Inspection Reports for Rainbow Connections Group Care Home

The inspection was conducted as a mandatory regrading survey and complaint investigation at the facility on 11/20/24, in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

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.

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 inspection was conducted as an annual State Licensure survey of the facility in accordance with NAC 449, Residential Facilities for Groups.

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.

The inspection was an annual State Licensure survey conducted on 07/06/2023 in accordance with NAC 449, Residential Facilities for Groups.

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 inspection was conducted as an annual State Licensure survey, including a bed increase request and an infection control survey.

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 inspection was conducted as an offsite complaint investigation regarding visitation restrictions during the COVID-19 pandemic.

One complaint was substantiated without regulatory deficiencies; visitation was restricted due to COVID-19 with alternative virtual visitation methods in place, and essential healthcare personnel were allowed entrance with PPE. No regulatory deficiencies were identified and no further action was necessary.

Complaint #NV00065583 with one allegation was substantiated without regulatory deficiencies. The allegation was that the facility was restricting in-person visitation due to a COVID-19 surge.

This inspection was conducted as an annual State Licensure and infection control survey of the facility in accordance with NAC 449, Residential Facilities for Groups.

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 inspection was a COVID-19 focused infection control, State Licensure survey initiated at the facility on 10/15/2020 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

The facility was found to be compliant with no regulatory deficiencies identified. Observations included proper COVID-19 screening, social distancing, PPE availability, staff training, and infection control procedures.

The inspection was conducted as an annual State Licensure survey of the facility in accordance with NAC 449, Residential Facilities for Groups.

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 inspection was conducted as a result of an annual survey and a complaint investigation at the facility on 10/16/18, in accordance with Nevada Administrative Code Chapter 449.

The facility received a grade of A with no regulatory deficiencies identified. The complaint allegations investigated could not be substantiated, and no further action was necessary.

One complaint (#NV00055042) was investigated with five allegations including discharge instructions not followed, resident left naked, caregiver not wearing gloves, and bruises on a resident. None of the allegations were substantiated.

This inspection was conducted as an annual State Licensure survey of the facility to assess compliance with regulatory requirements.

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 inspection was conducted as a complaint investigation triggered by Complaint #NV00048110 alleging unqualified staff.

The complaint allegations were not substantiated after review of three employee files and an interview with the owner. No deficiencies were identified during the survey and no further action was necessary.

Complaint #NV00048110 alleging unqualified staff was investigated and found unsubstantiated.

This annual State Licensure survey was conducted to assess compliance with state regulations for the Rainbow Connections Group Care Home.

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.

This inspection was conducted as a complaint investigation on 05/17/16 following allegations related to staff compliance with tuberculosis testing and personnel file documentation.

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 test and failure to maintain hire dates in employee files.

The inspection was conducted as a result of a complaint investigation on 05/17/2016 regarding allegations of 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.

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

This inspection was conducted as an annual State Licensure survey to assess compliance with state regulations for a Residential Facility for Group beds providing care to persons with Alzheimer's disease.

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.

This annual State Licensure survey was conducted to assess compliance with state regulations for a Residential Facility for Group beds providing care to persons with Alzheimer's disease.

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 inspection was conducted as an annual State Licensure survey to assess compliance with regulations for a Residential Facility for Group beds providing care to persons with Alzheimer's disease, Category II residents.

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.

This visit was an annual State Licensure survey conducted to assess compliance with state regulations for the facility licensed to provide care to persons with Alzheimer's disease.

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 inspection was conducted as a State Licensure annual grading survey to assess compliance with regulatory requirements for the facility.

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 inspection was conducted as a State Licensure annual grading survey to assess compliance with regulatory requirements for a residential facility providing care to persons with Alzheimer's disease.

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.