Inspection Reports for Sierra Manor Care Home

327 River Flow Dr, Reno, NV 89523, NV, 89523

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Inspection Report Summary

The most recent inspection on November 6, 2024, found no deficiencies and the complaint alleging physical abuse was unsubstantiated. Earlier inspections showed a generally positive compliance record with occasional deficiencies primarily related to medication documentation and management, as well as safety concerns involving unsecured oxygen tanks and minor maintenance issues. Complaint investigations were mostly unsubstantiated, with no enforcement actions or fines listed in the available reports. Prior deficiencies did not involve immediate jeopardy or license actions, and the facility consistently received a grade of A. The inspection history suggests improvement over time, with the most recent surveys showing no regulatory issues.

Deficiencies (last 8 years)

Deficiencies (over 8 years) 1.4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

80% better than Nevada average
Nevada average: 7.1 deficiencies/year

Deficiencies per year

4 3 2 1 0
2012
2013
2019
2020
2021
2022
2023
2024

Census

Latest occupancy rate 75% occupied

Based on a November 2024 inspection.

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

Census over time

0 4 8 12 16 Jun 2013 Jul 2020 Oct 2020 Jul 2022 Aug 2024 Nov 2024

Inspection Report

Complaint Investigation
Census: 6 Capacity: 8 Deficiencies: 0 Date: Nov 6, 2024

Visit Reason
The inspection was conducted as a result of a complaint investigation regarding allegations of physical abuse by a caregiver.

Complaint Details
Complaint #NV00072593 alleged that a caregiver physically abused a resident. The investigation included observations, interviews, and record reviews, but the allegations could not be substantiated.
Findings
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.

Report Facts
Licensed beds: 8 Category I residents: 3 Category II residents: 5 Census: 6

Inspection Report

Annual Inspection
Census: 6 Capacity: 8 Deficiencies: 0 Date: Aug 27, 2024

Visit Reason
This inspection was conducted as a State Licensure annual grading survey of the facility.

Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.

Report Facts
Resident files reviewed: 6 Employee files reviewed: 4

Inspection Report

Annual Inspection
Census: 6 Capacity: 8 Deficiencies: 1 Date: Jul 24, 2023

Visit Reason
This inspection was conducted as a State Licensure annual grading survey of the Sierra Manor Care Home facility to assess compliance with regulations for Residential Facility for Groups.

Findings
The facility received a grade of A. One regulatory deficiency was identified related to medication administration documentation: the Medication Administration Record (MAR) for one resident did not include a prescribed medication that had been administered but not documented.

Deficiencies (1)
Failure to ensure the Medication Administration Record (MAR) was accurate for 1 of 6 sampled residents; trazadone medication administered but not documented on the MAR.
Report Facts
Licensed beds: 8 Resident census: 6 Deficiencies cited: 1

Employees mentioned
NameTitleContext
Laila BuenviajeAdministratorNamed in relation to medication administration deficiency and interview

Inspection Report

Annual Inspection
Census: 4 Capacity: 8 Deficiencies: 0 Date: Jul 12, 2022

Visit Reason
This inspection was conducted as a State Licensure annual grading survey of the facility.

Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.

Report Facts
Category I residents: 3 Category II residents: 5 Resident files reviewed: 4 Employee files reviewed: 3

Inspection Report

Annual Inspection
Census: 6 Capacity: 8 Deficiencies: 1 Date: Aug 16, 2021

Visit Reason
This inspection was a State Licensure annual grading survey conducted to assess compliance with NAC 449 for Residential Facility for Groups.

Findings
The facility received a grade of A, but one regulatory deficiency was identified related to medication management training. One employee was found to have administered medications without current medication management training, which was late by over a month.

Deficiencies (1)
Failure to ensure 1 of 5 employees who administered medications was trained in medication management and had current training as required by NAC 449.196.
Report Facts
Licensed beds: 8 Residents present: 6 Medication Management Training hours: 16 Medication Management Training classroom hours: 12 Medication Management Training practical hours: 4 Annual training hours: 8

Employees mentioned
NameTitleContext
Employee #5CaregiverNamed in deficiency for administering medications without current medication management training
Laila BuenviajeAdministratorConfirmed training status and signed report

Inspection Report

Follow-Up
Census: 8 Capacity: 8 Deficiencies: 0 Date: Oct 23, 2020

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

Findings
The facility was found to have adequate infection control measures in place, including PPE supply, staff training, screening procedures, and social distancing practices. No regulatory deficiencies were identified during this follow-up survey.

Report Facts
Licensed beds: 8 Category I residents: 3 Category II residents: 5 Census: 8 N-95 fit tested staff: 2

Inspection Report

Routine
Census: 7 Capacity: 8 Deficiencies: 0 Date: Sep 18, 2020

Visit Reason
The 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.

Findings
No regulatory deficiencies were identified; however, the facility did not have a documented Infection Control and Prevention Plan at the time of the survey. Resources were provided and the administrator committed to having a plan ready for follow-up by 10/02/20.

Report Facts
Licensed beds: 8 Category I residents: 3 Category II residents: 5 Census: 7

Inspection Report

Annual Inspection
Census: 7 Capacity: 8 Deficiencies: 3 Date: Jul 13, 2020

Visit Reason
This inspection was conducted as a State Licensure annual grading survey of the Sierra Manor Care Home facility on 07/13/2020 to assess compliance with NAC 449 Residential Facility for Groups regulations.

Findings
The facility received a grade of A with several deficiencies identified including maintenance issues with a window screen and backyard table, unsecured oxygen tanks, and a missing prescribed medication for a resident. Corrective actions were planned and/or completed for each deficiency.

Deficiencies (3)
Failed to ensure a window screen was well-maintained and a backyard table was free of splintered wood and peeling paint.
Failed to ensure oxygen tanks were secured in resident room #2 closet.
Failed to ensure prescribed medication (Bisacodyl suppository) was available on-site for Resident #3 as ordered.
Report Facts
Licensed beds: 8 Resident census: 7 Deficiencies cited: 3

Employees mentioned
NameTitleContext
Laila BuenviajeAdministratorNamed in relation to findings and corrective actions

Inspection Report

Deficiencies: 1 Date: Sep 20, 2019

Visit Reason
The inspection was conducted to assess compliance with regulations regarding residents requiring the use of oxygen in a residential facility.

Findings
The report details regulatory requirements for residents requiring oxygen, including resident capability to operate oxygen equipment, caregiver monitoring duties, physician evaluations, safety signage, equipment maintenance, and storage protocols.

Deficiencies (1)
Residents requiring use of oxygen must meet specific mental and physical capabilities, and the facility must ensure proper monitoring, safety measures, and equipment maintenance.

Inspection Report

Annual Inspection
Census: 6 Capacity: 8 Deficiencies: 1 Date: Aug 15, 2019

Visit Reason
This inspection was conducted as an annual State Licensure survey of the facility in accordance with NAC 449, Residential Facilities for Groups.

Findings
The facility received a grade of A; however, a regulatory deficiency was identified related to unsecured oxygen tanks stored in the walk-in closet of room #1, which posed a safety risk.

Deficiencies (1)
Oxygen tanks were found unsecured in the walk-in closet of room #1, contrary to safety requirements that all oxygen tanks be secured in a stand or to a wall.
Report Facts
Number of oxygen tanks unsecured: 5 Resident census: 6 Total licensed capacity: 8

Employees mentioned
NameTitleContext
Laila BuenviajeAdministratorSigned the report and responsible for routine checks of oxygen tank storage.
Employee #2 confirmed the oxygen tanks were unsecured but no full name provided.

Inspection Report

Annual Inspection
Census: 2 Capacity: 5 Deficiencies: 2 Date: Jun 4, 2013

Visit Reason
This document is an annual State Licensure survey conducted at Sierra Manor Care Home on 6/4/2013 to assess compliance with regulatory requirements.

Findings
The facility received a grade of A but was found deficient in providing at least 10 hours of scheduled activities per week for residents and in medication administration for one resident, specifically regarding proper medication orders and documentation.

Deficiencies (2)
Failed to provide at least 10 hours of scheduled activities for residents per week.
Failed to ensure medication administration as prescribed for a resident, including proper documentation and physician orders.
Report Facts
Licensed capacity: 5 Resident census: 2 Deficiency count: 2

Inspection Report

Annual Inspection
Census: 2 Capacity: 5 Deficiencies: 2 Date: Jun 4, 2013

Visit Reason
This document is the result of an annual State Licensure survey conducted at Sierra Manor Care Home on 6/4/2013 to assess compliance with state regulations.

Findings
The facility received a grade of A but was found deficient in providing at least 10 hours of scheduled activities per week for residents and in administering medications as prescribed for one resident.

Deficiencies (2)
Failed to provide at least 10 hours of scheduled activities for 2 of 2 residents.
Failed to ensure 1 of 2 residents received medications as prescribed (Trazodone HCl dosage not followed).
Report Facts
Licensed beds: 5 Residents present: 2

Inspection Report

Original Licensing
Capacity: 5 Deficiencies: 0 Date: Jun 21, 2012

Visit Reason
This document reports on an initial State licensure survey conducted to request licensure for five Residential Facility for Groups beds for elderly and disabled persons.

Findings
No deficiencies were identified during the survey, and no further action was necessary.

Report Facts
Licensed beds: 5

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