiple deficiencies including failure to follow physician orders, inadequate fall prevention strategies, failure to provide care respecting resident dignity, medication administration errors, incomplete immunization documentation, and inadequate skin and wound care monitoring.

Complaint #NV00042100 was investigated during the survey and was not substantiated. Allegations included failure to contact POA after a fall, failure to address pain and paralysis, failure to provide physical therapy, improper hospital referral, failure to respond to POA requests, failure to provide transportation, failure to assist with discharge, weight loss, lost clothing, and improper dialysis preparation. None were substantiated.

The inspection was conducted as a complaint investigation based on Complaint #NV00041455 which contained one allegation that was substantiated.

The facility failed to complete a comprehensive admission assessment for one of five sampled residents, specifically Resident #1. The assessment and documentation were incomplete, including missing signatures and incomplete data collection forms. Medication administration and communication issues were also noted.

Complaint #NV00041455 contained one allegation which was substantiated.

The inspection was conducted as a complaint investigation triggered by complaint #NV00041455, which contained one substantiated allegation regarding the facility's care.

The facility failed to complete a comprehensive admission assessment for one sampled resident (Resident #1). The resident's clinical record lacked documentation of a complete nursing assessment and proper administration of prescribed IV antibiotics, which were brought by the family but not administered timely. The complaint was substantiated.

Complaint #NV00041455 contained one allegation which was substantiated.

The inspection was conducted as a complaint investigation triggered by multiple allegations regarding resident care and facility practices at Life Care Cent-Paradise Valley.

The complaint investigation included six separate allegations, all of which were found to be unsubstantiated after review of medical records, interviews with staff and residents, observations, and policy reviews. No regulatory deficiencies were identified and no further action was necessary.

Complaint #NV00040301 contained 4 allegations including overmedication, unawareness of bedsores by family, lack of bathing, and delayed toileting assistance; all were unsubstantiated. Complaint #NV00039758 contained 6 allegations including lack of feeding assistance, resident punishment by spanking, kitchen staff hygiene and food quality, resident falls and staff response, denial of access to medical records, and human feces smeared in closets; all were unsubstantiated.

This statement of deficiencies was generated as a result of a State Licensure survey completed in conjunction with a federal recertification survey from 4/8/14 through 4/11/14, in accordance with Nevada Administrative Code (NAC) Chapter 449, Skilled Nursing Facilities.

An Infection Risk Assessment was completed. There were no regulatory deficiencies identified and no further action was necessary.

The inspection was conducted as a result of a complaint investigation survey initiated by the Division of Public and Behavior Health on 2/13/14 through 2/14/14, investigating two complaints regarding discharge practices and resident rights.

Both complaints investigated were not substantiated after interviews with facility staff and review of medical records and policies. Allegations included unsafe discharges, unqualified staff performing home safety evaluations, and failure to inform residents of appeal rights, none of which were supported by evidence.

Two complaints were investigated: Complaint #NV00038268 regarding safe and appropriate discharge to an unlicensed home was not substantiated; Complaint #NV00037473 regarding requesting residents to sign out AMA due to no pay source, unqualified staff conducting home safety evaluations, unsafe discharges, and failure to inform residents of appeal rights to NOMNC were also not substantiated.

The inspection was conducted as a result of a State Complaint Investigation initiated by the Division of Public and Behavioral Health on October 9, 2013, involving four complaints related to alleged deficiencies in resident care and facility operations at Life Care Cent-Paradise Valley.

The investigation substantiated multiple allegations including failure to document medication administration and treatments for 8 of 11 residents, failure to document personal care such as pericare and head of bed positioning, and inadequate documentation related to pressure sores and rashes. Several other allegations such as failure to administer certain medications, understaffing, and denial of family access to records were unsubstantiated.

Four complaints were investigated. Complaint #NV00036698 was substantiated for failure to document medication administration for 8 of 11 residents. Complaint #NV00037110 was unsubstantiated regarding odor complaints and room changes. Complaint #NV00037113 was substantiated for failure to document personal care and head of bed positioning but unsubstantiated for advanced rehab and pneumonia acquisition. Complaint #NV00037130 was substantiated for failure to document pericare and Nystatin treatment but unsubstantiated for understaffing.

The inspection was conducted as a result of a complaint investigation initiated by the Division of Public and Behavioral Health on 7/24/13 regarding allegations of insufficient staffing and inadequate dietary services.

The allegations of insufficient staffing and inadequate dietary services were not substantiated based on observations, interviews with residents, family members, and staff, as well as record and policy reviews. No deficiencies were cited and no further action was necessary.

Complaint #NV00036218 alleged insufficient staffing and inadequate dietary services; both allegations were found to be unsubstantiated after investigation including observations, interviews, and record reviews.

The inspection was an annual Medicare Recertification survey conducted from 4/2/13 through 4/5/13, including investigation of Complaint #NV00034248.

The survey identified multiple regulatory deficiencies related to provision of medically-related social services, professional standards of care, medication administration, care and services for highest well-being, catheter use, rehabilitation services, and personnel records. Complaint #NV00034248 was substantiated.

Complaint #NV00034248 was substantiated. The allegation regarding the resident being over medicated with antibiotics and other medications was not substantiated. The allegation regarding no pressure sore precautions was not substantiated.

The inspection was an annual Medicare Recertification survey conducted from 4/2/13 through 4/5/13, including investigation of complaint #NV00034248.

The survey identified multiple deficiencies including failure to maintain personnel records with required fingerprint and criminal history updates, failure to provide medically-related social services, failure to notify physicians of missed medications, inadequate pressure sore prevention, incomplete pain assessments, and failure to justify use of indwelling Foley catheters among others. The complaint was substantiated.

Complaint #NV00034248 was substantiated. The allegation regarding the resident being over medicated with antibiotics and other medications was not substantiated. The allegation regarding no pressure sore precautions was not substantiated.

This document is a Statement of Deficiencies generated as a result of a Life Safety Code (LSC) survey conducted at the facility on April 2, 2013, to assess compliance with fire safety and life safety standards.

The survey identified multiple deficiencies related to fire safety, including failure to provide self-closing doors in hazardous areas, inadequate exit signage, staff unfamiliarity with fire drill procedures, lack of automatic shutoff for cooking equipment, and missing covers on electrical junction boxes and outlets.

The inspection was conducted as a Life Safety Code (LSC) survey to assess compliance with fire safety and related building codes at the facility.

The survey identified multiple deficiencies related to fire safety, including failure to provide self-closing doors on hazardous areas, inadequate exit signage, staff unfamiliarity with fire drill procedures, lack of automatic fuel shutoff in the kitchen, and electrical code violations such as non-functioning GFCI outlets and missing junction box covers.

This document is a statement of deficiencies generated as a result of a revisit from a Medicare complaint investigation survey conducted on October 5, 2012, with the complaint revisit initiated on December 5, 2012 and finalized on December 7, 2012. The revisit investigated complaints NV0003350, NV00033670, and NV00033549.

The complaint investigation found that none of the allegations were substantiated after review of clinical records, interviews, and observations. However, regulatory deficiencies were identified related to failure to follow physician's orders, failure to provide a safe and clean environment, and failure to meet professional standards in services provided. Corrective actions and plans of correction were detailed for these deficiencies.

Complaints NV0003350, NV00033670, and NV00033549 were investigated. Complaint NV00033550 was not substantiated. Complaint NV00033670 contained 9 allegations, all not substantiated. Complaint NV00033549 involved multiple issues including dietary, physical environment, nursing, and social services, with some regulatory deficiencies identified.

This document is a statement of deficiencies generated as a result of a revisit from a Medicare complaint investigation survey conducted on October 5, 2012, with the revisit survey initiated on December 5, 2012 and finalized on December 7, 2012. The revisit investigated multiple complaints filed against the facility.

The complaint investigation included 13 allegations, none of which were substantiated except for one regarding the resident wanting to speak with a Social Worker. Deficient practices were noted for failure to follow a physician's order and documentation in the clinical record. Multiple interviews, observations, and record reviews were conducted during the investigation.

Complaints NV0003350, NV00033670, and NV00033549 were investigated. None of the allegations in complaints NV0003350 and NV00033670 were substantiated. Complaint NV00033549 included multiple allegations related to dietary issues, medication errors, physical therapy, resident care, and infection control, none of which were substantiated except for the resident wanting to speak with a Social Worker.

The inspection was conducted as a complaint investigation initiated by the Bureau of Health Care Quality and Compliance on 08/08/2012 regarding allegations that the facility did not maintain safe transport and did not provide reasonable accommodations in accordance with the plan of care or physician's orders.

The complaint was partially substantiated; the facility failed to provide reasonable accommodations to 2 sampled residents, including not providing a needed walker to one resident and not providing timely transportation back to the facility for two residents. The facility took corrective actions including counseling the van driver and training therapy and transportation staff.

Complaint # NV00032593 alleged the facility did not maintain safe transport and did not provide reasonable accommodations. The allegation regarding transport safety was not substantiated, but the allegation regarding reasonable accommodations was substantiated.

The inspection was conducted as a complaint investigation initiated by the Bureau of Health Care Quality and Compliance on 08/08/2012 regarding allegations that the facility did not maintain the transport van safely and did not provide services with reasonable accommodation of needs according to plan of care or physician's orders.

The allegation regarding unsafe maintenance of the transport van was not substantiated. However, the facility was found deficient for failing to provide reasonable accommodations to residents, specifically not providing a needed walker to one resident and not providing timely transportation back to the facility from doctor's appointments for two residents.

Complaint #NV00032593 alleged unsafe maintenance of the facility transport van and failure to provide services with reasonable accommodation of needs. The unsafe maintenance allegation was not substantiated. The failure to provide reasonable accommodations was substantiated.

The inspection was conducted as an annual Medicare Recertification survey combined with a complaint investigation regarding food quality and activity sufficiency.

The facility was found deficient in providing necessary care and services to residents, proper treatment and maintenance of intravenous accesses, medication administration accuracy, and sanitary food service conditions. The complaint about food temperature and activities was unsubstantiated.

Complaint #NV00031216 alleged food was unpalatable and served at inappropriate temperatures and insufficient desirable activities. Both allegations were unsubstantiated after temperature and taste checks, observation, and resident interviews.

The inspection was conducted as a Medicare Life Safety Code (LSC) survey to assess compliance with NFPA 101 Life Safety Code standards related to fire extinguisher placement and medical gas storage.

The facility failed to ensure that fire extinguisher locations were conspicuously marked and that full and empty oxygen cylinders were stored separately as required by NFPA standards. These deficiencies were discussed with facility administration and maintenance staff during the exit interview.

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

The facility failed to conspicuously mark the location of fire extinguishers stored in recessed cabinets and did not segregate full and empty oxygen cylinders in the same storage rack, violating NFPA 101 and NFPA 99 standards.

The inspection was conducted as part of the annual Medicare Recertification survey and complaint investigation from April 10, 2012 through April 13, 2012.

The facility was found deficient in providing necessary care and services to residents, proper treatment and maintenance for special needs including IV care, ensuring residents were free of significant medication errors, and sanitary food handling practices. Some complaints were unsubstantiated. Corrective actions and monitoring plans were outlined for each deficiency.

Complaint #NV00031216 alleged food being unpalatable and served at inappropriate temperatures and insufficient desirable activities. Both allegations were unsubstantiated after investigation including temperature and taste checks, observations, and resident interviews.

The inspection was conducted as a complaint investigation initiated by the Bureau of Health Care Quality and Compliance on January 13, 2012, in response to Complaint #NV00029971 containing three allegations.

All three allegations in the complaint were found to be unsubstantiated. Documentation and interviews showed proper execution of legal forms, timely notification of resident transfer, and no evidence of verbal abuse. No regulatory deficiencies were identified.

Complaint #NV00029971 contained three allegations: improper declaration of a resident as a danger, failure to notify about resident's transfer, and verbal abuse. All allegations were unsubstantiated based on documentation and interviews.

The inspection was conducted as a Medicare complaint survey initiated by the Bureau of Health Care Quality and Compliance on 2011-11-21, investigating complaints regarding pressure ulcers and bruises on residents.

The facility was found to have multiple deficiencies including failure to follow physician orders for medication administration and care for 4 of 5 sampled residents, incomplete and inaccurate clinical records, failure to follow tuberculosis testing policies, inadequate skin assessments, and incomplete documentation related to resident transfers and medication administration.

Complaint # NV 00029435 was substantiated regarding bruises on a resident found unresponsive and transferred to hospital. Complaint # NV 00029752 regarding a pressure ulcer allegation was not substantiated.

The inspection was conducted as a result of a Medicare complaint survey initiated by the Bureau of Health Care Quality and Compliance on 11/21/11, investigating two complaints (NV 00029435 and NV 00029752) regarding a resident with bruises and a resident with a pressure ulcer.

The investigation found deficiencies related to care and services for residents, including failure to follow physician orders for medication administration and skin checks, inadequate documentation of medication administration and skin assessments, and incomplete clinical records. The complaint regarding bruises was substantiated, while the pressure ulcer allegation was not substantiated.

Complaint # NV 00029435 involved a resident found unresponsive with bruises; this allegation was substantiated through document review and interviews. Complaint # NV 00029752 involved a resident with a pressure ulcer; this allegation was not substantiated.

The inspection was conducted as a complaint investigation initiated by the Bureau of Health Care Quality and Compliance on July 6, 2011, to investigate four complaints regarding resident care and notification issues at Life Care Cent-Paradise Valley.

The investigation found that several allegations were not substantiated, including issues with call lights, medication administration, and resident monitoring. However, deficiencies were identified related to failure to notify a resident's public guardian of condition changes, dignity and respect failures, and incomplete comprehensive care plans.

Four complaints were investigated. Allegations included failure to notify the resident's public guardian of condition changes, call lights not answered, resident wet at night, medications not given, resident monitoring failures, and grooming issues. Most allegations were not substantiated except for failure to notify the public guardian and care plan deficiencies.

This document is a Medicare Life Safety Code (LSC) recertification survey conducted at the facility on 05/05/11 and 05/06/11 to assess compliance with fire safety standards.

No deficiencies were identified at the time of the survey, and no response is required from the facility.

This document is an annual Medicare recertification survey conducted at Life Care Center-Paradise Valley from April 26 through April 29, 2011, to assess compliance with Medicare requirements and long-term care regulations.

The facility was found to have multiple deficiencies including failure to ensure staff knocked before entering residents' rooms, inadequate provision of care and services, medication administration errors, infection control lapses, and incomplete clinical records. The complaint investigated during the survey was found to be unsubstantiated.

Complaint #NV00028069 was investigated during the survey and found to be unsubstantiated. Allegations included improper discharge without in-home services and presence of several ulcers on a resident's body, both disproven through interviews and medical record review.

This document is a Statement of Deficiencies generated as a result of an annual Medicare recertification survey conducted at the facility from April 26, 2011 through April 29, 2011.

The survey found multiple deficiencies including failure to ensure staff knocked before entering residents' rooms, failure to provide care and services to attain highest well-being, medication administration errors, failure to ensure drug regimens were free from unnecessary drugs, failure to maintain infection control, and incomplete or inaccurate clinical records.

Complaint #NV00028069 was investigated during the survey and was found to be unsubstantiated. Allegations included improper discharge of a resident and presence of several ulcers, both not substantiated after review and interviews.

The inspection was conducted as a complaint investigation related to multiple allegations including lack of supplies, resident dignity issues, overmedication, unkempt conditions, resident falls, and a urinary tract infection due to lack of supervision.

The complaint could not be substantiated based on medical record review, staff interviews, and resident observations. However, an unrelated deficiency was identified in infection control related to failure to maintain proper isolation precautions for residents with infections.

Complaint #NV00027467 involved multiple allegations including lack of supplies, resident not treated with dignity, overmedication, unkempt conditions, resident falls, and urinary tract infection due to lack of supervision. The complaint was not substantiated.

The inspection was conducted as a complaint investigation triggered by multiple allegations including lack of supplies, resident not treated with dignity, overmedication, unkempt conditions, resident falls, and development of a urinary tract infection due to lack of supervision.

The complaint could not be substantiated based on medical record review, staff interviews, and resident observations. However, a deficiency unrelated to the complaint was identified in infection control related to failure to ensure proper isolation precautions for residents with infections.

Complaint #NV00027467 included allegations of lack of supplies, resident not treated with dignity, overmedication, unkempt conditions, resident falls, and urinary tract infection due to lack of supervision. The complaint was not substantiated.

The inspection was conducted as a complaint investigation from 12/10/10 through 12/17/10 regarding allegations that the facility did not answer call bells timely, did not offer water to residents, did not ensure safe transport for 1 of 3 sampled residents, and did not follow physician's orders to care for a pressure ulcer or prevent an accident for 1 of 3 sampled residents.

The complaint that the facility did not answer call bells timely, offer water, or ensure safe transport was not substantiated. However, the facility was found to have failed to provide wound care according to admission orders for Resident #1 and failed to adequately supervise and prevent elopement for Resident #2. These deficiencies were substantiated based on interviews, clinical record reviews, and document reviews.

Complaint #NV00027110 alleged failure to answer call bells timely, offer water, and ensure safe transport; these were not substantiated. The allegation that the facility did not follow physician's orders to care for a pressure ulcer was substantiated. Complaint #NV00026995 alleged failure to prevent an accident for 1 of 3 sampled residents; this was substantiated.

This inspection was conducted as a complaint investigation based on allegations that the facility did not answer call bells timely, did not offer water to residents, did not ensure safe transport for a sampled resident, and did not follow physician's orders to care for a pressure ulcer. Another complaint alleged the facility did not prevent an accident for a sampled resident.

The investigation found that some allegations could not be substantiated, but the facility was substantiated for failing to follow physician's orders for pressure ulcer care and failing to prevent an accident for a resident. Deficiencies included inadequate wound care for Resident #1 and failure to adequately supervise and prevent elopement for Resident #2.

Complaint #NV00027110 was substantiated for failure to follow physician's orders for pressure ulcer care. Complaint #NV00026995 was substantiated for failure to prevent an accident for a resident.

The inspection was conducted as a complaint investigation based on Complaint #NV00025833 with three allegations regarding pressure sores, low sodium level and hospital transfer, and physician communication.

The investigation substantiated two allegations without deficiencies and found one allegation unable to substantiate. The facility took appropriate measures for pressure sores and low sodium level, and no further action was required.

Complaint #NV00025833 included three allegations: 1) pressure sores development - substantiated without deficiencies; 2) low sodium level and hospital transfer - substantiated without deficiencies; 3) attending doctor not making himself available - unable to substantiate.

The inspection was conducted as a result of a complaint investigation at the facility on 4/8/2010 in accordance with Nevada Administrative Code, Chapter 449, Facilities for Skilled Nursing.

Complaint #NV00024343 was unsubstantiated and no regulatory deficiencies were identified during the investigation.

Complaint #NV00024343 was unsubstantiated.

The inspection was conducted as a result of a complaint investigation (Complaint #NV00021416) at the facility on June 1, 2009.

The complaint was found to be unsubstantiated; however, an unrelated deficiency was cited regarding the facility's failure to monitor the daily fluid intake for one resident diagnosed with congestive heart failure.

Complaint #NV00021416 was unsubstantiated.

The inspection was conducted as the annual Medicare re-certification survey for the facility.

The facility was found deficient in multiple areas including privacy and confidentiality, dignity, accommodation of needs, comprehensive care plans, quality of care, urinary incontinence management, medication errors, dietary assistive devices, sanitary conditions, pharmacy services, infection control, and isolation practices.

The inspection was conducted as a result of a Medicare complaint investigation involving complaints #NV19740, #NV19392, and #NV19584.

The facility was found deficient in multiple areas including failure to properly reconcile controlled drug accountability records, failure to ensure appropriate medication administration via gastrostomy feeding tube, failure to provide Foley catheter care, dental care, and oxygen administration according to plan of care, and failure to maintain proper narcotic signature logs signed by two licensed nurses at shift changes.

Complaint #NV19740 was substantiated (Tag F309), Complaint #NV19392 was unsubstantiated, Complaint #NV19584 was substantiated (Tags F281, F309, F425). The Director of Nursing was not aware of missing and empty narcotics documented on Controlled Drug Accountability records and inconsistent signing of narcotic counts by two licensed nurses.

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