Inspection Reports for Saint Michael Group Home

This inspection was a mandatory regrading State Licensure survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

The facility was found to be in compliance with no regulatory deficiencies identified and received a grade A. Several recommendations and corrective actions were noted for cleanliness, medication administration, resident file maintenance, and other operational procedures, all with completion dates set for October 3, 2024.

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 was found deficient in multiple areas including lack of physician orders for medications for residents, failure to destroy expired medications, missing annual ADL assessments, presence of hazards and refuse on premises, missing window and door screens, lack of annual physical examination documentation, and failure to ensure medication regimen reviews every six months.

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

The facility was found deficient in multiple areas including lack of physician orders for medications, failure to destroy expired medications, missing annual ADL assessments, presence of safety hazards and refuse on premises, missing window and door screens, lack of annual physical examinations for residents, and failure to complete medication regimen reviews every six months.

The 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. One regulatory deficiency was identified related to personnel files: failure to ensure an employee completed a background check through the Nevada Automated Background Check System (NABS).

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. Three resident files and three employee files were reviewed, and no further action was necessary.

The inspection was conducted as a result of a complaint investigation triggered by Complaint #000066325 with seven allegations concerning resident care and facility conditions.

The investigation substantiated the complaint without identifying any deficiencies. All seven allegations were either unsubstantiated or substantiated without deficiency after interviews, observations, and record reviews. No regulatory deficiencies were found.

Complaint #000066325 with seven allegations was investigated. Allegations included unreported resident death, feeding concerns, unauthorized resident transfers, withholding of IDs and bank cards, improper resident placement in a shed, uncertified caregivers, and bad odor from a broken pipe. All allegations were unsubstantiated except the bad odor which was substantiated without deficiency.

The inspection was conducted as a complaint investigation based on Complaint# NV00064935 with three allegations regarding quality of care, return of resident's property, and food quality at the facility.

All three allegations were found to be unsubstantiated after observations, interviews, and record reviews. However, a deficiency unrelated to the complaint was identified regarding incomplete resident files lacking a recent physical examination record and Activities of Daily Living (ADL) Assessment.

Complaint# NV00064935 with three allegations was investigated and found unsubstantiated: 1) Facility failed to provide quality care and staff were abusive; 2) Facility failed to return a resident's property; 3) Facility failed to provide anything but Filipino food and food was outdated and spoiled.

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 inspection. The facility received a grade of A and was provided guidance on nondiscrimination, privacy, cultural competency, and complaint policies.

The inspection was conducted as a result of a complaint investigation initiated on 2021-05-24 and completed on 2021-06-01, regarding allegations related to medication administration and caregiver qualifications at the facility.

The investigation substantiated three of four allegations: failure to maintain a Medication Administration Record (MAR) for a resident, failure to record reason and result for administration of as needed medications, and lack of documented evidence of medication management training for an employee. One allegation regarding caregiver First Aid/CPR certification was not substantiated.

Complaint #NV00063943 with four allegations was investigated. Three allegations were substantiated, and one was not substantiated based on record review showing all caregivers had current First Aid/CPR certification.

This was a COVID-19 focused infection control, State Licensure survey initiated at the facility to assess compliance with infection control and COVID-19 prevention guidelines.

The facility was found to be compliant with infection control and COVID-19 prevention measures, including staff and visitor screening, use of PPE, social distancing, sanitation practices, and resident monitoring. No regulatory deficiencies were identified.

The inspection was conducted as a result of a complaint investigation initiated on 03/03/20 regarding a substantiated allegation that a resident did not complete lab work, resulting in a necessary medication not being received as ordered by the physician.

The facility failed to ensure that lab work was done weekly for one resident as required by physician's orders, with a one-week gap between blood draws. This was a repeated deficiency from a prior complaint investigation.

Complaint #NV00060208 with one allegation was substantiated. Allegation #1: A resident did not complete lab work, which resulted in a necessary medication not being received, in accordance with the physician's orders.

This inspection was an annual state licensure survey conducted to assess compliance with regulations for a residential facility.

The facility received an annual survey grade of C with multiple deficiencies noted including poor maintenance of premises, unsanitary kitchen conditions, unsecured medications, lack of activity calendar, and incomplete resident files. Severity levels were mostly at level 2 with varying scopes.

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

The facility failed to provide at least 10 hours of scheduled activities per week as required. Observations showed no activity calendar posted and no staff encouragement for resident participation in activities during the visit.

This document reports on an annual State Licensure survey conducted at the facility on 02/21/2017 by the Division of Public and Behavioral Health.

The facility received a grade of A with no deficiencies identified during the survey. Five resident files and three employee files were reviewed.

This inspection was a grading resurvey licensure survey conducted by the authority of NRS 449.0307 for state licensure of the facility.

The facility received a grade of A with no deficiencies identified during the resurvey. One resident file and one employee file were reviewed.

This Statement of Deficiencies was generated as a result of a grading resurvey Licensure survey conducted in the facility on 8/29/16 by the Division of Public and Behavioral Health.

The facility received a grade of A with no deficiencies identified during the resurvey. No further action is necessary.

This inspection was conducted as an annual State Licensure survey 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 of the administrator to provide adequate oversight, lack of elder abuse training for employees, incomplete personnel files regarding TB testing, background checks, first aid/CPR certification, and health and sanitation issues such as exposed wiring and dirty air intake vents.

This was an annual State Licensure grading survey conducted in the facility on 5/14/2014 in accordance with NRS 449.0307, Powers of the Health Division.

The facility received a grade of A with no deficiencies identified during the survey.

The inspection was conducted as an annual State Licensure survey to assess compliance with health and safety regulations for a residential facility for low income elderly and disabled persons.

The facility received a grade of A but had deficiencies related to kitchen cleanliness and equipment, improper storage of pesticides and toxic substances near food, and failure to ensure tuberculosis testing compliance for one resident. Severity levels were noted for these deficiencies.

This document is a result of an annual State Licensure survey conducted at the facility on 12/27/2012 to assess compliance with state regulations for residential group homes.

The facility received a grade of A but had several deficiencies including unclean food preparation areas, improper storage of pesticides and toxic substances alongside food, and failure to ensure tuberculosis testing compliance for one resident. These deficiencies varied in severity and scope.