Inspection Reports for Life Share Care Home Nevada, Inc.

7925 W Rosada Way, Las Vegas, NV 89149, NV, 89149

Back to Facility Profile

Deficiencies per Year

4 3 2 1 0
2011
2012
2013
2016
2017
2018
2019
2020
2021
2022
2023
2024
Severe High Moderate Low Unclassified

Census Over Time

0 4 8 12 16 Sep '12 Sep '13 Aug '16 Nov '19 Oct '22 Oct '24
Census Capacity
Inspection Report Annual Inspection Census: 8 Capacity: 10 Deficiencies: 0 Oct 14, 2024
Visit Reason
The inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified. Eight resident files and five employee files were reviewed, and no further action was necessary.
Report Facts
Resident files reviewed: 8 Employee files reviewed: 5
Inspection Report Annual Inspection Census: 9 Capacity: 10 Deficiencies: 0 Oct 11, 2023
Visit Reason
The inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified. Nine resident files and five employee files were reviewed, and no further action was necessary.
Inspection Report Annual Inspection Census: 9 Capacity: 10 Deficiencies: 0 Oct 26, 2022
Visit Reason
The inspection was conducted as a result of an annual state licensure, complaint investigation, and infection control survey at the facility on 10/26/2022.
Findings
The facility received a grade of A with no regulatory deficiencies identified. One complaint with three allegations was investigated and found to be unsubstantiated based on observations, interviews, and record reviews.
Complaint Details
Complaint #NV00067174 with three allegations was unsubstantiated: 1) Resident lacked access to call button - unsubstantiated; 2) Resident was dehydrated and not given water - unsubstantiated; 3) Resident was neglected and not routinely checked on - unsubstantiated.
Report Facts
Licensed beds: 10 Resident census: 9 Complaint allegations: 3
Inspection Report Annual Inspection Census: 6 Capacity: 10 Deficiencies: 0 Nov 9, 2021
Visit Reason
The inspection was conducted as an annual state licensure and infection control survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the inspection. The facility received a grade of A and was provided guidance on compliance with nondiscrimination, privacy, and cultural competency regulations.
Report Facts
Resident files reviewed: 6 Employee files reviewed: 6
Inspection Report Routine Census: 8 Capacity: 10 Deficiencies: 0 Nov 9, 2020
Visit Reason
This inspection was a COVID-19 focused infection control State Licensure survey conducted to assess compliance with infection control measures related to COVID-19 at the facility.
Findings
The facility was found to be in compliance with COVID-19 infection control requirements, including visitor screening, staff PPE use, resident social distancing, and availability of PPE supplies. No regulatory deficiencies were identified.
Report Facts
Face shields: 11 KN95 masks: 20 Disposable masks: 200 Reusable gowns: 15 Gloves: 600 N95 masks: 6 Hand sanitizer bottles (32-ounce): 8 Staff medically cleared and fit tested for N95 mask: 2
Employees Mentioned
NameTitleContext
Ashley RiedyInspectorNamed as the inspector conducting the COVID-19 focused infection control survey
Inspection Report Annual Inspection Census: 8 Capacity: 10 Deficiencies: 4 Nov 20, 2019
Visit Reason
The inspection was conducted as the Annual Grading Survey for the facility in accordance with Nevada Administrative Code Chapter 449, Residential Facilities for Groups.
Findings
The facility received a grade of A but had several regulatory deficiencies related to catheter care, diabetes management, medication orders, and administration of medications without proper written instructions. Deficiencies were identified for failure to provide skilled catheter care, lack of a written diabetes plan of care, absence of current physician orders for medications, and missing specific written instructions for topical medications.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
DescriptionSeverity
Failed to ensure catheter care was provided by a skilled nurse per physician's instructions for one resident with a suprapubic catheter.Severity: 2
Failed to maintain a written plan of care for diabetes management including emergency intervention for one insulin-dependent resident.Severity: 2
Failed to ensure current physician's orders for Coumadin medication for one resident.Severity: 2
Failed to ensure specific written instructions for topical medication administration for one resident.Severity: 2
Report Facts
Resident records reviewed: 8 Employee records reviewed: 6 Facility licensed beds: 10 Current census: 8
Employees Mentioned
NameTitleContext
Ginalyn Baltazar-SumbangAdministratorSigned the report and involved in corrective actions
Inspection Report Annual Inspection Census: 6 Capacity: 10 Deficiencies: 1 Oct 15, 2018
Visit Reason
Annual State Licensure survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade A overall; however, it failed to ensure that one resident diagnosed with dementia was appropriately placed in a non-Alzheimer endorsed facility and did not have a current annual physical exam.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
DescriptionSeverity
Failed to ensure one resident with dementia was appropriately placed and lacked a current annual physical exam.Severity: 2
Report Facts
Licensed beds: 10 Residents present: 6 Resident files reviewed: 6 Employee files reviewed: 5
Inspection Report Annual Inspection Census: 10 Capacity: 10 Deficiencies: 4 Sep 11, 2017
Visit Reason
This inspection was conducted as an annual State Licensure survey of the facility on 9/11/2017 to assess compliance with state regulations for a Residential Facility for Group beds for elderly and disabled persons.
Findings
The facility was found to have multiple deficiencies including failure to keep the premises free from insects and rodents, failure to provide at least 10 hours of scheduled activities per week suited to residents' interests, failure to ensure medication profile reviews were reviewed and initialed by the administrator within 72 hours for residents, and failure to keep medication in original containers until administration.
Severity Breakdown
Level 1: 1 Level 2: 3
Deficiencies (4)
DescriptionSeverity
Facility failed to ensure the premises were free of spiders and scorpions, with live spiders and webs observed in multiple areas and residents reporting sightings of scorpions.Level 2
Facility failed to provide at least 10 hours of scheduled activities planned a month in advance, with no activities observed during the inspection and residents reporting lack of activities.Level 2
Facility failed to ensure medication profile reviews were reviewed and initialed by the administrator within 72 hours for 7 of 7 residents reviewed.Level 1
Facility failed to ensure medication was kept in its original container until administered for 1 of 10 residents, with medications found pre-poured in a cup.Level 2
Report Facts
Residents present: 10 Total licensed capacity: 10 Residents files reviewed: 10 Employee files reviewed: 6 Scheduled activities hours: 10 Residents with medication profile review issues: 7 Residents reviewed for medication container issue: 10
Employees Mentioned
NameTitleContext
Belinda DevanoAdministratorNamed as facility administrator and signer of the report
Employee #2 acknowledged insect observations and reported no regular exterminator
Employee #2 indicated residents sometimes call bingo numbers
Employee #3 indicated they usually watch residents take medications and explained a medication administration incident
Inspection Report Annual Inspection Census: 7 Capacity: 10 Deficiencies: 0 Aug 8, 2016
Visit Reason
This inspection was conducted as an annual State Licensure survey combined with a complaint investigation at the facility on 08/08/2016.
Findings
The facility received a grade of A with no regulatory deficiencies identified. One complaint was investigated but could not be substantiated.
Complaint Details
Complaint #NV00046577 alleged employees were not qualified; this allegation could not be substantiated after review of four employee files including the employee of concern.
Report Facts
Resident files reviewed: 7 Employee files reviewed: 4
Inspection Report Enforcement Deficiencies: 1 Jun 21, 2016
Visit Reason
This document is a sanction notice issued by the Division of Public and Behavioral Health to impose sanctions on Life Share Care Home Nevada, Inc. due to deficiencies found at the facility.
Findings
The Bureau of Health Care Quality and Compliance is imposing monetary penalties of $400.00 for deficiencies assessed at TAG Y 515, with severity level three and scope level two or less. The notice outlines the regulatory authority, penalty details, and appeal rights.
Severity Breakdown
Severity Level 3: 1
Deficiencies (1)
DescriptionSeverity
Deficiency at TAG Y 515 with severity level three and scope level two or lessSeverity Level 3
Report Facts
Monetary penalty amount: 400 Penalty reduction percentage: 25 Working days until sanction effective: 11
Employees Mentioned
NameTitleContext
Minou NelsonHealth Facilities Inspector IIISigned the sanction notice
Kyle DevineBureau ChiefBureau Chief referenced in signature line
Inspection Report Complaint Investigation Census: 8 Deficiencies: 3 Apr 14, 2016
Visit Reason
The inspection was conducted as a complaint investigation initiated on 2016-04-14 and completed on 2016-04-15, following two complaints regarding resident elopement and medication administration record issues.
Findings
The facility failed to provide protective supervision for one resident who eloped, and the Medication Administration Record (MAR) was not accurately maintained for multiple residents. Two complaints were substantiated, with deficiencies noted in supervision and medication administration documentation.
Complaint Details
Two complaints (#NV00045437 and #NV00045418) were investigated and substantiated. One complaint involved a resident eloping and lack of initiation of the Medication Administration Record (MAR).
Severity Breakdown
Severity: 3 Scope: 1: 2 Severity: 1 Scope: 3: 1
Deficiencies (3)
DescriptionSeverity
Failure to provide protective supervision to one of seven residents, resulting in elopement.Severity: 3 Scope: 1
Medication Administration Record (MAR) was inaccurate and not properly initialed for 5 of 6 MARs reviewed.Severity: 3 Scope: 1
Repeat deficiency from prior survey related to MAR inaccuracies and documentation.Severity: 1 Scope: 3
Report Facts
Census: 8 Sample size: 7 Complaints investigated: 2
Employees Mentioned
NameTitleContext
Belinda DevanoAdministratorNamed in relation to findings and corrective actions
Inspection Report Complaint Investigation Census: 8 Deficiencies: 2 Apr 14, 2016
Visit Reason
The inspection was conducted as a complaint investigation initiated on 2016-04-14 and completed on 2016-04-15, based on two substantiated complaints regarding resident elopement and medication administration record issues.
Findings
The facility failed to provide protective supervision to one resident who eloped and was found outside the facility, and failed to maintain accurate Medication Administration Records (MAR) for five of six residents reviewed, with multiple instances of uninitialed medication administrations.
Complaint Details
Two complaints (#NV00045437 and #NV00045418) were investigated and substantiated. The allegations included a resident eloping and the Medication Administration Record not being properly initialed.
Severity Breakdown
Severity: 3: 1 Severity: 1: 1
Deficiencies (2)
DescriptionSeverity
Failed to provide protective supervision to 1 of 7 residents (Resident #7), resulting in elopement and injury.Severity: 3
Failed to ensure the Medication Administration Record (MAR) was accurate for 5 of 6 residents reviewed, with multiple missed initials on medication administration.Severity: 1
Report Facts
Census: 8 Sample size: 7 Number of complaints investigated: 2 Residents with inaccurate MARs: 5 Residents reviewed for MAR: 6
Inspection Report Annual Inspection Census: 10 Capacity: 10 Deficiencies: 2 Sep 30, 2013
Visit Reason
This document is a State Licensure annual grading survey conducted on 09/30/2013 to assess compliance with regulations for a residential facility licensed for 10 beds.
Findings
The facility received a grade of A. Deficiencies were identified related to failure to ensure physical examinations for residents prior to admission and annually, and failure to maintain proper resident files including tuberculosis testing.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
DescriptionSeverity
Failure to ensure 1 of 10 residents received a physical prior to admission (Resident #5) and 1 of 10 residents received an annual physical examination (Resident #8, missing 2013 annual physical).Severity: 2
Failure to ensure 1 of 10 residents complied with tuberculosis testing requirements (Resident #7, missing 2nd step TB test).Severity: 2
Report Facts
Residents reviewed: 10 Employee files reviewed: 4
Inspection Report Annual Inspection Census: 10 Capacity: 10 Deficiencies: 2 Sep 30, 2013
Visit Reason
This document is a State Licensure annual grading survey conducted on 9/30/2013 to assess compliance with regulatory requirements for a residential care facility.
Findings
The facility received a grade of A but had deficiencies including failure to ensure one resident received a physical prior to admission, one resident did not receive an annual physical examination, and one resident did not comply with tuberculosis testing requirements.
Severity Breakdown
2: 2
Deficiencies (2)
DescriptionSeverity
Failure to ensure 1 of 10 residents received a physical prior to admission and 1 of 10 residents received an annual physical examination.2
Failure to maintain resident files with evidence of tuberculosis testing compliance, specifically missing 2nd step TB test for 1 of 10 residents.2
Report Facts
Residents files reviewed: 10 Employee files reviewed: 4
Inspection Report Annual Inspection Census: 7 Capacity: 10 Deficiencies: 3 Sep 11, 2012
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with state regulations for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of A but had several deficiencies including failure to ensure one caregiver completed required medication management training, improper use of restraints on a resident, and violation of license agreement related to low income bed occupancy.
Severity Breakdown
Severity: 2: 2 Severity: 1: 1
Deficiencies (3)
DescriptionSeverity
One of four caregivers failed to complete the required eight hour annual medication management refresher training.Severity: 2
One of seven residents was restrained without the use of full side bed rails.Severity: 2
Facility violated license agreement by having 7 of 9 low income beds occupied by residents who did not qualify as low income.Severity: 1
Report Facts
Residents present: 7 Licensed capacity: 10 Caregivers reviewed: 4 Employee files reviewed: 5 Low income beds occupied by ineligible residents: 7
Inspection Report Annual Inspection Census: 7 Capacity: 10 Deficiencies: 3 Sep 11, 2012
Visit Reason
Annual State Licensure survey conducted to assess compliance with state regulations for a residential facility for group beds for elderly and disabled persons.
Findings
The facility received a grade of A but had several deficiencies including failure to ensure one caregiver completed required annual medication management training, improper use of full side bed rails as restraints on one resident, and violation of low income rate agreement with seven residents not qualifying as low income.
Severity Breakdown
E: 1 D: 1 C: 1
Deficiencies (3)
DescriptionSeverity
Failed to ensure that 1 of 4 caregivers had completed the required eight hour annual medication management refresher training (Employee #2).E
Failed to ensure 1 of 7 residents were not restrained with the use of full side bed rails (Resident #2).D
Violated the license agreement by having 7 of 9 low income beds occupied by residents who did not qualify as low income (Residents #1, #2, #3, #4, #5, #6, and #7).C
Report Facts
Census: 7 Total licensed capacity: 10 Caregivers reviewed: 4 Residents reviewed: 7 Employee files reviewed: 5 Low income beds occupied by non-qualifying residents: 7 Low income beds total: 9
Inspection Report Original Licensing Capacity: 10 Deficiencies: 0 Mar 1, 2011
Visit Reason
This document is the result of an initial State licensure survey conducted to determine compliance for licensure of a Residential Facility for Groups with 10 beds for elderly and disabled persons and/or persons with chronic illnesses and/or persons with mental illnesses.
Findings
The facility was found to be in compliance with regulations as of 03/01/2011. Deficiencies identified during off-site and on-site reviews were corrected by 03/01/2011, and no further action was necessary.
Report Facts
Beds licensed: 10 Employee files reviewed: 2

Loading inspection reports...