Inspection Reports for Ross Senior Residence
5935 W Saddle Ave, Las Vegas, NV 89103, NV, 89103
Back to Facility ProfileDeficiencies (last 11 years)
Deficiencies (over 11 years)
4.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
41% better than Nevada average
Nevada average: 7.1 deficiencies/year
Deficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
80% occupied
Based on a June 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Census: 4
Capacity: 5
Deficiencies: 6
Date: Jun 24, 2025
Visit Reason
This inspection was conducted as an annual State Licensure survey of the Residential Facility for Groups in accordance with Nevada Administrative Code Chapter 449.
Findings
The facility was found deficient in multiple areas including failure to conduct annual TB testing for an employee, lack of person-centered service plans for residents, failure to submit a medical exemption waiver for a resident with a Foley catheter, unsecured toxic substances accessible to residents, expired infection control training for designated staff, and incomplete infection control training for an unlicensed caregiver.
Deficiencies (6)
Failure to ensure an annual tuberculin (TB) test was conducted for 1 of 4 employees.
Failure to develop a person-centered service plan for 4 of 4 residents and failure to review the plan annually for one resident.
Failure to submit a medical exemption request for admitting and retaining a resident with a Foley catheter.
Failure to ensure toxic substances were stored out of reach of residents; multiple toxic chemicals found unsecured under kitchen sink.
Failure to ensure primary and secondary infection control staff completed required 15 hours of infection control training annually.
Failure to ensure 1 of 4 caregivers completed the required annual infection control training for unlicensed caregivers.
Report Facts
Licensed beds: 5
Current census: 4
Residents reviewed: 4
Employee files reviewed: 4
Deficiencies cited: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wendy Ramirez | Administrator | Named as Administrator and signer of the report |
| Employee #1 | Caregiver | Failed annual TB test and infection control training |
| Employee #2 | Caregiver | Provided Foley catheter care and acknowledged toxic substances |
| Employee #3 | Administrator | Primary infection control person with expired training |
| Employee #4 | Owner/Caregiver | Secondary infection control person with expired training |
Inspection Report
Complaint Investigation
Census: 3
Capacity: 5
Deficiencies: 0
Date: Mar 6, 2025
Visit Reason
The inspection was conducted as a result of a complaint investigation at the facility on 03/06/25, in accordance with Nevada Administrative Code, Chapter 449, Requirements for Residential Facilities for Groups.
Complaint Details
Three complaints (#NV00073459, #NV00073468, #NV00073612) were investigated and all were unsubstantiated with no regulatory deficiencies identified.
Findings
Three complaints were investigated and all were found to be unsubstantiated with no regulatory deficiencies identified. Observations, interviews, clinical record reviews, and document reviews were conducted, and the facility received a grade of A.
Report Facts
Sample size: 4
Facility grade: A
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver | Interviewed during the complaint investigation | |
| Manager | Interviewed during the complaint investigation | |
| Registered Nurse | Interviewed during the complaint investigation |
Inspection Report
Annual Inspection
Census: 3
Capacity: 5
Deficiencies: 2
Date: May 13, 2024
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 had regulatory deficiencies including inaccurate medication administration records for one resident and failure to ensure required infection control training for two employees.
Deficiencies (2)
Failure to ensure the Medication Administration Record (MAR) was accurate for one resident; medication was administered but not documented.
Failure to ensure primary and secondary infection control designees completed 15 hours of infection control training as required.
Report Facts
Licensed beds: 5
Residents present: 3
Deficiencies cited: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wendy Ramirez | Administrator | Acknowledged medication documentation deficiency and infection control training issues |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 5
Deficiencies: 1
Date: Mar 14, 2024
Visit Reason
The inspection was conducted as a result of a complaint investigation initiated on 2024-01-30 and finalized on 2024-03-14, related to allegations concerning resident care and facility compliance with Nevada Administrative Code for Residential Facilities for Groups.
Complaint Details
Two complaints were investigated: Complaint #NV00070444 was verified, and Complaint #NV00070112 was unverified. The verified complaint involved the failure to properly manage a resident with non-healing wounds and lack of required exemption waiver.
Findings
The facility was found to have failed to ensure a resident with non-healing wounds was not retained without an exemption waiver. Resident #1 had multiple pressure ulcers that were not documented as healing, and no waiver was submitted to allow retention. The facility acknowledged the policy that residents with wounds require a waiver and that non-healing wounds are not appropriate to remain without one.
Deficiencies (1)
Failure to ensure a resident with non-healing wounds was not retained at the facility without an exemption waiver as required by NAC 449.2734.
Report Facts
Resident census: 5
Total licensed capacity: 5
Sample size: 2
Pressure ulcer measurements: 3.6
Pressure ulcer measurements: 4.2
Pressure ulcer measurements: 0.3
Pressure ulcer measurements: 5
Pressure ulcer measurements: 4.8
Pressure ulcer measurements: 0.3
Pressure ulcer measurements: 6
Pressure ulcer measurements: 5.5
Pressure ulcer measurements: 3
Pressure ulcer measurements: 0.5
Left heel wound size: 4
Left heel wound size: 7
Left heel wound size: 0.5
Right heel wound size: 3
Right heel wound size: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wendy Ramirez | Administrator | Named in relation to the deficiency and plan of correction |
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 0
Date: May 9, 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
The facility received a grade of A with no regulatory deficiencies identified. Five resident files and four employee files were reviewed, and no further action was necessary.
Inspection Report
Annual Inspection
Census: 4
Capacity: 5
Deficiencies: 0
Date: May 16, 2022
Visit Reason
This 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 survey. 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: 5
Resident census: 4
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 4
Date: Jul 13, 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 Facilities for Groups.
Findings
The facility received a grade of A but was found deficient in several areas including failure to implement safe infection control practices during the COVID-19 pandemic, unsecured medication storage, lack of audible alarms on exit doors, and absence of a cultural competency training program for employees.
Deficiencies (4)
Failure to implement safe infection control practices including lack of COVID-19 screening and mask use by staff and visitors.
Medications were not kept in a secured and locked area; medications found unsecured in resident's room.
Audible alarm systems on two exit doors were not activated.
Failure to submit or provide evidence of a cultural competency training program for employees.
Report Facts
Census: 5
Total Capacity: 5
Medication count: 3
Cultural Competency Training Duration: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wendy Ramirez | Administrator | Named as the Administrator responsible for oversight and signing the report |
Inspection Report
Annual Inspection
Census: 4
Capacity: 5
Deficiencies: 0
Date: Aug 25, 2020
Visit Reason
The inspection was conducted as an annual State Licensure Survey combined with a Focused COVID-19 Infection Control Survey at the facility.
Findings
No deficiencies were identified. The facility demonstrated compliance with COVID-19 infection control measures including staff and resident screening, social distancing, use of personal protective equipment, cleaning protocols, and policies for monitoring and communication.
Report Facts
Personal protective equipment inventory: 1
Personal protective equipment inventory: 200
Personal protective equipment inventory: 2
Personal protective equipment inventory: 5
Personal protective equipment inventory: 6
Number of caregivers: 3
Staff on duty: 1
Inspection Report
Renewal
Census: 5
Capacity: 5
Deficiencies: 0
Date: May 15, 2019
Visit Reason
The inspection was conducted as a result of an endorsement change State Licensure Survey to approve the facility's request to provide care for persons with Alzheimer's disease or related dementia.
Findings
The facility is licensed for five beds to provide care for elderly and disabled persons, Category II residents. No further action is necessary following this endorsement change survey.
Inspection Report
Annual Inspection
Census: 4
Capacity: 5
Deficiencies: 4
Date: Jan 4, 2019
Visit Reason
The inspection was conducted as an annual State Licensure survey of the facility in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A but had several deficiencies including failure to ensure one employee completed required medication management training, failure to maintain clean and well-maintained exterior premises, failure to complete initial Activities of Daily Living (ADL) assessments for three residents, and failure to obtain an Alzheimer's endorsement for care of residents with dementia.
Deficiencies (4)
Facility failed to ensure 1 of 3 employees completed the required 16 hours initial medication management training.
Facility failed to ensure the exterior premises was clean and well maintained; observed broken furniture and debris.
Facility failed to ensure initial Activities of Daily Living (ADL) assessments were done for 3 of 4 residents.
Facility failed to obtain an Alzheimer's endorsement to provide care to residents with dementia for 2 of 4 residents.
Report Facts
Resident census: 4
Total licensed capacity: 5
Number of employees reviewed: 3
Number of resident files reviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wendy Ramirez | Administrator | Named in medication training deficiency and responsible for corrective actions |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 5
Deficiencies: 1
Date: May 25, 2016
Visit Reason
The inspection was conducted as a complaint investigation initiated on 2016-05-24 and completed on 2016-05-25, based on complaint #NV00045777 regarding staff certification.
Complaint Details
Complaint #NV00045777 was substantiated. The allegation that facility staff did not have documented evidence of current first aid and cardiopulmonary resuscitation certification was substantiated.
Findings
The facility was found to have one substantiated complaint regarding failure to maintain documented evidence of current first aid and CPR certification for two of four employees reviewed. The investigation revealed altered or incomplete certification cards and inability to verify authenticity of certifications.
Deficiencies (1)
Facility staff did not have documented evidence of current first aid and cardiopulmonary resuscitation certification for two employees.
Report Facts
Number of employees lacking current certification: 2
Licensed bed capacity: 5
Resident census: 4
Inspection Report
Complaint Investigation
Census: 4
Capacity: 5
Deficiencies: 1
Date: May 24, 2016
Visit Reason
The inspection was conducted as a complaint investigation initiated on 5/24/15 and completed on 5/25/15 regarding the facility's compliance with first aid and cardiopulmonary resuscitation (CPR) certification requirements for staff.
Complaint Details
One complaint (#NV00045777) was investigated and substantiated. The complaint alleged that facility staff did not have documented evidence of current first aid and cardiopulmonary resuscitation certification.
Findings
The investigation substantiated one complaint regarding the facility staff's failure to document current first aid and CPR certification for employees. Specifically, two of four employees lacked valid certification documentation, with issues including altered cards and inability to verify certification authenticity.
Deficiencies (1)
Personnel file for a caregiver lacked documented evidence of current first aid and CPR certification.
Report Facts
Census: 4
Total Capacity: 5
Employees without current certification: 2
Inspection Report
Re-Inspection
Census: 5
Capacity: 5
Deficiencies: 0
Date: Feb 3, 2016
Visit Reason
This Statement of Deficiencies was generated as a result of a required grading re-survey conducted in the facility on 02/03/2016.
Findings
No regulatory deficiencies were identified during the re-survey. The facility received a re-survey grade of A and no further action is necessary.
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 7
Date: Oct 22, 2015
Visit Reason
The inspection was an annual State Licensure survey conducted by the Division of Public and Behavioral Health to assess compliance with regulatory requirements for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of C with multiple deficiencies identified, including failure to ensure all employees completed criminal background checks, inadequate maintenance of premises, improper food storage and handling, and medication administration errors for residents.
Deficiencies (7)
Facility failed to ensure 2 of 4 employees completed a criminal background check.
Facility failed to maintain premises including stagnant water and debris in backyard area.
Facility failed to ensure perishable foods were refrigerated at 40 degrees Fahrenheit or below.
Facility failed to ensure food was properly packaged and stored.
Facility failed to provide documentation of menu substitutions.
Facility failed to ensure one resident received medications as prescribed.
Facility failed to ensure medication administration records were properly maintained and documented for one resident.
Report Facts
Number of employees reviewed: 4
Number of resident files reviewed: 5
Facility licensed capacity: 5
Current census: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee #4 | Named in background check and medication administration deficiencies | |
| Employee #1 | Named in background check and food handling deficiencies | |
| Employee #3 | Acknowledged observations related to premises and medication administration |
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 7
Date: Oct 22, 2015
Visit Reason
This annual State Licensure survey was conducted to assess compliance with state regulations for the licensed Residential Facility for Group beds for elderly and disabled persons.
Findings
The facility received a grade of C and multiple deficiencies were identified including failure to complete criminal background checks for employees, inadequate maintenance of premises, improper food storage and packaging, lack of documentation for menu substitutions, and medication administration errors for residents.
Deficiencies (7)
Failed to ensure 2 of 4 employees completed a criminal background check as required.
Facility premises were not well maintained; debris covering stagnant water and water seepage observed.
Perishable foods were not refrigerated at 40 degrees Fahrenheit or below.
Food was not properly packaged and stored; frozen juice thawing in laundry detergent tub in utility sink.
Failed to provide documentation of menu substitutions or alternative menus.
Failed to ensure one resident received medications as prescribed; discrepancies in medication labels and MAR.
Medication Administration Record (MAR) for one resident did not include date and time medication was administered.
Report Facts
Facility licensed beds: 5
Resident census: 5
Deficiency severity count: 2
Deficiency severity count: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Owner | Named in background check deficiency and medication administration findings |
| Employee #3 | Acknowledged missing documentation and medication administration issues | |
| Employee #4 | Caregiver | Named in background check deficiency, food storage, and medication administration findings |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 5
Deficiencies: 3
Date: May 6, 2014
Visit Reason
This inspection was conducted as a complaint investigation initiated by the Division of Public and Behavioral Health from 2014-04-10 through 2014-05-06, regarding allegations of quality of care and failure to notify responsible party of resident's change of condition.
Complaint Details
Complaint #NV00038576 contained two allegations: 1) Quality of care regarding pressure ulcer precautions, which was not substantiated; 2) Responsible party not notified of resident's change of condition, which was substantiated.
Findings
The complaint was substantiated for failure to notify the responsible party of a resident's change of condition. The facility failed to provide proper wound care for one resident with pressure ulcers and failed to maintain documentation of care. Additionally, the facility did not notify the resident's family of the change in medical condition and transfer to acute care.
Deficiencies (3)
Failed to ensure caregiver provided wound care for 1 of 5 residents with pressure ulcers.
Failed to maintain documentation of care provided to 1 of 5 residents with pressure ulcers.
Failed to notify family member about resident's change of condition and transfer to acute care.
Report Facts
Licensed beds: 5
Census: 5
Sample size: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| caregiver | Employee #1 reported on wound care and resident turning; no full name provided | |
| caregiver | Employee #2 provided wound care wash and cream; no full name provided |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 5
Deficiencies: 3
Date: Apr 10, 2014
Visit Reason
The inspection was conducted as a complaint investigation initiated by the Division of Public and Behavioral Health from 4/10/14 through 5/6/14 due to allegations regarding quality of care and notification of resident's change of condition.
Complaint Details
Complaint #NV00038576 contained two allegations: 1) Quality of care, no pressure ulcer precautions taken by facility (not substantiated), 2) Responsible party not notified of resident's change of condition (substantiated).
Findings
The complaint was substantiated with deficiencies found related to pressure or stasis ulcers and failure to notify responsible parties of resident's change of condition. The facility failed to ensure proper wound care and documentation for 1 of 5 residents and failed to notify family members about changes in medical condition for 1 of 5 residents.
Deficiencies (3)
Facility failed to ensure the caregiver provided wound care for 1 of 5 residents (Resident #2) with pressure or stasis ulcers.
Administrator failed to ensure documentation of care provided to 1 of 5 residents with pressure ulcers was maintained.
Facility failed to notify family member about resident's change of condition and subsequent transfer to acute care facility for 1 of 5 residents (Resident #2).
Report Facts
Licensed beds: 5
Residents reviewed: 5
Inspection Report
Enforcement
Deficiencies: 1
Date: Dec 20, 2013
Visit Reason
This document is a Notice of Intent to Impose Sanctions issued by the Division of Public and Behavioral Health to Ross Senior Residence due to repeat deficiencies found in a prior survey dated 10/30/12.
Findings
The Division is imposing monetary penalties of $300.00 for a repeat deficiency at TAG Y 920. The Plan of Correction submitted on 10/29/2013 was reviewed and found acceptable. The notice outlines the right to appeal, payment instructions, and penalty reduction conditions.
Deficiencies (1)
Repeat deficiency at TAG Y 920 cited in the survey dated 10/30/12
Report Facts
Monetary penalties: 300
Working days until sanctions effective: 11
Days to pay penalty: 15
Penalty reduction percentage: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dorothy Sims | Health Facilities Inspector III | Signed the Notice of Intent to Impose Sanctions |
Inspection Report
Annual Inspection
Census: 3
Capacity: 5
Deficiencies: 3
Date: Oct 10, 2013
Visit Reason
The inspection was conducted as a State Licensure annual grading survey of a residential facility for group beds for elderly and disabled persons.
Findings
The facility received a grade of A. Deficiencies were identified related to improper storage of sharps containers, unsecured medications, and violation of low income bed licensing requirements.
Deficiencies (3)
Facility failed to ensure a sharps container for syringes and needles was kept in a safe place; 12 needles were unsecured on an end table by the kitchen.
Facility failed to ensure medications were kept in a locked container; unsecured Acetaminophen, diaper rash cream, saline nasal spray, and Vicks VapoRub were found outside locked storage.
Facility violated license agreement by having one of four low income beds occupied by a resident who did not qualify as low income, exceeding the low income bed licensure status.
Report Facts
Sharps unsecured: 12
Low income beds: 4
Low income beds occupied by non-qualifying resident: 1
Monthly payment: 1490
License fee: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| B Waldlund | Administrator | Named in relation to explanations and corrective actions for deficiencies |
Inspection Report
Annual Inspection
Census: 3
Capacity: 5
Deficiencies: 3
Date: Oct 10, 2013
Visit Reason
This document is a State Licensure annual grading survey conducted to assess compliance with regulatory requirements for the facility.
Findings
The facility received a grade of A but had three deficiencies related to medication and sharps storage safety and a violation of the low income bed licensure agreement.
Deficiencies (3)
Failed to ensure a sharps container for syringes and needles was kept in a safe place; sharps container with 12 needles unsecured on end table by kitchen.
Failed to ensure medications were kept in a locked container; unsecured Acetaminophen, diaper rash cream and saline nasal spray in living room closet and Vicks VapoRub in Resident #2 dresser drawer. Repeat deficiency from prior survey.
Violated license agreement by having 1 of 4 low income beds occupied by a resident who did not qualify as low income; facility receives $1,490 monthly for Resident #2, exceeding low-income amount parameter.
Report Facts
Sharps container needles unsecured: 12
Low income beds: 4
Residents paying greater than $1,000: 2
Monthly payment for Resident #2: 1490
Facility licensed beds: 5
Census: 3
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