Inspection Reports for Pearl Care Home
1012 Paradise View St, Henderson, NV 89052, NV, 89052
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 6
Deficiencies: 1
May 19, 2025
Visit Reason
The inspection was conducted as a result of a complaint investigation involving two complaints, one substantiated without deficient practice and one unsubstantiated, to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified related to the complaints; however, one unrelated regulatory deficiency was found regarding failure to obtain a medical exemption waiver for a resident with a urinary catheter.
Complaint Details
Two complaints were investigated: Complaint #NV00073945 was substantiated without deficient practice, and Complaint #NV00074124 was unsubstantiated with no regulatory deficiencies identified.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to obtain a medical exemption waiver to maintain a resident who had a urinary catheter for 1 of 7 sampled residents (Resident #5). | D |
Report Facts
Resident files reviewed: 7
Employee files reviewed: 4
Complaints investigated: 2
Severity level: 2
Scope: 1
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 0
Aug 13, 2024
Visit Reason
The inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.
Report Facts
Resident files reviewed: 8
Employee files reviewed: 6
Inspection Report
Complaint Investigation
Census: 8
Deficiencies: 0
Jan 31, 2024
Visit Reason
The inspection was conducted as a result of a complaint investigation initiated at the facility on 01/31/2024 and completed on 02/01/2024 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified. The complaint #NV00070184 was verified without deficiencies after observation, interviews, and record reviews.
Complaint Details
One complaint was investigated (Complaint #NV00070184) and was verified without regulatory deficiencies.
Report Facts
Resident files reviewed: 8
Employee files reviewed: 5
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 4
Aug 22, 2023
Visit Reason
This inspection was conducted as an annual State Licensure survey of the facility in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A but had several regulatory deficiencies including failure to complete background checks for one employee, improper administration of suppositories by caregivers instead of medical professionals, lack of follow-up on tuberculosis screening results for two residents, and a non-functioning alarm on an exit door.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure a background check was completed under the facility's Nevada Automated Background Check System (NABS) account for 1 of 5 employees (Employee #1). | Severity: 2 |
| Facility failed to ensure a resident was administered suppositories by a medical professional for 1 of 8 residents (Resident #5). | Severity: 2 |
| Failed to ensure residents' Tuberculosis (TB) screenings were followed up on after unclear TB results were obtained for 2 of 8 residents (Residents #1 and #2). | Severity: 2 |
| Failed to ensure an exit door was alarmed; alarm was not operating on the door leading to the garage from the laundry room. | Severity: 2 |
Report Facts
Licensed beds: 10
Census: 8
Employees reviewed: 4
Resident files reviewed: 10
Severity 2 deficiencies: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Minkyung Lim | Administrator | Named as facility administrator and involved in findings related to background check and TB screening follow-up |
| Employee #1 | Administrator hired on 10/04/22 lacking documented background check | |
| Employee #3 | Caregiver who administered suppositories improperly | |
| Employee #4 | Caregiver who administered suppositories improperly |
Inspection Report
Complaint Investigation
Census: 10
Deficiencies: 2
May 3, 2023
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding medication administration for a resident with diabetes at the facility.
Findings
The facility failed to ensure that a resident requiring daily insulin injections received the medication from an appropriately trained person. The resident's insulin was administered only once by the resident's son (Power of Attorney) over two months, and caregivers were not allowed to administer insulin. The resident's medication records lacked documentation of insulin administration.
Complaint Details
Complaint #NV00068280 was substantiated. The investigation included interviews with residents, caregivers, and the facility manager, as well as record and document reviews. The complaint concerned failure to administer insulin to Resident #1 as prescribed.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Resident requiring medication for diabetes was not administered insulin by a qualified person as required by regulation. | Severity: 2 |
| Resident did not receive medications as prescribed; insulin orders were not documented on the Medication Administration Record and insulin was not administered as ordered. | Severity: 2 |
Report Facts
Sample size: 3
Complaints investigated: 1
Inspection Report
Complaint Investigation
Census: 10
Deficiencies: 0
Mar 13, 2023
Visit Reason
The inspection was conducted as a result of a complaint investigation completed at the facility on 03/13/23 in accordance with Nevada Administrative Code (NAC), Chapter 449, Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the complaint investigation. The complaint was unsubstantiated and no further action was necessary.
Complaint Details
Complaint #NV00067848 was investigated and found to be unsubstantiated.
Report Facts
Sample size: 4
Complaints investigated: 1
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 3
Aug 17, 2022
Visit Reason
The inspection was conducted as an annual, complaint, and infection control State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A. One complaint was investigated and found unsubstantiated. Deficiencies identified included improper use of a bathroom closet as a caregiver bedroom, an unsecured exterior gate, and unsecured toxic substances accessible to residents with Alzheimer's disease.
Complaint Details
One complaint (#NV00066785) with two allegations was investigated and found unsubstantiated. Allegation #1 of resident abuse by staff was unsubstantiated based on observations and lack of witnesses. Allegation #2 that the facility failed to report the abuse was unsubstantiated based on interviews with the Administrator and incident reports.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Bathroom closet was used as a bedroom for a caregiver, which is prohibited. | Severity: 2 |
| Backyard gate leading to the street was not secured as required. | Severity: 2 |
| Toxic substances were accessible to residents with Alzheimer's disease due to unlocked cabinets and unsecured storage. | Severity: 2 |
Report Facts
Licensed beds: 10
Residents present: 9
Complaint allegations: 2
Deficiencies with Severity 2: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Lane | Administrator | Interviewed regarding complaint investigation and acknowledged deficiencies |
| Employee #3 | Caregiver whose bedroom was the bathroom closet |
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 0
Sep 22, 2021
Visit Reason
The inspection was conducted as an annual grading and infection control survey in accordance with Nevada Administrative Code, Chapter 449, Residential Facilities for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified. Guidance was provided on nondiscrimination policies, privacy protection, cultural competency training, complaint policy, and gender identity/expression policy compliance.
Inspection Report
Complaint Investigation
Census: 7
Capacity: 10
Deficiencies: 0
Oct 8, 2020
Visit Reason
The inspection was conducted as a result of a Complaint Investigation survey and a COVID-19 focused Infection Control survey at the facility on 10/08/2020.
Findings
The complaint with three allegations was not substantiated after interviews, observations, and document reviews. The COVID-19 infection control survey found the facility had thorough infection control policies, adequate PPE supplies, and no residents or employees with COVID-19 symptoms or positive tests. No regulatory deficiencies were identified.
Complaint Details
Complaint #NV00061971 with three allegations was investigated and found not substantiated: 1) staff did not provide gauze to clean a resident's wound; 2) hospice staff was told transferring a resident was not their responsibility; 3) caregiver threw used wrapping supplies at hospice staff. Investigations included interviews with two Caregivers and the Owner, review of incident reports, and observations.
Report Facts
PPE supply: 150
PPE supply: 12
PPE supply: 800
PPE supply: 8
Hand sanitizer containers: 10
Non-contact temporal thermometers: 2
Inspection Report
Complaint Investigation
Census: 7
Capacity: 10
Deficiencies: 0
Oct 8, 2020
Visit Reason
The inspection was conducted as a result of a Complaint Investigation survey and a COVID-19 focused Infection Control survey at the facility on 10/08/2020.
Findings
The complaint with three allegations was not substantiated after interviews and review of incident reports. The COVID-19 infection control survey found the facility had appropriate screening, PPE supplies, infection control policies, and no residents or employees with COVID-19 symptoms or positive tests. No regulatory deficiencies were identified.
Complaint Details
Complaint #NV00061971 included three allegations: 1) staff did not provide gauze to clean a resident's wound, 2) hospice staff was denied assistance transferring a resident, and 3) a caregiver threw used wrapping supplies at hospice staff. None of these allegations were substantiated based on interviews and incident report reviews.
Report Facts
PPE supply: 150
PPE supply: 12
PPE supply: 800
PPE supply: 8
Hand sanitizer containers: 10
Non-contact temporal thermometers: 2
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