Inspection Reports for Rosario’s Group Home
2885 Red Rock St, Las Vegas, NV 89146, NV, 89146
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 7
Capacity: 8
Deficiencies: 1
Nov 26, 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
The facility failed to develop person-centered service plans for all seven residents whose files were reviewed. This deficiency was confirmed by record review and interview with the Administrator.
Severity Breakdown
Severity: 1: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to develop a person-centered service plan for 7 of 7 residents. | Severity: 1 |
Report Facts
Resident files reviewed: 7
Employee files reviewed: 4
Facility licensed beds: 8
Current census: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rosario Ramirez | Administrator | Administrator confirmed the absence of person-centered service plans for all residents |
Inspection Report
Annual Inspection
Census: 5
Capacity: 8
Deficiencies: 2
Nov 15, 2023
Visit Reason
This inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A but was found deficient in two areas: improper use of bed rails as restraints for one resident, and failure to obtain a required bedfast waiver for the same resident.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure bed rails were not used as a restraint for 1 of 5 residents; resident unable to lower bed rails independently. | Severity: 2 |
| Facility failed to obtain a waiver to maintain a bedfast resident; no approved bedfast waiver found for 1 of 5 residents. | Severity: 2 |
Report Facts
Licensed beds: 8
Resident census: 5
Deficiencies cited: 2
Inspection Report
Annual Inspection
Census: 6
Capacity: 8
Deficiencies: 0
Nov 2, 2022
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
The facility was found to have no regulatory deficiencies and received a grade of A. Six resident files and three employee files were reviewed during the survey.
Report Facts
Licensed beds: 8
Resident census: 6
Resident files reviewed: 6
Employee files reviewed: 3
Inspection Report
Annual Inspection
Census: 5
Capacity: 8
Deficiencies: 0
Nov 3, 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
No regulatory deficiencies were identified during the inspection. The facility received a grade of A and was provided guidance on compliance with nondiscrimination, privacy, cultural competency, and complaint policies.
Report Facts
Licensed beds: 8
Census: 5
Resident files reviewed: 5
Employee files reviewed: 3
Inspection Report
Abbreviated Survey
Census: 5
Capacity: 8
Deficiencies: 1
Nov 3, 2020
Visit Reason
This inspection was a COVID-19 focused infection control survey conducted to assess the facility's compliance with infection control practices during the pandemic.
Findings
The facility lacked a COVID-19 infection control policy, did not have N95 respirators available, and staff were not fit-tested or medically cleared to wear N95 masks. Guidance was provided to the administrator on infection control policies and obtaining proper PPE.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility lacked COVID-19 infection control policies and procedures; staff were not fit-tested or medically cleared to wear N95 respirators; no supply of N95 respirators available. | Severity: 2 |
Report Facts
Licensed beds: 8
Residents present: 5
Gloves: 100
Surgical masks: 50
Gowns: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rosario Ramirez | Administrator | Named as facility Administrator responsible for oversight and infection control |
Inspection Report
Annual Inspection
Census: 5
Capacity: 8
Deficiencies: 6
Feb 18, 2020
Visit Reason
This inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility was found to have multiple regulatory deficiencies including failure to meet background check requirements for employees, inadequate maintenance and sanitation of premises, incomplete medication administration records, unsecured medications, and missing annual Tuberculin testing for a resident.
Severity Breakdown
Level 2: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to ensure 2 of 3 employees met background check requirements; Employee #1 lacked current clearance letter and Employee #2 had undetermined status. | Level 2 |
| Facility failed to maintain clean and well-maintained premises including holes in yard, standing mop and water, dirty bathroom vent, and full urine container at bedside. | Level 2 |
| Failed to ensure medication review was completed at least once every six months for 1 of 5 residents (Resident #3). | Level 2 |
| Medication Administration Record (MAR) was inaccurate for 1 of 5 residents (Resident #1) with medication not documented. | Level 2 |
| Medications were not secured properly; prescribed tube of Clobetasol 0.05 cream found unsecured in bathroom drawer. | Level 2 |
| Failed to ensure annual Tuberculin (TB) testing was completed and documented for 1 of 5 residents (Resident #3). | Level 2 |
Report Facts
Licensed beds: 8
Current census: 5
Residents affected: 5
Employees reviewed: 3
Inspection Report
Annual Inspection
Census: 5
Capacity: 8
Deficiencies: 4
Mar 19, 2019
Visit Reason
This inspection was a State licensure annual survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A but had deficiencies including failure to ensure physician assessments for residents with Alzheimer's disease, missing medication availability per physician orders, lack of initial ADL evaluation for one resident, and failure to obtain Alzheimer's endorsement for care of residents with dementia.
Severity Breakdown
Severity: 2: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to ensure a resident with Alzheimer's Disease diagnosis was assessed by a physician for appropriate placement for 2 of 5 residents (Resident #3 and #5). | — |
| Failure to ensure medications were available and onsite per physician's orders for 1 of 5 residents (Resident #4). | Severity: 2 |
| Failure to ensure an initial assessment to determine a resident's functional abilities was completed for 1 of 5 residents (Resident #1). | Severity: 2 |
| Failure to obtain an endorsement for the provision of Alzheimer's Disease or related dementia care for 2 of 5 residents (Resident #3 and #5). | — |
Report Facts
Licensed beds: 8
Current census: 5
Resident files reviewed: 5
Employee files reviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rosario Ramirez | Administrator | Named in relation to findings and corrective actions |
Inspection Report
Annual Inspection
Census: 5
Capacity: 8
Deficiencies: 2
Mar 7, 2018
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with state regulations for a residential facility providing assisted living services.
Findings
The facility failed to ensure medication profile reviews were performed every six months for all residents, with reviews being late by several months. Additionally, medications were found unsecured in a resident's room. Corrective actions included scheduling medication reviews on a calendar and securing medications properly.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure medication profile review was performed by a qualified professional at least once every six months for all residents. | Severity: 2 |
| Failure to ensure medications were stored and secured in a locked area, with unsecured prescription creams found in a resident's room. | Severity: 2 |
Report Facts
Residents present: 5
Licensed capacity: 8
Medication review delays: 3
Prescription creams unsecured: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rosario Ramirez | Administrator | Named as responsible for ensuring medication reviews and medication storage compliance |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 8
Deficiencies: 0
Oct 16, 2017
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding an allegation that the facility failed to ensure a resident was not exploited.
Findings
The complaint investigation found that the allegation could not be substantiated. No regulatory deficiencies were identified and no further action was necessary.
Complaint Details
Complaint #NV00050485 was investigated and could not be substantiated. The investigation included interviews with the facility administrator regarding elder abuse policies.
Report Facts
Resident files reviewed: 5
Employee files reviewed: 2
Sample size: 8
Complaint count: 1
Inspection Report
Annual Inspection
Census: 5
Capacity: 8
Deficiencies: 0
Apr 17, 2017
Visit Reason
This inspection was conducted as an annual State Licensure survey of the facility to assess compliance with regulatory requirements.
Findings
The facility was found to be in compliance with no regulatory deficiencies identified. The facility received a grade of A.
Report Facts
Resident files reviewed: 5
Employee files reviewed: 2
Inspection Report
Annual Inspection
Census: 5
Capacity: 8
Deficiencies: 3
May 31, 2016
Visit Reason
This visit was an annual State Licensure survey conducted to assess compliance with regulatory standards for a residential care facility.
Findings
The facility received a grade of A but had deficiencies related to kitchen equipment cleanliness and condition, medication administration errors, and medication storage security. Corrective actions and plans were noted for each deficiency.
Severity Breakdown
Level 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| The range hood filter had grease buildup, one stove knob was missing and another cracked, and the stove interior had burnt food debris. | Level 2 |
| A medication was not administered following a physician's order for one resident. | Level 2 |
| Medications were stored unsecured in a kitchen cupboard during inspection. | Level 2 |
Report Facts
Deficiencies cited: 3
Facility licensed capacity: 8
Census: 5
Inspection Report
Annual Inspection
Census: 5
Capacity: 8
Deficiencies: 3
May 31, 2016
Visit Reason
This inspection was conducted as an annual State Licensure survey of Rosario's Group Home to assess compliance with state regulations for residential care facilities.
Findings
The facility received a grade of A but had several deficiencies including unclean and malfunctioning kitchen equipment, improper medication administration for one resident, and unsecured medication storage.
Severity Breakdown
2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| The kitchen appliances were not clean and in good working condition, including grease buildup on the range hood filter, missing and cracked stove knobs, and burnt food debris inside the stove. | 2 |
| A medication was not administered according to the physician's order for one resident (Resident #4). | 2 |
| Medications were stored unsecured in a kitchen cupboard that was unlocked. | 2 |
Report Facts
Resident census: 5
Total licensed capacity: 8
Deficiency severity: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #2 | Acknowledged findings related to kitchen equipment and medication storage | |
| Administrator | Acknowledged findings related to medication administration |
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 0
May 5, 2015
Visit Reason
This Statement of Deficiencies was generated as a result of an annual State Licensure survey conducted in the facility on 5/5/15 by the Division of Public and Behavioral Health.
Findings
The facility was reviewed for compliance with state licensure requirements, including review of five resident files and three employee files. The facility received a grade of A.
Inspection Report
Original Licensing
Capacity: 5
Deficiencies: 0
May 13, 2014
Visit Reason
This inspection was conducted as an initial State licensure survey for Rosario's Group Home to request licensure for five Residential Facility for Group beds for elderly and disabled persons.
Findings
No regulatory deficiencies were identified during the survey. No further action is necessary.
Report Facts
Total licensed capacity: 5
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