Inspection Reports for Oasis Nursing & Rehab of Green Valley

100 Delmar Gardens Drive, Henderson, NV 89074, Henderson, NV

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Inspection Report Summary

The most recent inspection on May 22, 2025, identified deficiencies related to resident safety, medication administration errors, and infection prevention and control. Earlier inspections showed a mix of findings, with some similar issues noted but no enforcement actions or fines listed in the available reports. Inspectors cited failures to protect a resident from abuse, administer correct medications, and maintain an infection control program, including water management concerns. Two complaints and one facility-reported incident were substantiated, while another complaint was unsubstantiated. The pattern suggests ongoing challenges in resident care and infection control that have not yet shown clear improvement.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

58% better than Nevada average
Nevada average: 7.1 deficiencies/year

Deficiencies per year

4 3 2 1 0
2025

Inspection Report

Complaint Investigation
Census: 200 Deficiencies: 3 Date: May 22, 2025

Visit Reason
The inspection was conducted as a result of a complaint investigation completed on 05/22/2025, including two complaints and one Facility Reported Incident (FRI). The investigation included observation, interviews, and clinical record reviews.

Complaint Details
Two complaints and one Facility Reported Incident (FRI) were investigated. Complaint NV00073304 and FRI NV00073489 were substantiated. Complaint NV00073571 was unsubstantiated with no regulatory deficiencies identified.
Findings
The facility was found to have substantiated complaints related to abuse and neglect, and medication errors. Deficiencies included failure to keep a resident safe from abuse and failure to ensure correct medication administration, with potential harm to residents. The facility also had issues with infection prevention and control and water management related to Legionella.

Deficiencies (3)
Facility failed to ensure a resident was kept safe from abuse for 1 of 5 sampled residents (Resident 4).
Facility failed to ensure the wrong medication was not administered to a resident for 1 of 5 sampled residents (Resident 3).
Facility failed to establish and maintain an infection prevention and control program.
Report Facts
Sample size: 5 Resident census: 200 Medication doses administered in error: 6 Medication cards audited: 4

Employees mentioned
NameTitleContext
Licensed Practical Nurse 1 Licensed Practical Nurse (LPN1) Confirmed administering incorrect medication to Resident 3 due to mislabeled medication pack.
Licensed Practical Nurse 2 Licensed Practical Nurse (LPN2) Verified medication by comparing physician order to medication label and ensured correct administration.
Director of Nursing Director of Nursing (DON) Acknowledged medication error and familiarity with Resident 3's medication error; audited medication cards weekly.
Registered Nurse Registered Nurse (RN) Provided clinical information about Resident 3's kidney transplant and medication regimen.
Maintenance Director Maintenance Director (MD) Interviewed regarding the facility's Legionella Water Management Program and related activities.
Administrator Administrator Provided information about Legionella concerns and water management program updates.
Consultant Pharmacist Consultant Pharmacist Indicated pharmacy procedures for medication packing and verification.

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