Deficiencies per Year
8
6
4
2
0
Moderate
Low
Inspection Report
Annual Inspection
Census: 92
Deficiencies: 5
Mar 13, 2025
Visit Reason
This inspection was conducted as a State Licensure Survey in conjunction with a Federal Recertification survey from March 10, 2025 through March 13, 2025, to assess compliance with Nevada Administrative Code Chapter 449 for Skilled Nursing Facilities.
Findings
The facility was found deficient in multiple areas including personnel records (TB testing, physical exams, fingerprinting/background checks), dementia training, CMS star rating posting, non-discrimination statement posting, and cultural competency training. Corrective actions and audits were planned to address these deficiencies.
Severity Breakdown
F: 2
C: 2
D: 1
Deficiencies (5)
| Description | Severity |
|---|---|
| Failure to ensure timely initial tuberculosis testing, physical examinations, and fingerprinting/background checks for sampled employees. | F |
| Failure to ensure employees completed eight hours of dementia training within 30 days of hire. | F |
| Failure to post the correct CMS star rating conspicuously in the facility and on the facility's website. | C |
| Failure to include Division contact information in the facility's non-discrimination statement posted in the facility and on the website. | C |
| Failure to ensure cultural competency training was completed within the required timeframe for sampled employees. | D |
Report Facts
Census: 92
Sample size: 20
Deficiency severity F: 2
Deficiency severity C: 2
Deficiency severity D: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lori Runyan | Administrator | Signed report and responsible for corrective actions |
| Human Resources Director | Interviewed regarding personnel records, TB testing, physical exams, background checks, dementia and cultural competency training | |
| People Culture Director | Responsible for overseeing compliance with personnel documentation and training requirements | |
| Staff Development Coordinator | Reeducated on dementia and cultural competency training requirements |
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