Inspection Reports for Sheltering Arms Care Home
1255 Loma Verde Ct, Sparks, NV 89436, NV, 89436
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Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 4
Oct 9, 2024
Visit Reason
This inspection was conducted as a State Licensure annual grading survey to evaluate compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A but had several deficiencies including missing person-centered service plans for 3 of 5 residents, failure to complete a timely annual physical exam for 1 resident, lack of an annual Standard Physician Assessment and Placement Determination for 1 resident, and incomplete infection control training for the designated secondary infection control person.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Person-centered service plans were missing for 3 of 5 residents reviewed. | Severity: 2 |
| Annual general physical examination with review of systems was not completed timely for 1 of 5 residents. | Severity: 2 |
| Initial and annual Standard Physician Assessment and Placement Determination was missing for 1 of 5 residents. | Severity: 2 |
| Secondary infection control person had not completed required 15 hours of infection control training. | Severity: 2 |
Report Facts
Residents reviewed: 5
Employee files reviewed: 3
Deficiencies cited: 4
Infection control training hours required: 15
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Jun 11, 2024
Visit Reason
The inspection was conducted as a result of a complaint investigation at Sheltering Arms Care Home on 06/11/24, triggered by allegations of staff abuse, improper nursing services, dignity concerns, discharge procedures, and misuse of resident funds.
Findings
The investigation included observations, interviews, and record reviews. No regulatory deficiencies were identified, and the complaint allegations could not be substantiated due to lack of sufficient evidence. The facility received a grade of A and no further action was necessary.
Complaint Details
Complaint #NV00071206 included six allegations: verbal abuse, mental abuse, nursing services outside scope, lack of dignity and respect, improper discharge, and misuse of resident funds. None were substantiated due to insufficient evidence.
Report Facts
Complaint allegations: 6
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 6
Feb 16, 2023
Visit Reason
The inspection was conducted as a State Licensure annual grading survey to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of B with several deficiencies identified including failure to maintain current CPR and first aid certification for one employee, lack of a valid Ultimate User Agreement for medication administration for one resident, unsecured medications accessible to all residents, missing annual Activities of Daily Living assessments for one resident, failure to post a current non-discrimination statement, and incomplete cultural competency training for two employees.
Severity Breakdown
Level 2: 5
Level 1: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Facility failed to ensure 1 of 5 sampled employees maintained current CPR and first aid certification. | Level 2 |
| Resident #3 lacked a valid Ultimate User Agreement authorizing medication storage and administration. | Level 2 |
| Medications were unsecured and accessible to all residents; medication cabinet was left unlocked. | Level 2 |
| Resident #5 did not have an annual Activities of Daily Living (ADL) assessment completed. | Level 2 |
| Facility failed to post a current non-discrimination statement prominently. | Level 1 |
| Two employees lacked required cultural competency training certificates. | Level 2 |
Report Facts
Deficiencies cited: 6
Resident census: 5
Total licensed capacity: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| NELIA BUENDIA | Administrator | Named in relation to findings regarding CPR certification, Ultimate User Agreement, ADL assessments, non-discrimination statement, and cultural competency training. |
| Employee #2 | Owner/Caregiver and Director | Failed to maintain current CPR and first aid certification and cultural competency training. |
| Employee #3 | Caregiver/Medication Technician | Lacked cultural competency training certificate. |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 6
Apr 13, 2022
Visit Reason
This inspection was conducted as a State Licensure annual grading survey of the facility to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of B with several regulatory deficiencies identified, including missing pre-employment physical examination for an employee, incomplete background checks, failure to maintain a functional toilet flush handle, lack of administrator review on medication reviews for residents, missing tuberculosis testing documentation for a resident, and late completion of an initial activities of daily living assessment for a resident.
Severity Breakdown
Severity: 2: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Personnel file lacked documented evidence of a pre-employment physical examination for Employee #2 (Manager). | Severity: 2 |
| Personnel file lacked evidence of fingerprints and proper background check for Employee #3. | Severity: 2 |
| Toilet flush handle was broken and temporarily fixed with rope. | Severity: 2 |
| Administrator failed to review and initial six-month medication reviews for 3 of 4 sampled residents. | Severity: 2 |
| Resident #2 lacked documented evidence of a two-step TB test or chest x-ray to rule out active TB infection upon admission. | Severity: 2 |
| Resident #4's initial activities of daily living (ADL) assessment was completed 13 days late after admission. | Severity: 2 |
Report Facts
Licensed beds: 6
Current census: 4
Medication reviews missing administrator signature: 3
Residents reviewed: 4
Employee files reviewed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nelia Buendia | Administrator | Named as Administrator responsible for the facility and signing the report |
| Employee #2 | Manager | Employee lacking pre-employment physical examination documentation |
| Employee #3 | Caregiver | Employee lacking proper background check documentation |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Jun 16, 2021
Visit Reason
This visit was an initial State Licensure survey conducted to evaluate the facility's request for a license for six Residential Facility for Group beds for elderly and disabled persons and/or chronic illness, Category II residents.
Findings
No regulatory deficiencies were identified during the survey. One mock resident file and one employee file were reviewed. The license was approved with no further action necessary.
Report Facts
Licensed beds: 6
Census: 0
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