Inspection Reports for Saint Pauls Home Care III

Annual State Licensure survey conducted by the Division of Public and Behavioral Health to assess compliance with NAC 449 for Residential Facility for Groups.

The facility was found deficient in multiple areas including late medication management training for employees, incomplete tuberculosis screenings, overdue background checks, rodent infestation, poor facility maintenance, kitchen cleanliness and food storage issues, outdated menus and activity calendars, medication administration errors, incomplete resident assessments, and lack of designated infection control personnel with required training.

The inspection was conducted as a result of a State Licensure mandatory regrading survey and complaint investigation triggered by one substantiated complaint with multiple allegations.

The facility was found to have multiple deficiencies including maintenance issues such as a hole in a resident bathroom wall, missing kitchen backsplash tile, and lack of operational locks on bathroom doors. Additionally, employees lacked current CPR and first aid training with required skills sessions, and medication reviews were not signed by the administrator or designee. The facility also failed to display the most recent D letter grade from the annual survey.

One complaint (#NV00073475) was investigated with three allegations substantiated: hole in bathroom wall, missing kitchen tile, and lack of bathroom door locks. Other allegations such as urine smell and expired training were not substantiated.

This inspection was a State Licensure mandatory regrading survey conducted by the Division of Public and Behavioral Health in accordance with NAC 449 for Residential Facility for Groups.

No regulatory deficiencies were identified during the survey. The facility received a grade of A. Several personnel and facility requirements were reviewed, including personnel files, admission policies, posting requirements, medical care, medication administration, and resident file maintenance.

This annual State Licensure survey was conducted to assess compliance with NAC 449 for Residential Facility for Groups, including review of resident and employee files and facility conditions.

The facility was found deficient in multiple areas including personnel TB screening, CPR and first aid certification, admission policies regarding skilled nursing, posting of current grade placard, annual physical exams, medication administration agreements, maintenance of resident files, timely TB testing for residents, annual ADL assessments, cultural competency training for employees, and completion of Standard Physician Assessment and Placement Determination for residents.

This inspection was an annual State Licensure survey conducted by the Division of Public and Behavioral Health in accordance with NAC 449 for Residential Facility for Groups.

The facility was found to have multiple deficiencies including failure to ensure employees met tuberculosis testing requirements, incomplete background checks, lapses in CPR and first aid certification, improper food storage, lack of annual physical exams for residents, medication administration reviews not initialed by the Administrator, and failure to maintain proper resident files including tuberculosis testing documentation.

This inspection was a state licensure annual survey conducted to assess compliance with regulations for a Residential Facility for Groups.

The facility was found to have one regulatory deficiency related to maintenance and contents of separate resident files, specifically failing to ensure tuberculosis (TB) testing compliance for 4 of 9 sampled residents.

This inspection was a State Licensure mandatory regrading survey conducted to assess compliance with NAC 449 for a residential facility for groups, including licensing and endorsement requirements.

The facility was licensed for ten beds and had a census of eight at the time of the survey. The facility received a grade of A. One deficiency was identified related to failure to obtain an Alzheimer's endorsement for one resident with dementia.

This follow-up State Licensure COVID-19 Infection Control and Prevention Plan Survey was conducted to assess the facility's compliance with infection control measures related to COVID-19.

The facility maintained adequate infection control practices including screening, PPE supply, staff training, and cleaning protocols. No regulatory deficiencies were identified during this follow-up survey.

This inspection was conducted as a State Licensure COVID-19 Infection Control and Prevention Plan Survey to assess the facility's compliance with infection control requirements.

No regulatory deficiencies were identified; however, the facility did not have a documented Infection Control and Prevention Plan. Resources were provided and the owner committed to documenting a plan for follow-up review.

This inspection was a State licensure annual survey conducted to assess compliance with Nevada Administrative Code 449 for a residential facility for groups providing care to elderly and disabled persons, including those with mental illness.

The facility was found deficient in multiple areas including administrator oversight, caregiver qualifications and training, personnel file requirements, health and sanitation issues, medication management, and failure to obtain required Alzheimer's endorsement for residents with dementia. Several deficiencies were rated with severity levels ranging from C to F, indicating significant compliance issues.

This annual State Licensure survey was conducted to assess compliance with state regulations for a residential facility for group beds for elderly and disabled persons and/or mental illness.

The facility received a grade of B with multiple deficiencies identified including failure to post the name of the employee in charge during the administrator's absence, poor maintenance of the facility interior, unclean kitchen equipment, incomplete medication reviews for residents, inaccurate medication administration records, and missing annual tuberculosis testing for a resident.

The inspection was conducted as a complaint investigation initiated on 2/3/17 regarding allegations of quality of care/treatment including pressure sore precautions, resident assessment after change in condition, and use of double briefs.

The complaint investigation found that the allegations could not be substantiated. Observations, interviews, and medical record reviews revealed no regulatory deficiencies, and no further action was required.

Complaint #NV00047978 included three allegations: 1) No pressure sore precautions, 2) Resident not assessed after change in condition, and 3) Use of double briefs. None of these allegations were substantiated.

This visit was a State Licensure annual grading survey conducted to assess compliance with regulatory standards for the facility.

The facility received a grade of A but was found deficient in maintaining the flooring around the bathtub, which was lifting and curling creating a trip hazard and potential mold growth, and in kitchen sanitation, including grease buildup, dirty substances, and possible mouse droppings.

The notice informs the facility of sanctions and monetary penalties imposed by the Division of Public and Behavioral Health due to deficiencies found during a prior survey.

The Division is imposing monetary penalties based on the severity and scope of deficiencies, with a total penalty amount of $400. The Plan of Correction submitted by the facility was reviewed and deemed acceptable.

The inspection was conducted as a result of a complaint investigation at the facility on 5/20/16, focusing on allegations of lack of protective supervision and inappropriate level of care.

The facility failed to provide protective supervision to prevent elopement of one resident who required increased care. The resident had a history of elopement and dementia, and the facility did not adequately prevent the resident from leaving, resulting in a missing person report and law enforcement involvement.

Complaint #NV00045767 was substantiated. Allegation #1: Lack of protective supervision was substantiated. Allegation #2: Inappropriate level of care was substantiated.

The inspection was conducted as a result of a complaint investigation triggered by Complaint #NV00045767 regarding lack of protective supervision and inappropriate level of care.

The facility failed to provide protective supervision to prevent elopement of Resident #2, who has dementia and other diagnoses. The resident eloped on 3/27/16, traveling approximately 200 miles away and attempting to admit himself to jail for shelter. The resident's guardian did not approve the move the resident desired, and the facility had installed alarm sensors on exit doors after the incident.

Complaint #NV00045767 was substantiated with allegations of lack of protective supervision and inappropriate level of care for Resident #2.

This inspection was a State Licensure annual grading survey conducted to assess compliance with licensing requirements for a residential facility for elderly and disabled persons.

The facility received a grade of A. Two deficiencies were identified: failure to ensure one employee had documented State and FBI background checks, and failure to ensure tuberculosis testing requirements were met for two residents.

This inspection was conducted as a State Licensure annual grading survey of the facility on 12/18/2015 to assess compliance with regulatory requirements.

The facility received a grade of A but had deficiencies including failure to ensure one employee had required State and FBI background checks and failure to ensure two residents met tuberculosis testing requirements.

This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 1/6/2015 at the facility.

The facility received a grade of A. One deficiency was identified related to the facility's failure to post its rates as required by Nevada Revised Statute, confirmed by an employee during the tour and interview.

This Statement of Deficiencies was generated as a result of a complaint investigation conducted in the facility on 7/7/14 regarding an allegation of unqualified personnel working at the facility.

The allegation regarding unqualified personnel was not substantiated through document review and interviews. The facility is licensed for 10 Residential Facility for Group beds for elderly and disabled persons, including 3 Category I beds and 7 Category II beds.

Complaint #NV00039695 regarding unqualified personnel was not substantiated.