Inspection Reports for Rainbow Connections Group Care Home

One complaint (#NV00072490) was substantiated with no deficient practice found. The investigation included observations of resident access to outdoor areas, facility cleanliness, door alarm functions, staff interactions, and document reviews.

The facility received a grade of A with no deficiencies identified related to the complaint investigation. However, multiple deficiencies were found related to personnel files, training, and facility maintenance including missing annual TB tests for 4 of 5 employees, missing background check for 1 employee, lack of first aid training for 1 caregiver, insufficient caregiver staffing during waking hours, lack of cultural competency training for all employees, missing resident preferred pronoun and gender expression documentation, and incomplete infection control training for 3 staff members.

The facility was found deficient in multiple areas including failure to ensure annual tuberculosis testing for employees, incomplete background checks, lack of first aid training for one caregiver, inadequate cleanliness and maintenance of the facility, insufficient caregiver staffing during waking hours, lack of cultural competency training for all employees, missing documentation of residents' preferred pronouns and gender expression, and incomplete infection control training for several staff members.

Two deficiencies were identified: the facility failed to provide the required minimum storage space per resident in a bedroom, and failed to ensure a medication was onsite and administered as prescribed for one resident.

The facility was found to be in compliance overall and received a grade of A. However, a deficiency was identified related to the facility's failure to maintain temperatures between 68 and 82 degrees Fahrenheit, with temperatures reaching 86 degrees due to a malfunctioning air conditioning unit.

The facility received a grade of A. One deficiency was identified related to personnel files where one of three employees did not have a current CPR certification. The Administrator was unable to provide documentation of current CPR certification for Employee #3.

The facility received a grade of A. One deficiency was identified related to the failure to designate in writing an employee to be in charge during the Administrator's absence. This was a repeat deficiency from a prior complaint investigation.

The facility received a grade of A. One deficiency was identified related to caregiver medication management training where one caregiver had an expired medication training certificate and had not completed the required annual refresher training.

The facility received a grade of A but had several deficiencies including failure to ensure three employees complied with criminal background check requirements, failure to ensure prescribed as needed medication contained specific symptoms for administration, and failure to ensure one employee completed Alzheimer's training prior to client care.

Complaint #NV00045707 containing two allegations was substantiated: failure to ensure staff obtained annual Tuberculin test and failure to maintain hire dates in employee files.

The investigation substantiated two allegations: failure to ensure staff obtained annual Tuberculin tests and failure to maintain hire dates in employee files. Deficiencies were found in documentation for multiple employees, including missing hire dates and incomplete TB testing records.

Complaint #NV00045707 containing two allegations was substantiated: failure to ensure staff obtained annual Tuberculin tests and failure to maintain hire dates in employee files.

The investigation substantiated two allegations: the facility failed to document hire dates in personnel files for 3 of 4 employees and failed to ensure 1 of 4 employees met tuberculosis testing requirements. The Administrator's file was inaccessible, and the annual TB test for one employee was completed two months late.

The facility received a grade of A. Deficiencies were identified related to personnel files and tuberculosis testing documentation, as well as fire safety including smoke detector tests and fire drills. Corrective actions and plans of correction were submitted and accepted.

The facility received a grade of A but had deficiencies including failure to maintain required tuberculosis health certificates for one employee and failure to document monthly smoke detector checks and fire drills for November 2015.

The facility received a grade of A but was found deficient in maintaining personnel files with required background checks for employees. Specifically, one of four employees did not have documented evidence of fingerprints or State and FBI background checks as required.

The facility received a grade of A but was found deficient for failing to ensure that 1 of 4 employees met background check requirements, specifically lacking documented evidence of fingerprints or State and FBI background checks.

The facility received a grade of A. One deficiency was identified related to failure to ensure that 1 of 5 residents received annual physical examinations as required.

The facility received a grade of A but was found deficient in ensuring annual physical examinations for residents, with one of five residents missing exams for 2012 and 2013.