Inspection Reports for Monthill Palms
4062 Monthill Ave, Las Vegas, NV 89121, NV, 89121
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 7
Capacity: 10
Deficiencies: 0
Jun 3, 2025
Visit Reason
The inspection was conducted as a complaint survey in response to a complaint received, in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The complaint was investigated and found to be unsubstantiated. No regulatory deficiencies were identified during the survey, and no further action was necessary.
Complaint Details
One complaint (#NV00074102) was investigated and found to be unsubstantiated.
Report Facts
Sample size: 5
Inspection Report
Annual Inspection
Census: 3
Capacity: 10
Deficiencies: 0
Mar 31, 2025
Visit Reason
The inspection was conducted as an annual State Licensure and complaint survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the inspection. One complaint was investigated but found to be unsubstantiated. The facility received a grade of A.
Complaint Details
One complaint (#NV00073492) was investigated and found to be unsubstantiated with no regulatory deficiencies identified.
Report Facts
Resident files reviewed: 4
Employee files reviewed: 2
Complaint investigated: 1
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Deficiencies: 0
Feb 11, 2025
Visit Reason
The inspection was conducted as a result of a bed increase request and a complaint investigation completed on 02/11/25 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The complaint #NV00073063 was substantiated without deficient practice. The facility applied to add four beds to increase total capacity to 10 beds, which was approved. No regulatory deficiencies were identified and no further action was necessary.
Complaint Details
Complaint #NV00073063 was substantiated with no deficient practice.
Report Facts
Sample size: 5
Bed increase: 4
Total beds after increase: 10
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 2
May 17, 2024
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. Two deficiencies were identified related to safety standards for persons with Alzheimer's disease: the front door alarm was not operational, and toxic substances were accessible to residents. Both issues were acknowledged by the Administrator and corrective actions were planned and implemented.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| The front door was not equipped with an operational audible alarm as required for notifying staff when a door is opened. | Severity: 2 |
| Toxic substances were accessible to residents in multiple areas including an unlocked shed and storage rooms. | Severity: 2 |
Report Facts
Licensed beds: 6
Resident census: 5
Severity 2 deficiencies: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Prudence Landicho | Administrator | Acknowledged deficiencies and responsible for corrective actions |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
May 22, 2023
Visit Reason
This inspection was conducted as an annual State Licensure and infection control survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility was found to have no regulatory deficiencies and received a grade of A. Five resident files and two employee files were reviewed during the survey.
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 9
Jul 13, 2022
Visit Reason
The inspection was conducted as a result of a mandatory grading resurvey and a complaint initiated at the facility on 07/13/22, in accordance with Nevada Administrative Code, Chapter 449, Residential Facilities for Groups.
Findings
The facility received a grade of A. One complaint with three allegations was investigated but none were substantiated. Several regulatory deficiencies related to caregiver qualifications, health and sanitation, fire safety, medication administration, resident file maintenance, and Alzheimer's care standards were identified and corrected by 08/22/2022.
Complaint Details
Complaint #NV00066448 with three allegations was investigated and could not be substantiated. Allegation #1 regarding language spoken by staff was unsubstantiated. Allegation #2 regarding staff screaming or threatening residents was unsubstantiated. Allegation #3 regarding residents being allowed to make telephone calls was unsubstantiated.
Severity Breakdown
D: 6
F: 3
Deficiencies (9)
| Description | Severity |
|---|---|
| Qualifications of Caregiver - Med Training - NAC 449.196 Qualifications and training of caregivers. | D |
| Health & Sanitation - Maintain Int/ext - NAC 449.209 Health and sanitation. | F |
| Requirements and Precautions - NAC 449.229 Requirements and precautions regarding safety from fire. | D |
| Medical Care of Resident After Illness - NAC 449.274 Medical care of resident after illness, injury or accident; periodic physical examination of resident; rejection of medical care by resident; written records. | D |
| Medication Administration-Accuracy & Report - NAC 449.2742 Administration of medication: Responsibilities of administrator, caregiver and employees of facility. | D |
| Medication Administration - NRS 449.0302 - NAC 449.2742 - Administration of medication: Responsibilities of administrator, caregiver and employees of facility. | D |
| Maintenance and Contents of Separate File - NAC 449.2749 Maintenance and contents of separate file for each resident; confidentiality of information. | D |
| Alzheimer's Care Standards for Safety - NAC 449.2756 Residential facility which provides care to persons with Alzheimer's disease: Standards for safety; personnel required; training for employees. | F |
| Alzheimer's Care Standards for Safety - NAC 449.2756 Residential facility which provides care to persons with Alzheimer's disease: Standards for safety; personnel required; training for employees. | F |
Report Facts
Licensed beds: 6
Residents present: 6
Complaint allegations: 3
Deficiencies cited: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Prudence Landicho | Administrator | Named as the Administrator responsible for compliance and signature on the report |
| Employee #1 | Acknowledged missing TB test documentation for Resident #3 |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 9
Apr 25, 2022
Visit Reason
The inspection was conducted as an annual grading and infection control survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of C with multiple deficiencies identified including medication management training, facility maintenance, safety compliance, and resident medical documentation. Several deficiencies were repeats from prior surveys.
Severity Breakdown
Severity: 2: 8
Deficiencies (9)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 3 employees had current medication management training (Employee #3). | Severity: 2 |
| Failed to ensure the exterior of the facility was well maintained and free of obstructions, including debris and large weeds. | Severity: 2 |
| Failed to ensure all smoke detectors were present and functioning properly; one detector was not functioning and another was missing. | — |
| Failed to ensure an initial physical exam was completed for 1 of 4 residents (Resident #1). | Severity: 2 |
| Failed to ensure pharmacy medication reviews were completed every 6 months for 1 of 4 residents (Resident #4). | Severity: 2 |
| Failed to provide a signed Ultimate User Agreement for 1 of 4 residents (Resident #1). | Severity: 2 |
| Failed to ensure an annual Tuberculosis (TB) test was completed for 1 of 4 residents (Resident #4). | Severity: 2 |
| Failed to ensure audible door alarms were working properly; front door alarm was not working and back door alarm was being turned off by staff and a resident. | Severity: 2 |
| Failed to ensure items that could constitute a danger to residents (e.g., cigarette lighters) were inaccessible; a resident was observed smoking with a lighter unsupervised. | Severity: 2 |
Report Facts
Licensed beds: 6
Current census: 4
Employees reviewed: 3
Resident files reviewed: 4
Facility grade: C
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Prudence Landicho | Administrator | Named as the administrator responsible for compliance and corrective actions |
| Employee #2 acknowledged deficiencies and was involved in interviews | ||
| Caregiver | Employee #3 failed to have current medication management training |
Inspection Report
Re-Inspection
Census: 5
Deficiencies: 3
Sep 2, 2021
Visit Reason
This Statement of Deficiencies was generated as a result of a grading re-survey conducted at the facility on 09/02/21 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A. Several deficiencies were identified including unsecured medication storage accessible to residents, unsecured resident medical records, unsecured knives in the kitchen, and personnel training and certification documentation issues. The administrator is responsible for compliance and corrective actions.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Medication cabinet in the dining room was observed unlocked and accessible to residents. | Severity: 2 |
| Storage cabinet containing Resident #2's file was observed unlocked and not secured. | Severity: 2 |
| A knife was observed unsecured in a kitchen drawer, posing a danger to residents. | Severity: 2 |
Report Facts
Census: 5
Severity 2 Deficiencies: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 acknowledged unsecured medication cabinet and unsecured resident file; no full name provided. | ||
| Prudence Landicho | Administrator | Named as responsible for compliance and corrective actions. |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 8
Jun 23, 2021
Visit Reason
The inspection was conducted as a result of an annual state licensure, complaint investigation, and infection control survey at the facility on 06/23/21.
Findings
The facility received a grade of C with several deficiencies identified including failure to ensure proper medication management training, elder abuse training, TB screening, background checks, CPR and first aid training for employees, and safety issues such as unsecured knives and non-functioning exit door alarms. One complaint was investigated and found unsubstantiated.
Complaint Details
One complaint (#64015) with three allegations was investigated and found unsubstantiated: family notification of home health, caregiver borrowing money, and resident opioid use.
Severity Breakdown
2: 8
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 4 employees had initial medication management training (Employee #3). | 2 |
| Failed to ensure 1 of 4 employees received initial elder abuse training (Employee #4). | 2 |
| Failed to ensure 1 of 4 employees received a two-step tuberculosis (TB) test and physical examination prior to working (Employee #4). | 2 |
| Failed to ensure 1 of 4 employees had obtained fingerprints and background check after five years of employment (Employee #4). | 2 |
| Failed to ensure 1 of 4 employees had current CPR and first aid training (Employee #2). | 2 |
| Failed to ensure 2 of 4 residents had a two-step or annual TB test (Residents #1 and #3). | 2 |
| Failed to ensure 2 of 2 exit doors were alarmed; alarms were turned off. | 2 |
| Failed to ensure knives were secured in the kitchen; unsecured knife observed on counter and in cabinet. | 2 |
Report Facts
Licensed beds: 6
Resident census: 4
Complaint allegations: 3
Deficiency severity 2 count: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #3 | Caregiver | Failed to provide evidence of initial medication management training. |
| Employee #4 | Caregiver | Failed to receive elder abuse training, TB screening, physical exam, background check; no longer employed. |
| Employee #2 | Caregiver | Failed to renew CPR and first aid training; training completed on 6/25/21. |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 3
Jul 9, 2020
Visit Reason
The inspection was conducted as a combined COVID-19 focused infection control survey and an annual State Licensure survey initiated on 07/09/2020 and completed on 07/16/2020.
Findings
The facility was found to be generally compliant with infection control measures related to COVID-19, receiving a grade of A, but deficiencies were identified related to caregiver medication management training, incomplete resident activities of daily living screenings, and non-functional audible alarms on exit doors.
Severity Breakdown
2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure 2 of 3 employees had a certificate for 8 hours of annual medication management training; Employee #1's training expired 06/10/18 and Employee #2's expired 06/01/20. | 2 |
| Failed to complete initial activities of daily living (ADL) screenings for 1 of 5 residents (Resident #2). | 2 |
| Failed to ensure an audible alarm was in working condition on the front and rear exit doors; alarms were not turned on. | 2 |
Report Facts
Licensed beds: 6
Residents present: 5
Employee files reviewed: 3
Resident files reviewed: 5
Severity 2 deficiencies: 3
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 1
Apr 4, 2016
Visit Reason
The inspection was conducted as an annual State Licensure survey to assess compliance with regulations for a residential facility providing care to persons with Alzheimer's disease and/or chronic diseases.
Findings
The facility received a grade of A but was found deficient in maintaining health and sanitation standards, specifically regarding cleanliness and maintenance of the interior and exterior. Several broken and discarded items were observed, and this was a repeat deficiency from a prior complaint investigation.
Complaint Details
This deficiency is a repeat from the 9/22/15 complaint investigation.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure the interior and exterior were clean and maintained, including broken drawers, discarded mattress pads, broken wood lattice, trash and debris, soiled and damaged chairs, and a mattress on a couch in an enclosed patio. | Severity: 2 |
Report Facts
Census: 4
Total Capacity: 6
Severity Level: 2
Scope: 3
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 1
Apr 4, 2016
Visit Reason
This document is an annual State Licensure survey conducted on 4/4/2016 to assess compliance with state regulations for a residential facility providing care to persons with Alzheimer's disease and/or chronic diseases.
Findings
The facility received a grade of A but was found deficient in maintaining the cleanliness and upkeep of the interior and exterior premises, including broken furniture and debris in the backyard. This deficiency was a repeat from a prior complaint investigation.
Complaint Details
This deficiency is a repeat from the 9/22/2015 complaint investigation.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure the interior and exterior of the facility was clean and maintained, including broken dresser drawers, broken wood lattice, trash and debris, discarded mattress pads, shopping carts, damaged chairs, and a mattress on a couch in the enclosed patio. | Severity: 2 |
Report Facts
Licensed beds: 6
Residents present: 4
Deficiency severity: 2
Deficiency scope: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #2 and Employee #3 acknowledged the observations but no full names provided |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 2
Apr 28, 2015
Visit Reason
This inspection was conducted as an annual State Licensure survey to assess compliance with regulatory requirements for a residential facility providing care to persons with Alzheimer's disease and/or chronic diseases Category II residents.
Findings
The facility received a grade of A. Two deficiencies were identified: one related to failure to ensure background checks for one of four employees, and another related to maintenance of resident files including confidentiality and retention requirements.
Severity Breakdown
Severity 2: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure 1 of 4 employees met background check requirements; no documented evidence that fingerprints had been submitted for background check. | Severity 2 |
| Failure to maintain separate resident files with required documentation and confidentiality. | — |
Report Facts
Number of residents present: 6
Total licensed capacity: 6
Number of employees reviewed: 4
Number of resident files reviewed: 4
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 2
Apr 28, 2015
Visit Reason
This inspection was conducted as an annual State Licensure survey to assess compliance with regulatory requirements for a residential facility providing care to persons with Alzheimer's disease and/or chronic diseases.
Findings
The facility received a grade of A but had deficiencies including failure to ensure background checks were completed for one employee and failure to ensure tuberculosis testing requirements were met for one resident.
Severity Breakdown
2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 4 employees met background check requirements; no documented evidence that fingerprints had been submitted for background check for Employee #4. | 2 |
| Failed to ensure 1 of 6 residents met tuberculosis testing requirements; resident file lacked proof of two-step TB test and documented evidence of signs and symptoms screening. | 2 |
Report Facts
Resident files reviewed: 6
Employee files reviewed: 4
Inspection Report
Re-Inspection
Census: 4
Capacity: 6
Deficiencies: 2
Jun 11, 2014
Visit Reason
The inspection was a required State Licensure grading re-survey conducted on 6/11/14 to assess compliance with regulations for a residential facility providing care to persons with Alzheimer's disease and/or chronic illnesses.
Findings
The facility received a grade of A but had deficiencies including unsecured dangerous items accessible to residents and failure to ensure the correct grade placard was conspicuously posted. These were repeat deficiencies from prior surveys.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Knives, matches, firearms, tools and other dangerous items were accessible to residents, including unsecured razors, lancets, and a hot plate. | Severity: 2 |
| The facility failed to ensure their current grade placard was posted conspicuously; an incorrect 'A' grade was displayed instead of the current 'D' grade. | Severity: 2 |
Report Facts
Facility licensed beds: 6
Resident census: 4
Deficiency repeat count: 1
Severity level: 2
Scope: 3
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 2
Jun 11, 2014
Visit Reason
This inspection was a required State Licensure grading re-survey conducted on 6/11/2014 in accordance with NRS 449.0307, Powers of the Health Division.
Findings
The facility received a grade of A but was found to have deficiencies related to dangerous items being accessible to residents and incorrect posting of the facility's current grade placard. The dangerous items deficiency was a repeat from previous annual surveys.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| The facility failed to ensure dangerous items such as razors, lancets, and a hot plate were inaccessible to residents. | Severity: 2 |
| The facility failed to ensure their current grade placard was posted conspicuously; an incorrect grade 'A' was displayed instead of the current 'D' grade. | Severity: 2 |
Report Facts
Licensed beds: 6
Residents present: 4
Repeat deficiency dates: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver #2 agreed to the findings but no full name provided |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 7
Apr 8, 2014
Visit Reason
This document is the result of an annual State Licensure survey conducted at the facility from 2014-03-27 to 2014-04-08 to assess compliance with state regulations for a Residential Facility for Group beds providing care to persons with Alzheimer's disease.
Findings
The facility received a grade of D with multiple deficiencies identified including hazards impeding resident movement, laundry room maintenance issues, failure to ensure residents with diabetes could self-administer medication without assistance, lack of physical exams prior to admission for some residents, unauthorized medication preparation by caregivers, non-operational front door alarm, and dangerous items accessible to residents.
Severity Breakdown
Level 1: 1
Level 2: 6
Deficiencies (7)
| Description | Severity |
|---|---|
| Outlet without a cover in Resident Room #1 impeding free movement of residents. | Level 2 |
| Laundry room lint trap was not cleaned or maintained. | Level 2 |
| Resident with diabetes unable to administer medication without assistance as required. | Level 2 |
| Two residents did not have physical examinations prior to admission. | Level 2 |
| Caregivers prepared insulin syringes despite not being authorized to draw medication into syringes. | Level 1 |
| Front door alarm was shut off and not operational during survey. | Level 2 |
| Dangerous items (razor) were accessible to residents in Restroom #4. | Level 2 |
Report Facts
Residents present: 6
Licensed capacity: 6
Deficiency severity counts: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver #1 | Caregiver | Acknowledged missing outlet cover, stated caregivers were not allowed to test blood sugar but assisted with insulin syringe preparation |
| Home Health Nurse | Nurse | Provided information about resident's ability to administer insulin and blood sugar checks |
| Skilled Nurse | Nurse | Conducted assessments and instruction on diabetic management and insulin administration |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 7
Mar 27, 2014
Visit Reason
The inspection was an annual State Licensure survey conducted from 3/27/14 to 4/8/14 to assess compliance with state regulations for a residential facility providing care to persons with Alzheimer's disease.
Findings
The facility received a grade of D with multiple deficiencies identified including hazards impeding free movement, inadequate laundry room maintenance, failure to ensure residents with diabetes can self-administer medication, missing physical exams prior to admission for some residents, medication administration errors, non-operational Alzheimer's facility door alarm, and dangerous items accessible to residents.
Severity Breakdown
Severity: 2: 7
Deficiencies (7)
| Description | Severity |
|---|---|
| Outlet without cover in Resident Room #1 impeding free movement of residents. | Severity: 2 |
| Laundry room lint trap not cleaned or maintained. | Severity: 2 |
| Facility failed to ensure a resident with diabetes was able to administer medication without assistance. | Severity: 2 |
| Two residents did not have physical examinations prior to admission. | Severity: 2 |
| Caregivers did not draw medication into syringes as required by law. | Severity: 2 |
| Alzheimer's facility door alarm was not operational. | Severity: 2 |
| Dangerous items such as a razor were accessible to residents. | Severity: 2 |
Report Facts
Census: 6
Total Capacity: 6
Survey Dates: 2014-03-27 to 2014-04-08
Inspection Report
Re-Inspection
Census: 4
Capacity: 6
Deficiencies: 2
Dec 16, 2013
Visit Reason
This visit was a required grading re-survey conducted as a State Licensure survey to assess compliance with regulations for a residential facility providing care to persons with Alzheimer's disease and/or chronic diseases.
Findings
The facility received a re-survey grade of A. Deficiencies were identified related to cleanliness and sanitation of the backyard area and medication administration records not matching medication labels for one resident.
Severity Breakdown
Level 2: 1
Level 1: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| The facility failed to ensure the backyard was free of debris, with several trash bags full of empty aluminum cans attracting ants and shopping carts left on the property. | Level 2 |
| The facility failed to ensure the prescription label on a medication bottle matched the medication administration record (MAR) for one resident. | Level 1 |
Report Facts
Deficiencies cited: 2
Inspection Report
Re-Inspection
Census: 4
Capacity: 6
Deficiencies: 2
Dec 16, 2013
Visit Reason
This inspection was a required grading re-survey conducted as a State Licensure survey to assess compliance and assign a re-survey grade.
Findings
Two deficiencies were identified: the facility failed to maintain the backyard free of debris, specifically trash bags of aluminum cans attracting ants, and failed to ensure the prescription label on a medication bottle matched the medication administration record for one resident.
Severity Breakdown
Level 2: 1
Level 1: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure the backyard was free of debris, with trash bags full of empty aluminum cans attracting ants. | Level 2 |
| Medication administration record did not match the prescription label on a bottle of medication for one resident. | Level 1 |
Report Facts
Licensed beds: 6
Residents present: 4
Loading inspection reports...



