Inspection Reports for Mayhill Manor

This inspection was a State Licensure mandatory grading resurvey conducted in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.

The facility received a grade of A with no regulatory deficiencies identified. Several personnel file and health and sanitation requirements were reviewed, with some deficiencies noted at severity levels D, E, and F related to personnel files, health and sanitation, medication administration, Alzheimer's care standards, preferred name/pronoun policies, and infection control training.

The inspection was conducted as a result of an annual State Licensure Survey combined with a complaint investigation at the facility on 01/13/2025.

The facility was found deficient in multiple areas including personnel file documentation (TB screening, background checks, CPR training), health and sanitation issues (bathroom cleanliness, maintenance, and safety), resident care planning, medication administration, disclosure of rates, oxygen use safety, Alzheimer's care safety, preferred name/pronoun documentation, and infection control training. One complaint was substantiated regarding failure to document a change in resident payment agreement.

Complaint #NV00072949 was substantiated related to failure to document a change in the monthly payment agreement for Resident #5.

The inspection was conducted as a result of a complaint investigation at the facility on 04/02/2024, in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.

The complaint was unsubstantiated with no regulatory deficiencies identified. Observations included resident grooming, cleanliness, and a facility tour, along with interviews and record reviews. No further action was necessary.

One complaint (#NV00070589) was investigated and found to be unsubstantiated with no regulatory deficiencies identified.

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 received a grade of A with no regulatory deficiencies identified. No further action was necessary.

The inspection was conducted as an annual State Licensure and infection control survey of the residential facility for groups, in accordance with Nevada Administrative Code Chapter 449.

The facility was found to have multiple regulatory deficiencies including lack of required CLIA and Exempt Laboratory licenses for COVID-19 testing, failure to maintain the interior of the facility, missing Ultimate User agreement for medication administration, failure to destroy expired medication, and failure to keep toxic substances locked and out of reach of residents.

The inspection was conducted as a result of a complaint investigation at the facility on 04/05/22, triggered by Complaint# NV00066010 with two allegations.

The complaint allegations were unsubstantiated after investigation. The facility met regulatory requirements for bed and room sizes, and the facility and kitchen areas were found to be clean. No regulatory deficiencies were identified.

Complaint# NV00066010 with two allegations was unsubstantiated. Allegation #1 regarding inadequate bed and room size was unsubstantiated based on measurements and resident interviews. Allegation #2 regarding uncleanliness, especially in the kitchen, was unsubstantiated based on observations and interviews with residents, caregivers, and the administrator.

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.

The facility received a grade of A with guidance provided on nondiscrimination, privacy, and cultural competency policies. One regulatory deficiency was identified related to failure to ensure tuberculosis testing upon admission and yearly thereafter for one resident.

The inspection was conducted as a complaint investigation triggered by Complaint #NV00063832 with four allegations regarding visitation restrictions, employee mask use and visitor screening, and adequacy and nutrition of food supply.

The investigation found all four allegations to be unsubstantiated based on interviews with residents and employees, observations of visitation policies, employee mask use, visitor temperature screening, and review of the facility's food supply and menu. No regulatory deficiencies were identified and no further action was necessary.

Complaint #NV00063832 with four allegations was investigated and found unsubstantiated: 1) restrictive visitation policies, 2) failure of employees to wear masks and screen visitors, 3) insufficient food supply, and 4) lack of nutritious food.

The inspection was a COVID-19 focused infection control State Licensure survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

The facility failed to implement safe infection control practices related to COVID-19, including lack of N95 masks, inadequate PPE training for caregivers, absence of COVID-19 policies, and insufficient infection control measures. The facility had no residents or staff positive for COVID-19 at the time of the survey.

The inspection was a State licensure annual survey initiated at the facility on 03/03/2020 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

The facility received a grade of A. Deficiencies were identified related to health and sanitation with the backyard being unclean and cluttered, and medication administration issues including incomplete medication user agreements and improper documentation on the Medication Administration Record for some residents.

The inspection was an annual State Licensure grading survey conducted to assess compliance with regulations for a residential facility providing care to persons with Alzheimer's disease.

The facility received a grade of A but had deficiencies related to cleanliness and maintenance of the premises, including dirty furniture, unclean walls, and dust buildup. Additionally, dangerous items such as knives and tools were accessible to residents, which was a repeat deficiency from the previous year.

Annual State Licensure grading survey conducted to assess compliance with state regulations for a residential facility providing care to persons with Alzheimer's disease.

The facility received a grade of A but was found deficient in maintaining cleanliness and upkeep of the interior and exterior premises, and in ensuring dangerous items were inaccessible to residents. These deficiencies were observed through multiple examples of unclean and unsafe conditions and accessible dangerous items.

This inspection was conducted as an annual State Licensure grading survey to assess compliance with regulations for a residential facility providing care to persons with Alzheimer's disease.

The facility received a grade of B with several deficiencies noted including sanitation issues, improper food storage, fire safety noncompliance, expired medication, and failure to secure dangerous items. The administrator acknowledged the findings and committed to monitoring compliance.

This annual State Licensure grading survey was conducted to assess compliance with state regulations for a residential facility providing care to persons with Alzheimer's disease.

The facility received a grade of B with multiple deficiencies including poor maintenance and sanitation of the premises, improper thawing of frozen food, lack of current fire alarm inspection tags, expired medications onsite, and accessibility of dangerous items to residents.

The inspection was conducted as a result of a complaint investigation initiated by the Bureau of Health Care Quality and Compliance on 6/9/14 regarding an allegation related to the physical environment.

The complaint was unsubstantiated after review of five medical records and interviews with three residents and two caregivers revealed no incident reports or emergencies concerning disturbing loud noises or the physical environment.

Complaint #NV00039349 was unsubstantiated. The complaint contained one allegation related to the physical environment, which was investigated and found to have no supporting evidence.

The Health Division is imposing sanctions on the facility due to repeat deficiencies identified in a prior survey dated 4/11/13, specifically related to TAG 0178.

The report details the imposition of monetary penalties totaling $300.00 for repeat deficiencies, with references to the severity and scope of the deficiencies as defined by Nevada Administrative Code. The sanctions are effective eleven working days after receipt of the notice.

The inspection was conducted as an annual State Licensure survey to assess compliance with regulations for a residential facility for persons with Alzheimer's disease.

The facility received a grade of A but had deficiencies related to cleanliness and housing for staff members. Observations included grease buildup, dust, dirty sheets, and lack of a bedroom for a caregiver. The administrator was unaware of these issues prior to the survey.

This inspection was conducted as an annual State Licensure survey to assess compliance with regulatory requirements for the residential facility.

The facility received a grade of A but was found deficient in maintaining cleanliness and proper housing for staff. Specific issues included grease buildup, dust, missing light fixture covers, dirty furniture, and lack of a bedroom for a caregiver.

This notice informs the facility administrator that the Health Division intends to impose sanctions and monetary penalties based on deficiencies cited in a prior survey dated 04/26/12.

The Health Division is imposing a monetary penalty of $600 for repeat deficiencies identified in the previous survey. The Plan of Correction submitted on 04/16/13 was reviewed and found acceptable.

This document is a State Licensure annual survey conducted to assess compliance with regulations for a residential facility providing care to persons with Alzheimer's disease.

The facility received a grade of B and was found deficient in several areas including personnel certification in CPR, facility cleanliness and maintenance, medication administration, and ensuring dangerous and toxic items were inaccessible to residents. Some deficiencies were repeats from the prior year's survey.