Inspection Reports for Rainbow Adult Care

1823 Belcastro Street, Las Vegas, NV 89117, NV, 89117

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Deficiencies per Year

8 6 4 2 0
2019
2020
2021
2022
2023
2024
2025
Severe High Moderate Low Unclassified

Census Over Time

0 4 8 12 16 Sep '19 Feb '21 Jun '21 Feb '23 Jul '24 May '25
Census Capacity
Inspection Report Complaint Investigation Census: 10 Deficiencies: 0 May 15, 2025
Visit Reason
The inspection was conducted as a complaint investigation survey initiated at the facility on 05/15/25 and completed offsite on 07/08/25, related to a complaint identified as #NV00073869.
Findings
The complaint was unsubstantiated with no regulatory deficiencies identified. Observations, interviews, clinical record reviews, and document reviews were conducted with no deficiencies found.
Complaint Details
One complaint (#NV00073869) was investigated and found to be unsubstantiated.
Report Facts
Census: 10 Sample size: 1
Inspection Report Annual Inspection Census: 10 Capacity: 10 Deficiencies: 2 Jan 15, 2025
Visit Reason
The inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility was found deficient in ensuring annual person-centered service plans for residents and infection control training for unlicensed caregivers. Four residents lacked annual service plans, and one employee lacked infection control training through a nationally recognized course.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
DescriptionSeverity
Failure to ensure an annual person-centered service plan was completed for 4 of 4 residents reviewed.Severity: 2
Failure to ensure 1 of 1 employees received infection control training through a nationally recognized course.Severity: 2
Report Facts
Residents reviewed: 10 Employee files reviewed: 5 Residents lacking annual service plans: 4 Employees lacking infection control training: 1
Employees Mentioned
NameTitleContext
Faith Shari RamosAdministratorAdministrator confirmed missing annual service plans and acknowledged infection control training requirements
Inspection Report Complaint Investigation Census: 9 Capacity: 10 Deficiencies: 1 Jul 8, 2024
Visit Reason
The inspection was conducted as a complaint investigation survey triggered by Complaint #NV00071630, which was substantiated. The investigation included observations, interviews, and a tour of the facility.
Findings
The facility failed to maintain temperatures at or below 82 degrees Fahrenheit, with recorded temperatures exceeding 90 degrees in several rooms, creating an Immediate Jeopardy situation. The issue was corrected by repairing the HVAC system and temporarily relocating residents until temperatures were stabilized.
Complaint Details
Complaint #NV00071630 was substantiated. The complaint investigation found the facility temperature exceeded regulatory limits, posing risk to residents. Immediate Jeopardy was identified and later abated after corrective actions.
Severity Breakdown
SS= F: 1
Deficiencies (1)
DescriptionSeverity
Failure to maintain facility temperature at or below 82 degrees Fahrenheit as required by NAC 449.209.SS= F
Report Facts
Facility licensed beds: 10 Census at time of survey: 9 Temperature readings: 92.8 Temperature readings: 93.5 Temperature readings: 91.5 Temperature readings: 86.9 Temperature readings: 79.5 Temperature readings: 85.6
Employees Mentioned
NameTitleContext
Faith S RamosAdministratorAdministrator interviewed and acknowledged temperature issues; signed the report
Inspection Report Annual Inspection Census: 10 Capacity: 10 Deficiencies: 2 Jan 9, 2024
Visit Reason
The inspection was conducted as an annual State Licensure and Complaint Investigation survey 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 from the complaint investigation. However, two deficiencies were cited: failure to obtain a bedfast waiver for one resident and failure to ensure the secondary infection control designee completed required infection control training.
Complaint Details
One complaint (Complaint #NV00069772) was investigated but could not be verified. No regulatory deficiencies were identified related to the complaint.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
DescriptionSeverity
Facility failed to obtain a waiver to retain a resident who is bedfast (Resident #4).Severity: 2
Facility failed to ensure the secondary infection control designee (Employee #4) completed 15 hours of infection control training.Severity: 2
Report Facts
Residents present: 10 Total licensed capacity: 10 Resident files reviewed: 11 Employee files reviewed: 4 Infection control training hours required: 15
Employees Mentioned
NameTitleContext
Faith Shari RamosAdministratorConfirmed lack of bedfast waiver and infection control training documentation; named in findings
Inspection Report Annual Inspection Census: 10 Capacity: 10 Deficiencies: 0 Feb 14, 2023
Visit Reason
This inspection was conducted as an annual State Licensure and infection control survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A after review of ten resident files and four employee files.
Report Facts
Resident files reviewed: 10 Employee files reviewed: 4
Inspection Report Annual Inspection Census: 8 Capacity: 10 Deficiencies: 1 Feb 16, 2022
Visit Reason
The 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 one regulatory deficiency related to failure to obtain a medical exemption for a bedfast resident. The facility received a grade of A overall.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
DescriptionSeverity
Failure to ensure a medical exemption was obtained for a resident who was bedfast (Resident #1).Severity: 2
Report Facts
Licensed beds: 10 Category II residents: 6 Category I residents: 4 Resident census: 8 Employee files reviewed: 5 Resident files reviewed: 8
Inspection Report Complaint Investigation Census: 5 Capacity: 10 Deficiencies: 0 Jun 3, 2021
Visit Reason
The inspection was conducted as a result of a complaint investigation at the facility on 06/03/21, triggered by Complaint #NV00063982 with six allegations.
Findings
The investigation found all six allegations to be unsubstantiated after review of resident files, employee files, interviews, and observations. No regulatory deficiencies were identified and no further action was necessary.
Complaint Details
Complaint #NV00063982 with six allegations was investigated and found unsubstantiated. Allegations included failure to report a change of condition after a fall, failure to supervise residents regarding alcohol consumption, failure to conduct TB and COVID-19 screenings prior to admission, allowing non-qualified caregivers to administer medications, and failure to meet caregiving needs.
Report Facts
Licensed beds: 10 Category II residents: 6 Category I residents: 4 Sample size: 6 Complaints investigated: 1 Allegations: 6
Inspection Report Annual Inspection Census: 6 Capacity: 10 Deficiencies: 2 Apr 15, 2021
Visit Reason
The 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 regulatory deficiencies including failure to obtain a bedfast waiver for one resident and failure to ensure annual tuberculosis testing documentation for another resident. The facility received a grade of A overall.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
DescriptionSeverity
Facility failed to obtain a bedfast waiver for Resident #6 who was unable to reposition without assistance.Severity: 2
Facility failed to ensure annual tuberculosis testing documentation for Resident #4 for the year 2021.Severity: 2
Report Facts
Licensed beds: 10 Census: 6 Deficiencies cited: 2
Employees Mentioned
NameTitleContext
Frederick D BrownAdministratorSigned as Laboratory Director's or Provider/Supplier Representative
Inspection Report Renewal Census: 5 Capacity: 6 Deficiencies: 0 Feb 4, 2021
Visit Reason
The inspection was conducted as a State Licensure bed increase survey to evaluate the facility's application to increase licensed beds from six to ten.
Findings
No regulatory deficiencies were identified during the survey, and no further action is needed.
Report Facts
Licensed beds: 6 Requested bed increase: 4 Census: 5
Inspection Report Complaint Investigation Census: 6 Capacity: 6 Deficiencies: 3 Nov 10, 2020
Visit Reason
The inspection was conducted as a result of a complaint investigation triggered by Complaint #NV0062328 with two allegations regarding the facility's swimming pool pollution and the assessment of a resident with dementia exhibiting exit seeking behaviors.
Findings
The investigation substantiated the complaint that a resident with dementia exhibiting exit seeking behaviors was not assessed for appropriate continued placement, resulting in deficiencies. The pool pollution allegation was substantiated but no deficiencies were found as the pool was clean and repairs were documented. Additional unrelated deficiencies were also identified.
Complaint Details
Complaint #NV0062328 with two allegations was substantiated. Allegation #1 regarding the swimming pool pollution was substantiated with no deficiencies. Allegation #2 regarding a resident with dementia exhibiting exit seeking behaviors and lack of assessment for continued placement was substantiated with deficiencies cited.
Severity Breakdown
Level 2: 3
Deficiencies (3)
DescriptionSeverity
The facility failed to ensure the pool gate was secured properly, posing a safety hazard.Level 2
The facility failed to ensure a resident with dementia was re-evaluated by a physician due to changes in cognition and appropriate placement was not assessed.Level 2
The facility failed to generate an incident report when the resident exhibited confusion and exit seeking behaviors.Level 2
Report Facts
Sample size: 6 Licensed capacity: 6 Complaints investigated: 1 Allegations substantiated: 2
Inspection Report Annual Inspection Census: 4 Capacity: 4 Deficiencies: 6 Sep 25, 2019
Visit Reason
The inspection was an annual state licensure survey initiated on 09/25/19 to assess compliance with Nevada Administrative Code (NAC) Chapter 449 for a Residential Facility for Groups.
Findings
The facility was found deficient in multiple areas including failure to document menu substitutions, provide adequate activities for residents, maintain residents' rights and privacy, secure oxygen tanks, provide medical care after illness, and properly administer medications. Severity levels ranged from 1 to 2 across deficiencies.
Severity Breakdown
Level 1: 1 Level 2: 5
Deficiencies (6)
DescriptionSeverity
Failure to document substitutions made to the daily menu for 4 of 4 residents.Level 1
Failure to provide activities of interest to 4 of 4 residents.Level 2
Failure to ensure privacy was maintained for 1 of 4 residents.Level 2
Failure to secure oxygen tanks for 1 of 4 residents.Level 2
Failure to provide medical care after illness including nail care for 1 of 4 residents.Level 2
Failure to ensure medication was given in accordance with physician's orders for 1 of 4 residents.Level 2
Report Facts
Residents present: 4 Licensed capacity: 4 Severity 1 deficiencies: 1 Severity 2 deficiencies: 5

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