Deficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 7
May 15, 2025
Visit Reason
The inspection was conducted as an annual State Licensure survey combined with complaint investigations at the facility on 05/15/2025.
Findings
The facility was found deficient in several areas including late medication management training for staff, late elder abuse training, poor maintenance and sanitation of the premises, expired food items in storage, lack of timely six-month drug regimen reviews for residents, failure to post required nondiscrimination complaint contact information, and failure to complete initial physician assessment and placement determination prior to admission for one resident.
Complaint Details
Two complaints were investigated but could not be substantiated due to lack of evidence: allegations about door latch locks, bathroom door lock, and bed rails use.
Severity Breakdown
Level 2: 6
Level 1: 1
Deficiencies (7)
| Description | Severity |
|---|---|
| Failed to ensure annual medication management training was completed timely for 1 of 3 sampled employees. | Level 2 |
| Failed to ensure annual elder abuse training was completed timely for 2 of 3 sampled employees. | Level 2 |
| Failed to ensure the premises were clean and well-maintained, including cobwebs, dried leaves, broken planter box, disconnected water pipe, and unsecured greenhouse accessible to residents. | Level 2 |
| Failed to ensure expired food items were removed from kitchen cabinets. | Level 2 |
| Failed to ensure a drug regimen review was conducted at least once every six months for 1 of 4 residents. | Level 2 |
| Failed to post prominently the State Division contact information for filing discrimination complaints. | Level 1 |
| Failed to ensure an initial Physician Assessment and Placement Determination was completed prior to admitting 1 of 5 sampled residents. | Level 2 |
Report Facts
Census: 5
Total Capacity: 5
Late medication training days: 13
Late elder abuse training days: 45
Expired food items found: 4
Drug regimen review lapse: 30
Days late initial physician assessment: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Freda Castro | Administrator | Named in relation to late medication and elder abuse training findings and overall facility compliance oversight |
| Employee #1 | Responsible for late medication management and elder abuse training; acknowledged training delays | |
| Employee #3 | Failed to complete timely elder abuse training |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 5
Deficiencies: 1
Jul 8, 2024
Visit Reason
The inspection was conducted as a result of a complaint investigation triggered by Complaint #NV00071359, which included allegations that a resident eloped from the facility and that a resident was fearful of staff.
Findings
The complaint allegations could not be substantiated. However, other regulatory deficiencies were identified, including the facility's failure to obtain a Mental Illness endorsement while admitting and retaining a resident with a mental illness diagnosis.
Complaint Details
One complaint was investigated (Complaint #NV00071359) with allegations that a resident eloped and that a resident was fearful of staff; these allegations could not be substantiated.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to obtain an endorsement for Mental Illness (MI) and admitted and retained a resident with a MI diagnosis without the required endorsement. | Severity: 2 |
Report Facts
Complaint count: 1
Sample size: 5
Inspection Report
Annual Inspection
Census: 4
Capacity: 5
Deficiencies: 4
Sep 14, 2023
Visit Reason
The inspection was conducted as an annual State Licensure survey combined with a complaint investigation initiated on 09/13/23 and concluding on 09/14/23 at Pleasant Care Group Home.
Findings
The facility was found to have several deficiencies including a tripping hazard on the outside patio due to falling apples and uneven concrete, lack of an infection control program and policies, absence of an emergency preparedness plan, and personnel lacking required infection control training. One complaint regarding the patio hazard was substantiated.
Complaint Details
One complaint (#NV00069211) was substantiated regarding apples falling from a tree in the backyard onto the outside resident patio area creating a tripping hazard. Other allegations were not substantiated due to lack of evidence.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Outside patio space was unsafe due to falling apples creating a tripping hazard and uneven concrete surfaces. | Severity: 2 |
| Facility failed to develop an infection control program and corresponding policies to prevent and control infections. | Severity: 2 |
| Facility lacked a written emergency preparedness plan at the time of the survey. | Severity: 2 |
| Primary and secondary infection control personnel lacked required documented infection control training of 15 hours. | Severity: 2 |
Report Facts
Licensed beds: 5
Residents present: 4
Complaint investigated: 1
Resident files reviewed: 4
Employee files reviewed: 2
Infection control training hours required: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Freda Castro | Administrator | Named in relation to infection control deficiencies and facility administration |
Inspection Report
Re-Inspection
Census: 4
Capacity: 5
Deficiencies: 10
Dec 27, 2022
Visit Reason
This inspection was a grading re-survey State Licensure survey conducted to assess compliance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A. Multiple deficiencies were identified related to administrator responsibilities, personnel files, medication storage, maintenance of resident files, Alzheimer’s care endorsement, placard display, discrimination prohibition, and annual resident assessments.
Severity Breakdown
C: 2
E: 1
D: 5
F: 1
1: 1
Deficiencies (10)
| Description | Severity |
|---|---|
| Administrator's Responsibilities - Designation - NAC 449.194: Failure to designate employees in charge during administrator absence with required access and posting. | C |
| Administrator's Responsibilities - Complete Records - NAC 449.194: Failure to ensure facility records are complete and accurate. | E |
| Personnel File - TB Screening - NAC 449.200: Personnel files lacked required health certificates. | D |
| Medication Storage - NAC 449.2748: Medication not stored in locked, secure areas as required. | F |
| Maintenance and Contents of Separate File - NAC 449.2749: Resident files not properly maintained or secured with required medical statements. | D |
| Maintenance and Contents of Separate File - NAC 449.2749: Lack of evidence of compliance with provisions of chapter 441A of NRS and related regulations. | D |
| Alzheimer’s Care Application for Endorsement - NAC 449.2754: Failure to obtain required endorsement for care of residents with Alzheimer’s disease. | D |
| Placard Display - NAC 449.27704: Failure to conspicuously display the letter grade placard from the last annual State Licensure survey. | 1 |
| Discrimination prohibited. | C |
| Annual Assessment of History of Each Resident. | D |
Report Facts
Licensed beds: 5
Census: 4
Severity 1 deficiency: 1
Severity C deficiencies: 2
Severity D deficiencies: 5
Severity E deficiencies: 1
Severity F deficiencies: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Freda Castro | Administrator | Signed the report and named as administrator responsible for compliance |
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 8
Sep 1, 2022
Visit Reason
The inspection was conducted as an annual State Licensure survey of the Pleasant Care Group Home to assess compliance with NAC 449, Residential Facilities for Groups.
Findings
The facility received a grade of C with multiple deficiencies identified including failure to designate an employee in charge during the administrator's absence, incomplete resident clinical records, failure to ensure annual TB testing for residents and employees, unsecured medications, lack of Alzheimer's endorsement for residents with dementia, and failure to post the current nondiscrimination statement.
Severity Breakdown
Level 1: 2
Level 2: 6
Deficiencies (8)
| Description | Severity |
|---|---|
| Facility failed to designate in writing one or more employees to oversee the facility during the Administrator's absence. | Level 1 |
| Administrator failed to ensure resident clinical records were complete for 2 of 5 sampled residents, including incomplete Physician Placement Determination and late annual TB test. | Level 2 |
| Facility failed to ensure employees met tuberculosis testing requirements; one employee lacked documented evidence of annual TB test. | Level 2 |
| Medications were found unsecured on the kitchen counter for all 5 residents. | Level 2 |
| Facility failed to ensure a resident with dementia had a standard placement determination accurately completed by a provider upon admission. | Level 2 |
| Facility failed to obtain an Alzheimer's endorsement to provide care to residents with Alzheimer's disease or related dementia for 1 of 5 residents. | Level 2 |
| Facility failed to post the current nondiscrimination statement for residents to view. | Level 1 |
| Administrator failed to ensure a resident with dementia had a standard placement determination completed by a provider to ensure appropriate level of care. | Level 2 |
Report Facts
Facility licensed beds: 5
Resident census: 5
Deficiency severity counts: 8
Resurvey application fee: 600
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Freda Torio Castro | Administrator | Named as facility administrator responsible for corrective actions |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 5
Deficiencies: 0
Mar 9, 2022
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding allegations that a resident was not receiving podiatry care and was being socially isolated.
Findings
The investigation included observations, interviews, and record reviews, and found that the allegations could not be substantiated. No regulatory deficiencies were identified.
Complaint Details
Complaint #NV00065220 involved two allegations: 1) Resident was not receiving podiatry care, and 2) Resident was being socially isolated. Both allegations were not substantiated.
Report Facts
Complaint count: 1
Sample size: 5
Inspection Report
Annual Inspection
Census: 4
Capacity: 5
Deficiencies: 5
Sep 15, 2021
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with Nevada Administrative Code (NAC) 449 for Residential Facilities for Groups.
Findings
The facility was found deficient in several areas including employee background checks, CPR and first aid certification equivalency, meal service timing, annual physical examinations for residents, and medication profile reviews. The facility received a grade of B and corrective actions were initiated for all deficiencies.
Severity Breakdown
Level 2: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 3 employees met background check requirements; employee's clearance was under a different facility account. | Level 2 |
| Failed to ensure 2 of 3 employees maintained current CPR and first aid training equivalent to American Red Cross standards. | Level 2 |
| Failed to serve meals and drinks based on posted meal times impacting all 4 residents. | Level 2 |
| Failed to ensure an annual physical examination with review of systems signed by a medical professional was completed for 1 of 4 residents. | Level 2 |
| Failed to ensure medication profile review was completed at least once every six months for 1 of 4 residents; medication review was delayed over 10 months. | Level 2 |
Report Facts
Licensed beds: 5
Residents present: 4
Employees reviewed: 3
Resident files reviewed: 4
Deficiency severity counts: 5
Inspection Report
Routine
Census: 5
Capacity: 5
Deficiencies: 1
Sep 3, 2020
Visit Reason
This inspection was conducted as a State Licensure COVID-19 Infection Control and Prevention Plan Survey to assess the facility's compliance with infection control requirements related to COVID-19.
Findings
The facility had documented components of an Infection Control and Prevention Plan but lacked a cohort plan for managing residents who tested positive or were exposed to COVID-19. The Administrator was unable to provide a cohort plan during the survey.
Severity Breakdown
Severity: 1: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide a cohort plan ready to be implemented if a resident tested positive or was exposed to COVID-19. | Severity: 1 |
Report Facts
Licensed beds: 5
Census: 5
Severity level: 1
Scope: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Freda Castro | Administrator | Named as the Administrator who was unable to provide a cohort plan during the survey. |
Inspection Report
Routine
Census: 5
Capacity: 5
Deficiencies: 0
Jul 30, 2020
Visit Reason
This inspection was conducted as a State Licensure COVID-19 Infection Control and Prevention Plan Survey to assess the facility's compliance with infection control requirements.
Findings
No regulatory deficiencies were identified; however, the facility did not have a documented Infection Control and Prevention Plan. Resources were provided and the Administrator committed to having a plan documented and ready for follow-up by 08/27/20.
Report Facts
Licensed beds: 5
Census: 5
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 1
Jul 29, 2020
Visit Reason
This inspection was an annual State Licensure survey conducted to assess compliance with NAC 449, Residential Facilities for Groups regulations.
Findings
The facility failed to ensure that Activities of Daily Living (ADL) Assessments were completed upon admission and annually thereafter for 2 of 5 sampled residents. The facility received a grade of A overall.
Severity Breakdown
E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to maintain up-to-date Activities of Daily Living (ADL) Assessments for residents, specifically missing annual ADL assessments for Resident #3 and Resident #4 for 2020. | E |
Report Facts
Residents sampled: 5
Employee files reviewed: 3
Licensed capacity: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Freda T Castro | Administrator | Named in relation to findings about missing ADL assessments and facility record maintenance |
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 2
Aug 5, 2015
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with regulatory requirements for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of A but had deficiencies including failure to ensure one of three employees met background check requirements and failure to ensure one of five residents had a complete and accurate Medication Administration Record (MAR).
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure 1 of 3 employees met the requirements for background checks. | Severity: 2 |
| Failure to ensure 1 of 5 residents had a complete and accurate Medication Administration Record (MAR). | Severity: 2 |
Report Facts
Number of employees reviewed: 3
Number of resident files reviewed: 5
Facility licensed capacity: 5
Current census: 5
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 6
Feb 18, 2014
Visit Reason
This annual State Licensure grading survey was conducted to assess compliance with state regulations for a residential facility providing care for elderly or disabled persons.
Findings
The facility received a grade of B with multiple deficiencies identified including failure to maintain clean and well-maintained premises, impaired sprinkler and fire alarm systems, improper medication administration and storage, and unsecured resident files.
Severity Breakdown
Level 2: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Facility failed to ensure the interior and exterior were well maintained and clean, including lint build-up, dirty bathrooms, broken toilet paper holder, and a portable toilet filled with urine. | Level 2 |
| Administrator failed to ensure the sprinkler system was in working order; impairments noted due to outdated water gages and water flow switch not activating alarm. | Level 2 |
| Facility failed to ensure the fire alarm and sprinkler system were working properly; impairments due to phone system issues and sprinkler system defects. | Level 2 |
| Facility failed to ensure medications were not administered without medical assessment for PRN medication (Resident #4). | Level 2 |
| Facility failed to ensure medications were stored in a locked container; medication cabinet and resident medications were unlocked. | Level 2 |
| Facility failed to ensure resident files were stored in a locked cabinet; files were observed unsecured on a desk. | Level 2 |
Report Facts
Facility licensed beds: 5
Resident census: 5
Severity level 2 deficiencies: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver #2 | Acknowledged bathroom cleanliness issues and agreed to medication storage findings | |
| Administrator | Unaware of sprinkler system impairments and acknowledged medication administration finding | |
| Administrator's husband | Reported phone system issue interfering with fire alarm |
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 6
Feb 18, 2014
Visit Reason
The inspection was an annual State Licensure grading survey conducted to assess compliance with health and safety regulations for a residential facility licensed for five beds.
Findings
The facility received a grade of B with multiple deficiencies identified including issues with cleanliness and maintenance, sprinkler system impairments, fire alarm and sprinkler system malfunctions, medication administration errors, medication storage problems, and resident file storage deficiencies.
Severity Breakdown
Severity: 2 Scope: 3: 4
Severity: 2 Scope: 1: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Facility failed to ensure the interior and exterior were well maintained and clean, including lint buildup, dirty shower floors, broken toilet paper holder, and urine-filled portable toilet. | Severity: 2 Scope: 3 |
| Sprinkler system was not in working order due to impairments on water gages older than five years and water flow switch not setting off alarm. | Severity: 2 Scope: 3 |
| Fire alarm and sprinkler system were not working properly; impairments documented and phone system interfering with fire alarm. | — |
| Failure to ensure medications were administered only after medical assessment; Resident #4 was prescribed ibuprofen but medication was discontinued without proper assessment. | Severity: 2 Scope: 1 |
| Medications were not kept in locked containers; unlocked medications found in resident and caregiver rooms. | Severity: 2 Scope: 3 |
| Resident files were not stored in locked cabinets and lacked proper documentation of progress notes. | Severity: 2 Scope: 3 |
Report Facts
Licensed beds: 5
Resident census: 5
Severity 2 Scope 3 deficiencies: 4
Severity 2 Scope 1 deficiencies: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Linda T. Castro | Administrator | Named in relation to multiple findings including failure to maintain facility, sprinkler system issues, medication administration, medication storage, and resident file storage |
Inspection Report
Annual Inspection
Census: 4
Capacity: 5
Deficiencies: 0
Nov 6, 2012
Visit Reason
This document is the result of an annual State Licensure survey conducted at the facility on 11/6/2012 to assess compliance with state regulations.
Findings
No regulatory deficiencies were identified during the inspection. The facility received a grade of A and no further action was necessary.
Report Facts
Resident files reviewed: 4
Employee files reviewed: 2
Inspection Report
Complaint Investigation
Census: 5
Capacity: 5
Deficiencies: 6
Jul 16, 2012
Visit Reason
This inspection was conducted as a result of a complaint investigation between 6/22/12 and 7/12/12 regarding allegations of abuse, neglect, and failure to provide needed services at Pleasant Care Group.
Findings
The investigation substantiated multiple deficiencies including failure of the administrator to provide adequate oversight, resulting in abuse and neglect of residents, unsanitary conditions, failure to obtain hospice services for a bedfast resident, and admission of residents not appropriate for the facility's licensure.
Complaint Details
Complaint #NV00032200 was substantiated. The complaint involved allegations of abuse, neglect, and failure to provide needed services to residents, including physical abuse by staff and unsanitary conditions.
Severity Breakdown
Severity: 3: 2
Severity: 2: 4
Deficiencies (6)
| Description | Severity |
|---|---|
| Administrator failed to provide oversight and direction to ensure 4 of 5 residents received needed services and protective supervision. | Severity: 3 |
| Facility failed to ensure premises were clean and well maintained; bedside commode not emptied regularly, stagnant water in bathtub. | Severity: 2 |
| Resident #2 was abused and neglected by staff, including physical abuse by Employee #3 who admitted to kicking the resident in the head. | Severity: 3 |
| Residents #2 and #3 were not treated with respect and dignity. | Severity: 2 |
| Failure to obtain hospice services for a bedfast resident (Resident #1). | Severity: 2 |
| Facility admitted and retained residents not appropriate for licensure, including a bedfast resident without hospice and a resident with Alzheimer's disease without proper endorsement. | Severity: 2 |
Report Facts
Residents present: 5
Total licensed capacity: 5
Severity 3 deficiencies: 2
Severity 2 deficiencies: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #3 | Admitted to kicking Resident #2 in the head and verbally abusing residents |
Inspection Report
Complaint Investigation
Capacity: 5
Deficiencies: 7
Jul 12, 2012
Visit Reason
This inspection was conducted as a complaint investigation between 2012-06-22 and 2012-07-12 following complaint #NV00032200 which was substantiated.
Findings
The facility was found deficient in multiple areas including administrator oversight, health and sanitation, resident rights, and hospice care. Specific findings included failure to provide needed services and supervision, physical and verbal abuse of residents, inadequate cleaning and maintenance, and failure to obtain hospice services for a bedfast resident.
Complaint Details
Complaint #NV00032200 was substantiated. The investigation found multiple violations including abuse, neglect, and failure to provide hospice services.
Severity Breakdown
Severity: 3: 2
Severity: 2: 3
Deficiencies (7)
| Description | Severity |
|---|---|
| Administrator failed to provide oversight and direction to ensure residents received needed services and protective supervision. | — |
| Facility failed to ensure premises were clean and well maintained, including unemptied commode and stagnant bath water. | Severity: 3 |
| Residents were subjected to physical and verbal abuse and threats by staff. | — |
| Facility failed to ensure residents were not abused, neglected, or exploited by staff or others. | Severity: 3 |
| Residents were not treated with respect and dignity. | Severity: 2 |
| Facility failed to obtain hospice services for a bedfast resident. | Severity: 2 |
| Facility failed to ensure residents admitted were appropriate for licensure, including those with Alzheimer's disease without endorsement. | Severity: 2 |
Report Facts
Licensed capacity: 5
Residents affected: 4
Severity 3 deficiencies: 2
Severity 2 deficiencies: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #3 | Reported kicking Resident #2 in the head and subjected residents to verbal abuse and threats | |
| Employee #4 | Involved in verbal abuse and was suspended/terminated |
Inspection Report
Annual Inspection
Capacity: 5
Deficiencies: 0
Dec 13, 2011
Visit Reason
This Statement of Deficiencies was generated as a result of a self-attestation questionnaire in lieu of a 2011 annual survey because the facility was in good standing with no major regulatory deficiencies in the 2010 annual survey.
Findings
The questionnaire indicated the facility was in regulatory compliance and will receive a grade of A. No further action is necessary.
Inspection Report
Annual Inspection
Census: 4
Capacity: 5
Deficiencies: 3
Dec 28, 2010
Visit Reason
The inspection was conducted as a result of an annual grading survey and a complaint investigation at Pleasant Care Group from 12/13/10 to 12/28/10.
Findings
The facility was found to have deficiencies related to licensing multiple types of residential care and failure to obtain endorsement to admit or retain Category II residents. The complaint regarding inappropriate level of care was substantiated. The facility received a grade of A.
Complaint Details
Complaint #NV00027159 regarding inappropriate level of care was substantiated with deficiencies.
Severity Breakdown
Severity: 2: 2
Severity: 1: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to obtain an endorsement to admit or retain a Category II resident. | Severity: 2 |
| Facility failed to submit required paperwork requesting a waiver to admit a bedfast person receiving hospice care for 1 of 4 residents. | Severity: 2 |
| Facility failed to post the rates for provided services. | Severity: 1 |
Report Facts
Residents present: 4
Licensed capacity: 5
Severity 2 deficiencies: 2
Severity 1 deficiencies: 1
Inspection Report
Annual Inspection
Census: 4
Capacity: 5
Deficiencies: 3
Dec 28, 2010
Visit Reason
The inspection was conducted as an annual grading survey combined with a complaint investigation regarding inappropriate level of care.
Findings
The facility was found to have deficiencies related to licensing for resident categories, failure to obtain required endorsements for a Category II resident, failure to submit exemption requests for a bedfast hospice resident, and failure to post rates for provided services. The facility received a grade of A.
Complaint Details
Complaint #NV00027159 regarding inappropriate level of care was substantiated with deficiencies.
Severity Breakdown
Severity: 2: 2
Severity: 1: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility was caring for a resident requiring assistance to transfer without obtaining an endorsement to admit or retain a Category II resident. | Severity: 2 |
| Facility failed to submit required paperwork requesting a waiver to admit a bedfast person receiving hospice care. | Severity: 2 |
| Facility failed to post the rates for provided services. | Severity: 1 |
Report Facts
Licensed beds: 5
Residents present: 4
Severity 2 deficiencies: 2
Severity 1 deficiencies: 1
Inspection Report
Annual Inspection
Census: 4
Capacity: 5
Deficiencies: 3
Dec 29, 2009
Visit Reason
This document is the result of an annual State Licensure survey conducted at the facility on 12/29/2009 to assess compliance with state regulations for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of A but had deficiencies related to kitchen sanitation and food storage, as well as caregiver training. Specifically, the kitchen was not clean and sanitary, food was improperly stored with detergents, and one caregiver lacked timely first aid and CPR training.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| The food preparation area was not clean allowing for sanitary preparation of food; kitchen counter was damaged and held closed with dirty tape; undersink particle board was dirty, crumbling, and bent. | Severity: 2 |
| Food (rice) was stored where soaps and detergents were also stored under the kitchen sink. | Severity: 2 |
| One of three caregivers did not receive first aid and CPR training within 30 days of employment. | Severity: 2 |
Report Facts
Licensed beds: 5
Current census: 4
Employee files reviewed: 3
Resident files reviewed: 4
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