Inspection Reports for Livingston Home
5858 Palmyra Ave, Las Vegas, NV 89146, NV, 89146
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Inspection Report
Annual Inspection
Census: 6
Capacity: 10
Deficiencies: 0
Nov 4, 2024
Visit Reason
The inspection was conducted as an annual State Licensure survey with an additional Mental Illness endorsement survey to evaluate compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility was found compliant with no deficiencies identified. The facility received a grade of A and was approved for the addition of a mental illness endorsement with 10 beds Category II to the facility license.
Report Facts
Resident files reviewed: 6
Staff files reviewed: 5
Licensed beds: 10
Census: 6
Inspection Report
Re-Inspection
Census: 6
Capacity: 10
Deficiencies: 1
Nov 4, 2024
Visit Reason
This inspection was a mandatory regrading survey conducted in accordance with Nevada Administrative Code (NAC) Chapter 449 for a Residential Facility for Groups.
Findings
The facility received a grade of A with no deficiencies identified during the survey. Several regulatory requirements related to Alzheimer's care, mental illness care, administrator responsibilities, and health and sanitation were reviewed with some deficiencies noted but no corrective actions listed.
Severity Breakdown
Level D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Health & Sanitation - Screens - All windows and doors left open for ventilation must be screened to prevent insect entry. | Level D |
Report Facts
Licensed beds: 10
Resident census: 6
Inspection Report
Complaint Investigation
Census: 4
Capacity: 10
Deficiencies: 7
Jul 11, 2024
Visit Reason
The inspection was conducted as a result of a complaint investigation initiated on 07/02/24 and completed on 07/11/24, related to concerns about resident care and safety at the facility.
Findings
The facility was found to have multiple deficiencies including failure to ensure appropriate admission and protective supervision of residents with mental illness, failure to secure windows and gates leading to elopement risks, failure to have a mental illness endorsement, and failure to follow policies after resident elopements. Several safety hazards were identified such as unlocked pool gates and unsecured yard gates.
Complaint Details
One complaint (#NV00071557) was substantiated involving elopement incidents and failure to provide adequate supervision and follow policies. One Facility Reported Incident (#10133) was also substantiated.
Severity Breakdown
Severity: 2 Scope: 3: 4
Severity: 2 Scope: 1: 2
Deficiencies (7)
| Description | Severity |
|---|---|
| Failed to ensure 3 of 5 residents were assessed and admitted appropriately based on mental illness diagnosis and failed to ensure protective supervision for 2 residents. | Severity: 2 Scope: 3 |
| Failed to ensure two residents' bedroom windows had screens to prevent entry of insects and elopement. | Severity: 2 Scope: 1 |
| Failed to maintain a written statement describing services and procedures for residents with Alzheimer's disease as required. | Severity: 2 Scope: 3 |
| Failed to follow policies and procedures after elopement of a resident, including failure to timely notify case worker and police with complete information. | Severity: 2 Scope: 1 |
| Failed to ensure pool gates were locked to secure residents from accessing the pool area. | Severity: 2 Scope: 3 |
| Failed to ensure a gate leading from the secured yard to an unsecured area was locked and secured. | Severity: 2 Scope: 3 |
| Failed to obtain a mental illness endorsement prior to admitting residents diagnosed with mental illness. | Severity: 2 Scope: 3 |
Report Facts
Licensed beds: 10
Residents present: 4
Sample size: 5
Complaints investigated: 1
Facility Reported Incidents investigated: 1
Inspection Report
Annual Inspection
Capacity: 10
Deficiencies: 0
Oct 26, 2023
Visit Reason
This inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.
Report Facts
Licensed beds: 10
Census: 0
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 7
Oct 4, 2022
Visit Reason
This inspection was conducted as an annual and infection control State Licensure survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of C with multiple deficiencies identified including failure to ensure caregivers received required medication management training, incomplete personnel files lacking physical exams, TB tests, background checks, inaccurate medication administration records, missing physician placement determinations for residents, unsecured toxic substances accessible to residents, and lack of cultural competency training for employees.
Severity Breakdown
Severity: 2: 7
Deficiencies (7)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 4 employees received initial 16 hours of medication management training. | Severity: 2 |
| Failed to ensure a physical examination was completed for 1 of 4 employees and a two-step tuberculosis test was completed for 1 of 4 employees. | Severity: 2 |
| Failed to ensure a background check was initiated and completed through the Nevada Automated Background Check System for 2 of 4 employees. | Severity: 2 |
| Failed to ensure the Medication Administration Record accurately documented the medications for 1 of 8 residents. | Severity: 2 |
| Failed to obtain a Physician Placement Determination upon admission for 3 of 8 residents. | Severity: 2 |
| Failed to ensure toxic substances were securely stored and inaccessible to residents. | Severity: 2 |
| Failed to submit an application for a cultural competency training program and ensure 4 of 4 sampled employees were in compliance with initial cultural competency training. | Severity: 2 |
Report Facts
Residents present: 8
Total licensed beds: 10
Employees reviewed: 4
Residents reviewed: 8
Grade: C
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marce Casal | Administrator | Acknowledged multiple deficiencies during inspection |
| Employee #3 | Medication Technician | Named in deficiencies related to medication training, physical exam, background check, and cultural competency training |
| Employee #4 | Caregiver | Named in deficiencies related to TB test, background check, and cultural competency training |
| Employee #1 | Caregiver | Named in deficiency related to cultural competency training |
| Employee #2 | Caregiver | Named in deficiency related to cultural competency training |
Inspection Report
Complaint Investigation
Census: 10
Deficiencies: 2
Jul 5, 2022
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding allegations that the facility had Alzheimer's residents living downstairs while the upstairs was used for temporary housing for homeless individuals.
Findings
The investigation substantiated that the facility housed Alzheimer's residents downstairs and homeless individuals upstairs. Deficiencies included failure to maintain complete resident files for 3 of 10 sampled residents and failure to obtain a mental illness endorsement for residents with mental disorders.
Complaint Details
One complaint (#000066428) with one allegation was substantiated regarding the facility's use of upstairs for temporary housing of homeless individuals while Alzheimer's residents lived downstairs.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Administrator failed to ensure newly admitted residents had files available and onsite for 3 of 10 sampled residents. | Severity: 2 |
| Facility failed to obtain a mental illness endorsement prior to admitting 3 of 10 residents with mental disorders. | Severity: 2 |
Report Facts
Sample size: 1
Residents affected: 3
Inspection Report
Complaint Investigation
Census: 8
Deficiencies: 2
Mar 30, 2022
Visit Reason
The inspection was conducted as a result of a complaint investigation initiated on 2022-03-14 and completed on 2022-03-30, in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The complaint with four allegations was not substantiated. However, deficiencies unrelated to the complaint were identified, including failure to maintain a two-day supply of fresh food and failure to complete an incident report when a resident was hospitalized.
Complaint Details
Complaint #NV00065854 with four allegations was investigated and found not substantiated. Allegations included inadequate meals for specialized dietary needs, trauma from a fall, lack of regular bathing and escorting, and failure to notify family of a change in condition. Investigations included interviews, record reviews, and observations.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure a 2-day supply of fresh food was available for all 8 residents. | Severity: 2 |
| Facility failed to ensure an incident report was generated when a resident was hospitalized. | Severity: 2 |
Report Facts
Residents present: 8
Sample size: 6
Allegations: 4
Severity level: 2
Scope: 3
Scope: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rachel Degelbeck | Administrator | Named in relation to findings and interviews regarding complaint and deficiencies |
Inspection Report
Re-Inspection
Census: 7
Capacity: 10
Deficiencies: 0
Feb 9, 2022
Visit Reason
This inspection was a mandatory regrading survey conducted at the facility in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No deficiencies were found during the survey. The facility received a grade of A and was provided guidance on compliance with antidiscrimination policies, privacy protections, cultural competency training, and complaint policies.
Report Facts
Licensed beds: 10
Residents present: 7
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 5
Dec 14, 2021
Visit Reason
This inspection was conducted as an annual State Licensure and infection control survey in accordance with Nevada Administrative Code Chapter 449 for a residential facility for groups.
Findings
The facility was found deficient in multiple areas including failure to implement safe infection control practices related to COVID-19 screening, unsafe and accessible renovation areas, unsecured resident files, inoperable audible exit door alarms, and accessible toxic substances. The facility received a grade of C and was provided guidance on compliance with relevant state regulations.
Severity Breakdown
Severity: 2: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Failure to implement safe infection control practices for COVID-19 screening; no temperature checks or symptom screening for visitors and employees. | Severity: 2 |
| Unsafe renovation areas accessible to residents including exposed nails, screws, cement, drywall, and uncovered electrical outlets. | Severity: 2 |
| Resident files for 7 of 7 residents were unsecured and accessible to unauthorized persons. | Severity: 2 |
| Audible alarm system was not activated on one of three exit doors, specifically the door leading to the backyard. | Severity: 2 |
| Toxic substances including bleach, fabric softener, cement, disinfectants, and cleaning agents were accessible to residents in unlocked areas. | Severity: 2 |
Report Facts
Licensed bed capacity: 10
Resident census: 7
Employee files reviewed: 3
Resident files reviewed: 7
Deficiency severity count: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rachel Degelbeck | Administrator | Named as Administrator responsible for oversight and acknowledged deficiencies. |
Inspection Report
Abbreviated Survey
Census: 8
Capacity: 10
Deficiencies: 1
Nov 23, 2020
Visit Reason
The inspection was a focused COVID-19 infection control survey conducted to assess the facility's compliance with infection control practices during the COVID-19 pandemic.
Findings
The facility was found to lack N95 respirators in its PPE inventory and had not medically cleared or fit tested staff for N95 masks despite receiving infection control guidance recommending these measures. Other infection control practices such as screening, temperature checks, and sanitization were in place.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Administrator failed to ensure safe infection control practices were implemented, including lack of N95 respirators and no staff medically cleared or fit tested for N95 masks. | Severity: 2 |
Report Facts
Facility licensed capacity: 10
Census at time of survey: 8
PPE inventory counts: 100
PPE inventory counts: 50
PPE inventory counts: 20
PPE inventory counts: 2
Deficiency scope: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Francesca Salcedo | Administrator | Named in relation to failure to ensure infection control practices and PPE availability |
Inspection Report
Complaint Investigation
Census: 9
Deficiencies: 0
Aug 1, 2016
Visit Reason
The inspection was conducted as a result of a complaint investigation on 8/1/16 regarding allegations of resident verbal abuse, quality of care, and not following policies.
Findings
The complaint allegations could not be substantiated. Observations, interviews, and file reviews found no regulatory deficiencies. No further action was necessary.
Complaint Details
Complaint #NV00046544 included allegations of resident verbal abuse, quality of care, and not following policies, all of which were not substantiated.
Report Facts
Sample size: 5
Complaint count: 1
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 0
Jan 21, 2016
Visit Reason
This Statement of Deficiencies was generated as a result of an annual State Licensure survey conducted in the facility on 1/21/16 by the Division of Public and Behavioral Health.
Findings
No deficiencies were identified during the survey. The facility received a grade of A.
Report Facts
Resident files reviewed: 8
Employee files reviewed: 7
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 0
Apr 13, 2015
Visit Reason
The inspection was conducted as a complaint investigation initiated by the Division of Public and Behavioral Health on 4/13/15 regarding an allegation of an unsafe and hazardous environment.
Findings
The complaint contained one allegation which was not substantiated. Observations and interviews revealed no hazards or recent construction, and the residents lived in a safe and hazard-free environment.
Complaint Details
Complaint #NV00042507 contained one allegation regarding an unsafe and hazardous environment which was not substantiated through interviews with staff and observations of the facility.
Report Facts
Licensed capacity: 10
Inspection Report
Re-Inspection
Census: 8
Capacity: 10
Deficiencies: 0
Feb 27, 2015
Visit Reason
This Statement of Deficiencies was generated as a result of a required grading re-survey conducted in the facility on 2/27/15.
Findings
No regulatory deficiencies were identified during the re-survey. The facility received a re-survey grade of A and no further action is necessary.
Report Facts
Resident files reviewed: 4
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 5
Jan 12, 2015
Visit Reason
This inspection was conducted as a State Licensure annual grading survey to assess compliance with regulations for a residential facility providing care to persons with Alzheimer's disease.
Findings
The facility received a grade of B with multiple deficiencies identified including failure to meet tuberculosis screening requirements for employees, medication administration plan deficiencies, inaccurate medication administration records, unsecured exit gate in the Alzheimer's facility yard, and accessible toxic substances to residents.
Severity Breakdown
Level 1: 1
Level 2: 4
Deficiencies (5)
| Description | Severity |
|---|---|
| Failed to ensure 3 of 6 employees met tuberculosis and pre-employment physical examination requirements. | Level 2 |
| Failed to ensure the medication administration plan was followed for 2 of 8 residents. | Level 2 |
| Medication Administration Record (MAR) was inaccurate for 5 of 8 residents. | Level 1 |
| Exit gate in Alzheimer's facility yard was found unlocked and open. | Level 2 |
| Toxic substances were accessible to residents in the facility yard. | Level 2 |
Report Facts
Residents present: 8
Total licensed capacity: 10
Employees reviewed: 5
Resident files reviewed: 8
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 5
Jan 12, 2015
Visit Reason
This inspection was conducted as a State Licensure annual grading survey of a residential facility for persons with Alzheimer's disease, Category 2 residents.
Findings
The facility received a grade of B. Deficiencies were identified related to personnel files, tuberculosis and pre-employment physical examinations, medication administration plans and records, medication administration record (MAR) accuracy, facility safety including fenced yard and toxic substances storage.
Severity Breakdown
Severity: 1: 2
Severity: 2: 3
Deficiencies (5)
| Description | Severity |
|---|---|
| Failed to ensure 3 of 6 employees met tuberculosis and pre-employment physical examination requirements. | Severity: 2 |
| Failed to develop and maintain a medication administration plan ensuring proper medication management and training. | Severity: 2 |
| Failed to ensure medication administration records (MAR) were accurate for 5 of 8 residents. | Severity: 1 |
| Failed to ensure the facility yard was fenced and gates locked at all times. | Severity: 1 |
| Failed to ensure toxic substances were inaccessible to all residents; large buckets of paint and paint thinner were accessible. | Severity: 2 |
Report Facts
Number of residents present: 8
Total licensed capacity: 10
Number of employees reviewed: 5
Number of resident files reviewed: 8
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 0
Jan 13, 2014
Visit Reason
This document is a State Licensure annual grading survey conducted at the facility on 1/13/2014 to assess compliance with regulatory standards.
Findings
The facility was found compliant and received a grade of A. Seven resident files and six employee files were reviewed during the survey.
Report Facts
Resident files reviewed: 7
Employee files reviewed: 6
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 0
Apr 23, 2013
Visit Reason
The inspection was conducted as a result of a complaint investigation initiated on 2013-02-26 regarding allegations of misappropriation of a resident's property and failure to administer medications as prescribed.
Findings
The investigation found that the allegation of misappropriation of a resident's property was not substantiated based on document review, interviews with the administrator and caregivers, and observations. The allegation that the facility was not administering medications as prescribed was also not substantiated based on interviews with staff, hospice workers, and review of medication administration records.
Complaint Details
Complaint #NV00034602 involved allegations of misappropriation of a resident's property and failure to administer medications as prescribed. Both allegations were found not substantiated after thorough investigation including interviews, observations, record reviews, and a police report filed regarding theft at the resident's previous home.
Report Facts
Licensed capacity: 10
Inspection Report
Re-Inspection
Census: 6
Capacity: 10
Deficiencies: 1
Apr 11, 2013
Visit Reason
This document is a statement of deficiencies generated as a result of a required grading re-survey conducted on 4/11/13 to assess compliance with state licensure requirements.
Findings
The facility failed to ensure that 2 of 5 employees complied with tuberculosis testing and physical examination requirements, resulting in a repeat deficiency from the 1/29/13 survey. The facility received a re-survey grade of A.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure 2 of 5 employees complied with tuberculosis testing and physical examination requirements. | Severity: 2 |
Report Facts
Census: 6
Total Capacity: 10
Employees reviewed: 5
Resident files reviewed: 6
Inspection Report
Re-Inspection
Census: 6
Capacity: 10
Deficiencies: 1
Apr 11, 2013
Visit Reason
This was a required grading re-survey conducted as a result of a previous survey to verify compliance with state licensure regulations.
Findings
The facility received a re-survey grade of A. A deficiency was identified related to personnel files, specifically failure to ensure 2 of 5 employees complied with tuberculosis testing and physical examination requirements. This was a repeat deficiency from the prior survey.
Severity Breakdown
2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure 2 of 5 employees complied with NAC 441A.375 regarding tuberculosis testing and physical examination. | 2 |
Report Facts
Number of employees reviewed: 5
Number of resident files reviewed: 6
Licensed capacity: 10
Current census: 6
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