Inspection Reports for Paradise Crest Home Care
4462 Farmcrest Dr, Las Vegas, NV 89121, NV, 89121
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Inspection Report
Complaint Investigation
Census: 8
Deficiencies: 0
Apr 28, 2025
Visit Reason
The inspection was conducted as a result of a complaint investigation at the facility on 04/28/25, in accordance with Nevada Administrative Code (NAC), Chapter 449, Residential Facilities for Groups.
Findings
One complaint was investigated and substantiated without deficient practice. The investigation included observations, interviews, and record reviews, and no regulatory deficiencies were identified. No further action was necessary.
Complaint Details
One complaint (#NV00073616) was substantiated with no deficient practice.
Report Facts
Sample size: 5
Complaints investigated: 1
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 2
Feb 20, 2025
Visit Reason
The inspection was conducted as an annual State Licensure survey of the facility in accordance with Nevada Administrative Code (NAC), Chapter 449, Residential Facilities for Groups.
Findings
The facility received a grade of A; however, regulatory deficiencies were identified including failure to ensure one resident was well groomed and failure to secure medications properly.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure one of ten residents was well groomed; Resident #1 had fingernails approximately half an inch long despite requests for trimming. | Severity: 2 |
| Facility failed to ensure medications were secured; overflow medication cabinet was found unsecured containing residents' medications. | Severity: 2 |
Report Facts
Resident files reviewed: 10
Employee files reviewed: 6
Licensed capacity: 10
Current census: 10
Inspection Report
Complaint Investigation
Census: 10
Deficiencies: 1
Sep 17, 2024
Visit Reason
The inspection was conducted as a result of a complaint investigation completed on 09/17/2024 at Paradise Crest Home Care, triggered by complaint #NV00071920 which was substantiated.
Findings
The facility failed to ensure the exterior was well maintained, specifically the backyard area which contained brown and green grass/weeds protruding through rocks, leaving it not well maintained. The owner acknowledged this condition during the inspection.
Complaint Details
One complaint was investigated (Complaint #NV00071920) and was substantiated.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The facility failed to ensure the exterior of the facility was well maintained, with the backyard area containing partially rocked areas with grass/weeds protruding through the rocks. | Severity: 2 |
Report Facts
Census: 10
Sample size: 5
Severity: 2
Scope: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Charo Dale | Supplier Representative | Signed as Laboratory Director's or Provider/Supplier Representative |
| Abdul | Owner responsible for implementing plan of correction | |
| Ken | Person who corrected the yard on 09/25/2024 |
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 1
Feb 7, 2024
Visit Reason
The inspection was conducted as an annual State Licensure survey combined with a complaint investigation at the facility on 02/07/2024.
Findings
The facility received a grade of A with two complaints investigated but unverified. One regulatory deficiency was identified related to personnel TB screening documentation for one employee.
Complaint Details
Two complaints (#NV00070133 and #NV00070110) were investigated but could not be verified; no regulatory deficiencies were identified from these complaints.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure 1 of 5 employees had a pre-employment two-step tuberculosis (TB) test; Employee 1 lacked documented evidence of a two-step TB test. | Severity: 2 |
Report Facts
Licensed beds: 10
Resident census: 7
Employee records reviewed: 5
Resident files reviewed: 7
Complaints investigated: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee 1 | Caregiver | Named in deficiency for missing two-step TB test documentation |
Inspection Report
Complaint Investigation
Census: 7
Deficiencies: 0
May 17, 2023
Visit Reason
The inspection was conducted as a result of a complaint investigation at the facility on 05/17/2023, in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Findings
One complaint was investigated and substantiated without any deficient practice. Observations, interviews, and record reviews were conducted, and no regulatory deficiencies were identified. No further action was necessary.
Complaint Details
Complaint #NV00068350 was substantiated with no deficient practice.
Report Facts
Sample size: 5
Complaints investigated: 1
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 5
Feb 2, 2023
Visit Reason
This inspection was conducted as an annual State Licensure and infection control survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility was found to have multiple regulatory deficiencies including poor maintenance and sanitation of the premises, inadequate temperature control in a resident's room, lint build-up in the laundry dryer, improper storage of perishable foods, and failure to follow physician medication orders for a resident. Two complaints were investigated and found unsubstantiated with no regulatory deficiencies identified.
Complaint Details
Two complaints (#NV00067550 and #NV00067668) were investigated and both were unsubstantiated with no regulatory deficiencies identified.
Severity Breakdown
Level 2: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Facility failed to ensure the interior and exterior premises were clean and maintained, including broken items and trash in the backyard, rat/mice droppings in bedrooms, standing brown liquid in tub, water damage, and crumbling ceiling. | Level 2 |
| Facility failed to maintain room temperature between 68°F and 82°F; a resident's room was observed at 62°F. | Level 2 |
| Dryer in laundry room had heavy lint build-up. | Level 2 |
| Perishable foods (eggs) were stored outside the refrigerator at room temperature and on the kitchen floor. | Level 2 |
| Facility failed to ensure physician medication orders were followed for one resident; medication administration did not match physician's order. | Level 2 |
Report Facts
Sample size: 11
Employee files reviewed: 5
Deficiencies cited: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Named in medication administration finding for Resident #1 |
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 0
Feb 15, 2022
Visit Reason
The inspection was conducted as an annual State Licensure, infection control survey and complaint investigation at the facility on 02/15/22.
Findings
The facility received a grade of A with no regulatory deficiencies identified. One complaint with three allegations was investigated and found to be unsubstantiated after interviews, observations, and file reviews.
Complaint Details
Complaint NV00065708 involved three allegations: failure to administer medications as prescribed, failure to communicate with medical providers and follow a plan of care, and failure to obtain appropriate medical care upon change of condition or behaviors. All allegations were unsubstantiated based on interviews with caregivers, review of medication administration records, and verification of medical provider contacts.
Report Facts
Licensed beds: 10
Resident census: 7
Complaint allegations: 3
Inspection Report
Re-Inspection
Census: 8
Capacity: 10
Deficiencies: 5
Jul 23, 2021
Visit Reason
This inspection was a mandatory regrading survey conducted in accordance with Nevada Administrative Code Chapter 449 for a Residential Facility for Groups.
Findings
The facility received a grade of A but was cited for a regulatory deficiency related to supervision of the facility. Additionally, a repeat deficiency was found for failure to obtain a bedfast waiver for a resident, and other deficiencies related to provision of dental, optical, hearing care, and medical care requirements were noted.
Complaint Details
The bedfast waiver deficiency for Resident #3 was a repeat deficiency from a prior complaint investigation completed on 6/21/21.
Severity Breakdown
F: 1
D: 3
J: 1
Deficiencies (5)
| Description | Severity |
|---|---|
| Supervision of residential facility for groups not under proper supervision as required by NRS 449.186. | F |
| Failure to obtain a bedfast waiver/exemption for Resident #3 despite resident being bedfast. | D |
| Provision of dental, optical and hearing care and social services deficiencies including restrictions on use of restraints and confinement. | D |
| Medical care of resident after illness, injury or accident including notification and arrangements for physician services. | J |
| Alzheimer’s Care Application for Endorsement requirements not fully met. | D |
Report Facts
Licensed beds: 10
Resident census: 8
Sample size: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chris Mirando | Administrator | Named as facility administrator and signer of report |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 10
Deficiencies: 6
Jun 21, 2021
Visit Reason
The inspection was conducted as a result of a complaint investigation initiated on 2021-05-19 and completed on 2021-06-21, following allegations related to resident care and facility compliance.
Findings
The investigation substantiated several allegations including improper use of restraints (bedrails), failure to notify responsible parties and medical providers of a resident injury, and lack of proper licensing and supervision. Additional deficiencies were identified related to supervision, exemption waivers, medical care notifications, and endorsement for Alzheimer's care. Some allegations were not substantiated based on resident interviews and observations.
Complaint Details
Complaint #NV00063898 with five allegations was substantiated: use of restraints (bedrails), failure to notify responsible party and medical provider of injury. Two allegations were not substantiated: neglect by leaving resident in underwear with fan blowing, and failure to treat residents with dignity and respect.
Severity Breakdown
Level 2: 4
Level 4: 2
Deficiencies (6)
| Description | Severity |
|---|---|
| Facility used restraints (bedrails) with a resident who could not lower them independently. | Level 2 |
| Facility failed to notify a responsible party for a resident who experienced an injury. | Level 4 |
| Facility failed to notify a medical provider for a resident who experienced an injury. | Level 4 |
| Facility failed to ensure operation under supervision of a licensed administrator. | Level 2 |
| Facility failed to obtain a bedfast waiver/exemption for a resident. | Level 2 |
| Facility admitted and retained residents with Alzheimer's disease without proper endorsement. | Level 2 |
Report Facts
Licensed beds: 10
Residents present: 5
Complaint allegations substantiated: 3
Complaint allegations not substantiated: 2
Sample size: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chris Mirando | Administrator | Signed report and conducted staff training on regulations regarding restraints and bedrails |
| Employee #1 | Confirmed lack of licensed administrator, use of restraints, failure to notify injury, and bedfast waiver absence |
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 1
Apr 12, 2021
Visit Reason
This inspection was conducted as a State Licensure annual survey of the residential facility for groups, to assess compliance with Chapter 449 regulations.
Findings
The facility received a grade of A but was found deficient in medication administration for one resident (Resident #3), where prescribed medications were not listed on the Medication Administration Record and were not administered as ordered.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure medications were given in accordance with physician's orders for Resident #3; medications Dexamethasone Sodium Phosphate 0.1% and Methocarbamol were not listed on the MAR and eye drops were administered only once daily instead of every two hours. | Severity: 2 |
Report Facts
Resident files reviewed: 8
Employee files reviewed: 4
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 6
Jul 17, 2020
Visit Reason
The inspection was conducted as a result of the Annual Grading State Licensure Survey, Complaint Investigation Survey, and COVID-19 Focused Infection Control Inspection at the facility on 07/17/2020.
Findings
The facility received a grade of B with substantiated complaints regarding inadequate staffing to assist a resident requiring a Hoyer lift and presence of pressure ulcers on a resident. The COVID-19 inspection revealed lack of a comprehensive infection control plan, PPE shortages, and policy deficiencies. Multiple regulatory deficiencies were identified including failure to ensure proper admission criteria, lack of physical exams for residents, medication administration errors, and lack of endorsement for Alzheimer's care despite admitting residents with dementia.
Complaint Details
Complaint #NV00060587 was substantiated for allegations that a resident needing two-person assist and a Hoyer lift was not adequately assisted due to insufficient staffing, and that the resident had pressure ulcers. Other allegations regarding lack of activities and insufficient staffing were unsubstantiated.
Severity Breakdown
Level 2: 5
Level 3: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to develop and implement a safe, comprehensive Infection Control and Prevention Plan in response to the COVID-19 Pandemic, including PPE usage, visitor policies, cohorting, resident monitoring, screening, staffing, and notification procedures. | Level 2 |
| Admitted and retained a resident who was bedfast, which is prohibited in a Residential Facility for Groups. | Level 2 |
| Admitted and retained a resident with pressure ulcers without documented treatment plan or physician documentation that wounds were healing. | Level 3 |
| Failed to ensure annual and initial physical examinations were completed for 4 of 10 residents. | Level 2 |
| Medication for one resident was administered routinely instead of as needed per physician's orders. | Level 2 |
| Facility admitted and retained residents with Alzheimer's disease or related dementia without having an endorsement to provide such care. | Level 2 |
Report Facts
Facility licensed beds: 10
Resident census: 7
PPE supplies: 21
PPE supplies: 600
PPE supplies: 5
Deficiency severity counts: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ginalyn Baltazar-Sumbang | Administrator | Named in relation to infection control deficiencies and oversight responsibilities |
Inspection Report
Complaint Investigation
Census: 10
Deficiencies: 1
Sep 13, 2016
Visit Reason
This inspection was conducted as a complaint investigation based on a substantiated complaint regarding failure to prevent restraint usage on a resident.
Findings
The facility was found to have failed to ensure that 2 of 10 residents were not restrained, including use of a lap belt on Resident #2 and bed rails on Resident #5. The administrator acknowledged restraints could not be used and corrective actions were taken immediately.
Complaint Details
Complaint #NV00046948 was substantiated. The allegation that the facility failed to prevent restraint usage on a resident was substantiated.
Severity Breakdown
2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to prevent restraint usage on residents, including lap belt on Resident #2 and bed rails on Resident #5. | 2 |
Report Facts
Census: 10
Sample size: 5
Severity level: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver #1 | Reported use of pillows to prop and position resident to keep them seated properly | |
| Administrator | Acknowledged restraints could not be used and conducted in-service immediately after investigation |
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 3
Apr 13, 2016
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with licensing requirements for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of A. Deficiencies were identified related to personnel files lacking tuberculosis (TB) testing documentation and medication storage issues, including unsecured medications and lack of physician orders for medications.
Severity Breakdown
2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Personnel file for Employee #2 lacked documented evidence of a positive TB test and chest x-ray was not indicated to rule out TB. | 2 |
| Medication storage was not secure; two bottles of nasal spray were found without resident name or physician order. | 2 |
| Resident files for Residents #7 and #10 lacked documented evidence of required TB testing. | 2 |
Report Facts
Residents present: 10
Total licensed capacity: 10
Employees reviewed: 4
Resident files reviewed: 10
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 3
Apr 13, 2016
Visit Reason
This annual State Licensure survey was conducted on 4/13/16 by the Division of Public and Behavioral Health to assess compliance with state regulations for Paradise Crest Home Care.
Findings
The facility received a grade of A but had several deficiencies related to tuberculosis testing for employees and residents, medication storage security, and maintenance of resident files. Specific issues included missing TB test documentation for one employee and two residents, unsecured medication found in a resident's closet, and incomplete resident files regarding TB compliance.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 4 employees met tuberculosis testing requirements; employee file lacked documented evidence of a positive TB test and chest x-ray was not indicated to rule out TB. | Severity: 2 |
| Failed to ensure medications were stored securely; two bottles of nasal spray without resident name or physician order were found unsecured in a resident's closet. | Severity: 2 |
| Failed to ensure 2 of 10 residents met tuberculosis testing requirements; resident files lacked documented evidence of positive TB tests. | Severity: 2 |
Report Facts
Number of residents present: 10
Total licensed capacity: 10
Number of employee files reviewed: 4
Number of resident files reviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #2 acknowledged deficiencies related to tuberculosis testing and medication storage | ||
| Employee #1 confirmed findings related to resident tuberculosis testing deficiencies |
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 0
May 13, 2015
Visit Reason
This inspection was conducted as an annual State Licensure survey combined with a complaint investigation regarding an allegation of inappropriate level of care.
Findings
The facility received a grade of A with no regulatory deficiencies identified. The complaint investigation found the allegation unsubstantiated after review of medical records and interviews.
Complaint Details
Complaint #NV00042544 contained one allegation of inappropriate level of care which was not substantiated after investigation including medical record review and interviews with resident, administrator, and owner/caregiver.
Report Facts
Resident files reviewed: 10
Employee files reviewed: 4
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 1
Jul 8, 2014
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure grading survey conducted on 7/8/14 in accordance with NRS 449.0307.
Findings
The facility received a grade of A. A deficiency was identified related to the failure to destroy discontinued or expired medications, as evidenced by medication reviews of two residents showing discontinued medications still present.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to destroy medications after they were discontinued, expired, or after a resident had been transferred. | Severity: 2 |
Report Facts
Resident files reviewed: 10
Employee files reviewed: 4
Deficiency severity level: 2
Deficiency scope: 1
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 1
Jul 8, 2014
Visit Reason
The inspection was conducted as an annual State Licensure grading survey in accordance with NRS 449.0307, Powers of the Health Division.
Findings
The facility received a grade of A. A deficiency was identified related to failure to destroy discontinued or expired medications, as evidenced by medications for two residents that were not destroyed after discontinuation.
Severity Breakdown
2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to destroy medications after they were discontinued, expired, or after a resident had been transferred. | 2 |
Report Facts
Resident files reviewed: 10
Employee files reviewed: 4
Facility licensed capacity: 10
Current census: 10
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 4
Jul 16, 2013
Visit Reason
This document is a State Licensure annual grading survey conducted on 7/16/2013 to assess compliance with regulatory requirements for Paradise Crest Home Care.
Findings
The facility received a grade of A but had several deficiencies including failure to comply with tuberculosis testing requirements for employees and residents, retaining a bedfast resident without a waiver, and failure to maintain resident files securely locked.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 5 employees complied with tuberculosis testing requirements (missing 2013 annual TB signs and symptoms review). | Severity: 2 |
| Retained a resident who was bedfast without submission of a waiver to the Bureau. | Severity: 2 |
| Failed to ensure hospice and discharge resident files were kept in a locked cabinet; files were unsecured. | Severity: 2 |
| Failed to ensure 2 of 10 residents complied with tuberculosis testing requirements (missing proof of positive TB and missing complete two step TB skin test). | Severity: 2 |
Report Facts
Number of residents: 10
Licensed capacity: 10
Number of employee files reviewed: 5
Number of resident files reviewed: 10
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 4
Jul 16, 2013
Visit Reason
The inspection was a State Licensure annual grading survey conducted to assess compliance with licensing requirements for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of A but had several deficiencies related to personnel files, tuberculosis testing, admission policy, and resident file storage and confidentiality. Some deficiencies were repeat from the previous year's survey.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to ensure 1 of 5 employees complied with annual tuberculosis testing requirements. | Severity: 2 |
| Facility retained a resident who was bedfast without submission of a waiver to the Bureau. | Severity: 2 |
| Failure to keep hospice and discharge resident files in a locked cabinet, compromising confidentiality. | Severity: 2 |
| Failure to ensure 2 of 10 residents complied with tuberculosis testing requirements, including missing proof of positive TB and missing complete two-step TB skin test. | Severity: 2 |
Report Facts
Residents present: 10
Licensed capacity: 10
Employees files reviewed: 5
Resident files reviewed: 10
Inspection Report
Complaint Investigation
Census: 9
Capacity: 10
Deficiencies: 3
Mar 5, 2013
Visit Reason
The inspection was conducted as a result of a complaint investigation from 2/21/13 through 3/5/13 regarding allegations including failure to arrange transportation services for residents.
Findings
The facility was substantiated for deficiencies related to diabetes care, medication administration, and medication storage. Specifically, staff assisted residents with blood glucose testing instead of residents performing it themselves, an employee drew insulin into syringes for a resident, and refrigerated medications were not properly secured.
Complaint Details
Complaint #NV00034701 was substantiated. The allegation that the facility failed to arrange transportation services for residents was not substantiated based on record review and interviews.
Severity Breakdown
Level 3: 2
Level 2: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to ensure blood glucose testing for 2 of 9 residents was performed by the residents themselves without assistance. | Level 3 |
| An employee of the facility drew medication into a syringe and administered injections without proper authorization. | Level 3 |
| Facility failed to ensure refrigerated medications belonging to 1 of 9 residents were secured as instructed on the medication label. | Level 2 |
Report Facts
Licensed capacity: 10
Census: 9
Deficiency severity count: 2
Deficiency severity count: 1
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