Inspection Reports for Mimi’s Care Home
3055 S.Pioneer Way, Las Vegas, NV 89117, NV, 89117
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
68% better than Nevada average
Nevada average: 7.1 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
90% occupied
Based on a December 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 0
Dec 30, 2024
Visit Reason
This inspection was conducted as an annual State Licensure inspection in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified. Nine resident files and seven employee files were reviewed, and no further action was necessary.
Report Facts
Resident files reviewed: 9
Employee files reviewed: 7
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 0
Dec 21, 2023
Visit Reason
This inspection was conducted as an annual State Licensure inspection in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified. Seven resident files and six employee files were reviewed, and no further action was necessary.
Report Facts
Resident files reviewed: 7
Employee files reviewed: 6
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 0
Dec 22, 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 A with no deficiencies cited. Nine resident files and five employee files were reviewed, and no further action was necessary.
Report Facts
Resident files reviewed: 9
Employee files reviewed: 5
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 0
Nov 29, 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 Residential Facility for Groups.
Findings
The facility received a grade of A with no deficiencies cited. Guidance was provided on compliance with state regulations related to discrimination, privacy, cultural competency, and complaint policies.
Inspection Report
Abbreviated Survey
Census: 7
Capacity: 10
Deficiencies: 0
Nov 17, 2020
Visit Reason
The inspection was a focused Infection Control Survey conducted at the facility on 11/17/2020 in accordance with Nevada Administrative Code, Chapter 449, Residential Facilities for Groups.
Findings
The survey found no regulatory deficiencies. The facility had appropriate infection control measures in place, including PPE supplies, visitor restrictions, staff training, and cleaning protocols.
Report Facts
PPE supplies: 1000
PPE supplies: 50
PPE supplies: 2
PPE supplies: 40
PPE supplies: 20
PPE supplies: 130
PPE supplies: 50
Thermometers: 3
Hand sanitizer dispensers: 5
Hand sanitizer bottles: 5
Hand sanitizer refill: 2
Facility beds: 10
Residents present: 7
Inspection Report
Abbreviated Survey
Census: 5
Capacity: 10
Deficiencies: 0
May 14, 2020
Visit Reason
This was a focused COVID-19 Infection Control Survey conducted to assess infection control and prevention compliance related to COVID-19 at the facility.
Findings
The facility was found to be clean and well maintained with proper infection control measures in place, including staff wearing masks and gloves, resident quarantine for COVID-19 positive cases, and adequate supplies of masks and gloves. No regulatory deficiencies were identified.
Report Facts
Masks available: 150
Gloves available: 2400
Staff on duty: 3
COVID-19 positive residents: 3
COVID-19 negative residents: 2
Inspection Report
Re-Inspection
Census: 10
Capacity: 10
Deficiencies: 9
Aug 6, 2019
Visit Reason
This inspection was a re-grading State Licensure survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for a Residential Facility for Groups.
Findings
The facility received a grade of A with several regulatory deficiencies identified, including failure to ensure proper elder abuse training, oxygen use compliance, medication administration accuracy, and maintenance of resident files. All deficiencies were addressed with approved plans of correction.
Severity Breakdown
D: 4
E: 4
F: 1
Deficiencies (9)
| Description | Severity |
|---|---|
| Failure to ensure elder abuse training was completed annually by required personnel. | D |
| Failure to ensure written policy on admissions excluding certain residents was followed. | D |
| Failure to ensure a portable oxygen tank was available for a resident in the event of a power outage. | D |
| Failure to administer oxygen according to doctor's order for a resident. | D |
| Failure to administer medication as prescribed and maintain accurate medication records. | E |
| Failure to maintain separate resident files with required evaluations and confidentiality safeguards. | E |
| Failure to ensure safety standards for Alzheimer's care including staff training and awake staff on duty. | E |
| Failure to keep dangerous items inaccessible to residents with Alzheimer's disease. | F |
| Failure to provide required training for caregivers within 60 days of employment. | E |
Report Facts
Licensed beds: 10
Census: 10
Oxygen flow rate: 2
Oxygen flow rate observed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Philip Glessner | Owner | Owner present during survey and involved in oxygen regulation compliance |
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 7
May 13, 2019
Visit Reason
The inspection was an annual State Licensure survey conducted in accordance with Nevada Administrative Code (NAC) Chapter 449 for a Residential Facility for Groups.
Findings
The facility was found deficient in multiple areas including failure to ensure all employees completed required elder abuse, Alzheimer's, and caregiver training; retention of a bedfast resident without proper exemption; incomplete medication administration records for multiple residents; lack of initial Activities of Daily Living assessments for several residents; and unsecured hazardous items accessible to residents.
Severity Breakdown
Severity: 2: 7
Deficiencies (7)
| Description | Severity |
|---|---|
| Failure to ensure 1 of 4 employees completed initial elder abuse prevention training. | Severity: 2 |
| Facility retained a bedfast resident without obtaining a required bedfast exemption. | Severity: 2 |
| Medication Administration Records (MAR) were incomplete or unsigned for 8 of 10 residents. | Severity: 2 |
| Failed to complete initial Activities of Daily Living (ADL) assessments upon admission for 5 of 10 residents. | Severity: 2 |
| Failed to ensure 2 of 4 employees received initial Alzheimer's training. | Severity: 2 |
| Bathroom cabinet containing razors was unsecured and unlocked, accessible to residents. | Severity: 2 |
| Failed to ensure 2 of 4 employees received four hours of initial caregiver training within 60 days of hire. | Severity: 2 |
Report Facts
Residents reviewed: 10
Employee files reviewed: 4
Facility grade: C
Deficiencies with severity 2: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Caregiver | Failed to complete initial Alzheimer's and caregiver training. |
| Employee #2 | Caregiver/Owner | Failed to complete initial Alzheimer's and caregiver training. |
| Employee #3 | Housekeeper | Failed to complete initial elder abuse prevention training. |
| Patricia Theresa Brushfield | Administrator | Responsible for ensuring implementation of plans of correction. |
Inspection Report
Original Licensing
Capacity: 10
Deficiencies: 0
May 29, 2018
Visit Reason
This inspection was conducted as an initial survey for licensing a Residential Facility for Groups for elderly and disabled persons, including those with chronic illness and Alzheimer's disease.
Findings
The survey included review of one resident file and one employee file. No deficiencies or violations are explicitly stated in the report.
Report Facts
Licensed beds: 10
Census: 0
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