Inspection Reports for Martha’s House Senior Living
1516 Winwood St., Las Vegas, NV 89108, NV, 89108
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 6
Capacity: 8
Deficiencies: 2
Aug 18, 2025
Visit Reason
The inspection was conducted as an annual State Licensure survey of the facility in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A. Two deficiencies were identified related to maintenance and contents of resident files: unsecured resident records in an unlocked glass cabinet, and failure to ensure one resident received a required two-step tuberculosis test.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure resident records were secure; binders with confidential information were observed unsecured in an unlocked glass cabinet in the dining room. | Severity: 2 |
| Facility failed to ensure one resident received a required two-step tuberculosis test; only a one-step test was documented. | Severity: 2 |
Report Facts
Licensed beds: 8
Resident census: 6
Resident files reviewed: 6
Employee files reviewed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julia Dugay | Administrator | Named as responsible party for ensuring compliance with corrective actions |
Inspection Report
Annual Inspection
Census: 4
Capacity: 8
Deficiencies: 2
Aug 13, 2024
Visit Reason
The inspection was an annual State Licensure survey conducted on 08/13/2024 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified initially. However, two deficiencies were found: failure to ensure one resident received a two-step tuberculosis test, and failure to ensure at least one staff member was awake at night as required for Alzheimer's care standards.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure 1 of 4 residents received a two-step tuberculosis (TB) test; second step was missing from Resident #4's file. | Severity: 2 |
| Facility failed to ensure at least one staff member was awake at night as required for Alzheimer's care; Lead Caregiver was sleeping during night shift. | Severity: 2 |
Report Facts
Resident census: 4
Total licensed capacity: 8
Number of deficiencies: 2
Inspection Report
Renewal
Deficiencies: 0
Mar 7, 2024
Visit Reason
The inspection was conducted as a State Licensure Address Verification Survey to verify the facility's licensing status and to ensure compliance with Nevada Administrative Code, Chapter 449.
Findings
The surveyor found the facility operating as an unlicensed residential facility for groups and informed the representative that they must immediately renew their license through the Aithent Licensing System (CLICs). Failure to renew may result in an unlicensed investigation and civil penalties.
Report Facts
Civil penalty amount: 10000
Civil penalty amount: 25000
Inspection Report
Complaint Investigation
Census: 4
Capacity: 8
Deficiencies: 0
Dec 5, 2023
Visit Reason
The inspection was conducted as a result of a complaint investigation at the facility on 12/05/23 in accordance with Nevada Administrative Code Chapter 449.
Findings
No regulatory deficiencies were identified during the complaint investigation. The complaint could not be verified and no further action was necessary.
Complaint Details
One complaint (#NV00069748) was investigated and found to be unverified with no regulatory deficiencies identified.
Report Facts
Licensed beds: 8
Census: 4
Complaint count: 1
Inspection Report
Complaint Investigation
Census: 4
Capacity: 8
Deficiencies: 0
Dec 5, 2023
Visit Reason
The inspection was conducted as a result of a complaint investigation at the facility on 12/05/23 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The complaint #NV00069748 could not be verified and no regulatory deficiencies were identified. The investigation included observations, interviews, clinical record reviews, and document reviews, resulting in no further action necessary.
Complaint Details
One complaint was investigated but found to be unverified with no regulatory deficiencies identified.
Report Facts
Licensed capacity: 8
Census: 4
Sample size: 4
Complaints investigated: 1
Inspection Report
Annual Inspection
Census: 4
Capacity: 8
Deficiencies: 0
Aug 8, 2023
Visit Reason
The inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.
Report Facts
Resident files reviewed: 4
Employee files reviewed: 3
Inspection Report
Annual Inspection
Census: 4
Capacity: 8
Deficiencies: 0
Aug 8, 2023
Visit Reason
The inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.
Inspection Report
Complaint Investigation
Census: 3
Capacity: 8
Deficiencies: 0
Dec 20, 2022
Visit Reason
The inspection was conducted as a result of a complaint investigation initiated on 12/15/22 and finalized on 12/20/22 regarding allegations of bedsores, failure to seek medical care after a stroke, and over-medication of a resident.
Findings
The complaint investigation found all three allegations to be unsubstantiated based on observations, interviews with staff, and review of resident records. No regulatory deficiencies were identified and no further action was necessary.
Complaint Details
One complaint (#NV00067245) with three allegations was investigated and found unsubstantiated: 1) resident had bedsores, 2) facility did not seek medical care after a stroke, 3) resident was over-medicated.
Report Facts
Licensed beds: 8
Resident census: 3
Complaint allegations: 3
Inspection Report
Annual Inspection
Census: 6
Capacity: 8
Deficiencies: 6
Aug 8, 2022
Visit Reason
Annual State Licensure grading and infection control survey conducted in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of B with multiple deficiencies identified including failure to ensure elder abuse training, annual Alzheimer's training, caregiver training, cultural competency training, initial physical examinations, and initial two-step tuberculosis tests for some employees and residents.
Severity Breakdown
Severity: 2: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to ensure elder abuse training was completed for 2 of 3 employees. | Severity: 2 |
| Failed to ensure an initial physical examination was completed for 1 of 6 residents. | Severity: 2 |
| Failed to ensure an initial two step Tuberculosis (TB) test was completed for 2 of 6 residents. | Severity: 2 |
| Failed to ensure annual Alzheimer's training was completed for 2 of 3 employees. | Severity: 2 |
| Failed to ensure annual caregiver training was completed for 2 of 3 employees. | Severity: 2 |
| Failed to submit an application for a cultural competency training program and ensure 3 of 3 staff members were in compliance with initial and annual cultural competency training. | Severity: 2 |
Report Facts
Licensed capacity: 8
Census: 6
Employees reviewed: 3
Residents reviewed: 6
Grade: B
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Iredila Bynum | RFA | Laboratory Director's or Provider/Supplier Representative's signature on report |
| Employee #2 | Caregiver | Named in multiple training deficiencies including elder abuse, Alzheimer's, caregiver, and cultural competency training |
| Employee #3 | Caregiver | Named in multiple training deficiencies including elder abuse, Alzheimer's, caregiver, and cultural competency training |
| Employee #1 | Administrator | Named in cultural competency training deficiency |
Inspection Report
Annual Inspection
Census: 1
Capacity: 8
Deficiencies: 5
Sep 21, 2021
Visit Reason
The inspection was conducted as a State Licensure annual survey and infection control survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of B and was found deficient in several areas including caregiver training (initial and medication management), failure to maintain a current activity calendar, unsecured hazardous items accessible to residents, and an unlocked exterior gate. Deficiencies were cited with varying severity levels.
Severity Breakdown
Level 1: 1
Level 2: 4
Deficiencies (5)
| Description | Severity |
|---|---|
| Failed to ensure initial caregiver training was completed for 1 of 3 employees; documented evidence of training was not provided. | Level 2 |
| Failed to ensure 1 of 3 sampled employees received initial 16 hours medication management training; documented evidence was not provided. | Level 2 |
| Failed to ensure a current activity calendar had been prepared and posted; the posted calendar was dated June 2021. | Level 1 |
| Failed to ensure hazardous items (a handheld razor) were inaccessible to residents; razor was unsecured in a bathroom cabinet. | Level 2 |
| Failed to ensure an exterior gate in the backyard was locked; gate leading to the street was unsecured and unlocked. | Level 2 |
Report Facts
Number of employees reviewed: 3
Number of resident files reviewed: 1
Facility licensed beds: 8
Current census: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marianita Gee | Administrator | Named as Administrator responsible for oversight and plan of correction |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 8
Deficiencies: 0
Jan 19, 2021
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding allegations of inadequate care leading to a resident's decubitus ulcer and lack of communication from the facility administrator.
Findings
The complaint investigation found the allegations to be unsubstantiated. No regulatory deficiencies were cited and no further action was needed.
Complaint Details
One complaint (#NV00062781) with three allegations was investigated and found unsubstantiated: 1) Resident admitted with mild redness but discharged with stage 3/4 decubitus ulcer; 2) Hospice nurse alleged staff did not turn resident frequently; 3) Complainant alleged no callback from Administrator.
Report Facts
Complaint allegations: 3
Inspection Report
Annual Inspection
Census: 5
Capacity: 8
Deficiencies: 0
Aug 11, 2020
Visit Reason
The inspection was conducted as an annual State Licensure survey combined with a focused COVID-19 infection control survey at the facility.
Findings
The facility was found compliant with infection control and prevention regulations, including visitor restrictions, staff and resident screening, use of PPE, social distancing, and sanitation practices. No regulatory deficiencies were identified and the facility received a grade of A.
Report Facts
Disposable masks in stock: 200
Disposable gloves in stock: 800
Resident files reviewed: 5
Employee files reviewed: 6
Caregivers employed: 7
Hand sanitizer bottles: 4
Loading inspection reports...
