Inspection Reports for Park Place Assisted Living

2305 Ives Ct, Reno, NV 89503, United States, NV, 89503

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Deficiencies (last 9 years)

Deficiencies (over 9 years) 10.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

44% worse than Nevada average
Nevada average: 7.1 deficiencies/year

Deficiencies per year

20 15 10 5 0
2012
2013
2014
2016
2021
2022
2023
2024
2025

Census

Latest occupancy rate 68% occupied

Based on a July 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

20 40 60 80 Sep 2012 Feb 2016 May 2021 Aug 2023 Sep 2024 Apr 2025 Jul 2025
Inspection Report Annual Inspection Census: 41 Capacity: 60 Deficiencies: 14 Jul 16, 2025
Visit Reason
This inspection was an annual State Licensure survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility was found deficient in multiple areas including administrator oversight, caregiver qualifications and training, personnel file requirements, medication administration and documentation, infection control program review, and resident record maintenance. Several deficiencies were related to training delays, missing documentation, medication management errors, and incomplete resident assessments.
Severity Breakdown
Level 1: 2 Level 2: 11
Deficiencies (14)
DescriptionSeverity
Administrator failed to provide oversight and direction to ensure residents received needed services and protective supervision.Level 2
One employee did not complete required initial caregiver training within 60 days of hire.Level 2
One employee did not complete annual medication management training timely.Level 2
Administrator was out of compliance with elder abuse prevention training at time of audit.Level 2
One employee failed to have annual tuberculosis screening completed as required.Level 2
One employee lacked background check clearance through Nevada Automated Background Check System for this facility.Level 2
First aid kits in multiple locations lacked required supplies such as roller gauze, gauze pads, adhesive tape, and scissors.Level 2
Administrator failed to complete annual medication management training timely.Level 2
Ultimate user agreement for medication administration was incomplete, missing dates signed by resident and facility.Level 1
Medications were not onsite for two residents and medication labels did not match physician orders for two residents.Level 2
Facility failed to maintain accurate medication administration records reflecting current orders for two residents.Level 2
Resident tuberculosis testing documentation was incomplete, missing reading dates for two-step TB test.Level 2
Initial Activities of Daily Living (ADL) assessment was not completed timely for one resident.Level 2
Infection Control Program lacked documented evidence of annual review.Level 1
Report Facts
Licensed beds: 60 Current census: 41 Employees reviewed: 11 Residents reviewed: 15 Deficiency severity Level 2: 11 Deficiency severity Level 1: 2 Resurvey fee: 600
Employees Mentioned
NameTitleContext
Amy RoukieAdministratorNamed as current Administrator responsible for oversight and compliance
Employee #1AdministratorNamed in findings related to training deficiencies and background check issues
Employee #2Wellness DirectorNamed in medication management training deficiency
Business Office ManagerResponsible for managing employee training tracking and background checks
Wellness CoordinatorConfirmed medication and TB screening deficiencies
Maintenance DirectorInterviewed regarding infection control plan review
Inspection Report Complaint Investigation Census: 37 Capacity: 60 Deficiencies: 1 Apr 8, 2025
Visit Reason
The inspection was conducted as a result of a State Licensure complaint investigation and Facility Reported Incident (FRI) investigation triggered by two complaints and two FRIs at the facility.
Findings
The investigation substantiated that untrained facility staff were providing blood sugar testing and insulin injections, and a resident was found unresponsive with critically low blood sugar requiring hospital transport. Another complaint regarding a bedbound resident without a waiver and a resident eloping could not be substantiated due to lack of evidence.
Complaint Details
Complaint #NV00073023 was substantiated regarding untrained staff performing blood sugar testing and insulin injections. Complaint #NV00073896 regarding a bedbound resident without a waiver was not substantiated. FRI #NV11114 was substantiated without deficient practice for a resident found unresponsive with low blood sugar. FRI #NV10990 regarding resident elopement was not substantiated.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
DescriptionSeverity
Facility failed to provide training and competency assessment for 6 employees performing resident blood sugar testing and insulin administration.Severity: 2
Report Facts
Number of resident files reviewed: 5 Number of employee files reviewed: 9 Number of employees lacking documented training: 6 Facility licensed capacity: 60 Census at time of survey: 37
Employees Mentioned
NameTitleContext
Amy RoukieExecutive Director/OPS mgrNamed in relation to findings about lack of training and policy for blood sugar testing and insulin administration
Inspection Report Complaint Investigation Census: 48 Capacity: 60 Deficiencies: 2 Dec 17, 2024
Visit Reason
The inspection was conducted as a result of a State Licensure complaint investigation triggered by two complaints alleging medication errors and accessibility issues at the facility.
Findings
The investigation substantiated that a resident was not provided a prescribed medication (duloxetine) for multiple days causing withdrawal symptoms requiring emergency care, and that a resident's shower was not wheelchair accessible. Several other allegations related to medication management and resident care were not substantiated due to lack of evidence.
Complaint Details
Complaint #NV00072800 was substantiated regarding failure to provide medication leading to withdrawal symptoms and lack of wheelchair accessible shower. Other allegations related to medication ordering, expired medications, wrong medication administration, call light response, and resident care were not substantiated due to lack of evidence.
Severity Breakdown
SS= D: 2
Deficiencies (2)
DescriptionSeverity
Failed to ensure a resident's shower was wheelchair accessible, resulting in the resident not being able to access the shower in their room.SS= D
Failed to provide a resident with prescribed medication (duloxetine) for multiple days, resulting in withdrawal symptoms and emergency room assessment.SS= D
Report Facts
Licensed beds: 60 Resident census: 48 Days medication not administered: 15 Date of survey completion: Dec 17, 2024
Employees Mentioned
NameTitleContext
Amy RoukieExecutive Director/CITSigned the inspection report
Wellness CoordinatorProvided explanations regarding medication discontinuation and facility corrective actions
Wellness DirectorInterviewed during investigation and involved in corrective actions
Inspection Report Re-Inspection Census: 47 Capacity: 60 Deficiencies: 16 Nov 7, 2024
Visit Reason
This inspection was a mandatory regrading State Licensure survey conducted in accordance with Nevada Administrative Code (NAC) Chapter 449 for a Residential Facility for Groups.
Findings
The facility received a grade of A with several regulatory deficiencies identified, including issues with timely completion of initial Activities of Daily Living (ADL) assessments, failure to obtain annual Physician Placement Determinations, and incomplete infectious disease control training for staff. The facility has submitted plans of correction for all cited deficiencies.
Severity Breakdown
F: 3 E: 3 D: 7 C: 1
Deficiencies (16)
DescriptionSeverity
Qualifications of Caregivers - Age, English, Training requirements not fully met.E
Health and Sanitation - Facility premises not fully free from offensive odors, hazards, insects, and dirt.D
Permits - Facility did not fully comply with NAC 446 on Food Service permits and inspections.F
First Aid & CPR - First aid kit requirements not fully met.D
Supervision and Treatment of Residents - Collaboration and review of person-centered service plans not fully ensured.D
Diabetes - Requirements for residents with diabetes not fully met.D
Residents Requiring Injections - Administration requirements not fully met.D
Medical Care of Resident After Illness - Physical examinations and care instructions not fully documented.D
Medication/OTCs, Supplements, Change Order - Administration and documentation requirements not fully met.D
Medication Storage - Medications not stored in locked, secure, and properly labeled conditions.F
Maintenance and Contents of Separate File - Resident files not fully maintained or complete, including timely ADL assessments.D
Discrimination Prohibited - Facility policies and postings regarding nondiscrimination not fully compliant.C
Cultural Competency Training - Facility failed to fully comply with cultural competency training requirements.E
Annual Assessment of History of Each Resident - Annual Physician Placement Determination missing for one resident.D
Infection Control Program - Infection control program not fully compliant with evidence-based standards.F
Unlicensed Caregiver Training - One caregiver failed to complete required annual infectious disease control training.D
Report Facts
Licensed capacity: 60 Census: 47 Sample size: 15 Deficiency severity counts: 16
Employees Mentioned
NameTitleContext
Amy RoukieExecutive Director/OPS mgrSigned the report and referenced in plan of correction
Employee #10Medication AideNamed in deficiency for failure to complete infectious disease control training
Wellness DirectorInterviewed regarding deficiencies and responsible for oversight of clinical compliance
Acting Executive DirectorConfirmed training deficiency for Employee #10
Inspection Report Annual Inspection Census: 49 Capacity: 60 Deficiencies: 18 Sep 4, 2024
Visit Reason
This inspection was an annual State Licensure survey conducted by the Division of Public and Behavioral Health to assess compliance with NAC 449 for Residential Facility for Groups.
Findings
The facility was found deficient in multiple areas including caregiver training, health and sanitation hazards, food service compliance, first aid kit supplies, resident service plans, diabetes care consents, medication administration and storage, resident assessments, infection control program, cultural competency training, and non-discrimination policies. Several deficiencies were cited with varying severity levels, including critical violations related to expired foods and unsecured medications.
Severity Breakdown
Level 1: 1 Level 2: 14 Level D: 2 Level E: 3 Level F: 2
Deficiencies (18)
DescriptionSeverity
Failed to ensure 2 of 10 employees received required caregiver training within 60 days and annual training for 2 employees.Level 2
Electrical hazard: open junction box missing cover plate.Level 2
Multiple expired foods found in kitchen and walk-in refrigerators; poor sanitation and food storage practices.Level F
First aid kit lacked required supplies including gauze, germicide, adhesive tape, gloves, and CPR mask.Level 2
Failed to develop person-centered service plans for 2 of 15 sampled residents.Level 2
Failed to obtain resident consents for blood glucose testing and insulin injections for 3 residents.Level 2
Medication orders for insulin were unsigned by physician; medications administered without proper orders.Level 2
Failed to ensure physical examinations were completed prior to admission and annually for 2 residents.Level 2
Failed to ensure medication administration complied with physician orders; medication labels not updated; medication not available; MAR inaccuracies.Level 2
Resident medications were unsecured in resident rooms and accessible to others.Level 2
Over-the-counter medication bottle lacked proper labeling with resident and physician information.Level 2
Failed to ensure tuberculosis screenings were completed for 2 residents.Level 2
Failed to complete initial and annual Activities of Daily Living assessments for 2 residents.Level 2
Failed to develop and maintain a complete infection control program addressing all infectious diseases.Level F
Failed to ensure 2 employees completed required infection control training.Level 2
Failed to ensure cultural competency training was completed timely for 4 employees.Level 2
Failed to obtain initial and annual physician assessments and placement determinations for 3 residents.Level 2
Failed to develop policies and post non-discrimination statement with required language and complaint contact information.Level 1
Report Facts
Deficiencies cited: 17 Facility licensed capacity: 60 Resident census: 49 Resurvey fee: 600
Employees Mentioned
NameTitleContext
Michael Eugene TrailOperations ManagerSigned the inspection report.
Inspection Report Complaint Investigation Census: 39 Capacity: 60 Deficiencies: 0 Apr 4, 2024
Visit Reason
This inspection was conducted as a result of a State Licensure complaint investigation triggered by Complaint #NV00070520 regarding alleged failure to follow financial policy and refund a deposit fee.
Findings
The complaint was investigated through observations, interviews, and policy reviews. The complaint could not be substantiated due to lack of evidence. No regulatory deficiencies were identified and no further action was necessary.
Complaint Details
Complaint #NV00070520 was investigated but could not be substantiated due to lack of evidence. Allegations included failure to follow financial policy and failure to refund a deposit fee when a resident could not move in due to change of condition.
Report Facts
Licensed beds: 60 Census: 39
Employees Mentioned
NameTitleContext
Executive DirectorInterviewed during complaint investigation
Wellness DirectorInterviewed during complaint investigation
Inspection Report Annual Inspection Census: 42 Capacity: 60 Deficiencies: 5 Jan 4, 2024
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with regulations for a Residential Facility for Groups providing assisted living services.
Findings
The facility received a grade of B with multiple deficiencies identified including failure to ensure required Tier 2 dementia training for caregivers, failure to provide elder abuse training prior to employment and annually thereafter, failure to meet meal time regulations, failure to ensure timely first aid and CPR training for employees, and lack of required infection control training for designated staff.
Severity Breakdown
F: 3 E: 1 D: 1
Deficiencies (5)
DescriptionSeverity
Failed to ensure 7 of 7 sampled employees received required Tier 2 dementia training within 60 days of hire and annually thereafter.F
Failed to ensure 1 of 10 sampled employees received initial elder abuse training prior to beginning work and annually thereafter.D
Failed to ensure meals were served with no more than 14 hours between the evening meal and breakfast the next day.F
Failed to ensure first aid and CPR training was received within 30 days of employment for 3 of 6 sampled employees.E
Primary infection control staff lacked the required infection control training.F
Report Facts
Licensed capacity: 60 Census: 42 Employees sampled: 10 Resident files reviewed: 15 Severity 2 deficiencies: 5
Employees Mentioned
NameTitleContext
Benjamin KingAdministratorSigned the report and attested to accuracy of personnel checklist form
Employee #3Failed to receive required Tier 2 dementia training, elder abuse training, and timely first aid and CPR training
Employee #7Failed to receive timely first aid and CPR training
Employee #10Failed to receive timely first aid and CPR training
Employee #1AdministratorLacked required infection control training
Employee #2Wellness DirectorLacked required infection control training
Inspection Report Complaint Investigation Census: 38 Capacity: 60 Deficiencies: 0 Aug 2, 2023
Visit Reason
This inspection was conducted as a result of a State Licensure complaint investigation triggered by complaint #NV00068857 alleging falsification of a record.
Findings
The complaint was investigated through observations, interviews, and record reviews. No regulatory deficiencies were identified, and the complaint could not be substantiated due to lack of evidence.
Complaint Details
Complaint #NV00068857 alleging falsification of a record was investigated and found to be unsubstantiated.
Report Facts
Licensed beds: 60 Resident census: 38
Inspection Report Annual Inspection Census: 32 Capacity: 60 Deficiencies: 9 Feb 8, 2023
Visit Reason
This inspection was an annual State Licensure survey conducted by the Division of Public and Behavioral Health in accordance with NAC 449 for Residential Facility for Groups.
Findings
The facility received a grade of C with multiple deficiencies identified including sanitation issues with garbage storage, food storage and labeling problems in the kitchen, admission of residents requiring skilled nursing without proper waivers, medication administration errors, incomplete medication records, lack of written instructions for PRN medications, incomplete cultural competency training for staff, inaccurate resident placement determinations, and failure to maintain accurate medication administration records.
Severity Breakdown
Level 2: 9
Deficiencies (9)
DescriptionSeverity
Dumpster lid was left open allowing rodent access.Level 2
Garbage bags stored outside the dumpster on the ground.Level 2
Dented cans stored with non-dented canned food; unlabeled and undated refrigerated food; raw meat stored over vegetables.Level 2
Facility admitted or retained 10 residents receiving skilled nursing services without submitting required waivers.Level 2
Resident received medication not as prescribed and over-the-counter medication lacked physician name on bottle.Level 2
Medication Administration Records (MAR) inaccurate for two residents with medications missing or discontinued incorrectly.Level 2
Written instructions for PRN medication administration missing for one resident.Level 2
Cultural competency training not completed timely for 4 of 6 sampled employees.Level 2
Failed to obtain accurate placement determination for one resident; incorrect Alzheimer endorsement box checked.Level 2
Report Facts
Facility licensed beds: 60 Resident census: 32 Deficiency count: 9 Resurvey application fee: 600 Employee sample size: 10 Resident sample size: 10
Employees Mentioned
NameTitleContext
Benjamin KingAdministratorSigned the Statement of Deficiencies report
Wellness DirectorNamed in multiple findings related to medication errors, skilled nursing waivers, and placement determinations
Maintenance DirectorNamed in findings related to garbage dumpster lid and trash on premises
Director of Food ServicesNamed in findings related to food storage and labeling deficiencies
CookNamed in findings related to food labeling and storage
Medication TechnicianNamed in findings related to medication administration and MAR accuracy
AdministratorProvided attestation regarding cultural competency training compliance
Corporate Executive DirectorAttested to accuracy of personnel checklist for cultural competency training
Inspection Report Annual Inspection Census: 26 Capacity: 60 Deficiencies: 1 Apr 20, 2022
Visit Reason
This inspection was conducted as an annual State Licensure survey of the facility to assess compliance with regulations for Residential Facility for Groups.
Findings
The facility was found to have a deficiency related to health and sanitation, specifically the failure to maintain the dryer lint trap free from excessive lint, which posed a combustible risk. The facility received a grade of A overall.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
DescriptionSeverity
Failure to ensure the dryer lint trap was free from excessive lint, posing a combustible hazard.Severity: 2
Report Facts
Licensed beds: 60 Census: 26
Employees Mentioned
NameTitleContext
Jeanne Bishop-PariseAdministratorAdministrator who verbalized staff cleaning requirements and signed the report
Maintenance DirectorConfirmed excessive lint in dryer lint trap during inspection
Inspection Report Annual Inspection Census: 32 Capacity: 60 Deficiencies: 4 May 20, 2021
Visit Reason
The inspection was conducted as a result of an annual State Licensure survey combined with a complaint investigation at the facility on 05/20/21.
Findings
The facility was found to have several regulatory deficiencies related to health and sanitation, oxygen tank storage, and medication administration. The complaint investigated was not substantiated. The facility received a grade of A.
Complaint Details
One complaint was investigated (Complaint #NV00062506) with allegations that a resident was not informed prior to arrival and staff were rude, and that a resident was over-medicated and over-sedated. Both allegations were not substantiated based on interviews, policy reviews, and observations.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
DescriptionSeverity
Facility failed to ensure dryer lint was cleaned out of 1 of 8 laundry rooms behind the dryers.Severity: 2
Facility failed to ensure all oxygen tanks in a resident's room were secured in a safety rack or attached to a wall for 1 of 9 residents using oxygen.Severity: 2
Facility failed to ensure a medication was onsite for administration for 1 of 10 sampled residents (Resident #5).Severity: 2
Facility failed to ensure a discontinued medication was destroyed for 1 of 10 sampled residents (Resident #6).Severity: 2
Report Facts
Licensed capacity: 60 Census: 32 Laundry rooms inspected: 8 Residents using oxygen: 9 Sampled residents for medication review: 10
Inspection Report Complaint Investigation Census: 49 Deficiencies: 0 Jun 30, 2016
Visit Reason
The inspection was conducted as a complaint investigation triggered by Complaint #NV00045999 regarding an allegation of a resident's discharge rights being violated.
Findings
The complaint was investigated through interviews and file reviews, and the allegation was found to be unsubstantiated. No regulatory deficiencies were identified during the investigation.
Complaint Details
Complaint #NV00045999 involved one allegation that a resident's discharge rights were violated; the allegation was unsubstantiated.
Report Facts
Sample size: 3
Employees Mentioned
NameTitleContext
Wellness DirectorInterviewed during the complaint investigation
AdministratorInterviewed during the complaint investigation
Inspection Report Re-Inspection Census: 42 Capacity: 60 Deficiencies: 0 Mar 21, 2016
Visit Reason
This document reports on a voluntary grading resurvey conducted at the facility on 3/21/16 as a State Licensure survey by the Division of Public and Behavioral Health.
Findings
The facility received a resurvey grade of A with no regulatory deficiencies identified and no further action necessary.
Report Facts
Resident files reviewed: 5 Employee files reviewed: 4
Inspection Report Annual Inspection Census: 35 Capacity: 60 Deficiencies: 5 Feb 2, 2016
Visit Reason
The inspection was conducted as an annual State Licensure survey to assess compliance with regulatory requirements for a residential facility providing assisted living services.
Findings
The facility received a grade of B with several deficiencies identified related to personnel files, tuberculosis testing, background checks, food service permits, and resident file maintenance. Deficiencies included failure to ensure timely TB testing and physical exams for employees, improper storage of food, and incomplete resident TB testing documentation.
Severity Breakdown
Severity: 2: 5
Deficiencies (5)
DescriptionSeverity
Facility failed to ensure 4 of 10 employees met tuberculosis (TB) testing and pre-employment physical examination requirements.Severity: 2
Facility failed to ensure 1 of 10 employees met background check requirements.Severity: 2
Facility failed to ensure the kitchen complied with food service permit standards; multiple raw animal products were commingled with ready to eat foods.Severity: 2
Facility failed to ensure food was served hot and residents' preferences were accommodated; multiple resident complaints about food temperature and quality.Severity: 2
Facility failed to ensure 1 of 10 residents met tuberculosis (TB) testing requirements; lack of documented evidence of 2015 annual TB test.Severity: 2
Report Facts
Residents present: 35 Licensed capacity: 60 Employees reviewed: 10 Resident files reviewed: 10 Resident interviews: 12 Severity 2 deficiencies: 5
Employees Mentioned
NameTitleContext
Employee #1Failed background check requirements; fingerprinting processed on 2/3/16
Employee #3Failed TB testing and pre-employment physical examination requirements
Employee #5Acknowledged deficiencies and reported meal delivery times
Employee #6Failed documented evidence of signs and symptoms review for TB; annual TB test misfiled
Employee #7Failed TB testing and pre-employment physical examination requirements
Employee #8Failed TB testing and pre-employment physical examination requirements
Resident #6Failed documented evidence of 2015 annual TB test
Inspection Report Annual Inspection Census: 35 Capacity: 60 Deficiencies: 5 Feb 2, 2016
Visit Reason
This annual State Licensure survey was conducted to assess compliance with state regulations for the facility licensed for 60 beds providing assisted living services.
Findings
The facility received a grade of B with multiple deficiencies identified including failures in tuberculosis testing and pre-employment physicals for employees, background check compliance, food service violations related to food storage and meal quality, and resident tuberculosis testing documentation.
Severity Breakdown
Level 2: 5
Deficiencies (5)
DescriptionSeverity
Failed to ensure 4 of 10 employees met tuberculosis testing and pre-employment physical examination requirements.Level 2
Failed to ensure 1 of 10 employees met background check requirements.Level 2
Failed to ensure kitchen complied with food service standards; raw animal products stored above cooked foods and staff food stored with resident food.Level 2
Failed to ensure food was served hot and residents' preferences were accommodated; multiple resident complaints about food temperature, variety, and quality.Level 2
Failed to ensure 1 of 10 residents met tuberculosis testing requirements; lack of documented evidence of 2015 annual TB test.Level 2
Report Facts
Residents present: 35 Total licensed capacity: 60 Employees reviewed: 10 Residents reviewed: 10 Severity 2 deficiencies: 5
Employees Mentioned
NameTitleContext
Employee #1Named in background check deficiency and acknowledged deficiencies
Employee #3Named in tuberculosis testing and pre-employment physical deficiency
Employee #5Acknowledged tuberculosis testing deficiencies and reported on meal delivery process
Employee #6Named in tuberculosis testing and pre-employment physical deficiency
Employee #7Named in tuberculosis testing and pre-employment physical deficiency
Employee #8Named in tuberculosis testing and pre-employment physical deficiency
Inspection Report Annual Inspection Census: 45 Capacity: 60 Deficiencies: 4 Jul 15, 2014
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual grading State Licensure survey conducted at the facility on 7/15/14.
Findings
The facility received a grade of A. Deficiencies were identified related to health and sanitation hazards, medication administration, resident file maintenance, and endorsement for mental illness. Specific issues included a kitchen cart obstructing walkways, failure to administer medications as prescribed for 3 residents, incomplete physical examinations for 2 residents, and failure to obtain mental illness endorsements for 6 residents.
Severity Breakdown
Level 2: 4
Deficiencies (4)
DescriptionSeverity
Kitchen cart left obstructing walkway between dining room and sitting area.Level 2
Facility failed to ensure medications were administered as prescribed by the physician for 3 of 16 residents.Level 2
Facility failed to ensure 2 of 16 residents completed their physical examination prior to admission.Level 2
Facility failed to obtain endorsement prior to admitting 6 of 16 residents with mental illness.Level 2
Report Facts
Residents present: 45 Total licensed capacity: 60 Residents reviewed: 16 Employee files reviewed: 10 Residents with medication administration issues: 3 Residents without physical exam prior to admission: 2 Residents admitted without mental illness endorsement: 6
Inspection Report Annual Inspection Census: 45 Capacity: 60 Deficiencies: 4 Jul 15, 2014
Visit Reason
This inspection was an annual grading State Licensure survey conducted by the Division of Public and Behavioral Health on 7/15/2014 to assess compliance with state regulations for the licensed assisted living facility.
Findings
The facility received a grade of A but had several deficiencies including hazards obstructing resident movement, medication administration errors for 3 residents, failure to ensure physical examinations prior to admission for 2 residents, and failure to obtain mental illness endorsement prior to admitting 6 residents with mental illness.
Severity Breakdown
2: 4
Deficiencies (4)
DescriptionSeverity
Hazards including obstacles that impede the free movement of residents within and outside the facility; specifically, a kitchen cart obstructing the walkway.2
Failure to ensure medications were administered as prescribed by the physician for 3 residents.2
Failure to ensure 2 residents completed their physical examination prior to admission.2
Failure to obtain a mental illness endorsement prior to admitting 6 residents with mental illness.2
Report Facts
Residents reviewed: 16 Employee files reviewed: 10 Residents with medication administration issues: 3 Residents without physical exam prior to admission: 2 Residents admitted without mental illness endorsement: 6
Employees Mentioned
NameTitleContext
Employee #11 verified medication administration times and acknowledged missing medication
AdministratorAcknowledged facility was not authorized to admit residents with mental illness and explained application for endorsement was recently completed
Inspection Report Annual Inspection Census: 31 Capacity: 60 Deficiencies: 2 Jul 11, 2013
Visit Reason
This document is a State Licensure annual grading survey conducted on 07/11/2013 to assess compliance with health and sanitation regulations at the facility.
Findings
The facility received a grade of A. Deficiencies were identified related to emergency lights not functioning properly in multiple areas and issues with kitchen sanitation and food storage compliance.
Severity Breakdown
Level 2: 1 Level 1: 1
Deficiencies (2)
DescriptionSeverity
Emergency lights did not function properly in multiple hallways and bedrooms across different houses in the facility.Level 2
Uncovered and unprotected food in the freezer, unorganized reach-in freezer, soiled deli slicer blade sharpening area, unmaintained dumpster area with excessive debris, soiled floor under cook's line and cooking oil storage, and unorganized janitor's closet in the kitchen.Level 1
Report Facts
Facility licensed capacity: 60 Census at time of survey: 31 Severity 2 deficiencies: 1 Severity 1 deficiencies: 1 Scope: 3
Employees Mentioned
NameTitleContext
Yvonne BishopAdministratorSigned the Statement of Deficiencies and Plan of Correction
Inspection Report Annual Inspection Census: 31 Capacity: 60 Deficiencies: 2 Jul 11, 2013
Visit Reason
This document is a State Licensure annual grading survey conducted to assess compliance with regulatory standards for a residential assisted living facility.
Findings
The facility received a grade of A but had deficiencies including non-functioning emergency lights in multiple house hallways and kitchen sanitation issues such as uncovered food, unorganized freezer, soiled equipment areas, and unmaintained dumpster and janitor's closet.
Severity Breakdown
Severity: 2: 1 Severity: 1: 1
Deficiencies (2)
DescriptionSeverity
Emergency lights did not function in hallways of multiple houses (Brown, Yellow, White, Grey).Severity: 2
Kitchen failed to comply with NAC 446 standards including uncovered food in freezer, soiled deli slicer blade sharpening area, unmaintained dumpster area with debris, soiled floors under cook's line and cooking oil storage, and unorganized janitor's closet.Severity: 1
Report Facts
Licensed capacity: 60 Census: 31 Resident files reviewed: 10 Employee files reviewed: 10 Scope: 3 Scope: 3
Inspection Report Complaint Investigation Census: 30 Capacity: 60 Deficiencies: 0 Sep 13, 2012
Visit Reason
This document is a statement of deficiencies generated as a result of a complaint investigation conducted at the facility on 09/13/12 regarding quality of care (staffing).
Findings
The allegation regarding quality of care (staffing) was not substantiated through document review, interviews, and facility observations. Four qualified caregivers were onsite during the investigation, and a new communication tool was being utilized to reduce response time to resident care requests.
Complaint Details
Complaint #NV00032942 regarding quality of care (staffing) was not substantiated.
Report Facts
Licensed capacity: 60 Census: 30

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