Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 2
Mar 4, 2025
Visit Reason
Annual State Licensure survey conducted in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A but had deficiencies including improper use of full bed rails as restraints for one resident and failure to have all prescribed medications on site for two residents.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure bed rails were not used as a restraint for 1 of 10 residents (Resident #8). | Severity: 2 |
| Facility failed to ensure all medications were on site and available for 2 of 10 residents (Resident #4 and Resident #8). | Severity: 2 |
Report Facts
Residents present: 10
Licensed capacity: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heather Marie Jacalne | Administrator | Signed report and named in plan of correction |
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 2
Mar 5, 2024
Visit Reason
The inspection was conducted as an annual State Licensure and complaint investigation survey initiated on 03/05/24 and completed offsite on 03/06/24, including a complaint investigation.
Findings
The facility received a grade of A with one complaint investigated and verified without deficient practice. Deficiencies identified included failure to maintain the backyard free of debris and equipment, and failure to ensure an annual tuberculosis test was completed for one resident.
Complaint Details
One complaint (Complaint #NV00070304) was investigated and verified without deficient practice after observations and interviews confirmed residents were not dehydrated or malnourished, had food and water available, were not exit seeking or wandering, and received medications at scheduled times.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure the backyard was free of debris and equipment, including broken mattresses, bed frames, commodes, walkers, and wheelchairs scattered throughout the backyard. | Severity: 2 |
| Facility failed to ensure a tuberculosis (TB) test was completed annually for one resident (Resident #2). | Severity: 2 |
Report Facts
Licensed beds: 10
Residents present: 10
Resident files reviewed: 11
Employee files reviewed: 6
Complaint count: 1
Backyard debris items: 6
Deficiency severity level 2 count: 2
Inspection Report
Original Licensing
Census: 5
Capacity: 10
Deficiencies: 0
Jun 1, 2023
Visit Reason
The inspection was conducted as a State Licensure survey initiated on 06/01/23 and completed on 06/14/23 to evaluate the facility's licensure status and endorsement requests for Alzheimer's disease, Chronic Illness, and/or Mental Illness.
Findings
The facility was approved to add endorsements for Alzheimer's disease, Chronic Illness, and/or Mental Illness to their license. The facility received a grade of A with no regulatory deficiencies identified and no further action necessary.
Report Facts
Licensed beds: 10
Resident census: 5
Employee files reviewed: 5
Resident files reviewed: 5
Inspection Report
Annual Inspection
Census: 5
Capacity: 10
Deficiencies: 2
Apr 20, 2023
Visit Reason
This inspection was conducted as an annual State Licensure survey of the Monarch Group Home LLC facility in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A; however, regulatory deficiencies were identified including failure to submit a bedfast waiver for one resident and failure to follow physician's medication orders for another resident.
Severity Breakdown
Level 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to submit a bedfast waiver for Resident #1 who was bedfast and required assistance. | Level 2 |
| Facility failed to ensure physician's orders were followed for Resident #5; medication was administered without measuring blood pressure as prescribed. | Level 2 |
Report Facts
Licensed beds: 10
Current census: 5
Deficiencies cited: 2
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 0
Apr 18, 2022
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
No regulatory deficiencies were identified during the inspection. The facility received a grade of A and was provided guidance on nondiscrimination, privacy, cultural competency, and complaint policies.
Report Facts
Licensed beds: 10
Resident census: 7
Employee files reviewed: 4
Resident files reviewed: 7
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 0
Jul 6, 2021
Visit Reason
This inspection was conducted as a State licensure annual and infection control 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.
Report Facts
Licensed beds: 10
Resident census: 7
Employee files reviewed: 4
Resident files reviewed: 7
Inspection Report
Routine
Census: 8
Capacity: 10
Deficiencies: 0
Sep 24, 2020
Visit Reason
The inspection was a COVID-19 focused infection control State Licensure survey conducted to assess compliance with infection control measures in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility had implemented multiple infection control measures including visitor restrictions, staff screening, use of PPE, hand hygiene, and environmental cleaning. No residents or staff were positive for COVID-19 at the time of the survey. No regulatory deficiencies were identified and no further action was necessary.
Report Facts
Hand sanitizer bottles: 4
Gloves: 3400
Disposable masks: 150
Non-contact thermometers: 2
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 0
Jul 23, 2019
Visit Reason
This 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 after review of eight resident files and five employee files.
Report Facts
Licensed beds: 10
Resident census: 8
Resident files reviewed: 8
Employee files reviewed: 5
Inspection Report
Annual Inspection
Capacity: 10
Deficiencies: 0
Jul 2, 2018
Visit Reason
This 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 and no deficiencies were identified during the inspection.
Report Facts
Licensed beds: 10
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 0
Oct 25, 2017
Visit Reason
This inspection was conducted as an annual State Licensure survey of the facility to assess compliance with state regulations.
Findings
The facility was found to be in full compliance with no regulatory deficiencies identified and received a grade of A.
Report Facts
Resident files reviewed: 10
Employee files reviewed: 5
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 0
Jun 21, 2016
Visit Reason
The inspection was conducted as an Annual Grading survey by the Division of Public and Behavioral Health under the authority of NRS 449.0307.
Findings
The facility received a grade of A with no regulatory deficiencies identified. No action is necessary at this time.
Report Facts
Resident files reviewed: 9
Employee files reviewed: 5
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 0
Jul 9, 2014
Visit Reason
This document reports on an annual grading State Licensure survey conducted at the facility on 7/9/14 by the authority of NRS 449.0307.
Findings
The facility received a grade of A with no regulatory deficiencies identified. No further action was necessary.
Report Facts
Resident files reviewed: 9
Employee files reviewed: 5
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 1
Jul 23, 2013
Visit Reason
This document is a State Licensure annual grading survey conducted to assess compliance with regulations for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of A but was found deficient in medication administration, specifically failing to ensure two resident medications were maintained at the proper level. The deficiency involved residents #3 and #6 with Tylenol orders for fever greater than 100 degrees Fahrenheit.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure 2 of 7 resident medications were maintained at proper levels, specifically Tylenol orders for residents #3 and #6 not at maintenance level. | Severity: 2 |
Report Facts
Resident census: 7
Total licensed capacity: 10
Deficiency count: 1
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 1
Jul 23, 2013
Visit Reason
This document is a State Licensure annual grading survey conducted at Monarch Group Home LLC on 7/23/2013 to assess compliance with regulatory standards for residential facilities.
Findings
The facility received a grade of A but was found deficient in medication administration, specifically failing to ensure 2 of 7 resident medications were maintained at the proper level as per physician orders.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure 2 of 7 resident medications were not at a maintenance level (Resident #3 and #6 - Tylenol order to give two tablets every 4 hours for fever greater than 100 degrees Fahrenheit). | Severity: 2 |
Report Facts
Resident files reviewed: 7
Employee files reviewed: 6
Facility licensed capacity: 10
Current census: 7
Inspection Report
Annual Inspection
Census: 5
Capacity: 10
Deficiencies: 0
Jul 17, 2012
Visit Reason
This document is the result of an annual State Licensure survey conducted at the facility on 7/17/2012 to assess compliance with state regulations.
Findings
The facility was found to have no deficiencies and received a grade of A. Five resident files and five employee files were reviewed during the survey.
Report Facts
Category I residents: 3
Category II residents: 4
Resident files reviewed: 5
Employee files reviewed: 5
Inspection Report
Annual Inspection
Census: 5
Capacity: 7
Deficiencies: 3
Aug 16, 2011
Visit Reason
This document is an annual State Licensure survey conducted to assess compliance with state regulations for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of A but had deficiencies including failure to maintain clean and well-maintained premises, failure to prepare a comprehensive medication plan including all required components, and failure to ensure medications were administered as prescribed for one resident.
Severity Breakdown
Severity: 1: 1
Severity: 2: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| The premises were not clean and the interior, exterior, and landscaping were not well maintained. | — |
| The administrator failed to prepare a medication plan that included all eight required components. | Severity: 1 |
| The facility failed to ensure one of five residents received medications as prescribed; blood pressure was not monitored as required for medication administration. | Severity: 2 |
Report Facts
Licensed capacity: 7
Census: 5
Resident files reviewed: 5
Employee files reviewed: 7
Deficiency scope: 3
Deficiency scope: 1
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