Inspection Reports for Ross Senior Residence

This inspection was conducted as an annual State Licensure survey of the Residential Facility for Groups in accordance with Nevada Administrative Code Chapter 449.

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.

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.

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.

Three complaints (#NV00073459, #NV00073468, #NV00073612) were investigated and all were unsubstantiated with no regulatory deficiencies identified.

This inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

The inspection was conducted as an annual State Licensure Survey combined with a Focused COVID-19 Infection Control Survey at the facility.

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.

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.

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.

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.

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.

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.

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.

Complaint #NV00045777 was substantiated. The allegation that facility staff did not have documented evidence of current first aid and cardiopulmonary resuscitation certification was substantiated.

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.

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.

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.

This Statement of Deficiencies was generated as a result of a required grading re-survey conducted in the facility on 02/03/2016.

No regulatory deficiencies were identified during the re-survey. The facility received a re-survey grade of A and no further action is necessary.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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).

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.

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.

The inspection was conducted as a State Licensure annual grading survey of a residential facility for group beds for elderly and disabled persons.

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.

This document is a State Licensure annual grading survey conducted to assess compliance with regulatory requirements for the facility.

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.