Inspection Reports for North Las Vegas Care Center

The inspection was a Medicare Life Safety Code recertification survey conducted at the facility from 09/21/2022 through 09/22/2022 to assess compliance with NFPA 101 Life Safety Code and related regulations.

The facility was found deficient in multiple Life Safety Code areas including egress door locking arrangements, discharge from exits, hazardous area enclosures, fire alarm system maintenance, sprinkler system installation and maintenance, corridor door integrity, electrical panel obstructions, electrical system installations, and patient-care related electrical equipment testing and maintenance.

This Statement of Deficiencies was generated as a result of a Medicare Recertification Survey, Complaint investigation, and Facility Reported Incident investigation initiated on September 13, 2022, and completed on September 16, 2022.

The report includes multiple substantiated and unsubstantiated complaints regarding resident care, facility cleanliness, therapy services, medication administration, wound care, communication tools, and vaccination offerings. Deficiencies were found in care planning, medication management, infection control, and resident rights to survey results and food choices.

There were eight complaints investigated, with some allegations substantiated (e.g., resident's teeth brushing, injury of unknown origin, facility reported incidents) and others not substantiated (e.g., facility cleanliness, therapy services, staff behavior).

The inspection was conducted as a Medicare Recertification Survey, Complaint investigation, and Facility Reported Incident investigation initiated on September 13, 2022 and completed on September 16, 2022.

The facility had multiple substantiated and unsubstantiated complaints related to resident care, including dental hygiene, lost hearing aids, reimbursement issues, injury of unknown origin, therapy services, cleanliness, call light response, and resident rights. Several regulatory deficiencies were cited including failure to develop comprehensive care plans, provide communication tools, implement dental recommendations, assist residents in activities, follow physician orders for treatments, manage medications properly, and ensure vaccination offers and education.

Eight complaints and three facility reported incidents were investigated. Substantiated complaints included inconsistent teeth brushing, injury of unknown origin, resident-to-resident altercation, and inappropriate sexual behavior. Several allegations such as lost hearing aids, reimbursement issues, facility cleanliness, therapy services, call light response, and resident care were not substantiated.

This inspection was conducted as a result of a Complaint and Facility Reported Incident Investigation from 05/17/2022 through 05/19/2022, including investigation of eight complaints and three facility reported incidents.

The investigation substantiated several allegations including a resident admitted to hospital with a broken leg, significant weight loss in a resident, severe bladder infection, and other complaints. Some allegations were substantiated without regulatory deficiencies, while others were not substantiated. The facility was found to be in compliance with healthcare worker vaccination requirements.

Complaint #NV00063201 was substantiated. Complaint #NV00063608 could not be substantiated. Complaint #NV00063146 was substantiated without regulatory deficiencies. Complaint #NV00063651 was substantiated without regulatory deficiencies. Complaint #NV00063726 could not be substantiated. Complaint #NV00063866 was substantiated. Complaint #NV00065133 was substantiated. Complaint #NV00064692 was substantiated without regulatory deficiencies.

The inspection was conducted as a result of a complaint investigation at the facility on 04/08/2021, completed on 04/09/2021, to investigate allegations related to facility operations and resident care.

One complaint was substantiated regarding the unavailability of a crash cart in certain nursing stations. Multiple other allegations including staffing levels, resident hygiene, facility maintenance, supplies, supervision, and medication administration were investigated but not substantiated. Regulatory deficiencies unrelated to the allegations were also identified.

Complaint #NV00063552 was substantiated regarding the absence of a crash cart in the A-Hall nurses' station and adjoining nurses' station. Other allegations related to oxygen supplies, staffing ratios, resident hygiene, facility maintenance, supplies, supervision, and medication administration were not substantiated.

The inspection was conducted as a result of a Centers for Medicare and Medicaid Services (CMS) Focused Infection Control survey and complaint investigation at the facility on 2021-02-11.

The investigation included review of infection control policies, staff training, resident care practices, and screening procedures. One complaint was substantiated involving a resident who was not being showered due to aggressive behaviors, refusal of care including showers and medications, and presence of lesions on the left breast. The resident had a history of dementia with behavioral disturbances and metastatic bone cancer. The facility maintained PPE inventory and infection control practices. No regulatory deficiencies were identified related to infection control.

Complaint #NV00060431 was substantiated with no regulatory deficiencies identified. Allegation #1 involved a resident not being showered due to aggressive behaviors; substantiated with no regulatory deficiencies. Allegation #2 involved lesions on the resident's torso with foul odor; substantiated with no regulatory deficiencies. Allegations #3, #4, #5, and #6 regarding being left wet and soiled, refusal of pain medications, inadequate monitoring, and lack of cancer diagnosis documentation were not substantiated.

This inspection was conducted as a Centers for Medicare and Medicaid Services (CMS) Focused Infection Control survey in accordance with 42 CFR Part 483 for Long Term Care Facilities, specifically to investigate infection control and prevention practices related to COVID-19.

The facility was found to have no regulatory deficiencies related to infection control. Staff were observed following appropriate PPE use and infection control procedures, and the facility maintained adequate PPE inventory and staff education on COVID-19 protocols.

The inspection was a Centers for Medicare and Medicaid Services (CMS) Focused Infection Control survey conducted to investigate regulatory compliance for Infection Control and Prevention, including review of infection prevention program effectiveness, policies, resident care practices, and facility screening and staffing practices during the COVID-19 pandemic.

The facility had 30 COVID positive residents and 20 residents presumptive or suspected of COVID. Deficiencies were identified related to food safety and infection prevention and control practices, including improper handling and covering of meal trays, hand hygiene, and use of personal protective equipment (PPE). Corrective actions and education were planned to address these issues.

This inspection was a Centers for Medicare and Medicaid Services (CMS) COVID-19 Focused Infection Control survey conducted to assess compliance with infection prevention and control requirements in response to the COVID-19 pandemic.

The facility had implemented COVID-19 screening, isolation, and infection control measures including staff screening, use of PPE, and resident isolation. However, a deficiency was identified related to failure to disinfect a glucometer prior to returning it to the medication cart, posing a risk of infection transmission.

The inspection was conducted as a result of a complaint investigation triggered by two complaints received by the facility.

The investigation substantiated one complaint with no regulatory deficiencies identified and found the remaining allegations unsubstantiated. No regulatory deficiencies were cited, and no further action was necessary.

Complaint #NV00061130 was substantiated with no regulatory deficiencies. Allegations included lack of water pitchers in memory care (substantiated with no deficiency), possible COVID-19 exposure (not substantiated), lack of family communication (not substantiated), insufficient food (not substantiated), dietician non-response (not substantiated), and lack of activities (not substantiated). Complaint #NV00060881 alleged staff not wearing masks and unsafe working environment; both allegations were not substantiated.

This inspection was conducted as a Centers for Medicare and Medicaid Services (CMS) COVID-19 Focused Infection Control survey to assess compliance with infection prevention and control requirements in accordance with 42 CFR Chapter IV, Part 483 for Long Term Care Facilities.

The facility had no COVID-19 positive residents or presumptive cases at the time of the survey. Infection control practices including PPE use, resident screening, cleaning protocols, and staff education were reviewed. The facility had sufficient PPE and was awaiting test kits for staff and residents. No regulatory deficiencies were identified.

The inspection was conducted as a result of a Facility Reported Incidents (FRI) investigation involving four incidents reported at the facility.

Four Facility Reported Incidents were investigated, including resident altercations and a sexual allegation. No regulatory deficiencies were identified in any of the incidents, and no further action was necessary.

Four Facility Reported Incidents were investigated: #NV00059606 (resident altercation), #NV00059711 (sexual allegation), #NV00059402 (resident altercation), and #NV00058871 (resident altercation). No regulatory deficiencies were identified in any of these incidents.

The inspection was conducted as a complaint investigation following two complaints regarding resident care and facility practices, including oral hygiene and discharge procedures.

Two complaints were investigated, one was substantiated and one was not. Deficiencies were identified related to failure to provide a Notice of Medicare Non-Coverage (NOMNC) to a resident and failure to complete a discharge summary. The facility implemented corrective actions including re-education and monitoring.

Two complaints were investigated. Complaint #NV00058405 was not substantiated. Complaint #NV00058587 was substantiated, involving failure to provide discharge papers and documentation for discharging against medical advice.

This Statement of Deficiencies was generated as a result of a Medicare Recertification survey conducted from July 16, 2019 through July 19, 2019.

The survey identified multiple deficiencies including failure to properly manage residents' personal funds, incomplete baseline care plans, failure to update care plans for pressure ulcers and weight loss, missed wound care treatments, lack of restorative nursing services per therapy recommendations, expired food items in use, failure to provide dental services timely, incomplete nursing assessments, failure to follow infection control protocols, and inadequate pain management documentation.

The inspection was conducted as an Emergency Preparedness survey in conjunction with a Medicare recertification survey to assess compliance with 42 CFR and State Operations Manual requirements for emergency preparedness.

The facility failed to meet several emergency preparedness requirements including lack of documented cooperation with local, tribal, regional, State, and Federal emergency officials; absence of policies for volunteers and staffing strategies; inadequate communication plans for sharing patient information and occupancy needs; and failure to update the Emergency Preparedness Plan based on lessons learned from exercises.

The inspection was a Medicare Life Safety Code (LSC) recertification survey conducted at the facility on 7/16/19 and 7/17/19.

The survey identified multiple deficiencies related to life safety code compliance including obstructed exit passageway doors, improper storage of Alcohol Based Hand Rub (ABHR), corridor doors not latching properly, blocked electrical panels, unsafe smoking receptacles, and improper use of power cords and extension cords.

The inspection was conducted as a complaint investigation triggered by Complaint #NV00057304, which included allegations regarding a resident's toenails growing into the bottom of the feet and another resident's back redness and sores.

The investigation substantiated the allegation regarding the resident's toenails but did not substantiate the allegation about the resident's back sores. The facility failed to complete a person-centered comprehensive care plan and podiatry consult orders for one sampled resident with diabetes and foot wounds.

Complaint #NV00057304 was investigated with one allegation substantiated (resident's toenails growing into the bottom of the feet) and one allegation not substantiated (resident's back redness and sores).

The inspection was conducted as a result of a complaint investigation completed on 04/04/19, involving two complaints regarding resident care and medication administration.

Two complaints were investigated; one was not substantiated and the other was substantiated involving failure to administer medications as prescribed and medication unavailability. Deficiencies were identified related to medication administration and pharmacy services.

Two complaints were investigated. Complaint #NV00056460 was not substantiated. Complaint #NV00056532 was substantiated involving allegations that staff were not administering medications as prescribed and medications were unavailable.

The inspection was conducted as a result of a complaint investigation completed on 08/30/18, involving two complaints regarding patient care and medication issues.

Two complaints were investigated; one complaint was substantiated without regulatory deficiencies, and the other was not substantiated. A regulatory deficiency unrelated to the complaints was cited regarding pharmacy services and medication administration for one resident.

Two complaints were investigated: Complaint #NV00054157 was not substantiated, including allegations of missing articles, bad medications, and inappropriate family treatment. Complaint #NV00054102 was substantiated, involving verbal and sexual abuse by an employee to a resident, but without regulatory deficiencies.

The inspection was conducted as a complaint investigation initiated on 07/11/18 regarding allegations about wound size increase, presence of a large unstageable wound, and incorrect Foley catheter insertion.

The investigation included interviews with key staff and review of clinical records and policies. None of the allegations were substantiated, and no regulatory deficiencies were identified.

Complaint #NV00053716 included three allegations: 1) increase in size of resident's wounds, 2) large unstageable wound in sacral/coccyx area, and 3) Foley catheter not inserted correctly. All allegations were found unsubstantiated.

The inspection was conducted as an Emergency Preparedness survey in conjunction with a Medicare recertification survey to assess the facility's emergency preparedness plan and compliance with federal and state regulations.

The facility failed to develop and maintain a comprehensive emergency preparedness program addressing patient/client population, delegation of authority, and succession plans. The Emergency Preparedness Plan did not include an assessment of the patient/client population or a succession plan, and corporate policies were not included in the plan. Additionally, the facility lacked policies regarding its role under a waiver declared by the Health and Human Services Secretary for care at an alternate emergency site.

The facility underwent a Medicare Life Safety Code (LSC) recertification survey conducted from 06/27/18 to 06/28/18 to assess compliance with fire safety regulations.

The survey identified multiple deficiencies related to emergency lighting, fire alarm system installation, sprinkler system maintenance, portable fire extinguishers, corridor doors, smoke barriers, electrical systems, and gas equipment storage. The facility failed to meet several NFPA standards and maintenance requirements, with deficiencies acknowledged by the Maintenance Director and Administrator.

This document is a Statement of Deficiencies generated as a result of a Medicare Recertification survey conducted from June 26, 2018 through June 29, 2018, completed July 6, 2018, to assess compliance with federal regulations for long term care facilities.

The facility was found deficient in multiple areas including resident self-administration of medications, advance directives documentation, comprehensive care plans, infection control, medication administration, and other regulatory requirements. Corrective actions including re-education and audits were planned and implemented.

The inspection was initiated as a complaint investigation on 06/26/18 and completed on 07/06/18, following two complaints regarding medication administration and other resident care concerns.

The investigation substantiated improper medication administration and failure to follow physician orders for Resident #2, and failure to ensure blood glucose monitoring per physician's order for Resident #1. Other allegations such as verbal abuse and falsifying records were not substantiated.

Complaint #NV00053680 was substantiated regarding improper medication administration and physician order transcription errors. Complaint #NV00053599 was substantiated without regulatory deficiencies identified.

The inspection was conducted as a complaint investigation triggered by two complaints regarding resident care and facility practices.

The investigation substantiated one complaint related to failure to provide discharge documentation to the State Long Term Care Ombudsman. Deficiencies were identified in maintaining a safe, clean environment, notice requirements before transfer/discharge, quality of care including medication administration errors, and pharmacy services.

Two complaints were investigated. Complaint #NV00051904 was substantiated regarding failure to provide discharge documentation to the State Long Term Care Ombudsman. Complaint #NV00052372 was not substantiated regarding allegations about unnecessary medication and monitoring and restrictions on phone calls.

The inspection was conducted as a complaint investigation based on allegations related to opioid narcotic use, 24-hour chart checks, and therapy charting at the facility.

The complaint allegations were not substantiated, and no regulatory deficiencies were identified during the investigation. The investigation included observations, interviews, and policy reviews.

Complaint #NV00051643 with three allegations was investigated but not substantiated.

The inspection was conducted as a complaint investigation based on allegations regarding resident care including feeding, fluid intake, diaper changes, fall precautions, discharge with infection, and medication use.

The investigation included observations, interviews, and clinical record reviews, and found no regulatory deficiencies. The complaint allegations were not substantiated and no further action was necessary.

One complaint (#NV00051022) was investigated with six allegations related to resident care, all of which could not be substantiated.

The inspection was conducted as a result of a complaint investigation completed on 10/24/17, in accordance with federal regulations for long term care facilities. Two complaints were investigated during this visit.

Two complaints were substantiated: one regarding failure to complete an inventory of a resident's personal property including $117.00 in cash, and another involving verbal and physical abuse by a Licensed Practical Nurse to a resident. Additional allegations were not substantiated. Deficiencies related to abuse prevention policies and inventory procedures were identified.

Two complaints were investigated. Complaint #NV00050657 was substantiated regarding failure to complete an inventory of a resident's personal property including $117.00 in cash. Complaint #NV00050849 was substantiated regarding verbal and physical abuse by a Licensed Practical Nurse to a resident. Other allegations related to Medicaid funds theft and residents with skin and bone issues were not substantiated.

The inspection was conducted as a result of a complaint investigation regarding allegations that the facility had no air conditioning for three months.

The investigation included observations and interviews with residents and staff. The allegations could not be substantiated, no deficiencies were identified, and no further action was required.

Complaint # NV00049951 alleged the facility had no air conditioning for three months; this allegation was not substantiated.

This document is a Medicare Life Safety Code (LSC) recertification survey conducted at the facility on 06/14/17 and 06/15/17 to assess compliance with fire safety and life safety regulations.

The facility was found deficient in several areas related to egress doors, sprinkler system maintenance and testing, electrical panelboard directories, and electrical receptacles and equipment. Deficiencies affected multiple smoke compartments, residents, staff, and guests. Corrective actions and audits were planned or completed by specified dates.

This document is a Statement of Deficiencies generated as a result of an annual Medicare Recertification Survey conducted from June 6, 2017 through June 9, 2017 at the facility.

The survey investigated three complaints which were not substantiated. Deficiencies were identified related to dignity and respect of individuality, provision of care and services for highest well-being, ADL care for dependent residents, treatment to prevent pressure sores, catheter care, nutrition status, treatment for special needs, and medication error rates among others. Corrective actions and re-education plans were outlined for staff.

Three complaints were investigated and none were substantiated. Complaints included allegations of abuse, medication issues, facility cleanliness, call light response, and dining room closure.

The inspection was conducted as a result of a Complaint Investigation survey from 2/8/17 through 2/21/17, investigating multiple complaints alleging issues such as untreated infections, poor sanitation, delayed nursing response, resident neglect, pest infestations, and improper handling of medical records.

The investigation substantiated some allegations including a resident transferred to acute care with heart congestion, kidney infection, bedsores, and severe dehydration, and deficiencies in physician discharge documentation. Multiple other allegations including poor sanitation, pest infestations, and resident neglect were not substantiated. The facility also failed to secure medical records properly, storing them in an unlocked outdoor shed accessible to the public.

Seven complaints were investigated. Complaint #NV00046207 was not substantiated. Complaint #NV00047307 was substantiated with findings of heart congestion, kidney infection, bacteria in stools, bedsores, and severe dehydration in a resident transferred to acute care. Other complaints including delayed nursing response, poor sanitation, pest infestations, and mishandling of resident property were not substantiated.

The inspection was conducted as a Medicare Recertification survey and State licensure survey from May 24, 2016 through May 27, 2016, including investigation of one complaint.

The facility was found deficient in multiple areas including failure to obtain consents for psychotropic medications for 5 residents, failure to investigate and report allegations of abuse timely, failure to ensure timely showers for a resident, failure to administer medications as ordered, failure to maintain infection control practices, failure to maintain complete and accurate clinical records, and failure to maintain employee health records including tuberculosis testing and pre-employment physicals.

Complaint #NV00046087 was investigated and substantiated for allegation that a resident did not receive showers. Other allegations related to ordered therapy, timely discharge, and transfer/discharge prescriptions were not substantiated.

The inspection was conducted to evaluate compliance with clinical record-keeping requirements, specifically ensuring quarterly evaluations and proper documentation of progress notes for residents.

The facility failed to ensure quarterly evaluations were performed for 3 of 27 residents and nurses failed to sign progress notes for 1 of 27 residents. The documentation lacked evidence of evaluations completed after certain dates, and progress notes were entered without identifying signatures.

This Statement of Deficiencies was generated as a result of a Medicare Recertification survey conducted from May 24, 2016 through May 27, 2016. One complaint was investigated during the survey.

The survey identified multiple deficiencies including failure to ensure consents for psychotropic medications, failure to investigate and report allegations of abuse, failure to respond timely to call lights, failure to provide care respecting dignity and respect, failure to provide care for dependent residents, failure to secure medication carts, and failure to safeguard clinical records. The complaint was substantiated regarding a resident not receiving showers.

Complaint #NV00046087 was investigated and substantiated. The complaint involved a resident not receiving showers.

This Statement of Deficiencies was generated as a result of a Medicare Recertification survey conducted from May 24, 2016 through May 27, 2016, including one complaint investigation.

The survey identified multiple deficiencies including failure to obtain consents for psychotropic medications for 5 residents, failure to investigate and report allegations of abuse timely, failure to provide showers as scheduled for one resident, failure to administer medications as ordered for three residents, failure to ensure privacy of medication records, failure to sanitize equipment between residents, and failure to provide assistive devices during meals as ordered.

Complaint #NV00046087 was investigated and substantiated related to a resident not receiving showers as ordered.

This Statement of Deficiencies was generated as the result of the State licensure survey completed at the facility in conjunction with a federal recertification survey from May 24, 2016 through May 27, 2016, in accordance with Nevada Administrative Code (NAC) Chapter 449, Skilled Nursing Facilities.

The facility failed to maintain current and accurate personnel records for employees, specifically lacking evidence of annual tuberculosis (TB) testing, annual questionnaires for positive TB screening, and pre-employment physicals for several employees.

The inspection was conducted as a Life Safety Code (LSC) survey at the facility from May 26 to May 27, 2016, to assess compliance with fire safety regulations.

The facility was found deficient in multiple Life Safety Code standards including door safety, exit accessibility, sprinkler maintenance, fire extinguisher placement, smoking regulations, HVAC damper inspections, emergency generator operation, and electrical safety. Deficiencies affected multiple smoke compartments and were addressed with corrective actions and plans for ongoing audits.

The inspection was conducted as a Life Safety Code (LSC) survey in accordance with NFPA 101, Chapter 19, Existing Health Occupancies, to assess compliance with fire safety and life safety regulations.

The facility was found to have multiple deficiencies related to fire safety, including doors that did not close properly, improperly installed locks on exit gates, fire sprinkler heads with foreign material, obstructed and improperly mounted fire extinguishers, improper smoking area containers, lack of smoke damper testing documentation, prohibited portable space heaters, missing oxygen storage signage, emergency generator deficiencies, and electrical wiring and equipment issues.

This Life Safety Code (LSC) survey was conducted from May 26 to May 27, 2016, to assess compliance with NFPA 101, Life Safety Code, for the facility licensed for 182 beds.

The survey identified multiple deficiencies related to fire safety, including doors that could not latch or were wedged open, locked exit gates with inaccessible keys, fire sprinklers with paint and lint, improperly mounted and obstructed fire extinguishers, combustible trash containers in smoking areas, lack of smoke damper testing documentation, use of prohibited space heaters, missing oxygen storage warning signs, emergency generator transfer time failures and missing remote stop station, and electrical safety issues such as blocked panel access, improper use of extension cords, and lack of annual testing of commercial grade receptacles.

This inspection was conducted as a Medicare Recertification survey from May 24, 2016 through May 27, 2016, including investigation of one complaint.

The survey found one substantiated complaint regarding a resident not receiving showers. Other allegations related to therapy, discharge timeliness, and transfer prescriptions were not substantiated. Interviews and medical record reviews were conducted, and regulatory deficiencies were identified.

Complaint #NV00046087 was investigated and substantiated regarding a resident not receiving showers. Other allegations in the complaint were not substantiated.

The inspection was conducted as a State licensure survey in conjunction with a federal recertification survey for the skilled nursing facility.

The report identifies deficiencies found during the survey conducted from May 24, 2016 through May 27, 2016, but specific deficiencies are not detailed in the provided text.

The inspection was conducted as a complaint investigation survey from 3/24/16 through 3/31/16 based on seven complaints alleging various issues including fall incidents, medication errors, and resident rights violations.

The investigation substantiated multiple complaints including failure to notify physician and family of critically high INR lab results for one resident, and failure to implement adequate fall prevention measures for another resident. Several other complaints were not substantiated. The facility had deficiencies in communication, monitoring, and fall prevention protocols.

Seven complaints were investigated. Complaint #NV00044755 was not substantiated. Complaint #NV00044797 was substantiated regarding failure to respond to critically high INR lab results. Complaint #NV00044779 was substantiated regarding a patient fall during CNA break. Other complaints (#NV00044984, #NV00045067, #NV00045078, #NV00045074) were not substantiated.

The inspection was conducted as a result of a Complaint Investigation survey at the facility from 3/24/16 through 3/31/16, investigating seven complaints regarding resident care and facility practices.

The investigation found that some complaints were substantiated, including failure to send a resident with elevated INR to the hospital, a patient fall, and failure to ensure measures to prevent falls. Other allegations were not substantiated. Deficiencies related to notification of changes and accident hazards were identified.

Seven complaints were investigated. Some allegations were substantiated, including failure to send a resident with elevated INR to hospital, a patient fall while CNA was on break, and failure to prevent falls. Other allegations such as residents not being fed or staff speaking English were not substantiated.

An onsite investigation was initiated as a result of a facility self-report incident regarding an unexpected death of a resident due to negligence by a Certified Nursing Assistant (CNA). The investigation was triggered by self-report incident #44639.

The facility failed to provide necessary care for one resident requiring 1:1 feeding assistance, resulting in the resident's death. The CNA was found negligent for leaving the resident unattended without ensuring she had swallowed her food. The CNA was terminated, and corrective actions including staff re-education and monitoring were implemented.

The complaint was substantiated. The investigation confirmed negligence by a CNA in feeding Resident 1, who was found unresponsive and later died. The CNA was terminated based on the investigation outcome.

This inspection was conducted as a Complaint Investigation survey at North Las Vegas Care Center on October 16, 2015, in response to two complaints alleging deficiencies in care and services.

The investigation substantiated one complaint regarding failure to follow physician's orders for Metamucil and Cholestyramine for one resident. Other allegations were not substantiated. The facility failed to provide care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for one resident.

Two complaints were investigated. Complaint #NV00044057 was substantiated regarding physician's orders not followed for Metamucil and Cholestyramine. Complaint #NV00044063 was not substantiated, including allegations of HIPAA violation, insufficient staffing, and improper isolation practices.

The inspection was conducted as a complaint investigation survey triggered by two complaints alleging issues such as failure to follow physician's orders, insufficient staff, and potential HIPAA violations.

The investigation substantiated that the facility failed to follow physician's orders for one resident regarding medication administration. Other allegations, including equipment availability, medication supply, isolation precautions, and staffing levels, were not substantiated. The facility was found deficient in providing care and services to maintain the highest practicable well-being for the resident involved.

Complaint #NV00044057 was substantiated regarding failure to follow physician's orders for Metamucil and Cholestyramine. Other allegations in the complaint and a second complaint #NV00044063 were not substantiated.

The inspection was conducted as a complaint investigation survey from 2015-01-30 through 2015-02-04, initiated by the Division of Public and Behavioral Health to investigate three complaints with multiple allegations regarding resident care and facility conditions.

The investigation found that most allegations, including scabies isolation, resident supervision, diet compliance, facility cleanliness, pest control, therapy coordination, toileting assistance, bed making, and food tray placement, could not be substantiated. However, one complaint was substantiated regarding the facility's failure to address grievances made by a resident's representative, including lack of communication, missing clothing upon discharge, and unresolved concerns about care and treatment.

Three complaints were investigated: Complaint #NV00041375 with one allegation about scabies isolation which was not substantiated; Complaint #NV00041188 with two allegations about resident supervision and diet which were not substantiated; Complaint #NV00041363 with ten allegations including communication failures, rough staff handling, cleanliness, pest control, therapy issues, toileting, bed making, missing clothing, food tray placement, and weight discrepancies. Only the grievance communication and missing clothing allegations were substantiated.

The inspection was conducted as a Complaint Investigation survey initiated by the Division of Public and Behavioral Health on 1/30/15, investigating multiple complaints regarding resident care and facility conditions.

Three complaints were investigated, with one complaint substantiated involving failure to resolve grievances related to resident care, including communication issues, rough handling by staff, and other deficiencies. Other allegations were not substantiated. The facility submitted a plan of correction addressing the deficiencies.

Three complaints were investigated. Complaint #NV00041375 contained one allegation which was not substantiated. Complaint #NV00041188 contained two allegations which were not substantiated. Complaint #NV00041363 contained 10 allegations; one allegation regarding failure to communicate with family and resolve grievances was substantiated, while others were not substantiated.

The inspection was conducted as a complaint investigation based on allegation #NV00039909 that the facility failed to establish adequate care to prevent a pressure ulcer.

The facility was found to have failed to ensure the care plan was followed and skin assessments were completed to prevent the development of a pressure ulcer in one of five sampled residents. Specifically, Resident #5 developed a Stage II pressure ulcer that was not properly documented or prevented according to facility protocols.

Complaint #NV00039909 alleged inadequate care to prevent pressure ulcers. The allegation was substantiated based on interviews, record reviews, and documentation showing non-compliance with skin assessment and care plan protocols.

The inspection was conducted as a result of a complaint investigation regarding the facility's failure to provide adequate care to prevent a pressure ulcer.

The facility failed to ensure the care plan was followed and weekly skin assessments were completed, resulting in a resident developing a Stage II pressure ulcer. Licensed nurses did not complete required weekly skin documentation, and the resident's non-compliance with repositioning was not properly documented or referred to social services.

Complaint #NV00039909 was substantiated, confirming the facility failed to provide adequate care to prevent a pressure ulcer.

The inspection was conducted as a result of a complaint investigation at North Las Vegas Care Center on 08/25/14, triggered by allegations including significant weight loss of a resident and medication administration issues.

Three complaints were investigated; one complaint about significant weight loss was not substantiated, while another complaint regarding medication administration was substantiated. Deficiencies were identified related to medication administration for one of five sampled residents.

Complaint #NV00040156 alleged significant weight loss in a resident but was not substantiated. Complaint #NV00039833 alleged medications were not administered according to physician's orders and was substantiated.

The inspection was conducted as a complaint investigation triggered by three complaints alleging significant weight loss in a resident and improper medication administration.

The investigation found that the complaint of significant weight loss was not substantiated after review of medical records, staff interviews, and policy documents. However, the complaint regarding medication administration was substantiated, revealing that medications were not given as ordered for one resident due to a failure in medication reconciliation and communication.

Three complaints were investigated. Complaint #NV00040156 regarding significant weight loss was not substantiated. Complaint #NV00039833 regarding medication administration was substantiated.

The inspection was conducted as a complaint investigation in response to Complaint NV00039686 alleging that the facility did not appropriately supervise the spouse of a resident.

The investigation found that the allegation was not substantiated. Staff followed the facility's policy regarding disruptive visitors, including asking the resident's spouse to leave after visiting hours and when disruptive behavior occurred.

Complaint NV00039686 alleged inappropriate supervision of a resident's spouse. The allegation was not substantiated after review of policies, clinical records, and interviews with staff and attempts to interview residents.

The inspection was conducted as a result of a state licensure complaint investigation on 6/12/14, triggered by facility self-reported concerns regarding lack of air conditioning and non-functioning call bells.

The investigation substantiated the complaint that call bells were not operating properly and the facility was not effectively educating and monitoring resident care. The allegation regarding lack of air conditioning in the Alzheimer's unit common areas was unsubstantiated. The facility failed to ensure 5 of 5 residents had adequate devices to call for assistance and staff monitoring was inadequate.

Complaint #NV00039569 was substantiated with two allegations: #1 Call bells not operating properly and inadequate resident care monitoring (substantiated); #2 Lack of air conditioning in Alzheimer's unit common areas (unsubstantiated).

The inspection was conducted as a state licensure complaint investigation following the facility's self-report of two concerns: lack of air conditioning and non-functioning call bells. The call bell issue was substantiated and converted to a complaint investigation.

The facility failed to ensure that 5 of 5 residents had adequate devices to call for assistance, and staff were not effectively monitoring residents' care needs. The air conditioning issue was found unsubstantiated as temperatures were within regulatory range.

Complaint #NV00039569 was substantiated with two allegations: (1) call bells were not operating properly and the facility was not educating and monitoring resident care effectively (substantiated); (2) facility was without air conditioning in common areas of the Alzheimer's Unit (unsubstantiated).

Annual Medicare recertification survey conducted from April 22 to April 25, 2014.

The survey identified multiple deficiencies including failure to provide complete consents for psychoactive medications, failure to report and investigate abuse allegations, dignity and privacy violations, failure to provide medically-related social services, unsafe environment conditions, medication errors, and unsafe water temperatures leading to an Immediate Jeopardy.

This Life Safety Code (LSC) survey was conducted to assess compliance with fire safety regulations in accordance with Chapter 19, EXISTING Health Occupancies, of the 2000 Edition of the National Fire Protection Association (NFPA) 101, Life Safety Code.

The facility was found deficient in several Life Safety Code standards including doors protecting corridor openings not closing properly, incomplete fire safety evacuation plans, failure to maintain automatic sprinkler systems, smoking policy violations, and penetrations in smoke barriers. Corrective actions and audits were planned to address these deficiencies.

This report documents a Life Safety Code (LSC) survey conducted at the facility on April 23-24, 2014, to assess compliance with fire safety and life safety standards.

The facility was found deficient in multiple Life Safety Code standards including door closures, fire safety plans, sprinkler system maintenance, smoking regulations, and smoke barrier penetrations. Specific issues included damaged doors that did not close properly, lack of posted evacuation plans, sprinkler system obstructions and inadequate cleaning, failure to post 'No Smoking' signs and supervise smoking residents, and penetrations in smoke barriers.

The inspection was conducted as the annual Medicare recertification survey at the facility from April 22, 2014 through April 25, 2014, in accordance with federal regulations for long term care facilities.

The facility was found deficient in multiple areas including informed consent for psychoactive medications, abuse and neglect policies and reporting, dignity and respect of residents, safe and comfortable environment, medication administration errors, and proper documentation of care plans and assessments. An Immediate Jeopardy was called due to unsafe water temperatures, which was abated promptly. Corrective actions and re-education plans were implemented for staff.

The inspection was conducted as a result of five complaint investigations initiated by the Division of Public and Behavioral Health on 3/4/14, concerning allegations related to infection control, notification of guardians regarding discharge, abuse reporting, cleanliness and timely assistance, and safe discharge procedures.

None of the allegations were substantiated. Observations, interviews with residents and staff, and clinical record reviews showed the facility maintained adequate infection control, proper notification and abuse reporting procedures, a clean and odor-free environment with timely assistance, and safe discharge practices.

Five complaints were investigated: #NV00038424 (infection control), #NV00038152 (guardian notification on discharge), #NV00038367 (abuse reporting), #NV00038431 (clean, safe environment and timely toileting assistance), and #NV00038432 (safe discharge). None were substantiated based on observations, interviews, and record reviews.

The inspection was conducted as a result of multiple complaint investigations initiated on January 17, 2014, concerning allegations such as not receiving sleep medication, pain patch issues, staff behavior, wound care, isolation procedures, and admission, transfer and discharge rights.

The investigation found some allegations unsubstantiated, but substantiated deficiencies related to infection control, discharge summary completeness, post-discharge planning, and admission, transfer and discharge rights. Specific deficiencies included failure to prepare complete discharge summaries, inadequate post-discharge plans, and failure to prevent a healthcare-acquired infection in one resident.

Complaint #NV00037369 was initiated on 1/17/14 regarding multiple allegations including medication issues and staff behavior; some allegations were not substantiated, but the infection control deficiency was substantiated. Complaint #NV00037897 was substantiated regarding admission, transfer and discharge rights and discharge planning. Complaint #NV00037952 regarding showers, food, and staff behavior was not substantiated.

The inspection was initiated as a complaint investigation on January 17, 2014, regarding allegations including not receiving sleep medication, lack of pain patch for over three weeks, staff rudeness, improper wound care, and isolation without explanation.

The investigation substantiated some allegations such as infection acquired at the facility and issues with admission, transfer, and discharge rights. Deficiencies were identified related to discharge summaries, post-discharge plans, infection control, and medication administration. The facility failed to provide complete and accurate discharge information and failed to prevent healthcare-acquired infection in one resident.

Complaint #NV00037369 involved allegations of not receiving sleep medication, lack of pain patch, staff rudeness, improper wound care, and isolation without explanation. Complaint #NV00037897 involved admission, transfer, and discharge rights. Complaint #NV00037952 involved allegations of neglect in showers, food, and water but was not substantiated. Complaint #NV00037369 and #NV00037897 were substantiated.

This document reports on a State Licensure construction standards survey conducted at the facility to assess compliance with Nevada Administrative Code, Chapter 449, Facilities for Skilled Nursing, and applicable life safety and construction codes.

No deficiencies were identified during this life safety code survey related to the remodeling of the main lobby, physical therapy rehab area, new bathroom, and kitchenette. No further action is necessary.

This inspection was conducted as a Medicare complaint survey initiated by the Division of Public and Behavioral Health on 9/24/13, based on complaint #NV00036692 which contained six allegations regarding resident care and facility practices.

The complaint was substantiated for one allegation involving failure to ensure residents or their representatives received necessary information about medications, including risks and benefits, for 4 of 5 sampled residents. Other allegations related to odors, infections, transportation, and stolen wheelchair were not substantiated. Deficiencies were noted in medication consent documentation, care plan development, physician orders, and clinical record completeness.

Complaint #NV00036692 contained six allegations: 1) Resident not receiving medications (substantiated); 2) Resident had a sore and family fought for pressure bed (not substantiated); 3) Facility smelled of feces and urine (not substantiated); 4) Resident contracted infection with blisters and bandage not changed for four days (not substantiated); 5) Resident had to leave facility due to threats to call police (not substantiated); 6) Resident's wheelchair stolen but issue resolved (not substantiated).

Medicare complaint survey conducted due to six allegations including medication administration, pressure sore care, facility odor, infection treatment, transportation issues, and wheelchair theft.

The complaint was substantiated for failure to obtain medication consents and develop care plans for psychotropic medications for multiple residents. Deficiencies were also found in medication administration, care planning, physician orders, monitoring of side effects, and clinical record completeness.

Complaint # NV00036692 contained six allegations: 1) Resident not receiving medications (substantiated), 2) Pressure sore and pressure bed issue (not substantiated), 3) Facility odor (not substantiated), 4) Infection and wound care (not substantiated), 5) Transportation and police threat (not substantiated), 6) Wheelchair theft (not substantiated).

This inspection was conducted as part of the annual Medicare recertification survey for North Las Vegas Care Center, to assess compliance with federal regulations and state requirements.

The survey identified multiple deficiencies across various areas including housekeeping, medication administration, infection control, resident care, life safety code compliance, and facility maintenance. Deficiencies ranged in severity and required corrective actions to ensure resident safety and regulatory compliance.

Annual Medicare recertification survey conducted from April 23, 2013 through April 26, 2013 to assess compliance with federal regulations for long term care facilities.

Multiple deficiencies were identified including housekeeping and maintenance issues, failure to follow physician orders, inadequate psychiatric evaluations, fall prevention failures, improper IV care, food service issues, medication administration and documentation errors, infection control lapses, and life safety code violations.

The inspection was conducted as a Medicare complaint survey triggered by complaint #NV00034851 regarding allegations of improper infection control, lack of therapy services, and failure to notify about resident discharge.

The complaint investigation found no substantiated deficiencies. Observations, interviews, and record reviews confirmed proper infection control practices, provision of physical and occupational therapy, and appropriate discharge notification. No regulatory deficiencies were identified.

Complaint #NV00034851 involved three allegations: 1) resident contracted MRSA due to improper infection control, 2) resident was not receiving physical and occupational therapy, and 3) facility failed to notify complainant of resident's discharge to an acute long-term care hospital. None of these allegations were substantiated based on observations, interviews, record reviews, and policy reviews.

The inspection was conducted as a complaint investigation survey triggered by Complaint #NV00033150 initiated by the Bureau of Health Care Quality and Compliance on 10/11/12 and finalized on 10/16/12.

The complaint was substantiated regarding falls, with the facility failing to ensure fall precautions and protocols for 2 of 4 sampled residents. Other allegations regarding lack of assistance with hygiene, staffing to answer call bells, and patient rights were not substantiated.

Complaint #NV00033150 was substantiated regarding falls based on observation, interviews with multiple staff including the Director of Rehabilitation and Director of Education, clinical record review, and policy review. Other allegations about hygiene assistance, call bell staffing, and patient rights were not substantiated.

The inspection was conducted as a Complaint Investigation survey initiated by the Bureau of Health Care Quality and Compliance on 10/11/12 and finalized on 10/16/12, related to complaint #NV00033150.

The complaint was substantiated regarding falls, based on observation, interviews, clinical record reviews, and policy reviews. The facility failed to ensure fall precautions and protocols were maintained for 2 of 4 sampled residents, with detailed findings on residents #2 and #4's falls and lack of therapy evaluations following falls.

Complaint #NV00033150 was initiated on 10/11/12 and finalized on 10/16/12. The complaint was substantiated regarding falls, while allegations regarding lack of assistance with hygiene and grooming, lack of staffing to answer call bells, and patient rights were not substantiated.

The inspection was conducted as a Medicare complaint survey initiated by the Bureau of Health Care Quality and Compliance on December 20, 2011, to investigate multiple complaints regarding resident care and facility practices at North Las Vegas Care Center.

The investigation substantiated one complaint regarding failure to ensure call lights were accessible and answered timely, constituting a deficiency in providing necessary care and services. Other allegations including lack of communication with family, poor food quality, dehydration, and dental abscess were not substantiated. Additionally, significant deficiencies were found in the facility's infection control program, specifically failure to follow the Tuberculin (TB) testing policy for 8 of 13 sampled residents, including incomplete or missing TB test documentation and failure to measure induration in millimeters as required.

Complaint #NV 00030020 contained 4 allegations, with one substantiated regarding call light accessibility and response. Complaint #NV 00030092 contained 2 allegations, both not substantiated.

The inspection was conducted as a result of a Medicare complaint survey initiated by the Bureau of Health Care Quality and Compliance on December 20, 2011, involving complaints about resident care and facility conditions.

The investigation included review of clinical records, interviews with residents and staff, and observations. Four complaints were investigated, with three allegations substantiated and one not substantiated. Deficiencies were found related to call light response, infection control, and tuberculosis testing procedures.

Complaint #NV 00030020 and NV 00030092 were investigated. Complaint #00030092 contained two allegations which were not substantiated. Complaint #00030020 contained four allegations; three were substantiated and one was not substantiated.

The inspection was conducted as a result of a second Medicare recertification revisit and a complaint investigation initiated by the Bureau of Health Care Quality and Compliance on 8/31/2011.

The investigation reviewed 17 resident charts and multiple allegations related to medication administration, resident care, abuse, and documentation. Several allegations were not substantiated, but deficiencies were identified related to care and services for highest well-being, including failure to ensure physician orders were followed and inadequate bowel movement monitoring.

Complaint #NV00029234 was investigated, involving multiple allegations including medication errors, failure to provide adequate personal hygiene, abuse allegations, and failure to follow physician orders. Some allegations were substantiated through record review and interviews, while others were not substantiated.

This inspection was conducted as a second Medicare recertification revisit and a complaint investigation initiated by the Bureau of Health Care Quality and Compliance on August 31, 2011 through September 1, 2011.

The investigation substantiated some complaints related to inadequate resident assessments and failure to provide interventions for bowel movements after three days. Other allegations including medication errors, abuse, and improper treatments were not substantiated. Deficiencies were identified related to failure to complete ordered therapy evaluations and failure to follow physician orders for laxatives and bowel management interventions.

Complaint #NV00029234 was investigated. Several allegations were not substantiated including medication errors, abuse, and improper treatments. Substantiated allegations included failure to properly assess residents and provide needed interventions for bowel movements after three days.

This Statement of Deficiencies was generated as a result of a revisit from July 5, 2011 through July 8, 2011 for the Medicare recertification survey conducted from May 10, 2011 through May 13, 2011. The revisit included investigation of two complaints regarding wound care treatment.

The facility was found to have failed to provide necessary care and services to attain or maintain the highest practicable well-being for 6 of 17 sampled residents, including failures in medication administration, bowel monitoring, competency evaluation, discharge/transfer procedures, and wound care. Two complaints regarding wound care treatment were not substantiated. Multiple deficiencies related to care and treatment documentation, medication orders, and legal discharge procedures were identified.

Two complaints were investigated regarding the facility not providing appropriate wound care treatment per physician orders. Both complaints were not substantiated after document review, clinical record review, observation, and interviews with staff.

The visit was a complaint investigation initiated by the Bureau of Health Care Quality and Compliance regarding allegations that the facility did not provide appropriate wound care treatment per physician orders.

The investigation found that the allegations regarding inappropriate wound care treatment were not substantiated. However, other deficiencies were identified including failure to follow physician orders for medication, competency evaluation, and bowel monitoring for several residents.

Two complaints were investigated: CPT #NV00028571 and CPT #NV00028721. Both allegations regarding the facility not providing appropriate wound care treatment per physician orders were not substantiated after review of clinical records, observations, and interviews.

Annual Medicare recertification survey conducted from May 10, 2011 through May 13, 2011, including investigation of two complaints.

The survey found multiple deficiencies including failure to notify legal representatives of treatment changes, failure to maintain a comfortable odor-free environment, failure to provide care with dignity, failure to coordinate activities, failure to develop comprehensive care plans, failure to meet professional standards in medication administration, failure to provide care to maintain highest well-being, failure to prevent decline in range of motion, and failure to ensure timely physician visits.

Two complaints were investigated: Complaint #NV00027971 with multiple allegations including falls, food consistency, abuse, bed sores, and storage issues; and Complaint #NV00028103 alleging dehydration and pressure ulcer. Both complaints were not substantiated.

This document is a Statement of Deficiencies and Plan of Correction generated as a result of a State Licensure survey conducted from May 10, 2011 through May 13, 2011 at North Las Vegas Care Center.

The facility failed to ensure care was provided to maintain the highest practicable physical, mental, and psychosocial well-being for 2 of 27 residents, specifically Residents #10 and #27, with issues related to bowel movement documentation and Coumadin therapy monitoring. Additionally, the facility failed to ensure the environment was free of hazards, with a natural gas pipe protruding and lacking a protective barrier.

This inspection was conducted as a State Licensure survey at the skilled nursing facility from May 10, 2011 through May 13, 2011, to assess compliance with Nevada Administrative Code (NAC), Chapter 449, Facilities for Skilled Nursing.

The facility failed to provide care to maintain the highest practicable physical, mental, and psychosocial well-being for 2 of 27 residents (Resident #10 and Resident #27). Additionally, the facility failed to ensure the physical environment was free of hazards, as a natural gas pipe protruded into a pathway near the emergency generator without a permanent barrier.

The inspection was conducted as the annual Medicare recertification survey from May 10, 2011 through May 13, 2011, including investigation of two complaints during the survey.

The survey identified multiple deficiencies related to resident care, including failure to notify legal representatives of changes, inadequate wound care, refusal of treatment issues, lack of privacy during examinations, failure to provide activities and comprehensive care plans, medication administration errors, and failure to ensure timely physician visits. The complaints investigated were not substantiated.

Two complaints were investigated: Complaint #NV00027971 involving multiple allegations including a resident fall, abuse, bed sores, and improper use of beauty shop as storage; and Complaint #NV00028103 alleging dehydration and pressure ulcer. Both complaints were found not substantiated based on observations, interviews, and record review.

This document is a Statement of Deficiencies and Plan of Correction generated as a result of a Life Safety Code (LSC) survey conducted at North Las Vegas Care Center from 05/10/11 through 05/11/11.

The facility failed to meet several Life Safety Code standards including ensuring resident room doors positively latched, door closers were maintained, smoke detectors signaled the Fire Alarm Control Panel, sprinkler heads were free of lint, and electrical outlets and panels were properly maintained and unobstructed.

The inspection was conducted as a Life Safety Code (LSC) survey to assess compliance with fire safety and related building safety standards at the facility.

The facility was found deficient in several Life Safety Code standards including failure of resident room doors to positively latch, non-operational door closures, smoke detectors not reporting to the fire alarm control panel, sprinkler heads coated with lint, and electrical safety issues such as obstructed electrical panels, exposed wiring, and improper working space around electrical equipment.

The inspection was conducted as a Medicare complaint survey initiated on March 11, 2011, and finalized on April 20, 2011, to investigate multiple allegations related to resident care and facility practices at North Las Vegas Care Center.

The investigation included observation, interviews, and record reviews. Several allegations were not substantiated, including concerns about resident room cleanliness, medication administration, pain management, staff availability during emergency transport, billing issues, retaliation, and access to medical records. One allegation regarding staff not meeting with a resident to discuss the plan of care was substantiated but no deficiencies were cited. No regulatory deficiencies were identified overall.

Complaint #NV00027416 contained seven allegations, mostly unsubstantiated except for one regarding lack of staff meeting with resident about plan of care with no deficiencies cited. Complaint #NV00027420 contained four allegations, all unsubstantiated. Overall, no regulatory deficiencies were found.

The inspection was conducted as a complaint investigation based on Complaint #NV00027149, which contained three allegations regarding the facility's call light system and cleanliness of bathrooms/toilets.

The investigation substantiated one allegation about the call light system being inoperable for one hall, while two other allegations regarding call light delays and filthy bathrooms were unsubstantiated. No regulatory deficiencies were identified and no further action was necessary.

Complaint #NV00027149 contained three allegations: 1) Inoperable call light system for one hall substantiated without deficiencies; 2) Non-functioning call light system causing delay unsubstantiated; 3) Filthy bathrooms/toilets unsubstantiated.

The inspection was conducted as a complaint investigation following a self-report complaint regarding possible physical abuse involving bilateral upper extremity bruising.

The complaint was found to be unsubstantiated based on interviews, clinical record review, and document review. No deficiencies were identified and no further action was necessary.

Complaint #NV00027064 involved a self-report complaint to determine whether a resident sustained physical abuse in the form of bilateral upper extremity bruising. The complaint was unsubstantiated.

This document is a Medicare complaint survey conducted from November 10, 2010 through December 3, 2010, investigating one complaint with three allegations related to Resident #1's medical records, bed sores, and personal property.

The investigation substantiated that the facility failed to release Resident #1's medical records after written requests were received, violating the resident's right to access records. Other allegations regarding bed sores and lost personal property were not substantiated.

Complaint NV00026881 contained three allegations: 1) Resident #1's medical records were requested but not released, substantiated through policy review and interviews; 2) Resident #1 developed bed sores and hand injuries, unsubstantiated; 3) Lost wedding ring, unsubstantiated.

The inspection was conducted as a Medicare complaint survey from November 10, 2010 through December 3, 2010, investigating one complaint with three allegations related to Resident #1's medical records, bed sores, and lost personal property.

The investigation substantiated that Resident #1's medical records were requested but not released by the facility, constituting a violation of the right to access records. Allegations regarding bed sores and lost wedding ring were unsubstantiated. The facility failed to provide timely access to medical records despite multiple requests and follow-ups.

Complaint NV00026881 contained three allegations: 1) Resident #1's medical records were requested but not released (substantiated); 2) Resident #1 developed bed sores and hand injuries (unsubstantiated); 3) Facility lost Resident #1's wedding ring (unsubstantiated).

The inspection was conducted as a complaint investigation based on complaint #NV00026791 alleging the facility failed to prevent a resident from falling and did not provide proper discharge documentation for one of three sampled residents.

The complaint was found to be unsubstantiated after interview, clinical record review, and document review. No regulatory deficiencies were identified during the investigation.

Complaint #NV00026791 alleged failure to prevent a resident fall and lack of proper discharge documentation; the complaint was unsubstantiated.

This inspection was conducted as a result of a Medicare complaint investigation regarding allegations of inadequate safety measures for falls, development of pressure ulcers, inadequate nutritional interventions, and development of a urinary tract infection.

The allegations were investigated but were not substantiated through observations, document review, clinical record review, and interviews with facility staff.

Complaint #NV00026629 contained four allegations: inadequate safety measures for falls, development of pressure ulcers, inadequate nutritional interventions, and development of a urinary tract infection. These allegations were not substantiated.

This Statement of Deficiencies was generated as a result of a revisit survey conducted on 09/24/10 in response to the findings of a previous complaint survey conducted on 08/12/10.

The findings of this revisit survey found the facility in compliance.

The revisit survey was conducted in response to a previous complaint survey conducted on 08/12/10.

The inspection was conducted as a complaint investigation at the facility on 08/18/10 in accordance with 42 CFR Chapter IV Part 483 Requirements for Long Term Care Facilities.

The complaint #NV00026209 was substantiated. The findings and conclusions of the investigation are documented in this Statement of Deficiencies.

Complaint #NV00026209 was substantiated.

This Statement of Deficiencies was generated as a result of a complaint investigation conducted at the facility from 08/05/10 through 08/12/10, in accordance with 42 CFR Chapter IV Part 483 Requirements for Long Term Care Facilities.

The investigation substantiated complaint #NV00026046 related to failure to provide necessary care and services to Resident #3, resulting in choking and subsequent severe anoxic brain injury leading to the resident's death. The facility also failed to ensure food was properly prepared to meet individual needs for Resident #3.

Complaint #NV00026046 was substantiated. Complaints #NV00025867 and #NV00025869 were unsubstantiated.

The inspection was conducted as a result of a complaint investigation at North Las Vegas Care Center from 08/05/10 through 08/12/10, in accordance with 42 CFR Chapter IV Part 483 Requirements for Long Term Care Facilities.

The facility was found not to have provided necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for Resident #3, including failure to provide appropriate food preparation and care leading to a choking incident and subsequent severe anoxic brain injury. The complaint #NV00026046 was substantiated.

Complaint #NV00026046 was substantiated. Complaints #NV00025867 and #NV00025869 were unsubstantiated.

The inspection was conducted as a result of a complaint investigation at the facility on 2010-01-06, in accordance with Nevada Administrative Code, Chapter 449, Facilities for Skilled Nursing.

All three complaints investigated (#NV00023528, #NV00023051, #NV00023299) were found to be unsubstantiated with no deficiencies cited.

Complaint #NV00023528 was unsubstantiated. Complaint #NV00023051 was unsubstantiated. Complaint #NV00023299 was unsubstantiated.

The inspection was conducted as a result of complaint investigations related to two complaints (#NV00022052 and #NV00022011) at the North Las Vegas Care Center on August 10, 2009.

Complaint #NV00022052 was substantiated with no deficiencies cited. Complaint #NV00022011 was substantiated with one unrelated deficiency cited involving failure to ensure that the physician signed verbal orders in accordance with facility policy for 1 of 3 residents.

Complaint #NV00022052 was substantiated with no deficiencies cited. Complaint #NV00022011 was substantiated with an unrelated deficiency cited.

Annual Medicare recertification survey conducted at the facility from 2009-05-05 through 2009-05-08.

The survey identified multiple deficiencies including failure to prevent resident abuse, inadequate communication accommodations, incomplete care plans, failure to provide necessary care and services, poor sanitary conditions in the kitchen, unsafe environmental conditions, and unsecured narcotic storage.

The inspection was conducted as a Life Safety Code (LSC) survey to assess compliance with fire safety and life safety standards at the facility.

The facility failed to provide documented evidence that interior finishes of corridors, exitways, rooms, and spaces had proper flame spread ratings. Corridor doors were impeded from closing properly. Corridors were obstructed by linen and medication carts reducing required clear widths. Emergency lighting powered by the generator did not transfer power within required time. Fire drills were not conducted quarterly on each shift. Smoke detector sensitivity testing was not documented. The diesel generator lacked an annual load bank test. Electrical wiring violations included use of power strips as permanent wiring and extension cords in patient rooms.

The inspection was conducted as part of the annual Medicare recertification survey at the facility from 5/5/09 through 5/8/09.

The survey identified multiple deficiencies including abuse, failure to provide reasonable accommodations for resident needs, incomplete comprehensive care plans, inadequate quality of care, unsanitary conditions, and failure to secure narcotic storage. Several residents were found to have been subjected to inappropriate sexual advances and the facility failed to properly report and investigate these incidents.

The inspection was conducted as a complaint investigation based on three complaints received regarding the facility.

The investigation substantiated one complaint related to inadequate supervision resulting in a resident being transported incorrectly and left unsupervised, leading to the resident wandering off and sustaining an injury. Other complaints were either unsubstantiated or substantiated with no deficiencies cited.

Complaint #NV20899 was unsubstantiated. Complaint #NV20918 was substantiated with no deficiencies cited. Complaint #NV20103 was substantiated with a deficiency related to inadequate supervision (Tag 323).

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