Deficiencies per Year
8
6
4
2
0
Severe
High
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 6
Aug 19, 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 was found deficient in several areas including failure to submit an application for a new Administrator within 10 days of resignation, incomplete background checks for employees, lack of person-centered service plans for all residents, medication administration record inaccuracies, missing six-month medication review initials by the Administrator, and failure to designate persons responsible for infection control.
Severity Breakdown
Level 2: 5
Level 1: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to submit an application for a new Administrator within 10 days after the former Administrator resigned. | Level 2 |
| Failed to ensure background checks through the Nevada Automated Background Check System were completed for 2 of 4 employees. | Level 2 |
| Failed to develop a person-centered service plan for 8 of 8 residents. | Level 1 |
| Failed to ensure six-month Medication Reviews were initialed and dated by the Administrator within 72 hours for 2 of 8 residents. | Level 2 |
| Failed to ensure the Medication Administration Record included accurate documentation for 2 of 8 residents' medications. | Level 2 |
| Failed to ensure a primary and secondary person responsible for the facility's infection control program were identified. | Level 2 |
Report Facts
Licensed beds: 10
Residents present: 8
Employees reviewed: 4
Resident files reviewed: 8
Deficiencies cited: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caprice Benson | Administrator | Named in multiple findings and corrective action plans |
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 6
Aug 16, 2023
Visit Reason
This inspection was conducted as an annual State Licensure survey of Nevada Memory Care facility to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility was found deficient in several areas including improper use of bed rails as restraints, failure to obtain a waiver for a bedfast resident, improper storage of oxygen tanks, unsecured medication storage, lack of annual tuberculosis screenings for residents, and incomplete cultural competency training for an employee.
Severity Breakdown
Level 2: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Facility failed to ensure bed rails were not used as a restraint for 1 of 7 residents (Resident #1). | Level 2 |
| Facility failed to obtain a waiver to maintain a resident who was bedfast for 1 of 7 residents (Resident #1). | Level 2 |
| Facility failed to ensure an oxygen canister was properly stored and secured. | Level 2 |
| Facility failed to ensure medications were properly stored; unsecured medications found in kitchen drawer. | Level 2 |
| Facility failed to ensure annual tuberculosis screening was completed for 2 of 7 residents (Resident #1 and Resident #5). | Level 2 |
| Facility failed to ensure cultural competency training was completed for 1 of 6 employees (Employee #6). | Level 2 |
Report Facts
Licensed beds: 10
Residents present: 7
Employee files reviewed: 6
Resident files reviewed: 7
Severity 2 deficiencies: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nichole Schmal | Manager | Signed as Laboratory Director's or Provider/Supplier Representative |
| Employee #6 | Caregiver | Named in cultural competency training deficiency |
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 1
Aug 9, 2022
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. A regulatory deficiency was identified related to failure to ensure 5 of 7 employees were in compliance with Nevada Revised Statutes regarding initial and annual cultural competency training.
Severity Breakdown
2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure 5 of 7 employees were in compliance with Nevada Revised Statutes 449.103 regarding initial and/or annual cultural competency training. | 2 |
Report Facts
Licensed beds: 10
Resident census: 7
Employees non-compliant: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employees #3, #4, #5, #6, and #7 identified as lacking documented cultural competency training; no full names provided | ||
| Nichole Schmal | Manager | Facility Manager who confirmed employees did not receive cultural competency training |
Inspection Report
Re-Inspection
Census: 5
Capacity: 10
Deficiencies: 0
Nov 8, 2021
Visit Reason
This inspection was a voluntary re-grading State Licensure survey conducted at the facility 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 and no further action was necessary.
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 4
Sep 22, 2021
Visit Reason
The inspection was conducted as a State Licensure annual survey and infection control survey at the facility in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of B and was found deficient in several areas including failure to implement safe infection control practices related to COVID-19, inadequate maintenance of the facility exterior, failure to ensure audible alarms on exit doors, and failure to secure toxic substances from residents.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to implement safe infection control practices for COVID-19, including lack of screening and mask use by employees. | Severity: 2 |
| Failure to maintain the exterior of the facility, including presence of inoperable items and unsecured tools in the backyard. | Severity: 2 |
| Failure to ensure an audible alarm system was activated on one of six exit doors. | Severity: 2 |
| Failure to ensure toxic substances were not accessible to residents, with bathroom cleaners and sprays found unsecured. | Severity: 2 |
Report Facts
Licensed capacity: 10
Census: 7
Employee files reviewed: 4
Resident files reviewed: 7
Severity 2 deficiencies: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nichole Crock | Administrator | Named in relation to infection control and facility maintenance deficiencies |
Inspection Report
Abbreviated Survey
Census: 6
Capacity: 10
Deficiencies: 0
Oct 21, 2020
Visit Reason
A focused COVID-19 infection control survey was conducted to investigate regulatory compliance with infection control and prevention measures at the facility.
Findings
The facility demonstrated compliance with infection control protocols including PPE use, social distancing, hand hygiene, and visitor screening. No residents or employees had COVID-19 symptoms or positive results at the time of inspection. No regulatory deficiencies were cited.
Report Facts
PPE stock: 200
PPE stock: 100
PPE stock: 50
PPE stock: 6
PPE stock: 6
residents tested: 6
staff tested: 6
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 0
Jul 26, 2019
Visit Reason
The inspection was conducted as the Annual State Licensure survey for the facility in accordance with Nevada Administrative Code Chapter 449, Residential Facilities for Groups.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.
Report Facts
Resident records reviewed: 10
Employee records reviewed: 8
Inspection Report
Renewal
Census: 9
Capacity: 10
Deficiencies: 0
Dec 4, 2018
Visit Reason
This inspection was a State Licensure voluntary re-grading survey conducted 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 and no further action is necessary.
Report Facts
Licensed beds: 10
Census: 9
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 5
Jul 25, 2018
Visit Reason
This inspection was an annual State Licensure survey conducted to assess compliance with regulatory requirements for the residential facility.
Findings
The facility was found to have multiple deficiencies including failure to timely renew employee fingerprinting, lack of in-person CPR training for an employee, inadequate maintenance of the premises, missing annual ADL evaluations for residents, and non-functional door alarms for Alzheimer's care.
Severity Breakdown
2: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Failure to ensure one employee obtained five years fingerprinting renewal on time. | 2 |
| Failure to ensure one employee obtained in-person CPR training; online training was not acceptable. | 2 |
| Failure to maintain premises; shower floor near room #4 had two decaying holes. | 2 |
| Failure to ensure annual ADL evaluations for 2 of 8 residents were completed. | 2 |
| Failure to ensure operational alarms were activated on all doors used to exit the facility. | 2 |
Report Facts
Number of residents present: 8
Total licensed capacity: 10
Number of employee files reviewed: 8
Number of resident files reviewed: 8
Severity 2 deficiencies: 5
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 0
Nov 30, 2017
Visit Reason
This document reports the results of an annual State Licensure survey conducted at the facility on 11/30/2017.
Findings
No deficiencies were identified during the survey. The facility received a grade of A.
Report Facts
Resident files reviewed: 9
Employee files reviewed: 7
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 1
Dec 12, 2016
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 elderly and disabled persons with Alzheimer's disease.
Findings
The facility received a grade of A; however, a deficiency was identified related to the failure to secure oxygen tanks in the facility, which is required for resident safety.
Severity Breakdown
2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to secure oxygen tanks in the closet of Room #4 and Room #3 as required by regulation. | 2 |
Report Facts
Resident census: 10
Total licensed capacity: 10
Oxygen tanks unsecured: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #8 acknowledged the observations of unsecured oxygen tanks |
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 0
Jan 26, 2016
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted at the facility on 01/26/16.
Findings
The facility received a grade of A with no deficiencies identified during the survey. Nine resident files and seven employee files were reviewed.
Report Facts
Resident files reviewed: 9
Employee files reviewed: 7
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 3
Jan 5, 2015
Visit Reason
The inspection was conducted as an annual State Licensure survey of a residential facility providing care to elderly and disabled persons with Alzheimer's disease.
Findings
The facility received a grade of A but had deficiencies including failure to ensure one resident received a physical examination prior to admission, unlocked dangerous items such as knives and scissors accessible to residents, and unlocked toxic substances accessible to residents.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure 1 of 10 residents received a physical examination prior to admission. | Severity: 2 |
| Failure to ensure dangerous items such as knives, matches, firearms, and tools were inaccessible to residents. | Severity: 2 |
| Failure to ensure toxic substances were inaccessible to residents; observed unlocked cabinet with cleaning solutions. | Severity: 2 |
Report Facts
Residents present: 10
Licensed capacity: 10
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 3
Jan 5, 2015
Visit Reason
This inspection was conducted as an annual State Licensure survey of the facility to assess compliance with regulatory requirements under NRS 449.0307.
Findings
The facility received a grade of A but had deficiencies including failure to ensure one resident received a physical examination prior to admission, failure to secure dangerous items such as knives and scissors in unlocked kitchen drawers, and failure to secure toxic substances in an unlocked cabinet accessible to residents.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 10 residents received a physical examination prior to admission (Resident #9). | Severity: 2 |
| Failed to ensure dangerous items such as knives and scissors were inaccessible to residents; observed three unlocked kitchen drawers containing these items. | Severity: 2 |
| Failed to ensure toxic substances were inaccessible to residents; observed an unlocked cabinet under the kitchen sink containing cleaning solutions. | Severity: 2 |
Report Facts
Residents present: 10
Total licensed capacity: 10
Employee files reviewed: 8
Resident files reviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver #4 | Acknowledged unlocked drawers and cabinet containing dangerous items and toxic substances | |
| Administrator | Acknowledged missing documentation of physical examination for Resident #9 |
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 3
Jan 23, 2014
Visit Reason
This inspection was conducted as a State Licensure annual grading survey to assess compliance with regulations for a residential facility providing care to persons with Alzheimer's Disease Category 2.
Findings
The facility received a grade of A but had deficiencies related to elder abuse training, personnel files, and tuberculosis testing. Several employees and one resident did not meet training or testing requirements prior to hire or admission.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to ensure 1 of 6 employees received Elder Abuse training before hire. | Severity: 2 |
| Facility failed to ensure 2 of 6 employees had pre-employment physicals and two-step Tuberculosis tests prior to hire. | Severity: 2 |
| Facility failed to ensure 1 of 9 residents completed a two-step Tuberculosis test prior to admission. | Severity: 2 |
Report Facts
Residents present: 9
Licensed beds: 10
Employees reviewed: 6
Resident files reviewed: 9
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 3
Jan 23, 2014
Visit Reason
This inspection was conducted as a State Licensure annual grading survey to assess compliance with regulatory requirements for the facility licensed for residential care of persons with Alzheimer's Disease.
Findings
The facility received a grade of A but had several deficiencies related to employee training and health documentation, including failure to ensure timely Elder Abuse training, incomplete pre-employment physicals and tuberculosis testing for employees, and incomplete tuberculosis testing documentation for a resident.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 6 employees received Elder Abuse training before hire date. | Severity: 2 |
| Failed to ensure 2 of 6 employees had pre-employment physicals and complete two-step Tuberculosis tests prior to hire. | Severity: 2 |
| Failed to ensure 1 of 9 residents completed a two-step Tuberculosis test with proper read dates. | Severity: 2 |
Report Facts
Residents present: 9
Total licensed capacity: 10
Employees reviewed: 6
Resident files reviewed: 9
Inspection Report
Annual Inspection
Census: 5
Capacity: 10
Deficiencies: 3
Jan 29, 2013
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure inspection conducted on 1/29/13 for a residential facility providing care to persons with Alzheimer's disease.
Findings
The facility received a grade of A but was found deficient in medication administration, tuberculosis resident file maintenance, and ensuring dangerous items were inaccessible to residents. Specific deficiencies included failure to ensure medications were prescribed at maintenance levels, incomplete tuberculosis testing compliance, and unsecured dangerous items accessible to residents.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Medication administration: facility failed to ensure medications were prescribed at a maintenance level for 2 of 5 residents. | Severity: 2 |
| Resident files for tuberculosis: facility failed to maintain separate files and ensure compliance with tuberculosis testing for 2 of 5 residents. | Severity: 2 |
| Dangerous items: facility failed to ensure dangerous items were inaccessible to 5 of 5 residents (kitchen drawer containing knives, scissors, and lighters unsecured). | Severity: 2 |
Report Facts
Residents reviewed: 5
Employee files reviewed: 4
Residents with medication prescription issues: 2
Residents with tuberculosis testing non-compliance: 2
Residents with access to dangerous items: 5
Inspection Report
Annual Inspection
Census: 5
Capacity: 10
Deficiencies: 3
Jan 29, 2013
Visit Reason
This document is the result of an annual State Licensure inspection conducted at Nevada Memory Care on 01/29/2013 to assess compliance with state regulations for residential facilities providing care to persons with Alzheimer's disease.
Findings
The facility received a grade of A but had several deficiencies including improper medication prescriptions for 2 of 5 residents, failure to maintain tuberculosis testing compliance for 2 of 5 residents, and failure to secure dangerous items accessible to all 5 residents.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Medications were not prescribed at a maintenance level for 2 of 5 residents (Aspirin 81 mg with no frequency direction; Milk of Magnesia PRN with no dose, reason, or frequency). | Severity: 2 |
| Failed to ensure 2 of 5 residents complied with tuberculosis testing requirements. | Severity: 2 |
| Dangerous items (knives, scissors, lighters) were accessible to all 5 residents due to unsecured kitchen drawer. | Severity: 2 |
Report Facts
Residents present: 5
Licensed capacity: 10
Resident files reviewed: 5
Employee files reviewed: 4
Inspection Report
Original Licensing
Capacity: 10
Deficiencies: 0
Jan 18, 2012
Visit Reason
This was an initial State licensure survey conducted to request licensure for ten Residential Facility for Groups beds providing care to persons with Alzheimer's disease, Category II residents.
Findings
Deficiencies were found at the time of the survey but were corrected. No further action was necessary.
Report Facts
Licensed beds: 10
Census: 0
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