Inspection Reports for Mason Valley Residence

This inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

The facility was found deficient in multiple areas including incomplete first aid kits, failure to develop person-centered service plans for residents, medication administration and documentation errors, unsecured medications in resident rooms, and lack of policies addressing residents' preferred names and pronouns. The facility received a grade of C.

The inspection was conducted as a complaint investigation triggered by Complaint #NV00073292, which included allegations regarding staffing ratios, grooming procedures, incontinent care, and resident safety within the memory care unit.

The investigation included observations, interviews, and record reviews. None of the allegations were substantiated due to lack of evidence, and no regulatory deficiencies were identified. No further action was necessary.

Complaint #NV00073292 included five allegations: inadequate staffing ratios, improper grooming causing body odor, improper incontinent care leaving a resident soiled, poor hygiene due to grooming failures, and failure to provide safety in the memory care unit. All allegations were unsubstantiated.

The inspection was conducted as a grading resurvey State Licensure survey and complaint investigations triggered by three complaints alleging resident mistreatment and bruising.

The facility received a grade of A. Three complaints were investigated but none were substantiated due to lack of evidence. Several regulatory deficiencies were identified related to bedroom door locks, first aid kits, provision of dental and hearing care, residents requiring oxygen, diabetes care, medication administration, resident files maintenance, care for persons with mental illnesses, annual resident assessments, and infection control training.

Three complaints were investigated: CPT #NV00071502 alleging forced shower and lack of staff training was not substantiated; CPTs #NV00072035 and #NV00072558 alleging bruising from staff assistance were not substantiated due to lack of evidence.

The inspection was conducted as a result of a State Licensure annual grading survey combined with complaint investigations at the facility on 03/11/2024.

The facility received a grade of D with multiple deficiencies identified including medication administration inaccuracies, failure to maintain proper resident files and assessments, lack of endorsement for mental illness care, improper locking mechanisms on bedroom doors, incomplete first aid kits, failure to report serious occurrences, unsecured oxygen tanks, improper disposal of sharps, late annual physical exams, and incomplete infection control training.

Complaint #NV00070050 was substantiated regarding an employee found asleep in bed with a resident. Other allegations including falsified training certificates, yelling at residents, ripping a doll from a resident, theft, missing medication records, lack of snacks or water, resident rape, alcohol smuggling, and double briefing were not substantiated due to lack of evidence.

This inspection was a grading resurvey State Licensure survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

The facility received a grade of A but several regulatory deficiencies were identified including issues with administrator oversight, caregiver qualifications, personnel file requirements, medication administration accuracy and reporting, tuberculosis testing, and safety standards for Alzheimer's care.

The inspection was conducted as a grading resurvey State Licensure survey and complaint investigations in accordance with Nevada Administrative Code (NAC) Chapter 449 for a Residential Facility for Groups.

The facility received a grade of D with multiple repeat deficiencies including failure to provide adequate oversight by the administrator, incomplete personnel files, medication management issues, failure to secure hazardous items in resident rooms, and failure to obtain required endorsements for mental illness care. Several complaint allegations were investigated but not substantiated.

Two complaints were investigated. Complaint #NV00068620 with allegations of lack of reporting abuse/neglect, resident to resident altercation/abuse, and failure to honor resident physician preference were not substantiated due to lack of evidence. Complaint #NV00068615 with allegations of resident dehydration and managing resident insulin were also not substantiated due to lack of evidence.

The inspection was conducted as a result of a State Licensure annual grading survey and complaint investigations completed at the facility on 02/07/23.

The facility received a grade of D with multiple deficiencies identified including failure to provide adequate oversight, incomplete resident records, staff training deficiencies, medication administration issues, unsafe environment in memory care unit, and incomplete assessments and documentation for residents.

Two complaints were investigated. Complaint #NV00067505 allegations of insufficient staff, delayed call light response, and lack of Serious Occurrence Report were not substantiated. Complaint #NV00067779 allegation that medication technicians passed medications without current certification was substantiated.

The inspection was conducted as a result of a complaint investigation regarding allegations that the facility failed to pay utility bills and had difficulties with food delivery.

The complaint was investigated and found to be unsubstantiated due to lack of evidence of noncompliance. Observations and interviews confirmed proper facility operations and payment of utility bills. No regulatory deficiencies were identified.

Complaint #NV00067015 was investigated and found unsubstantiated. Allegations of failure to pay utility bills and difficulties with food delivery were not supported by evidence.

This inspection was conducted as a State Licensure COVID-19 Infection Control and Prevention Plan Survey in response to a resident testing positive for COVID-19 on 07/20/22.

The facility lacked a documented and approved Infection Control and Prevention Plan (ICPP), failed to conduct facility-wide COVID-19 testing and daily resident screening following a positive case, did not maintain documentation of staff and resident COVID-19 vaccination status, and failed to ensure proper use of PPE including fit testing for N95 respirators. Additionally, visitor screening and staff background check processes were deficient, and staff were observed wearing masks improperly.

This inspection was a required grading re-survey conducted on 8/10/16 by the Division of Public and Behavioral Health to assess compliance and deficiencies at the facility.

The facility was found deficient in ensuring all employees maintained current first aid and CPR certification and in providing protective supervision to memory care residents, resulting in incidents such as a resident climbing out of a window. The facility received a re-survey grade of A.

This report was generated as a result of a required grading re-survey conducted on 8/10/16 to assess compliance with state licensure regulations for Mason Valley Residence, LLC.

The facility received a re-survey grade of A. Two deficiencies were identified: one related to an employee's lapse in current first aid and CPR certification, and another related to failure to provide protective supervision to a memory care resident who eloped by climbing out a window.

The inspection was conducted as an annual State Licensure survey combined with a complaint investigation regarding a memory care resident eloping from the facility.

The facility received a grade of C and was found deficient in multiple areas including personnel certification, facility cleanliness, resident supervision, physical examinations, medication administration, and safety of the Alzheimer's facility yard. The complaint regarding the resident elopement was substantiated.

Complaint #NV00045395 was substantiated. The complaint involved a memory care resident eloping from the facility due to a non-functioning exit door alarm and unlocked gates.

The inspection was conducted as an annual State Licensure survey combined with a complaint investigation regarding a memory care resident eloping from the facility.

The facility received a grade of C with multiple deficiencies including failure to maintain current CPR certifications for employees, inadequate health and sanitation maintenance, failure to prevent a memory care resident from eloping due to unlocked doors and gates, missing pre-admission physical examination for a resident, medication administration errors, improperly labeled medication containers, and non-operational door alarms in the memory care unit.

Complaint #NV00045395 was substantiated. The allegation that a memory care resident eloped from the facility was confirmed. The resident exited through an unlocked back door and an unsecured exterior gate that was left open due to pest control maintenance. The door alarm was not operational at the time.

This document is a Statement of Deficiencies generated as a result of an annual survey conducted on 6/8/2015 at Mason Valley Residence, LLC, a residential facility for elderly and disabled persons.

The facility received a grade of A but was found deficient in ensuring that caregivers received timely first aid and CPR training and that employees received required dementia training within specified timeframes. Two deficiencies were cited with severity level 2 and scope 1.

This complaint investigation was conducted due to complaint #NV00041733 containing two allegations regarding failure to protect a resident from abuse by an employee and failure to follow policy regarding abuse, neglect, and exploitation.

The complaint was substantiated with findings that the facility failed to protect a resident from abuse by an employee and failed to ensure employees followed established policies and procedures regarding resident abuse reporting.

Complaint #NV00041733 contained two allegations: 1) failure to protect a resident from abuse by an employee, substantiated; 2) failure to follow policy regarding abuse, neglect, and exploitation, substantiated.

This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted at Mason Valley Residence, LLC from 2014-05-21 to 2014-06-05.

The facility received a grade of A but was found deficient in several areas including failure to provide required annual elder abuse training to 6 of 10 employees, failure to ensure background checks for 1 of 10 employees, and failure to administer medications as prescribed for 1 of 15 residents.

The inspection was an annual State Licensure survey conducted from 5/21/14 to 6/5/14 to assess compliance with state regulations for a residential facility for groups, including beds for elderly, disabled persons, and persons with Alzheimer's disease.

The facility received a grade of A but was found deficient in several areas including failure to provide required elder abuse training to employees, incomplete background checks for staff, and medication administration errors for residents.

This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 5/15/2013 at Mason Valley Residence, LLC.

The facility received a grade of A but had deficiencies including failure to ensure tuberculosis testing compliance for one employee and critical kitchen violations such as improper storage of raw beef above cooked ham.