Inspection Reports for Saint Paul Home Care II
4900 Koenig Road, Reno, NV 89506, NV, 89506
Back to Facility Profile
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 4
Jul 23, 2025
Visit Reason
This inspection was conducted as a State Licensure annual survey of the facility to assess compliance with NAC 449, Residential Facility for Groups regulations.
Findings
The facility was found to have multiple deficiencies including failure to ensure pre-employment physical examinations and background checks for one employee, broken window blinds in a resident room, and expired canned food items in storage. Corrective actions were planned or implemented for all deficiencies.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to ensure a Caregiver obtained a pre-employment physical examination for 1 of 5 employees (Employee #4). | Severity: 2 |
| Failure to ensure 1 of 5 employees obtained fingerprints and background check clearance per Nevada Revised Statute requirements (Employee #4). | Severity: 2 |
| Failure to maintain window coverings in a resident room; broken horizontal mini blinds in Resident Room #3. | Severity: 2 |
| Failure to discard expired canned foods in the pantry, potentially affecting the entire facility census. | Severity: 2 |
Report Facts
Resident census: 10
Total licensed capacity: 10
Employee records reviewed: 5
Resident records reviewed: 10
Expired canned food items: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #4 | Caregiver | Named in findings related to missing pre-employment physical examination and missing fingerprint/background check clearance |
| EVA BELTEJAR | Owner | Signed the inspection report |
Inspection Report
Complaint Investigation
Census: 10
Capacity: 10
Deficiencies: 3
Mar 3, 2025
Visit Reason
The inspection was conducted as a result of a State Licensure complaint investigation at the facility on 03/03/2025.
Findings
The facility was found to have multiple deficiencies related to health and sanitation, including a loose carpet on the interior stairway posing a safety hazard, peeling varnish on the second floor deck railing, and a resident bathroom door lock that did not operate with a single motion. All deficiencies were substantiated and corrective actions were documented.
Complaint Details
One complaint (CPT #NV00073536) was investigated and substantiated.
Severity Breakdown
2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Loose carpet on the top step of the interior stairway between the first and second floors was not secured, creating a safety hazard. | 2 |
| Peeling varnish on the wooden railing around the second floor deck, requiring refinishing. | 2 |
| Resident bathroom door lock did not open with a single motion; it used a hook mechanism instead. | 2 |
Report Facts
Resident census: 10
Licensed capacity: 10
Sample size: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eva Beltejar-Difuntorum | Owner | Named in relation to findings and corrective actions |
| Vae Beltejar | Manager | Named in relation to findings and corrective actions |
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 5
Sep 26, 2024
Visit Reason
This inspection was a State Licensure annual survey conducted at the facility on 09/26/2024 to assess compliance with NAC 449 for Residential Facility for Groups.
Findings
The facility was found to have multiple deficiencies including uncovered garbage cans leading to pest risk, missing or defective window screens, undated Ultimate User Agreement for medication administration, failure to post discrimination complaint contact information, and lack of annual Standard Physician Assessment and Placement Determination for some residents. The facility received a grade of B.
Severity Breakdown
1: 1
2: 4
Deficiencies (5)
| Description | Severity |
|---|---|
| Facility failed to ensure a garbage can was covered and a garbage bag was not overflowing the top of the garbage can, risking rodent and pest infestations. | 2 |
| Facility failed to ensure all windows capable of being opened were screened to prevent entry of insects; some windows lacked screens or had defective screens. | 2 |
| Administrator failed to ensure an Ultimate User Agreement was dated upon resident admission for 1 of 10 sampled residents. | 2 |
| Facility failed to post prominently the State contact information to file a complaint for residents who may have experienced prohibited discrimination. | 1 |
| Facility failed to obtain an initial and an annual Standard Physician Assessment and Placement Determination for 2 of 10 residents. | 2 |
Report Facts
Resident files reviewed: 10
Employee files reviewed: 5
Facility grade: B
Beds licensed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| EVA BELTEJAR | Owner | Signed the Statement of Deficiencies |
| Admissions and Office Manager | Confirmed multiple deficiencies including garbage can issues, window screen problems, undated Ultimate User Agreement, missing discrimination complaint posting, and missing annual physician assessments |
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 4
Feb 21, 2024
Visit Reason
This inspection was conducted as a State Licensure annual survey to assess compliance with regulations for a Residential Facility for Groups.
Findings
The facility was found to have deficiencies including improper cleaning and sanitation of a resident bathroom, incomplete tuberculosis testing documentation for two residents, and failure to designate and train primary and secondary persons responsible for infection control.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Facility failed to ensure a resident bathroom was cleaned and sanitized properly. | Severity: 2 |
| Facility failed to ensure two residents had completed required tuberculosis testing documentation. | Severity: 2 |
| Facility failed to designate a primary and secondary person responsible for infection control. | Severity: 2 |
| Primary infection control staff lacked required infection control training. | Severity: 2 |
Report Facts
Licensed beds: 10
Resident census: 9
Employee files reviewed: 6
Resident files reviewed: 9
Infection control training hours: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eva Beltejar-Difuntorum | Owner | Signed the Statement of Deficiencies report |
Inspection Report
Complaint Investigation
Census: 9
Capacity: 10
Deficiencies: 0
Sep 27, 2023
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding allegations about meal quality, toilet functionality, availability of paper towels and soap, and linens at the facility.
Findings
The investigation found that none of the allegations could be substantiated due to lack of evidence. Observations, interviews, and record reviews were conducted, and no regulatory deficiencies were identified.
Complaint Details
One complaint (#NV00069492) was investigated with four allegations: poor meal quality, a resident's toilet not flushing, lack of paper towels and soap in bathrooms, and lack of linens. All allegations were unsubstantiated due to lack of evidence.
Report Facts
Resident records reviewed: 9
Employee records reviewed: 4
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 4
Apr 27, 2023
Visit Reason
This inspection was a State Licensure mandatory annual survey conducted by the Division of Public and Behavioral Health in accordance with NAC 449, Residential Facility for Groups.
Findings
The facility received a grade of A but had several deficiencies including inadequate lighting in the hallway bathroom, improper food storage practices, failure to ensure annual physical examinations for residents, and unsecured medication storage.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Hallway bathroom lights were not adequately functioning with burnt out bulbs creating a safety hazard. | Severity: 2 |
| Food in the refrigerator was not covered, not labeled, and expired food was not discarded as required. | Severity: 2 |
| Failure to ensure a physical examination including a review of systems was completed annually for 1 of 9 residents. | Severity: 2 |
| Resident medications were not kept secured; medication cabinet door was open and unlocked with medications exposed. | Severity: 2 |
Report Facts
Resident files reviewed: 9
Employee files reviewed: 4
Beds licensed: 10
Census: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Evangeline Beltejar-Difuntorum | Owner | Signed as Laboratory Director's or Provider/Supplier Representative |
Inspection Report
Re-Inspection
Census: 10
Capacity: 10
Deficiencies: 8
Feb 8, 2023
Visit Reason
This inspection was a State Licensure mandatory regrading survey conducted at the facility on 02/08/23 to assess compliance with NAC 449 Residential Facility for Groups regulations.
Findings
The facility was found to have multiple deficiencies including missing physical examinations for 6 of 10 residents, medication profile reviews not initialed by the administrator, and personnel file issues. The facility received a grade of A but had repeat deficiencies from the prior annual survey.
Severity Breakdown
D: 5
E: 2
F: 1
Deficiencies (8)
| Description | Severity |
|---|---|
| Personnel Files - Background Checks not fully compliant | D |
| Personnel File - 1st Aid & CPR certification missing | E |
| Health & Sanitation - Windows and doors not properly screened to prevent insect entry | D |
| Kitchens - Equipment must be clean, sanitary, and in good working condition | D |
| Medical Care of Resident After Illness - Missing physical examinations for 6 of 10 residents | F |
| Medication Administration - Medication profile reviews not initialed by Administrator for 1 of 10 residents | D |
| Administration of Medication Restrictions - Deficiency noted, details refer to original statement | E |
| Vital Signs-Glucose - Training/Competency not documented as required | D |
Report Facts
Residents reviewed: 10
Employee files reviewed: 3
Repeat deficiencies: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Evangeline Beltejar-Difuntorum | Owner | Confirmed missing physical examinations and medication review deficiencies during inspection |
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 8
Apr 7, 2022
Visit Reason
The inspection was a State Licensure annual grading survey conducted to assess compliance with NAC 449 Residential Facility for Groups regulations.
Findings
The facility received a grade of C with multiple deficiencies identified including medication administration issues, lack of staff training on vital signs, incomplete background checks, expired CPR and first aid certifications, missing window screens, expired food in the kitchen, missing physical exams for residents, and medication reviews not signed by the administrator.
Severity Breakdown
E: 2
D: 5
F: 1
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to ensure physician order was clarified for medication and written instructions for PRN medication were missing for residents. | E |
| Failed to provide protocols, training, and competency assessment to caregivers measuring vital signs. | D |
| Failed to ensure one employee met background check requirements. | D |
| Failed to ensure caregivers were certified to perform CPR and first aid for two employees. | E |
| Failed to ensure resident room windows contained screens. | D |
| Failed to ensure outdated perishable foods were discarded in the kitchen. | D |
| Failed to ensure physical examinations were completed prior to admission or annually for two residents. | D |
| Failed to ensure medication profile reviews were initialed by the administrator for seven residents. | F |
Report Facts
Licensed beds: 10
Resident census: 10
Survey date: Apr 7, 2022
Grade: C
Resurvey application fee: 600
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Evangeline Beltejar-Difuntorum | Owner | Named in relation to findings and interview comments |
| Employee #3 | Administrator | Failed background check clearance |
| Employee #2 | Caregiver | Lapsed CPR and first aid certification |
| Employee #4 | Owner | Lapsed CPR and first aid certification and involved in vital signs measurement |
Inspection Report
Complaint Investigation
Census: 9
Deficiencies: 0
Aug 9, 2021
Visit Reason
The inspection was conducted as a result of a complaint investigation initiated at the facility on 08/09/21, addressing multiple allegations including medication administration, diet adherence, facility access, and resident activities.
Findings
No regulatory deficiencies were identified during the investigation. All allegations were found to be unsubstantiated due to lack of evidence after observations, interviews, and document reviews.
Complaint Details
Complaint #NV00064551 included five allegations: denial of entry without prior call, failure to administer Trazodone as prescribed, non-adherence to diabetic diet, facility kept locked during business hours, and restriction on residents going outside to smoke. All allegations were not substantiated due to lack of evidence.
Report Facts
Sample size: 10
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 1
May 24, 2021
Visit Reason
This inspection was conducted as a State Licensure annual grading survey of the facility on 05/24/21 to assess compliance with NAC 449 for Residential Facility for Groups.
Findings
The facility received a grade of A. One deficiency was identified related to a broken bathroom window in the master bedroom, which was confirmed by a caregiver and subsequently replaced.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The facility failed to ensure a window in a resident's bathroom was in good repair; the window had a BB gun pellet sized hole with cracks dispersing from the hole. | D |
Report Facts
Resident files reviewed: 10
Employee files reviewed: 5
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 4
Feb 1, 2016
Visit Reason
This document is a State Licensure survey conducted as an annual inspection of a residential facility for elderly and disabled persons and/or persons with mental retardation.
Findings
The facility received a grade of A but had several deficiencies including failure to keep premises free of rodents, failure to maintain premises clean and well-maintained, failure to ensure fire safety inspections were current, and failure to maintain resident files properly.
Severity Breakdown
Level 2: 3
Deficiencies (4)
| Description | Severity |
|---|---|
| Facility failed to ensure the premises were kept free of rodents, with rodent feces and urine observed in the kitchen cabinet. | Level 2 |
| Facility failed to ensure the premises were clean and well-maintained, including missing outlet cover in Room #1 and cracked patio glass exit door. | Level 2 |
| Facility failed to ensure automatic sprinkler system, fire alarm system, and fire extinguishers were inspected and tagged yearly. | — |
| Facility failed to ensure resident files were available for 1 of 9 residents reviewed. | Level 2 |
Report Facts
Licensed beds: 10
Resident census: 9
Severity: 2
Severity: 2
Severity: 2
Scope: 3
Scope: 3
Scope: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Owner | Acknowledged rodent feces and urine in cabinet and explained pest control arrangements; acknowledged inspection tag expirations and resident file status |
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 4
Feb 1, 2016
Visit Reason
This document is the result of an annual State Licensure survey conducted at the facility on 2/1/16 to assess compliance with state regulations for residential facilities.
Findings
The facility received a grade of A but was found deficient in several areas including failure to keep premises free of rodents, failure to maintain the premises clean and well-maintained, failure to ensure annual inspection and tagging of fire safety equipment, and failure to maintain resident files for all residents.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Facility failed to ensure the premises were kept free of rodents; rodent feces and urine were observed in an under counter kitchen cabinet. | Severity: 2 |
| Facility failed to ensure the premises were clean and well-maintained; missing outlet cover near resident bed and cracked patio glass exit door stabilized with a wooden bar. | Severity: 2 |
| Facility failed to ensure the automatic sprinkler system, fire alarm system, and portable fire extinguishers were inspected and tagged yearly; inspection tags were expired. | Severity: 2 |
| Facility failed to ensure resident files were available for 1 of 9 residents; file for Resident #1 was not available. | Severity: 2 |
Report Facts
Census: 9
Total Capacity: 10
Deficiencies cited: 4
Fire extinguisher count: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1, the Owner, acknowledged rodent feces, expired fire safety inspection tags, and missing resident file |
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 2
Mar 23, 2015
Visit Reason
This inspection was conducted as a State Licensure annual grading survey to assess compliance with state regulations for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of A but had deficiencies related to personnel background checks and tuberculosis screening for residents. The owner acknowledged missing documentation and late TB tests.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure 1 of 4 employees met background check requirements; missing evidence of current state and FBI background check. | Severity: 2 |
| Facility failed to maintain separate resident files with required tuberculosis screening documentation for 2 of 9 residents. | Severity: 2 |
Report Facts
Number of residents present: 9
Total licensed capacity: 10
Number of employee files reviewed: 4
Number of resident files reviewed: 9
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 2
Mar 23, 2015
Visit Reason
This inspection was conducted as a State Licensure annual grading survey of the facility on 3/23/15 by the Division of Public and Behavioral Health.
Findings
The facility received a grade of A. Deficiencies were identified related to personnel files lacking evidence of current state and FBI background checks for one employee, and failure to ensure tuberculosis screening requirements were met for two residents.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure 1 of 4 employees met background check requirements of NRS 449, lacking documented evidence of current state and FBI background check for Employee #2. | Severity: 2 |
| Facility failed to ensure 2 of 9 residents met tuberculosis screening requirements, with late two-step TB tests for Resident #1 and Resident #3. | Severity: 2 |
Report Facts
Number of residents present: 9
Total licensed capacity: 10
Number of employee files reviewed: 4
Number of resident files reviewed: 9
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 0
Jul 7, 2014
Visit Reason
This inspection was conducted as a result of a complaint investigation regarding an allegation of unqualified personnel working at the facility.
Findings
The complaint was not substantiated based on document review and interviews with residents and staff. The facility is licensed for 10 beds, including 3 Category I and 7 Category II beds.
Complaint Details
Complaint #NV00039694 regarding unqualified personnel was investigated and found not substantiated.
Report Facts
Licensed beds: 10
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 2
Mar 3, 2014
Visit Reason
The inspection was conducted as a State Licensure annual grading survey of a residential facility for elderly and disabled persons, including persons with mental retardation, to assess compliance with licensing requirements.
Findings
The facility received a grade of A. Two deficiencies were identified: one related to failure to ensure background checks for an employee, and another related to violation of the low income rate agreement by having a resident who did not qualify as low income occupying a low income bed.
Severity Breakdown
Severity: 1: 1
Severity: 2: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure background check requirements for one employee (#4) including fingerprints and FBI check. | Severity: 2 |
| Violation of low income rate agreement by having a resident who did not qualify as low income occupying a low income bed. | Severity: 1 |
Report Facts
Employees reviewed: 4
Resident files reviewed: 10
Low income beds: 3
Census: 10
Total capacity: 10
Monthly rate: 749
Additional payment: 366
Total amount: 1115
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 2
Mar 3, 2014
Visit Reason
This document is a State Licensure annual grading survey conducted on 3/3/14 to assess compliance with regulatory requirements for the facility.
Findings
The facility received a grade of A but had two deficiencies: one employee file lacked required background check documentation, and one low income bed was occupied by a resident who did not qualify as low income due to exceeding the monthly rate limit.
Severity Breakdown
Severity: 2: 1
Severity: 1: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 4 employees met background check requirements; no documented evidence of fingerprints and FBI background check for Employee #4. | Severity: 2 |
| Facility violated license agreement by having 1 of 3 low income beds occupied by a resident who did not qualify as low income because the monthly rate exceeded $1,000. | Severity: 1 |
Report Facts
Licensed beds: 10
Current census: 10
Low income beds: 3
Employees reviewed: 4
Residents reviewed: 10
Monthly rate: 1115
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 0
Nov 27, 2013
Visit Reason
The inspection was conducted as a complaint investigation initiated by the Bureau of Health Care Quality and Compliance on 2013-08-15 regarding allegations of staffing issues at the facility.
Findings
The complaint alleging staffing issues was not substantiated based on interviews with the owner, caregiver, guardian/case manager, residents, review of records, staffing schedules, and observations during the onsite visit.
Complaint Details
Complaint #NV00036555 alleged staffing issues at the facility. The allegation was unsubstantiated after investigation including interviews and observations.
Report Facts
Licensed beds: 10
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 2
Feb 19, 2013
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 2/19/2013 at the facility.
Findings
The facility received a grade of A. Two deficiencies were identified: failure to ensure one resident complied with tuberculosis testing requirements, and failure to ensure one caregiver received required training related to care of persons with mental retardation.
Severity Breakdown
Severity: 2: 1
Severity: 1: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 19 residents complied with tuberculosis testing requirements (missing second step of two-step TB test). | Severity: 2 |
| Failed to ensure 1 of 4 caregivers received at least 4 hours of training related to care of persons with mental retardation within 60 days of employment. | Severity: 1 |
Report Facts
Resident files reviewed: 9
Employee files reviewed: 4
Licensed capacity: 10
Current census: 9
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 2
Feb 19, 2013
Visit Reason
The inspection was an annual State Licensure survey conducted on 2/19/2013 to assess compliance with regulatory requirements for the facility.
Findings
The facility received a grade of A but had two deficiencies: failure to ensure one resident complied with tuberculosis testing requirements and failure to ensure one caregiver received required mental retardation training within 60 days of employment.
Severity Breakdown
1: 1
2: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure 1 of 19 residents complied with tuberculosis testing requirements (Resident #2 missing second step of two-step TB test). | 2 |
| Failure to ensure 1 of 4 caregivers received required training related to care of persons with mental retardation within 60 days of employment. | 1 |
Report Facts
Residents reviewed: 9
Resident files reviewed: 9
Employee files reviewed: 4
Residents non-compliant with TB testing: 1
Caregivers non-compliant with training: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeris Beltejar | Owner of St. Paul Home Care III | Conducted mental retardation training for Employee #1 |
Loading inspection reports...
