Inspection Reports for Sana Living, an Affiliate of Wc Health

5975 W. TWAIN AVENUE, LAS VEGAS, NV 89103, LAS VEGAS, NV

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Inspection Report Summary

The most recent inspection on September 30, 2025, found no regulatory deficiencies and substantiated one complaint without identifying deficient practice. Earlier inspections showed a pattern of deficiencies related mainly to facility maintenance issues such as pest infestation and cleanliness, as well as resident safety concerns including call bell accessibility and medication administration errors. Complaint investigations were mixed, with several substantiated complaints involving temperature control, pest presence, and medication documentation, but no enforcement actions or fines were listed in the available reports. Most complaints were either unsubstantiated or substantiated without deficient practice, and corrective actions were noted in response to identified issues. The inspection history suggests some improvement over time, culminating in the most recent clean report.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 9 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

27% worse than Nevada average
Nevada average: 7.1 deficiencies/year

Deficiencies per year

8 6 4 2 0
2024
2025

Census

Latest occupancy rate 83 residents

Based on a September 2025 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy over time

30 60 90 120 150 Apr 2024 Aug 2024 Mar 2025 Aug 2025 Sep 2025

Inspection Report

Complaint Investigation
Census: 83 Deficiencies: 0 Date: Sep 30, 2025

Visit Reason
The inspection was conducted as a result of a complaint investigation triggered by three complaints at the facility.

Complaint Details
Three complaints were investigated: Complaint #NV00074818 was substantiated with no deficient practice; Complaint #NV00074826 was unsubstantiated with no regulatory deficiencies identified.
Findings
The facility received a grade of A with no regulatory deficiencies identified. One complaint was substantiated without deficient practice, and two complaints were unsubstantiated. No further action was necessary.

Report Facts
Sample size: 4 Complaints investigated: 3

Inspection Report

Complaint Investigation
Census: 45 Deficiencies: 1 Date: Aug 20, 2025

Visit Reason
The inspection was conducted as a result of a complaint investigation completed on 08/20/2025 regarding temperature issues within the facility.

Complaint Details
Complaint #NV00074849 was substantiated based on observations and interviews confirming elevated temperatures in the facility.
Findings
The facility failed to maintain temperatures within the required range of 68-82 degrees Fahrenheit, with observed temperatures up to 86 degrees in common areas and hallways. The complaint was substantiated and corrective actions were taken promptly.

Deficiencies (1)
Facility failed to ensure the temperature was maintained between 68-82 degrees Fahrenheit, with temperatures observed at 85-86 degrees in common areas and hallways.
Report Facts
Census: 45 Temperature readings: 86 Temperature readings: 85

Employees mentioned
NameTitleContext
Nichole R SchmalAdministratorNamed as provider/supplier representative signing the report

Inspection Report

Complaint Investigation
Census: 46 Capacity: 122 Deficiencies: 3 Date: Aug 6, 2025

Visit Reason
The inspection was conducted as a result of a complaint investigation combined with the annual State Licensure survey at the facility on 08/06/2025.

Complaint Details
Three complaints were investigated: Complaint #NV00074257 and #NV00074503 were substantiated with no deficient practice; Complaint #NV00074258 was unsubstantiated with no regulatory deficiencies identified.
Findings
The facility was found to have ongoing issues with cockroach infestation, poor maintenance and cleanliness of the premises, and kitchen sanitation violations. Three complaints were investigated, two substantiated without deficient practice and one unsubstantiated. The facility received a grade of A overall.

Deficiencies (3)
Facility failed to ensure cockroaches were not present; German cockroaches observed dead and alive in resident room #221 and throughout the facility.
Facility failed to ensure the premises were clean and well maintained; trip hazards, debris, cigarette waste, broken glass, and sticky translucent substance observed in multiple areas.
Facility failed to ensure kitchen and dining services complied with NAC 446 standards; non-food contact surfaces soiled with grease, dust, and debris, and floor soiled with food and debris build-up.
Report Facts
Licensed beds: 122 Resident census: 46 Resident files reviewed: 20 Employee files reviewed: 10 Complaints investigated: 3

Employees mentioned
NameTitleContext
Nichole R SchmalAdministratorNamed as Laboratory Director's or Provider/Supplier Representative signing the report
Unnamed Executive DirectorAcknowledged cockroach problem during inspection
Unnamed Maintenance DirectorAcknowledged cockroach problem and lack of cleanliness; responsible for monitoring insects and maintenance
Kitchen ManagerResponsible for monitoring kitchen cleaning and schedule adjustments

Inspection Report

Complaint Investigation
Census: 92 Deficiencies: 0 Date: Jun 17, 2025

Visit Reason
The inspection was conducted as a result of a complaint investigation completed on 06/17/25 in accordance with Nevada Administrative Code Chapter 449, Residential Facility for Groups.

Complaint Details
One complaint (#NV00074181) was investigated and determined to be unsubstantiated.
Findings
The investigation included observations, interviews, and record reviews. One complaint was investigated and found to be unsubstantiated. No regulatory deficiencies were identified and no action is required.

Report Facts
Sample size: 5 Complaints investigated: 1

Inspection Report

Complaint Investigation
Census: 94 Deficiencies: 1 Date: Mar 20, 2025

Visit Reason
The inspection was conducted as a result of a complaint investigation completed on 03/20/25 in accordance with Nevada Administrative Code (NAC) Chapter 449, Residential Facility for Groups. Four complaints were investigated, with one substantiated complaint.

Complaint Details
Four complaints were investigated: one substantiated (Complaint #NV00073429) and three unsubstantiated (Complaints #NV00073424, #NV00073409, #NV00073249). The substantiated complaint involved the lack of an accessible call bell for Resident #4.
Findings
The facility received a grade of A. One deficiency was identified related to safety requirements: the facility failed to ensure one resident had an accessible call bell or pendant to request assistance. The Wellness Director was unaware of this issue until the investigation. The deficiency was corrected by installing auditory emergency call pull cords in all bedrooms.

Deficiencies (1)
Facility failed to ensure one resident had an accessible call bell or pendant to request assistance.
Report Facts
Complaints investigated: 4 Substantiated complaints: 1 Sample size: 5

Employees mentioned
NameTitleContext
Nichole R SchmalExecutive DirectorNamed as the Executive Director who ordered corrective actions and signed the report

Inspection Report

Complaint Investigation
Census: 84 Capacity: 122 Deficiencies: 1 Date: Oct 28, 2024

Visit Reason
This inspection was conducted as a result of a complaint investigation and voluntary regrading survey at the facility on 10/28/2024, triggered by complaint #NV00072334 which was substantiated.

Complaint Details
One complaint was investigated and substantiated (Complaint #NV00072334). The investigation included observation of medication administration, resident care, and interviews with staff and residents. The deficiency related to missing physician orders for oxygen for Resident #1.
Findings
The facility failed to ensure physician orders were available for one sampled resident (Resident #1) regarding supplemental oxygen use. The physician's order for oxygen was not onsite during the inspection, despite the resident using supplemental oxygen. The facility acknowledged the missing order and had requested it from the resident's case worker.

Deficiencies (1)
Failed to ensure physician orders were available for Resident #1's supplemental oxygen use.
Report Facts
Licensed beds: 122 Census: 84 Sample size: 5 Severity level: 2 Scope: 1

Employees mentioned
NameTitleContext
Nichole SchmalExecutive DirectorSigned the report and involved in interviews
Wellness DirectorInterviewed regarding oxygen use and physician orders
Medication TechniciansInterviewed during complaint investigation

Inspection Report

Annual Inspection
Census: 86 Capacity: 122 Deficiencies: 5 Date: Aug 1, 2024

Visit Reason
The inspection was conducted as an annual State Licensure survey combined with a complaint investigation and a voluntary regrading survey at the facility on 08/01/2024.

Complaint Details
One complaint (#NV00071717) was investigated and found to be unsubstantiated with no regulatory deficiencies identified.
Findings
The facility was found to have multiple deficiencies including maintenance and safety hazards, medication administration issues such as failure to complete bi-annual medication reviews for some residents, improper destruction of discontinued medications, unsecured medication storage, and lack of required infection control training for several employees. One complaint was investigated and found unsubstantiated with no regulatory deficiencies identified from it.

Deficiencies (5)
Facility failed to ensure the exterior and interior of the building was clean and free of hazards including tree stumps in the yard, pigeon feces, exposed electrical outlets and wiring, restrooms lacking soap and towels, and trip hazards from flooring.
Facility failed to ensure medication regimen reviews were completed every six months for 5 of 20 residents.
Facility failed to ensure medications were destroyed for 2 of 20 residents after discontinuation or expiration.
Facility failed to ensure resident medications were secured; unsecured tote of returned medications was observed.
Facility failed to ensure 6 of 10 sampled employees obtained required infection control training.
Report Facts
Licensed beds: 122 Current census: 86 Residents reviewed: 20 Employee files reviewed: 10 Residents missing medication review: 5 Employees missing infection control training: 6

Employees mentioned
NameTitleContext
Nichole SchmalExecutive DirectorInterviewed during complaint investigation and responsible for monitoring corrective actions
Medication TechnicianAcknowledged expired medications that should have been destroyed

Inspection Report

Renewal
Capacity: 102 Deficiencies: 1 Date: Jun 19, 2024

Visit Reason
The inspection was conducted as a State licensure survey for a residential facility for groups, including elderly and disabled persons, to assess compliance with Nevada Administrative Code Chapter 449 and to review the facility's application for a 20-bed increase for Alzheimer's residents.

Findings
The facility was found non-compliant with Alzheimer's Care Standards for Safety, specifically failing to provide a secured outdoor yard space of at least 40 square feet per resident for 20 Alzheimer's residents. The designated outdoor yard space measured only 680 square feet instead of the required 800 square feet.

Deficiencies (1)
Facility failed to ensure a secured back area could accommodate 20 Alzheimer's residents with at least 40 square feet of outdoor yard space per resident; outdoor yard space measured 680 square feet instead of required 800 square feet.
Report Facts
Licensed beds: 102 Requested bed increase: 20 Outdoor yard space measured: 680 Required outdoor yard space: 800

Employees mentioned
NameTitleContext
Nichole SchmalExecutive DirectorSigned the report as Laboratory Director's or Provider/Supplier Representative

Inspection Report

Complaint Investigation
Census: 83 Deficiencies: 5 Date: May 21, 2024

Visit Reason
The inspection was conducted as a result of a complaint investigation completed on 05/21/24, triggered by five substantiated complaints regarding health and sanitation, resident rights, medication administration, and facility maintenance.

Complaint Details
Five complaints were investigated, all substantiated. Complaints involved pest infestation, facility cleanliness, resident abuse, and medication administration issues. Resident #5 was involved in multiple incidents of aggression and abuse. Resident #4 had medication administration deficiencies.
Findings
The facility was found to have multiple deficiencies including pest infestation with cockroaches in resident rooms, unclean and poorly maintained resident rooms and bathrooms, failure to protect residents from verbal and physical abuse by another resident, and medication administration errors including missing medications and inaccurate medication administration records.

Deficiencies (5)
Facility failed to ensure a resident room was free of dead and live cockroaches, with more than 20 dead cockroaches and one live cockroach observed in room #115.
Facility failed to ensure the facility was clean and well maintained, with multiple rooms observed to have dirty floors, stained toilets, and clutter.
Facility failed to ensure residents were free from verbal and physical abuse and inappropriate behaviors from another resident (Resident #5) with multiple documented incidents of aggression and threats.
Facility failed to ensure medications were onsite and administered per physician's order for Resident #4, with missing Depakote medication and inaccurate medication administration records.
Facility failed to maintain accurate medication administration records for Resident #4, with documentation errors and missing medication.
Report Facts
Census: 83 Complaints investigated: 5 Severity Level 2 Deficiencies: 5 Dead cockroaches observed: 20 Completion dates for pest extermination: Array

Employees mentioned
NameTitleContext
Nichole SchmalExecutive DirectorSigned the inspection report and responsible for ensuring corrective actions
Wellness DirectorInterviewed regarding pest infestation and facility cleanliness; acknowledged cockroach infestation and unclean rooms
Medication TechnicianInterviewed regarding medication administration and facility cleanliness; involved in resident medication issues
AdministratorAcknowledged resident behavior issues and medication administration problems

Inspection Report

Complaint Investigation
Census: 91 Deficiencies: 1 Date: Apr 3, 2024

Visit Reason
This inspection was conducted as a result of a complaint investigation completed on 04/03/24, triggered by three complaints received regarding the facility's compliance with Nevada Administrative Code (NAC) Chapter 449.

Complaint Details
Three complaints were investigated: one substantiated complaint (#NV00070791) related to auditory call bell system failures; two complaints (#NV00070835 and #NV00070823) were unsubstantiated with no regulatory deficiencies identified.
Findings
The facility failed to ensure the auditory call bell alert system was functioning properly for three tested residents, resulting in delayed or absent responses to call pendants. One complaint was substantiated related to this deficiency, while two others were unsubstantiated with no regulatory deficiencies found.

Deficiencies (1)
Failure to ensure the auditory call bell alert system was in working order for 3 of 3 tested pendants, resulting in delayed or no response to resident calls.
Report Facts
Census: 91 Complaints investigated: 3 Substantiated complaints: 1 Unsubstantiated complaints: 2 Sample size: 5

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