Inspection Reports for Sachele Senior Guest Home

The inspection was conducted as a result of a complaint investigation at the facility on July 16, 2025, to evaluate compliance with regulations under NAC Chapter 449 for Residential Facilities for Groups.

The investigation found two deficiencies related to failure to update a person-centered care plan after a change in condition for one resident and failure to ensure medications were on site and available for another resident. Both deficiencies were assigned a severity level of 2 and scope of 1. One complaint was investigated and found unsubstantiated with no regulatory deficiencies identified.

One complaint (#NV00074513) was investigated and found unsubstantiated with no regulatory deficiencies identified.

The inspection was conducted as an annual State Licensure survey combined with a complaint investigation at the facility on 04/24/2025.

The facility was found to have multiple deficiencies including failure to ensure initial medication management training for two employees, lack of physical examination upon hire for one employee, improper medication storage practices, missing two-step TB test documentation for one resident, and failure to complete mental illness training within 60 days for one employee. One complaint investigated was unsubstantiated with no regulatory deficiencies identified.

One complaint (#NV00073656) was investigated and found to be unsubstantiated with no regulatory deficiencies identified.

This inspection was conducted as a result of a complaint investigation triggered by two complaints, one of which was substantiated. The investigation included observations, interviews, and document reviews related to facility cleanliness, medication administration, resident care, and caregiver qualifications.

The facility was found to have deficiencies related to the administrator's failure to ensure caregivers were qualified, specifically two caregivers lacked required documentation such as tuberculosis tests and caregiver training. Additionally, one resident was left in a wet brief for an extended period without proper care. The administrator had left the country without ensuring qualified staff were present. The facility received a grade of A and no deficiencies were cited for the complaints themselves.

Two complaints were investigated: Complaint #NV00072152 was substantiated, and Complaint #NV00072204 was not substantiated. The substantiated complaint involved failure to provide timely personal care to a resident.

The inspection was conducted as a complaint investigation triggered by a substantiated complaint regarding cleanliness and presence of cockroaches at the facility.

The facility was found to have live and dead cockroaches in multiple areas including resident rooms, kitchen, bathroom, and living room. Interviews with residents, family members, and staff confirmed the infestation. An exterminator invoice was reviewed, but no ongoing pest control contract was initially in place.

One complaint (#NV00071851) was investigated and substantiated. The complaint involved observations of cleanliness and presence of cockroaches.

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 two regulatory deficiencies: failure to maintain the exterior backyard area clean and failure to ensure annual signs and symptoms of Tuberculosis were completed for one resident. Corrective actions were planned and scheduled promptly.

The inspection was conducted as a State Licensure survey initiated to approve the facility's request to add an endorsement for licensure for persons with Chronic Illness.

The facility was approved to add the endorsement of Chronic Illness to their license on 08/31/23. No regulatory deficiencies were identified and no further action is necessary.

The 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 was found to have multiple regulatory deficiencies including issues with cleanliness and maintenance of the premises, failure to submit required medical exemption requests for certain residents, medication administration errors, improper destruction of discontinued medications, and unsecured medication storage.

This inspection was conducted as an annual State Licensure and infection control survey in accordance with Nevada Administrative Code, Chapter 449, Residential Facilities for Groups.

The facility received a grade of A. The survey identified regulatory deficiencies related to failure to ensure annual caregiver training was completed for 2 of 3 employees. The facility was provided guidance on compliance with nondiscrimination, privacy, and cultural competency regulations.

The inspection was initiated as a State Licensure Complaint Investigation survey based on a complaint alleging the facility failed to return resident personal property upon discharge.

The complaint allegation was substantiated without deficiencies due to lack of documentation regarding Power of Attorney or family representative. The facility failed to acquire an endorsement to provide care for residents with chronic illnesses, which was identified as a regulatory deficiency unrelated to the complaint.

Complaint #NV00065933 with one allegation was substantiated without deficiencies. The allegation that the facility failed to return resident personal property upon discharge was substantiated without deficiencies due to lack of documentation of Power of Attorney or family representative.

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. Deficiencies were identified related to personnel files, specifically expired CPR certification for one employee, and inaccuracies in Medication Administration Records for three residents. Some tags were not cited as deficient.

This inspection was conducted as a result of a Bed Increase survey and an annual survey at the facility on 10/20/2015.

All regulatory deficiencies found at the time of the survey were corrected, and the facility received a grade of A. No further action was necessary.

The inspection was an annual State Licensure grading survey conducted to assess compliance with regulations for a residential facility for elderly and disabled persons and/or persons with mental illnesses.

The facility received a grade of A. Deficiencies were identified related to medication storage, resident file storage, and mental illness training for employees, all of which were corrected on the day of the survey.

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

The facility received a grade of A but had deficiencies related to medication storage, resident file security, and employee mental illness training. Medications were found unsecured, resident files were not locked, and one employee lacked required mental illness training.

This document is a State Licensure survey conducted as a required grading survey of the facility from 1/10/14 through 1/15/14 to assess compliance with health and sanitation regulations.

The facility received a survey grade of A but was found deficient in maintaining the premises clean and well maintained, specifically the backyard area where rubber mats, a rolled carpet, garbage disposal, bags of clothing, boxes with miscellaneous items, and a broken scooter were observed.

This document is a Statement of Deficiencies generated as a result of a required grading survey conducted from 1/10/14 through 1/15/14 to assess compliance with state licensure regulations for a residential facility.

The facility was found not to meet health and sanitation regulations as the premises were not clean and well maintained, with observations including rubber mats, rolled carpet, garbage disposal, bags of clothing, boxes with miscellaneous items, and a broken scooter in the backyard.

The facility completed a self-attestation questionnaire in lieu of a 2013 annual survey because it was in good standing and had no major deficiencies in the 2012 annual survey.

The questionnaire indicated the facility was in regulatory compliance and will receive a grade of A. No deficiencies were cited and no further action is necessary.

The inspection was an annual State Licensure survey conducted to assess compliance with regulations for a residential facility for elderly or disabled persons and/or persons with mental illness.

The facility received a grade of A but had deficiencies related to medication administration and mental illness training. Specifically, medications were not maintained at the required level, medication administration records were inaccurate, and employees had not completed required mental illness training.

This document is the result of an annual State Licensure survey conducted on 7/30/2012 at Sachele Senior Guest Home to assess compliance with state regulations for residential facilities.

The facility received a grade of A but had several deficiencies including failure to maintain medications at proper levels requiring medical assessment, inaccuracies in medication administration records, and lack of required mental illness training for employees.

This inspection was conducted as a complaint investigation initiated by the Bureau of Health Care Quality and Compliance on 5/24/12 regarding an allegation of inappropriate admission of a Category II resident.

The complaint was not substantiated after interviews and record review. The facility census was one Category I resident and four Category II residents, which did not exceed the licensed capacity of one Category I and five Category II residents.

Complaint #NV00031727 was not substantiated. The allegation of inappropriate admission was unsubstantiated by interview and record review.

The inspection was conducted as an annual State Licensure survey to assess compliance with regulatory requirements for the residential facility.

The facility received a grade A but was cited for deficiencies related to medication management, including failure to prepare a comprehensive medication plan and inaccuracies in medication administration records for all six residents.