Inspection Reports for Mothers Best Care For the Elderly
1225 S 8th Street, Las Vegas, NV 89104, NV, 89104
Back to Facility ProfileDeficiencies per Year
16
12
8
4
0
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High
Moderate
Low
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Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 5
Mar 11, 2025
Visit Reason
The inspection was conducted as an annual state licensure survey combined with a complaint investigation at the facility on 03/11/2025.
Findings
The facility was found to have multiple deficiencies including the presence of cockroaches throughout the facility, clutter and debris inside and outside the premises, roof damage, lack of updated policies on preferred pronouns and gender identity, and incomplete infection control training for designated staff. The facility received a grade of B and one complaint was substantiated.
Complaint Details
One complaint (#NV00073303) was substantiated related to the presence of cockroaches, clutter and debris, and roof damage in multiple areas of the facility.
Severity Breakdown
Severity: 2: 4
Severity: 1: 1
Deficiencies (5)
| Description | Severity |
|---|---|
| Presence of German cockroaches in multiple rooms including kitchen, common areas, resident rooms, drawers, closets, and bathrooms. | Severity: 2 |
| Facility failed to ensure the interior and exterior were well maintained and free of debris and clutter, including cracked ceilings held with tape. | Severity: 2 |
| Lack of updated policies and documentation addressing residents' preferred pronouns, gender expression, and sexual orientation in medical/resident records for all 9 residents. | Severity: 1 |
| Primary and secondary infection control staff did not complete the required 15 hours of annual infection control training from an approved organization. | Severity: 2 |
| One of four employees lacked infection control training through a nationally recognized organization as required for unlicensed caregivers. | Severity: 2 |
Report Facts
Licensed beds: 10
Residents present: 9
Resident files reviewed: 9
Employee files reviewed: 4
Pest control service dates: 2
Infection control training hours: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen M. Tatlonghari | Administrator | Confirmed ongoing cockroach issues, acknowledged lack of infection control training for employees, and responsible for monitoring facility conditions |
| Employee #1 | Secondary infection control person | Did not have documented evidence of required infection control training |
| Employee #2 | Primary infection control person / Administrator | Did not have documented evidence of required infection control training |
| Employee #4 | Caregiver | Lacked infection control training through a nationally recognized organization |
Inspection Report
Re-Inspection
Census: 10
Capacity: 10
Deficiencies: 6
Jan 9, 2025
Visit Reason
This inspection was a mandatory regrading survey conducted at the facility on 01/09/25 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A but had several regulatory deficiencies including incomplete personnel files, kitchen equipment in disrepair, expired and improperly labeled food items, and issues related to residents requiring indwelling catheters. Corrective actions were planned for all deficiencies.
Severity Breakdown
E: 2
D: 2
F: 1
I: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Personnel files were incomplete, missing required documentation such as evidence that references were checked. | E |
| The refrigerator in the kitchen was not in proper working order, with drawers held together by tape needing repair or replacement. | D |
| Food in the refrigerator was expired, improperly labeled, and stored in unsuitable containers without dates, posing a risk to residents. | F |
| Residents requiring indwelling catheters were not properly managed according to regulations. | D |
| Personnel files lacked evidence of compliance with background check regulations. | E |
| Residents' rights procedures for filing grievances and complaints were not fully ensured. | I |
Report Facts
Census: 10
Total Capacity: 10
Severity 2 Deficiencies: 2
Severity 1 Deficiencies: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen M Tatlonghari | Administrator | Confirmed refrigerator issues and food expiration findings; signed the report |
Inspection Report
Complaint Investigation
Census: 10
Capacity: 10
Deficiencies: 6
Oct 1, 2024
Visit Reason
The inspection was conducted as a result of a complaint investigation initiated on 09/30/24 and completed on 10/01/24 at a Residential Facility for Groups licensed for persons with mental illness.
Findings
The facility was found deficient in multiple areas including incomplete employee personnel files and background checks for caregivers, unsanitary kitchen refrigerator conditions with expired food items, verbal abuse and neglect of residents by a caregiver, and failure to obtain a medical exemption for a resident with an indwelling catheter.
Complaint Details
Complaint #NV00072065 was substantiated. The complaint investigation included observations, interviews with residents and staff, and record reviews. Multiple residents reported verbal abuse by Employee #1. The Administrator acknowledged the issues and confirmed deficiencies.
Severity Breakdown
E: 2
F: 2
I: 1
D: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Personnel files incomplete for 2 of 6 sampled caregivers; missing hire date, training, personnel information, and reference checks. | E |
| Background checks not completed through Nevada Automated Background Check System (NABS) for 2 of 6 sampled employees. | E |
| Kitchen refrigerator was not clean and sanitary with brown liquid-like substances, debris, and tape holding shelves and drawers together. | F |
| Expired food items found in refrigerator including sour cream, mustard, yogurt, baguettes, butter spread, tuna, and cheese. | F |
| Residents subjected to verbal abuse and neglect by Employee #1, including yelling, degrading comments, and withholding care. | I |
| Facility failed to obtain a medical exemption waiver for a resident with an indwelling urinary catheter. | D |
Report Facts
Number of residents present: 10
Total licensed capacity: 10
Number of complaints investigated: 1
Severity level E deficiencies: 2
Severity level F deficiencies: 2
Severity level I deficiency: 1
Severity level D deficiency: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Caregiver | Named in findings related to incomplete personnel file, lack of background check, and verbal abuse of residents |
| Employee #2 | Caregiver | Named in findings related to incomplete personnel file and lack of background check |
| Karen M Tatlonghari | Administrator | Named as facility Administrator involved in interviews and acknowledged deficiencies |
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 0
May 1, 2024
Visit Reason
The inspection was conducted as a result of an annual state licensure survey combined with a complaint investigation at the facility.
Findings
The facility was found to have no regulatory deficiencies and received a grade of A. One complaint was substantiated but with no deficient practice identified.
Complaint Details
One complaint (#NV00070316) was investigated and substantiated without deficient practice. The investigation included observation of medication administration, interviews with residents, caregivers, and the administrator, and review of medication administration records.
Report Facts
Licensed beds: 10
Resident census: 7
Employee files reviewed: 4
Resident files reviewed: 7
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 0
May 10, 2023
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 was found to have no regulatory deficiencies and received a grade of A. No further action was necessary.
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 3
Apr 26, 2022
Visit Reason
The inspection was conducted as an annual State Licensure and infection control survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for a Residential Facility for Groups.
Findings
The facility received a grade of A but had regulatory deficiencies related to medication administration and documentation. Specifically, medication was not administered as prescribed for one resident, and the Medication Administration Record (MAR) was inaccurate for two residents, including administration of discontinued medication.
Severity Breakdown
D: 1
2: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Confusion with a psychiatrist's medication order leading to incorrect administration of Depakote ER 500 mg twice daily, but given once daily. | D |
| Failure to ensure medication was administered as prescribed for Resident #2; medication given once daily instead of twice daily as ordered. | 2 |
| MAR inaccurately documented medications for Residents #2 and #5, including administration of discontinued medication for Resident #5. | 2 |
Report Facts
Residents present: 10
Licensed capacity: 10
Residents' files reviewed: 10
Employee files reviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen M Tatlonghari | Administrator | Confirmed medication errors and took corrective actions |
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 2
Jul 7, 2021
Visit Reason
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.
Findings
The facility received a grade of A but had regulatory deficiencies including clutter in the backyard patio used improperly for storage and failure to have a prescribed medication (Zolpidem Tartrate 10 mg) on-site for a resident. Corrective actions were completed promptly.
Severity Breakdown
2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Backyard patio was cluttered with unused beds, wheelchairs, boxes, and other stored items not designated for storage. | 2 |
| Facility failed to ensure one resident's prescribed medication (Zolpidem Tartrate 10 mg) was refilled and on-site. | 2 |
Report Facts
Licensed beds: 10
Residents present: 8
Deficiencies cited: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen M Tatlonghari | Administrator | Named in relation to acknowledgment of patio clutter and medication refill issues |
Inspection Report
Abbreviated Survey
Census: 9
Capacity: 10
Deficiencies: 0
Sep 11, 2020
Visit Reason
The inspection was a focused COVID-19 infection control survey conducted to assess compliance with infection prevention measures in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility had no residents or staff positive for COVID-19, implemented screening and temperature checks for staff and visitors, maintained social distancing, and followed infection control policies. No deficiencies were identified during the inspection.
Report Facts
Hand sanitizer bottles: 2
Glove boxes: 4
Surgical mask boxes: 2
Residents tested for COVID-19: 4
Facility licensed beds: 10
Residents present: 9
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 0
Apr 19, 2019
Visit Reason
This inspection was conducted as an annual State Licensure survey of the facility in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with no deficiencies identified. Eight resident files and four employee files were reviewed during the survey.
Report Facts
Resident files reviewed: 8
Employee files reviewed: 4
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 3
Apr 3, 2018
Visit Reason
The inspection was an annual survey conducted to assess compliance with state licensure requirements for a residential facility for groups.
Findings
The facility received a grade of A but had several deficiencies including issues with cleanliness and maintenance of the premises, incomplete and inaccurate medication administration records, and unsecured medication storage. Some deficiencies were repeat findings from a prior survey.
Severity Breakdown
F: 2
B: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to ensure the premises was clean and well maintained, including dishwasher not operational and trash accumulation outside Room #2. | F |
| Medication Administration Records (MAR) were incomplete and inaccurate for 4 of 9 MARs reviewed, including medications not discontinued or documented properly. | B |
| Medication storage was not secure; medications and medical diagnostic equipment were found in unlocked cabinets accessible to residents. | F |
Report Facts
Licensed capacity: 10
Census: 9
Resident files reviewed: 9
Employee files reviewed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen M. Tatlonghari | Administrator | Named as Administrator responsible for facility operations and corrective actions |
| Employee #1 | Confirmed interior and exterior findings and secured medications during survey | |
| Employee #3 | Confirmed exterior findings and medication administration | |
| Employee #4 | Responsible for conducting random checks of locked cabinets and walk-throughs to prevent deficiencies | |
| Employee #2 | Reported on motorized chairs to be donated |
Inspection Report
Annual Inspection
Census: 10
Deficiencies: 6
Jul 23, 2014
Visit Reason
The inspection was conducted as an annual State Licensure survey combined with a complaint investigation initiated on 2014-07-16.
Findings
The facility received a grade of B with multiple deficiencies identified including failure to maintain premises free from debris, unsafe ramp conditions, failure to provide timely medical care and physical exams, and medication management issues including failure to notify physicians of medication refusals.
Complaint Details
Complaint #NV00039780 contained one substantiated allegation related to the facility's conditions and care, investigated starting 2014-07-16.
Severity Breakdown
Severity: 2: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Facility failed to ensure the premises were clean and well maintained, including cracked shower glass, patched and soiled carpet, cluttered barbeque area, and storage of construction materials outside. | Severity: 2 |
| Ramp inside the home lacked handrails on one side, creating unsafe conditions for residents using mobility aids. | Severity: 2 |
| Facility failed to ensure a resident received immediate medical attention after an injury; delay in follow-up with home health services was noted. | Severity: 2 |
| Facility failed to ensure a resident received a physical examination prior to admission; physical was obtained after admission date. | Severity: 2 |
| Facility failed to ensure medications were ordered and refilled in a timely manner for two residents; one medication bottle lacked a pharmacy label and another medication was not on site. | Severity: 2 |
| Facility failed to notify the prescribing physician within 12 hours when a resident refused to take prescribed medication. | Severity: 2 |
Report Facts
Residents present: 10
Employee files reviewed: 3
Residential records reviewed: 10
Severity 2 deficiencies: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver #1 | Interviewed regarding broken shower glass, carpet condition, and medication refusal notification | |
| Owner | Interviewed regarding facility conditions, medical care follow-up, medication management, and plans for correction |
Inspection Report
Annual Inspection
Census: 10
Deficiencies: 6
Jul 16, 2014
Visit Reason
The inspection was conducted as an annual State Licensure survey combined with a complaint investigation initiated due to complaint #NV00039780.
Findings
The facility received a grade of B with multiple deficiencies identified including issues with health and sanitation, safety requirements, medical care of residents, periodic physical examinations, medication plans, and medication administration. The complaint allegation was substantiated.
Complaint Details
Complaint #NV00039780 contained one allegation which was substantiated. The complaint investigation was initiated by the Division of Public and Behavioral Health on 2014-07-16.
Severity Breakdown
Level 2: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Facility failed to ensure premises were clean and well maintained, including broken shower glass, patched carpet, clutter, and debris. | Level 2 |
| Facility failed to ensure a ramp inside the home was safe for residents to move about freely due to lack of handrails. | Level 2 |
| Facility failed to ensure 1 of 10 residents received immediate medical attention after an injury. | Level 2 |
| Facility failed to ensure 1 of 10 residents received a physical examination prior to admission. | Level 2 |
| Facility failed to ensure medications were ordered and refilled in a timely manner for 2 of 10 residents. | Level 2 |
| Facility failed to notify the prescribing physician when 1 of 10 residents refused to take medication as prescribed. | Level 2 |
Report Facts
Residents present: 10
Residential records reviewed: 10
Employee files reviewed: 3
Severity level 2 deficiencies: 6
Inspection Report
Re-Inspection
Census: 9
Capacity: 10
Deficiencies: 1
Jan 29, 2014
Visit Reason
This document is a State Licensure re-survey conducted as a re-inspection on 1/29/14 to assess compliance with medication destruction regulations.
Findings
The facility was found deficient for not destroying discontinued medications for 1 of 9 residents, specifically a discontinued medication that expired in 9/2013 was still located in the resident's medication bin. The facility received a grade of A.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility did not destroy discontinued medication for 1 of 9 residents; expired medication found in resident medication bin. | Severity: 2 |
Report Facts
Residents present: 9
Licensed capacity: 10
Severity level: 2
Scope: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Administrator interviewed regarding medication destruction procedures |
Inspection Report
Re-Inspection
Census: 9
Capacity: 10
Deficiencies: 1
Jan 29, 2014
Visit Reason
This document is a State Licensure grading re-survey conducted on 1/29/2014 to assess compliance with regulatory requirements at Mother's Best Care for Elderly.
Findings
The facility received a grade of A but was cited for a deficiency related to medication destruction. Specifically, the facility failed to destroy discontinued medication for one resident, with expired medication found in the resident's medication bin.
Severity Breakdown
2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to destroy discontinued medication for one resident; expired Carisoprodol 350 mg found in medication bin. | 2 |
Report Facts
Licensed beds: 10
Resident census: 9
Notice
Deficiencies: 0
Jan 27, 2014
Visit Reason
The Health Division is notifying the facility of its intent to impose sanctions and monetary penalties based on deficiencies found in prior surveys.
Findings
The facility received monetary penalties totaling $1,200 for repeat deficiencies cited in previous surveys dated 6/25/12 and 8/29/12. The notice outlines the statutory authority, penalty amounts, appeal rights, and payment instructions.
Report Facts
Monetary penalties: 1200
Penalty amount per deficiency: 300
Dates of prior surveys: 6/25/12 and 8/29/12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Bell | Health Facilities Inspection Manager | Signed the notice |
| Kyle Devine | Bureau Chief | Signed the notice |
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 16
Aug 15, 2013
Visit Reason
This document is a State Licensure annual grading survey conducted on 8/15/13 to assess compliance with regulations for a residential facility for elderly and disabled persons and/or persons with mental illness.
Findings
The facility received a grade of D with multiple deficiencies identified including failure to maintain a monthly staffing schedule, offensive odors, poor sanitation and maintenance issues, improper food storage temperatures, use of prohibited bedroom areas, improper restraint use, failure to monitor oxygen equipment, incomplete physical exams, and multiple medication administration and storage violations.
Severity Breakdown
Level 1: 1
Level 2: 15
Deficiencies (16)
| Description | Severity |
|---|---|
| Administrator failed to maintain a monthly staffing schedule for at least six months with no shift hours listed and no documentation of nighttime caregiver on duty. | Level 1 |
| Facility failed to ensure premises were free of offensive odors (urine odor in multiple bedrooms). | Level 2 |
| Facility failed to ensure premises were clean and well maintained with multiple sanitation and maintenance issues including grease, smoke detector hanging off wall, water stains, leaking sink, peeling paint, mold, trash accumulation, and dust. | Level 2 |
| Bathroom door opening into food handling area did not close automatically. | Level 2 |
| Facility failed to maintain proper refrigeration temperatures; multiple food items found at room temperature or unrefrigerated. | Level 2 |
| Facility failed to ensure food was appropriately packaged; uncovered food items found at room temperature. | Level 2 |
| Facility used prohibited bedroom area in basement accessible only through another bedroom; room used as caregiver room with unsecured medications and personal belongings. | Level 2 |
| Facility failed to ensure residents were not restrained with full side bed rails. | Level 2 |
| Facility failed to ensure oxygen tanks were secured in a rack or to the wall in resident rooms. | Level 2 |
| Facility failed to ensure 1 of 10 residents received an annual physical examination. | Level 2 |
| Facility failed to ensure 2 of 10 residents received medications as prescribed; medications not administered or recorded properly. | Level 2 |
| Facility failed to destroy discontinued, expired, or transferred medications for 7 of 10 sampled residents. | Level 2 |
| Facility failed to maintain accurate medication administration records (MAR) for 7 of 10 residents. | Level 2 |
| Facility failed to keep medications stored in locked containers; multiple unlocked medications found in various resident rooms and common areas. | Level 2 |
| Facility failed to keep medications plainly labeled with resident name and prescribing physician; medications found unlabeled or improperly labeled. | Level 2 |
| Facility failed to ensure 1 of 10 residents complied with tuberculosis testing requirements. | Level 2 |
Report Facts
Facility licensed beds: 10
Census: 10
Deficiency count: 16
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 16
Aug 15, 2013
Visit Reason
This document is a State Licensure annual grading survey conducted to assess compliance with regulatory requirements for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of D with multiple deficiencies identified including failure to maintain staffing schedules, offensive odors, poor sanitation and maintenance, improper food storage, use of prohibited bedroom areas, improper restraint use, oxygen safety issues, incomplete resident physical exams, medication administration errors, improper medication storage and labeling, and failure to comply with tuberculosis testing requirements.
Severity Breakdown
Level 1: 1
Level 2: 15
Deficiencies (16)
| Description | Severity |
|---|---|
| Administrator failed to maintain a monthly staffing schedule for at least six months with no shift hours listed and no documentation of nighttime caregiver on duty. | Level 1 |
| Facility failed to ensure premises were free of offensive odors (urine odor in multiple bedrooms). | Level 2 |
| Facility failed to ensure premises were clean and well maintained with multiple sanitation and maintenance issues observed. | Level 2 |
| Bathroom door opening into food handling area did not close automatically. | Level 2 |
| Facility failed to ensure proper refrigeration of perishable foods; refrigerator temperature was 52.8°F and several food items requiring refrigeration were found unrefrigerated. | Level 2 |
| Facility failed to ensure stored food was appropriately packaged; uncovered food items found at room temperature. | Level 2 |
| Bedroom located in basement was only accessible by passing through another resident's bedroom, violating bedroom use regulations. | Level 2 |
| Facility failed to ensure residents were not restrained with full side bed rails. | Level 2 |
| Oxygen tanks were not secured in a rack or to the wall in one resident room where oxygen was in use. | Level 2 |
| Facility failed to ensure one resident received an annual physical examination as required. | Level 2 |
| Facility failed to ensure two residents received medications as prescribed; multiple medications not administered or not signed on MAR. | Level 2 |
| Facility failed to destroy discontinued, expired, or unclaimed medications for 7 of 10 sampled residents; large quantities of expired and discontinued medications found unsecured. | Level 2 |
| Medication administration records (MAR) were inaccurate for 7 of 10 residents inspected, with medications missing from MAR or incorrect instructions. | Level 2 |
| Medications were not stored in locked containers in multiple resident rooms and common areas, including caregiver room and kitchen. | Level 2 |
| Medications were not kept in original containers and were not plainly labeled with resident name and prescribing physician; pre-poured medications and unlabeled bottles found. | Level 2 |
| Facility failed to ensure one resident complied with tuberculosis testing requirements (no initial 2-step TB test). | Level 2 |
Report Facts
Facility grade: D
Number of residents: 10
Refrigerator temperature: 52.8
Number of medications not destroyed: 7
Number of residents with inaccurate MAR: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #3 | Caregiver | Named in relation to failure to destroy discontinued and expired medications and medication storage issues |
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 5
Aug 29, 2012
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted at the facility on 08/29/2012 to assess compliance with state regulations.
Findings
The facility received a grade of B and several deficiencies were identified including failure to maintain clean and well-maintained premises, improper use of restraints, failure to destroy discontinued or expired medications, inaccurate medication administration records, and unsecured medication storage.
Severity Breakdown
Severity: 2: 4
Severity: 1: 1
Deficiencies (5)
| Description | Severity |
|---|---|
| Facility failed to ensure the premises was clean and well maintained, including leaking kitchen sink, moldy bath mat, exposed wiring, hazardous clothes lines, and improper storage of equipment in resident bedroom. | Severity: 2 |
| Facility failed to ensure 2 of 10 residents were not restrained with the use of full side bed rails. | Severity: 2 |
| Facility did not destroy medications after they were discontinued, expired, or after resident transfer; expired medications stored improperly. | Severity: 2 |
| Medication administration records (MAR) were inaccurate for 3 of 10 residents inspected. | Severity: 1 |
| Facility failed to ensure medications were secured in a locked area; medications found unlocked in kitchen cabinet and bedroom/storage room. | Severity: 2 |
Report Facts
Resident census: 10
Total licensed capacity: 10
Number of resident files reviewed: 10
Number of employee files reviewed: 5
Number of medications found unsecured: 17
Number of residents with inaccurate MARs: 3
Number of residents restrained with full side bed rails: 2
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