Inspection Reports for Sierra Place Senior Living
1111 W College Pkwy, Carson City, NV 89703, United States, NV, 89703
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Inspection Report
Complaint Investigation
Census: 51
Capacity: 76
Deficiencies: 0
Apr 8, 2025
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding an allegation that an employee yelled at and handled a resident roughly during a brief change, resulting in the resident not sleeping well.
Findings
No regulatory deficiencies were identified and the complaint could not be substantiated due to lack of evidence. The investigation included observations, interviews, and record reviews.
Complaint Details
Complaint #NV00073172 alleged an employee yelled at and handled a resident roughly during a brief change resulting in the resident not sleeping well; the allegation could not be substantiated due to lack of evidence.
Report Facts
Resident records reviewed: 5
Employee records reviewed: 8
Facility licensed capacity: 76
Census: 51
Inspection Report
Renewal
Census: 61
Capacity: 76
Deficiencies: 11
Nov 18, 2024
Visit Reason
This inspection was a State Licensure re-grading survey conducted to assess compliance with Nevada Administrative Code for Residential Facility for Groups, including assisted living services for elderly or disabled persons.
Findings
The facility received a grade of A with several regulatory deficiencies identified, primarily related to permits for food service, first aid kit contents, medical care documentation, medication administration, maintenance of resident files, preferred name/pronoun policies, annual resident assessments, and infection control training requirements.
Severity Breakdown
E: 1
F: 1
D: 7
C: 2
Deficiencies (11)
| Description | Severity |
|---|---|
| Permits-Comply with NAC 446 on Food Service - facility must comply with standards and obtain necessary permits. | E |
| First Aid & CPR - first aid kit must be available and include required items. | C |
| Medical Care of Resident After Illness - failure to obtain required general physical examination results and follow instructions. | D |
| Medication Administration-Accuracy & Report - administrator must ensure medication regimen reviews and proper documentation. | D |
| Medication/OTCS, Supplements, Change Order - over-the-counter medications must be administered per written orders and documented. | D |
| Medication - Destruction - discontinued or expired medications must be destroyed properly and documented. | D |
| Administration of Medication Maintenance - maintain detailed medication administration records. | D |
| Maintenance and Contents of Separate File - maintain locked, confidential resident files for at least 5 years. | D |
| Preferred Name/Pronoun Policy - facility must develop policies to address residents by preferred names and pronouns and adapt records accordingly. | C |
| Annual Assessment of History of Each Resident - failed to obtain annual Physician Placement Determination for one resident. | D |
| Infection Control Required Training - designated persons must complete at least 15 hours of infection control training annually. | F |
Report Facts
Licensed capacity: 76
Census: 61
Resident files reviewed: 10
Severity 2 deficiency: 1
Training hours required: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Quaranto | Administrator | Signed report and named as facility administrator |
Inspection Report
Annual Inspection
Census: 62
Capacity: 76
Deficiencies: 11
Aug 7, 2024
Visit Reason
This inspection was a State Licensure annual grading survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of D with multiple deficiencies identified including issues with kitchen food safety, expired medications in first aid kits, untimely annual physical exams for residents, incomplete pharmacy reviews, medication administration errors, failure to destroy discontinued medications, incomplete documentation of PRN medication symptoms, incomplete tuberculosis testing, lack of policies and documentation for preferred names and pronouns, missing annual physician assessments for residents with dementia, and incomplete infection control training for designated staff.
Severity Breakdown
1: 2
2: 9
Deficiencies (11)
| Description | Severity |
|---|---|
| Kitchen and supportive dining services failed to comply with NAC 446; freezer temperature was 25°F, stove and griddle soiled, trash compactor leaking. | 2 |
| Expired medications in first aid kits were not destroyed for 3 of 3 kits. | 1 |
| Annual general physical examination with review of systems not completed timely for 2 of 15 sampled residents. | 2 |
| Pharmacy Review not completed at least once every six months for 2 of 15 sampled residents. | 2 |
| Medication label lacked order change sticker for 1 of 15 sampled residents. | 2 |
| Discontinued medications were not destroyed timely for 3 of 15 sampled residents. | 2 |
| As needed medications lacked documentation of symptoms being treated on MAR for 1 of 15 sampled residents. | 2 |
| Resident file lacked documented evidence of second step tuberculosis test and read date for 1 of 15 sampled residents. | 2 |
| Resident records lacked policies and documentation reflecting preferred name, pronoun, gender identity or expression, and sexual orientation for all residents. | 1 |
| Annual Standard Physician Assessment and Placement Determinations not completed for 3 of 15 sampled residents with dementia diagnosis. | 2 |
| Primary and secondary infection control staff failed to complete required 15 hours of infection control training. | 2 |
Report Facts
Facility licensed capacity: 76
Census: 62
Inspection grade: D
Number of resident files reviewed: 15
Number of employee records reviewed: 12
Resurvey application fee: 600
Number of discontinued medications not destroyed: 3
Infection control training hours required: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Quaranto | Administrator | Signed report and responsible for facility administration |
| Employee #2 | Executive Director | Primary infection control staff lacking required infection control training |
| Employee #3 | Wellness Director | Secondary infection control staff lacking required infection control training and confirmed multiple deficiencies |
| Burney's Commercial Service of Nevada Inc. | Service Provider | Performed freezer temperature check and found high psi switch not closing |
| MG Builders LLC | Service Provider | Welded trash compactor |
Inspection Report
Renewal
Census: 65
Capacity: 76
Deficiencies: 12
Feb 8, 2024
Visit Reason
This inspection was a State Licensure re-grading survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for a Residential Facility for Groups. The survey included a complaint investigation which was unsubstantiated.
Findings
The facility received a grade of A with no regulatory deficiencies identified. One complaint was investigated but not substantiated due to lack of evidence. Several medication administration and facility operation requirements were reviewed with deficiencies cited at various severity levels.
Complaint Details
One complaint (NV00069370) was investigated with allegations including inadequate notice of transfer, lack of choice in transfer location, untimely notification of responsible party, and failure to acquire informed consent. The complaint was not substantiated due to lack of evidence after interviews and record reviews.
Severity Breakdown
D: 9
F: 1
C: 1
E: 1
Deficiencies (12)
| Description | Severity |
|---|---|
| Medication/OTCS, Supplements, Change Order - Administration of medication responsibilities not fully met. | D |
| Medication - Resident Refusal - Notification requirements after refusal or missed dose not fully met. | D |
| Administration of Medication Maintenance - Logs and records maintenance incomplete or inaccurate. | D |
| Medication: Storage - Medication not stored in locked, secure, and properly labeled conditions. | F |
| Medication: Storage - Medication not plainly labeled or kept in original container until administration. | D |
| Administrator's Responsibilities - Designation of employee in charge during administrator absence not fully compliant. | C |
| Elder Abuse Training - Required training to recognize and prevent abuse of older persons not fully documented or completed. | D |
| Personnel File - TB Screening - Personnel files missing required health certificates. | D |
| Permits-Comply with NAC 446 on Food Service - Facility did not fully comply with food service permits and inspections. | E |
| First Aid & CPR - Administrator or caregiver training in first aid and CPR not fully documented or completed. | D |
| Medical Care of Resident After Illness - Facility did not fully obtain or maintain required physical examination records. | D |
| Medication Administration-Report Received - Administrator did not fully comply with notification and review requirements after receiving medication reports. | D |
Report Facts
Resident files reviewed: 15
Employee records reviewed: 10
Licensed capacity: 76
Current census: 65
Inspection Report
Annual Inspection
Census: 62
Capacity: 76
Deficiencies: 12
Sep 11, 2023
Visit Reason
This inspection was a State Licensure annual grading survey conducted by the Division of Public and Behavioral Health in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of D with multiple deficiencies identified including failure to designate an employee in charge during the Administrator's absence, incomplete elder abuse training for employees, incomplete tuberculosis screening, failure to comply with food service sanitation standards, late annual physical exams for residents, medication administration issues including missing medications, missed physician notifications, inaccurate medication records, and unsecured medication storage.
Severity Breakdown
Level 1: 1
Level 2: 11
Deficiencies (12)
| Description | Severity |
|---|---|
| Failed to designate in writing one or more employees to oversee the facility during the Administrator's absence and post the information in a public place. | Level 1 |
| Failed to ensure 3 of 10 employees received initial elder abuse training prior to beginning work and annually thereafter. | Level 2 |
| Failed to ensure 1 of 10 employees met tuberculosis (TB) testing requirements. | Level 2 |
| Low temperature dishwashing machine was not sanitizing; no detectable chlorine sanitizer during final rinse cycle. | Level 2 |
| Failed to ensure 1 of 10 employees had required CPR and first aid training within 30 days of hire. | Level 2 |
| Failed to ensure an annual general physical examination was completed timely for 1 of 15 sampled residents. | Level 2 |
| Failed to ensure medication profile review was initialed by Administrator acknowledging medication accuracy for 1 of 15 sampled residents. | Level 2 |
| Failed to ensure medications were on-site to administer as prescribed for 2 of 15 sampled residents. | Level 2 |
| Failed to notify physician within 12 hours of missed medication doses for 1 of 15 residents. | Level 2 |
| Failed to maintain accurate Medication Administration Record (MAR) for 2 of 15 sampled residents. | Level 2 |
| Failed to ensure residents' medications were kept secured; medication room door was open and unlocked cabinets contained residents' medications accessible to residents. | Level 2 |
| Failed to ensure medication bottles were labeled with resident's name and prescribing physician's name for 1 of 15 sampled residents. | Level 2 |
Report Facts
Facility licensed capacity: 76
Census: 62
Grade: D
Number of resident files reviewed: 15
Number of employee records reviewed: 10
Resurvey application fee: 600
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Quaranto | Administrator | Signed the report as Administrator |
| Employee #1 | Failed elder abuse training for 2023 | |
| Employee #4 | Failed elder abuse training for 2022 and 2023 | |
| Employee #5 | Failed elder abuse training for 2023 | |
| Employee #6 | Failed to meet TB testing requirements | |
| Employee #3 | Executive Director | Failed to have CPR and first aid training within 30 days of hire |
Inspection Report
Re-Inspection
Census: 57
Capacity: 76
Deficiencies: 9
Mar 16, 2023
Visit Reason
This inspection was a regrading State Licensure survey conducted to assess compliance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups, Category II beds with assisted living services.
Findings
The facility was found deficient in multiple areas including administrator oversight, food safety and labeling, employee training in CPR and chronic illness care, medication administration accuracy, and resident care documentation. Several deficiencies were rated with severity levels ranging from D to F, indicating significant compliance issues.
Severity Breakdown
Level 2: 4
Level D: 4
Level E: 2
Deficiencies (9)
| Description | Severity |
|---|---|
| Administrator failed to provide oversight and direction for employees to ensure needed services and protective supervision. | Level 2 |
| Refrigerated food was not dated, labeled, or covered properly; expired and moldy foods were present. | Level 2 |
| One employee did not receive first aid and CPR training within 30 days of employment. | Level D |
| Facility failed to ensure ultimate user medication agreements were completed accurately for sampled residents. | Level E |
| Caregiving staff failed to receive required four hours of training related to care of elderly, disabled, and chronically ill residents within 60 days of employment. | Level 2 |
| Medication administration procedures were not fully compliant, including documentation and medication cart audits. | Level E |
| Oxygen equipment was not properly secured as required by regulation. | Level D |
| Facility failed to maintain complete and accurate resident files, including TB testing documentation. | Level D |
| Facility failed to ensure caregivers received at least four hours of chronic illness training within 60 days of employment. | Level 2 |
Report Facts
Licensed beds: 76
Resident census: 57
Deficiency severity counts: 10
Employee files reviewed: 10
Resident files reviewed: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Quaranto | Administrator | Named as Administrator responsible for oversight and signature on report. |
| Employee #2 | Caregiver | Failed to complete CPR training within 30 days of employment. |
| Employee #3 | Caregiver | Failed to complete initial four hours of caregiver training within 60 days of hire. |
| Regional Vice President of Operations | Confirmed training deficiencies and other findings during interviews. | |
| Executive Director | Provided verbal confirmation regarding medication self-administration issues. |
Inspection Report
Annual Inspection
Census: 57
Capacity: 76
Deficiencies: 13
Oct 25, 2022
Visit Reason
This inspection was a State Licensure annual grading survey conducted by the Division of Public and Behavioral Health in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of D with multiple regulatory deficiencies identified, including failures in administrator oversight, incomplete tuberculosis testing records, unscreened windows, food service violations, lack of timely CPR and caregiver training, medication administration issues, unsecured oxygen tanks, incomplete resident assessments, and missing or late documentation.
Severity Breakdown
Level 2: 13
Deficiencies (13)
| Description | Severity |
|---|---|
| Administrator failed to provide oversight and direction to ensure residents received needed services and protective supervision. | Level 2 |
| Facility failed to ensure tuberculosis testing records were complete, including times given and results read for 8 of 15 sampled residents. | Level 2 |
| Resident's room window lacked a screen to prevent entry of insects. | Level 2 |
| Kitchen and dining services failed to comply with food service standards including improper food labeling and lack of handwashing supplies. | Level 2 |
| One employee failed to receive first aid and CPR training within 30 days of employment. | Level 2 |
| Two oxygen tanks in a resident's room were unsecured and improperly stored. | Level 2 |
| Administrator failed to initial medication profile reviews within 72 hours for 4 residents. | Level 2 |
| Ultimate user agreements for medication administration were missing or late for 3 residents. | Level 2 |
| Medications were not available onsite as prescribed for 5 residents. | Level 2 |
| Facility failed to ensure maintenance of separate resident files including evidence of tuberculosis compliance for 2 residents. | Level 2 |
| One employee lacked documentation of four hours of initial caregiver training within 60 days of hire. | Level 2 |
| Four employees lacked documentation of four hours of training related to care of persons with chronic illnesses within 60 days of hire. | Level 2 |
| Facility failed to obtain a Standard Physician Assessment and Placement Determination for one resident. | Level 2 |
Report Facts
Facility licensed capacity: 76
Resident census: 57
Residents sampled: 15
Employees sampled: 7
Inspection date: Oct 25, 2022
Inspection grade: D
Resurvey fee: 600
Deficiency severity counts: 13
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Quaranto | Administrator | Named as Administrator responsible for oversight and signature on documents |
| Employee #1 | Administrator | Failed to document initial caregiver training and chronic illness training within required timeframe |
| Employee #7 | Resident Services Coordinator | Failed to receive CPR training within 30 days of employment |
| Wellness Director | Registered Nurse | Provided multiple confirmations and interviews regarding TB testing, medication administration, and training deficiencies |
| Dining Services Director | Conducted in-service training on food service compliance | |
| Maintenance Supervisor | Confirmed window lacked screen |
Inspection Report
Annual Inspection
Census: 41
Capacity: 76
Deficiencies: 2
Nov 16, 2021
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
Two regulatory deficiencies were identified: improper storage of helium tanks in the refuse area creating a fire hazard, and failure to ensure medication profile reviews were performed at least every six months for one resident.
Complaint Details
The facility received a regrading/complaint investigation grade of A, but no further substantiation details were provided.
Severity Breakdown
2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to keep the enclosed refuse area free from hazardous material; helium tanks were improperly stored surrounded by dry leaves creating a fire hazard. | 2 |
| Facility failed to ensure a medication profile review was performed at least once every six months for one resident residing longer than six months. | 2 |
Report Facts
Resident files reviewed: 15
Employee records reviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karrie A Barrett | Executive Director | Named as Executive Director responsible for ensuring compliance and corrective actions |
| Plant Operations Director | Confirmed improper storage of helium tanks and acknowledged fire hazard | |
| Wellness Director | Confirmed medication review was not completed within required timeframe for Resident #8 |
Inspection Report
Annual Inspection
Census: 54
Capacity: 76
Deficiencies: 5
Sep 1, 2020
Visit Reason
This inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for a Residential Facility for Groups.
Findings
The facility received a grade of A. Deficiencies included food service violations such as improper refrigerator temperature and labeling, and maintenance issues with the walk-in refrigerator compressor. Additionally, there was a failure to meet tuberculosis testing requirements for one resident.
Severity Breakdown
Level 2: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| The walk-in refrigerator was at 47 degrees F and not recovering to proper temperature. | Level 2 |
| Multiple bagged and wrapped deli meats were not properly labeled. | Level 2 |
| Liquid food seepage and foul odor observed under the trash compactor. | Level 2 |
| The new walk-in refrigerator compressor system outside the kitchen was not properly vented. | Level 2 |
| Facility failed to ensure one resident met tuberculosis testing requirements; TB test was read less than 48 hours after administration. | Level 2 |
Report Facts
Resident files reviewed: 15
Employee files reviewed: 11
Facility grade: A
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karrie A Barrett | Executive Director | Named as responsible for food safety and corrective actions |
| Wellness Director | Named as responsible for tuberculosis testing compliance and food safety | |
| Dining Service Director | Named as responsible for food safety and food storage policies |
Inspection Report
Routine
Census: 54
Capacity: 76
Deficiencies: 0
Sep 1, 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
The facility had documented and ready-to-implement components of an Infection Control and Prevention Plan including staff training, PPE inventory, screening practices, and response plans for COVID-19. No regulatory deficiencies were identified.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 14, 2017
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding the physical environment and safe environment provision at the facility.
Findings
The complaint alleging unsafe physical environment was not substantiated and no deficiencies were identified during the investigation.
Complaint Details
Complaint #NV00049524 alleging Physical Environment; Safe Environment Not Provided was investigated and found not substantiated.
Report Facts
Sample size: 9
Number of complaints investigated: 1
Inspection Report
Re-Inspection
Deficiencies: 0
Mar 21, 2016
Visit Reason
This document is a grading re-survey conducted at Sierra Place Retirement Community on 3/21/2016 as part of a state licensure survey by the Division of Public and Behavioral Health.
Findings
No deficiencies were identified during this re-survey, and the facility received a re-survey grade of A.
Inspection Report
Annual Inspection
Census: 40
Capacity: 76
Deficiencies: 7
Feb 3, 2016
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 2/3/16 to assess compliance with regulations for a residential facility providing care to elderly and disabled persons.
Findings
The facility received a grade of B with several deficiencies identified including failure to ensure annual elder abuse training for one employee, incomplete background checks, delayed first aid and CPR training for caregivers, unsecured oxygen tanks, medication administration errors, improper medication storage, and insufficient training hours related to care of elderly and disabled residents.
Severity Breakdown
Severity: 2: 7
Deficiencies (7)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 15 employees received annual elder abuse prevention training. | Severity: 2 |
| Failed to ensure 1 of 15 employees met background check requirements. | Severity: 2 |
| Failed to ensure 2 of 15 caregivers were trained in first aid and CPR within 30 days of hire. | Severity: 2 |
| Failed to secure oxygen tanks in 1 of 4 resident rooms using oxygen. | Severity: 2 |
| Failed to ensure medications were administered as prescribed for 2 of 8 residents. | Severity: 2 |
| Failed to ensure medications were stored and secured in a locked area in 5 of 21 rooms observed. | Severity: 2 |
| Failed to ensure minimum four hours of training related to care of elderly and disabled residents was completed within 60 days of hire by 1 of 15 employees. | Severity: 2 |
Report Facts
Licensed capacity: 76
Census: 40
Employees reviewed: 15
Residents reviewed: 10
Deficiencies cited: 7
Inspection Report
Annual Inspection
Census: 40
Capacity: 76
Deficiencies: 7
Feb 3, 2016
Visit Reason
This annual State Licensure survey was conducted to assess compliance with state regulations for a residential facility providing assisted living and care for elderly and disabled persons.
Findings
The facility received a grade of B with multiple deficiencies identified including failure to ensure annual elder abuse training for one employee, incomplete background checks, delayed first aid and CPR training for caregivers, unsecured oxygen tanks, medication administration errors, improper medication storage, and insufficient caregiver training within 60 days of hire.
Severity Breakdown
Level 2: 7
Deficiencies (7)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 15 employees received annual elder abuse prevention training. | Level 2 |
| Failed to ensure 1 of 15 employees met background check requirements; undetermined FBI and State fingerprint results unresolved. | Level 2 |
| Failed to ensure 2 of 15 caregivers were trained in first aid and CPR within 30 days of hire. | Level 2 |
| Failed to secure oxygen tanks in a rack or to the wall in 1 of 4 resident rooms using oxygen. | Level 2 |
| Failed to ensure 2 of 8 residents received medications as prescribed; medication not on site or incorrect medication present. | Level 2 |
| Failed to ensure medications were stored and secured in a locked area in 5 of 21 rooms observed. | Level 2 |
| Failed to ensure a minimum of four hours of training related to care of elderly and disabled residents was completed within 60 days of hire by 1 of 15 employees. | Level 2 |
Report Facts
Residents present: 40
Total licensed capacity: 76
Employees reviewed: 15
Resident files reviewed: 10
Residents with medication errors: 2
Rooms with unsecured medications: 5
Caregivers lacking timely first aid/CPR training: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #3 | Care Associate | Failed to receive annual elder abuse prevention training in 2014 |
| Employee #13 | Care Associate | Background check unresolved; delayed first aid and CPR training |
| Employee #14 | Care Associate | Delayed first aid and CPR training |
| Employee #5 | Medication Technician/LPN | Failed to complete required training related to care of elderly and disabled residents within 60 days of hire |
Inspection Report
Complaint Investigation
Capacity: 76
Deficiencies: 0
May 5, 2014
Visit Reason
This document is a Statement of Deficiencies generated as a result of a complaint investigation conducted from 2013-08-06 to 2014-05-05 regarding infection control at Sierra Place Retirement Community.
Findings
The allegation regarding infection control was not substantiated based on document review, interviews with the Executive Director and Wellness Director, and observations of the facility. Infection control policies and procedures were in place and followed during a respiratory illness outbreak.
Complaint Details
Complaint #NV00036498 was investigated and the allegation regarding infection control was not substantiated.
Report Facts
Licensed capacity: 76
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Interviewed regarding infection control during complaint investigation | |
| Wellness Director | Interviewed regarding infection control during complaint investigation |
Inspection Report
Annual Inspection
Census: 63
Capacity: 76
Deficiencies: 4
Apr 1, 2014
Visit Reason
This inspection was an annual State Licensure grading survey conducted on 4/1/14 to assess compliance with regulations for a residential facility providing assisted living services.
Findings
The facility received a grade of A but had several deficiencies including failure to provide elder abuse training to one employee, failure to ensure medications were administered as prescribed for three residents, failure to destroy discontinued or expired medications, and inaccuracies in medication administration records for five residents.
Severity Breakdown
Severity: 2: 3
Severity: 1: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to provide initial elder abuse training to 1 of 15 employees before interaction with residents. | Severity: 2 |
| Failure to ensure 3 of 15 residents received medications as prescribed. | Severity: 2 |
| Failure to destroy medications after discontinuation or expiration for residents #5, #7, and #10. | Severity: 2 |
| Medication administration records (MAR) were inaccurate for 5 of 15 residents inspected. | Severity: 1 |
Report Facts
Licensed beds: 76
Resident census: 63
Employee files reviewed: 15
Resident files reviewed: 15
Residents with medication issues: 3
Residents with MAR inaccuracies: 5
Inspection Report
Annual Inspection
Census: 63
Capacity: 76
Deficiencies: 4
Apr 1, 2014
Visit Reason
This inspection was an annual State Licensure grading survey conducted in accordance with NRS 449.0307 to assess compliance with regulatory requirements for the Sierra Place Retirement Community.
Findings
The facility received a grade of A but was cited for several deficiencies including failure to provide initial elder abuse training to one employee, failure to ensure three residents received medications as prescribed, failure to destroy discontinued or expired medications for three residents, and inaccuracies in medication administration records for five residents.
Severity Breakdown
Level 2: 3
Level 1: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to provide initial elder abuse training to 1 of 15 employees before they started interaction with residents. | Level 2 |
| Failed to ensure 3 of 15 residents received medications as prescribed. | Level 2 |
| Failed to destroy medications after they were discontinued or expired for 3 residents. | Level 2 |
| Medication administration records (MAR) were inaccurate for 5 of 15 residents inspected. | Level 1 |
Report Facts
Residents reviewed: 15
Employee files reviewed: 15
Deficiencies cited: 4
Inspection Report
Annual Inspection
Census: 51
Capacity: 76
Deficiencies: 2
Apr 16, 2013
Visit Reason
This document is the result of an annual State Licensure survey conducted at the Sierra Place Retirement Community on 04/16/2013 to assess compliance with state regulations.
Findings
The facility was found to have deficiencies related to personnel files and health and sanitation, including failure to ensure tuberculosis testing compliance for some employees and maintenance issues with gutters. One facility received a grade of A.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure tuberculosis testing compliance for employees #13 and #15, including missing physical and annual TB tests. | Severity: 2 |
| Failure to maintain gutters on the south side of the building, with sealed connections not properly sealed and leaking. | Severity: 2 |
Report Facts
Census: 51
Total Capacity: 76
Employees reviewed: 15
Inspection Report
Annual Inspection
Census: 51
Capacity: 76
Deficiencies: 2
Apr 16, 2013
Visit Reason
This document is the result of an annual State Licensure survey conducted at Sierra Place Retirement Community on 4/16/2013 to assess compliance with state regulations for assisted living facilities.
Findings
The facility was found to have deficiencies related to personnel files not meeting tuberculosis testing requirements for 2 of 15 employees and maintenance issues with leaking gutters on the south side of the building.
Severity Breakdown
2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure 2 of 15 employees complied with tuberculosis testing requirements (Employee #13 missing two step TB test and Employee #15 missing annual TB test). | 2 |
| Failed to ensure gutters on the south side of the building were well maintained; sealed connections between multiple horizontal gutters were not properly sealed and were leaking. | 2 |
Report Facts
Employees reviewed: 15
Resident files reviewed: 15
Facility grade: Facility received a grade of A
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