Inspection Reports for Master Care Group Homes, LLC
6562 W Mesa Vista Ave., Las Vegas, NV 89118, NV, 89118
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Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 1
Nov 5, 2024
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
The facility received a grade of A; however, a deficiency was identified related to inaccurate documentation on the Medication Administration Record (MAR) for one resident, specifically missing a secondary administration time and an extra administration time listed incorrectly.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure the Medication Administration Record (MAR) was accurate for 1 of 5 residents, including missing a secondary administration time for Gabapentin and an extra administration time for Lisinopril. | Severity: 2 |
Report Facts
Licensed beds: 5
Resident census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria T N Acoba | Administrator | Named as person responsible for corrective action and signed the report |
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 2
Nov 7, 2023
Visit Reason
The inspection was conducted as an annual State Licensure survey of the residential facility for groups in accordance with Nevada Administrative Code (NAC) Chapter 449.
Findings
The facility was found to have regulatory deficiencies related to failure to obtain medical exemption waivers for residents requiring indwelling catheters and wound care. The facility received a grade of A overall.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to obtain a medical exemption waiver for a resident with an indwelling urinary catheter. | Severity: 2 |
| Failure to obtain a medical exemption waiver for a resident with wounds requiring treatment by a medical professional. | Severity: 2 |
Report Facts
Census: 5
Total Capacity: 5
Residents reviewed: 5
Employee files reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brad Boman | Administrator | Signed the inspection report |
| Cora Pinto | Owner | Named in plan of correction to ensure implementation of corrective actions |
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 2
Nov 3, 2022
Visit Reason
The inspection was conducted as an annual and Infection Control State Licensure survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facilities for Groups.
Findings
The facility was found to have regulatory deficiencies including failure to ensure one resident had initial tuberculin testing and failure to keep toxic substances locked and inaccessible to residents. The facility received a grade of A overall.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure 1 of 5 sampled residents had an initial tuberculin (TB) test documented in the file. | Severity: 2 |
| Facility failed to ensure toxic substances were maintained in a locked area and not accessible to residents; five unsecured spray bottles of disinfectant cleaners were found accessible. | Severity: 2 |
Report Facts
Resident files reviewed: 5
Employee files reviewed: 5
Unsecured disinfectant spray bottles: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brad Boman | Administrator | Signed as Laboratory Director's or Provider/Supplier Representative |
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 5
Nov 10, 2021
Visit Reason
The inspection was conducted as an annual grading and infection control survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Findings
The facility received a grade of B with several regulatory deficiencies identified, including failure to complete background checks for employees, failure to follow posted menus and document substitutions, overdue annual physical exams for residents, incomplete tuberculosis testing, and failure to display the required grade placard.
Severity Breakdown
Level 1: 2
Level 2: 3
Deficiencies (5)
| Description | Severity |
|---|---|
| Failed to ensure a background check was completed for 1 of 5 employees (Employee #3). | Level 2 |
| Failed to follow the posted menu and document substitutions; served pizza instead of roast beef sandwich without documentation. | Level 1 |
| Failed to ensure an annual physical exam was completed for 1 of 5 residents (Resident #5). | Level 2 |
| Failed to ensure a two step tuberculosis (TB) test was completed upon admission for a new resident and an annual TB test was completed for a current resident for 2 of 5 residents (Resident #2 and Resident #5). | Level 2 |
| Failed to ensure a grade placard was displayed in a conspicuous location. | Level 1 |
Report Facts
Number of residents: 5
Total licensed beds: 5
Number of employee files reviewed: 5
Number of resident files reviewed: 5
Severity 2 deficiencies: 3
Severity 1 deficiencies: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brad Boman | Administrator | Signed report and involved in oversight |
Inspection Report
Abbreviated Survey
Census: 5
Capacity: 5
Deficiencies: 0
Nov 17, 2020
Visit Reason
The inspection was a focused Infection Control Survey conducted in response to COVID-19 related infection control practices at the facility.
Findings
The facility was found to have comprehensive infection control and prevention measures in place, including PPE supplies, resident and employee COVID-19 testing, and adherence to CDC guidelines. No regulatory deficiencies were identified.
Report Facts
PPE supplies: 21
PPE supplies: 1400
PPE supplies: 700
PPE supplies: 50
PPE supplies: 10
Hand sanitizer: 5
Hand sanitizer refill: 2
Isopropyl alcohol: 8
Bleach: 3
Employees trained: 3
Residents tested: 5
Inspection Report
Annual Inspection
Census: 1
Capacity: 5
Deficiencies: 3
Feb 14, 2020
Visit Reason
This inspection was conducted as a State Licensure annual survey of the facility on 02/14/2020 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A but had regulatory deficiencies including improper labeling and storage of refrigerated food, failure to document menu substitutions, and unlocked medication storage areas.
Severity Breakdown
Severity: 2: 2
Severity: 1: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to properly label and store refrigerated food; six unlabeled containers with unknown food were stored in the refrigerator. | Severity: 2 |
| Facility failed to follow the posted menu and document substitutions; pork, cauliflower and broccoli were served instead of split pea soup and egg salad sandwich without documentation. | Severity: 1 |
| Facility failed to ensure medications were locked; medication cabinet and refrigerator containing medications were found unlocked during the survey. | Severity: 2 |
Report Facts
Licensed beds: 5
Resident census: 1
Unlabeled food containers: 6
Menu substitutions: 1
Medication unlocked duration (hours): 2.25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca N. Wolfkill | Administrator | Signed report and involved in monitoring compliance |
Inspection Report
Annual Inspection
Census: 4
Capacity: 5
Deficiencies: 2
Mar 7, 2019
Visit Reason
The inspection was an annual State Licensure grading survey conducted on 03/07/2019 to assess compliance with state regulations for a residential facility for group beds for elderly and disabled persons and/or persons with Alzheimer's disease.
Findings
The facility received a grade of A but had deficiencies including failure to ensure timely medication administration for a newly admitted resident and failure to keep toxic substances inaccessible to residents. The toxic substances deficiency was a repeat from the prior year's survey.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure medication was filled in a timely manner for one newly admitted resident, resulting in missing Pepcid and Vitamin D2 medications upon admission. | Severity: 2 |
| Failure to ensure toxic substances were inaccessible to residents; unlocked Lysol spray and cleaning chemicals were found accessible during inspection. | Severity: 2 |
Report Facts
Licensed beds: 5
Current census: 4
Employee files reviewed: 5
Resident files reviewed: 4
Inspection Report
Annual Inspection
Census: 4
Capacity: 5
Deficiencies: 2
Mar 14, 2018
Visit Reason
The inspection was conducted as an annual State Licensure grading survey of the facility on 03/14/2018 to assess compliance with regulatory requirements.
Findings
The facility received a grade of A. Deficiencies were identified related to tuberculosis testing documentation for one resident and accessibility of toxic substances to residents. Corrective actions were planned and initiated.
Severity Breakdown
2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure one of four residents had current tuberculosis testing documentation as required. | 2 |
| Facility failed to ensure toxic substances were inaccessible to residents; Lysol spray was found accessible in a resident's bedroom. | 2 |
Report Facts
Resident files reviewed: 4
Employee files reviewed: 5
Facility grade: A
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Crisanta Pasion | Administrator | Named as the Laboratory Director's or Provider/Supplier Representative who signed the report |
Inspection Report
Routine
Census: 5
Capacity: 5
Deficiencies: 1
Nov 29, 2017
Visit Reason
The inspection was conducted as a facility/resident wellness check under the authority of NRS 449.0307 for a Residential Facility for Group beds for elderly and disabled persons and/or persons with Alzheimer's disease.
Findings
The facility failed to ensure that 2 of 3 exit doors had operational audible alarms as required for Alzheimer's care facilities. Specifically, the front garage door and laundry room doors lacked proper alarms at the time of inspection.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure 2 of 3 exit doors had operational alarms, buzzers, or other audible devices activated when doors were opened. | Severity: 2 |
Report Facts
Number of exit doors without operational alarms: 2
Licensed capacity: 5
Census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Crisanta Pasion | Administrator | Named as facility administrator and signer of report |
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