Inspection Reports for St Jeremiah Care Home
3918 E Cherokee Ave, Las Vegas, NV 89121, NV, 89121
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 0
Aug 11, 2025
Visit Reason
This inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified. Seven resident files and six employee files were reviewed, and no further action was necessary.
Report Facts
Resident files reviewed: 7
Employee files reviewed: 6
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 2
Aug 21, 2024
Visit Reason
The inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A but had regulatory deficiencies including failure to maintain clean and well-maintained premises with cracked floor tiles and old furniture accumulation, and inaccuracies in the Medication Administration Record for one resident.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure the interior and exterior of the home were clean and well-maintained, including old dusty chairs on the backyard patio and cracked floor tiles in the main hallway. | Severity: 2 |
| Medication Administration Record (MAR) was inaccurate for Resident #2; MAR directions did not match physician orders or medication label. | Severity: 2 |
Report Facts
Resident census: 10
Total licensed capacity: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ernie Diaz | Administrator | Named as responsible for ensuring plan of correction implementation |
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 3
Aug 23, 2023
Visit Reason
The inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code (NAC) 449 for Residential Facility for Groups.
Findings
The facility received a grade of A but had several regulatory deficiencies including failure to complete a two-step tuberculosis test for one employee, failure to obtain bedfast waivers for two residents, and failure to ensure initial cultural competency training for one employee.
Severity Breakdown
Severity 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure a two-step tuberculosis (TB) test was completed for 1 of 4 employees (Employee #1). | Severity 2 |
| Failure to obtain a waiver to maintain two residents who were bedfast (Residents #5 and #7). | Severity 2 |
| Failure to ensure initial cultural competency training for 1 of 4 employees (Employee #4). | Severity 2 |
Report Facts
Resident census: 8
Total licensed capacity: 10
Employee files reviewed: 4
Resident files reviewed: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ernie M Diaz | Administrator | Signed the inspection report and responsible for ensuring compliance |
| Employee #1 | Caregiver | Named in deficiency for incomplete two-step TB test |
| Employee #4 | Caregiver | Named in deficiency for lack of initial cultural competency training |
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 4
Aug 24, 2022
Visit Reason
This inspection was conducted as an annual State Licensure and infection control survey at the facility in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility was found to have multiple regulatory deficiencies including improper use of bedrails as restraints on residents, missing ultimate user agreements for medication administration, incomplete tuberculosis testing documentation, and non-functional audible alarm systems on exit doors. The facility received a grade of A and corrective actions were implemented promptly.
Severity Breakdown
2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure 2 of 9 sampled residents were free from the use of restraints (bedrails). | 2 |
| Failed to ensure 3 of 9 sampled residents had an ultimate user agreement for medication administration. | 2 |
| Failed to ensure 1 of 9 sampled residents met tuberculosis testing requirements (initial two-step TB test incomplete). | 2 |
| Failed to ensure audible alarm system was activated on 2 of 4 exit doors. | 2 |
Report Facts
Residents sampled: 9
Employee files reviewed: 3
Beds licensed: 10
Residents present: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ernie M Diaz | Administrator | Named as responsible party in plan of correction and signature on report |
Inspection Report
Annual Inspection
Census: 6
Capacity: 10
Deficiencies: 3
Sep 24, 2021
Visit Reason
This inspection was conducted as an annual state licensure and infection control survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Findings
The facility received a grade of A but had several deficiencies including failure to ensure one employee was certified in first aid and CPR, failure to ensure two residents had completed initial two-step tuberculosis testing, and failure to ensure audible alarm systems were activated on all exit doors.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure 1 of 3 employees was certified to perform first aid and CPR (Employee #3). | Severity: 2 |
| Failure to ensure 2 of 6 residents met tuberculosis testing requirements (Residents #4 and #6). | Severity: 2 |
| Failure to ensure audible alarm system was activated on 3 of 3 exit doors. | Severity: 2 |
Report Facts
Licensed beds: 10
Residents present: 6
Employees reviewed: 4
Resident files reviewed: 6
Deficiencies cited: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ernie M Diaz | Administrator | Signed as Laboratory Director's or Provider/Supplier Representative |
| Employee #3 | Caregiver | Named in deficiency for lack of first aid and CPR certification |
| Employee #1 | Acknowledged lack of TB testing documentation and alarm activation |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 10
Deficiencies: 0
Oct 7, 2020
Visit Reason
The inspection was conducted as a COVID-19 focused infection control survey combined with a complaint investigation triggered by Complaint #61730 involving three allegations.
Findings
The complaint allegations were all unsubstantiated following interviews, observations, and record reviews. The facility had no residents or staff positive for COVID-19 and implemented appropriate infection control measures. No regulatory deficiencies were identified and no further action was necessary.
Complaint Details
Complaint #61730 included three allegations: 1) The facility did not open the door for the social worker, 2) A resident did not have a fall mat at bedside after hospice requested one, and 3) Resident's medications were mismanaged. All allegations were unsubstantiated based on interviews, observations, and record reviews.
Report Facts
Sample size: 5
Inventory counts: 2000
Inventory counts: 10
Inventory counts: 100
Inventory counts: 16
Inventory counts: 30
Inventory counts: 12
Inventory counts: 1
Inventory counts: 1
Inventory counts: 2
Inspection Report
Annual Inspection
Census: 3
Capacity: 10
Deficiencies: 1
Nov 6, 2019
Visit Reason
The inspection was an annual state licensure survey initiated on 11/06/2019 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A. One deficiency was identified related to medication storage where a medication (Lorazepam) was not refrigerated per label instructions for 1 of 3 residents.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure a medication (Lorazepam) was refrigerated per label instructions for 1 of 3 residents (Resident #1). | Severity: 2 |
Report Facts
Licensed beds: 10
Resident census: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Pierce | Administrator | Signed as Laboratory Director's or Provider/Supplier Representative |
Inspection Report
Deficiencies: 1
Feb 12, 2019
Visit Reason
The inspection was conducted to assess employee compliance with written facility policies, including policies on visiting hours and residents' mail.
Findings
The report identifies a deficiency related to employee compliance with the facility's written policies as required by NAC 449.258.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Employee Compliance with Written Policies - NAC 449.258 Written policies for facility; policy on visiting hours; residents' mail; compliance with policies. The employees of the facility shall comply with the policies developed pursuant to this section. | D |
Inspection Report
Annual Inspection
Census: 6
Capacity: 10
Deficiencies: 1
Dec 28, 2018
Visit Reason
The inspection was an annual state licensure survey initiated at the facility on 12/28/18 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A. One deficiency was identified related to failure to follow infection control policy on universal precautions for one resident, specifically a caregiver not wearing gloves while cleaning blood from a resident's arm and floor.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to follow infection control policy on universal precautions; caregiver did not wear gloves when cleaning blood from Resident #4's right forearm and the floor. | Severity: 2 |
Report Facts
Resident files reviewed: 6
Employee files reviewed: 3
Beds licensed: 10
Residents present: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Pierce | Administrator | Named as Laboratory Director's or Provider/Supplier Representative who signed the report |
Inspection Report
Annual Inspection
Census: 6
Capacity: 10
Deficiencies: 1
Dec 28, 2018
Visit Reason
The inspection was an annual state licensure survey initiated at the facility on 12/28/18 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A. One deficiency was identified related to failure to comply with infection control policy on universal precautions for one resident, involving a caregiver not wearing gloves while cleaning blood from a resident's skin tear.
Severity Breakdown
2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to follow infection control policy on universal precautions for 1 of 6 sampled residents; caregiver did not wear gloves when cleaning blood from resident's skin tear. | 2 |
Report Facts
Resident files reviewed: 6
Employee files reviewed: 3
Facility licensed beds: 10
Census: 6
Inspection Report
Re-Inspection
Census: 4
Capacity: 5
Deficiencies: 0
Jan 4, 2016
Visit Reason
This Statement of Deficiencies was generated as a result of a State Licensure grading re-survey conducted in the facility on 01/04/15 by the authority of NRS 449.0307.
Findings
There were no deficiencies identified during the survey. The facility received a grade of A. No further action necessary.
Inspection Report
Annual Inspection
Census: 4
Capacity: 5
Deficiencies: 4
Nov 16, 2015
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 11/16/15 to assess compliance with regulations for a residential facility providing care to persons with chronic illnesses and Alzheimer's disease.
Findings
The facility was found to have multiple deficiencies including failure to maintain cleanliness, inadequate scheduled activities for residents, failure to ensure operational door alarms, and unsecured dangerous items. The facility received a grade of B.
Severity Breakdown
Severity 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Facility premises were not clean; dust on microwave, dust and cobwebs in cabinet, container of used oil under oven, and unsecured linen cupboard. | Severity 2 |
| Failure to provide residents with at least 10 hours per week of scheduled activities suited to their interests and capacities. | Severity 2 |
| Failure to ensure that operational alarms were installed and functioning on exit doors. | Severity 2 |
| Failure to ensure dangerous items such as knives were inaccessible to residents. | Severity 2 |
Report Facts
Licensed capacity: 5
Census: 4
Deficiency severity: 2
Deficiency scope: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Acknowledged findings and was instructed regarding activities and cleaning | |
| Caregiver #3 | Acknowledged alarm was turned off and moved dangerous items to locked storage | |
| Administrator | Administrator | Responsible for monitoring compliance and acknowledged findings |
Inspection Report
Annual Inspection
Census: 4
Capacity: 5
Deficiencies: 4
Nov 16, 2015
Visit Reason
This annual State Licensure survey was conducted on 11/16/2015 by the Division of Public and Behavioral Health to assess compliance with state regulations for a residential facility providing care to persons with chronic illnesses and Alzheimer's disease.
Findings
The facility received a grade of B with multiple deficiencies identified including failure to maintain cleanliness and proper maintenance of the facility, inadequate provision of scheduled activities for residents, failure to ensure operational alarms on exit doors, and failure to secure dangerous items from residents.
Severity Breakdown
Severity 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Facility was not clean and interior was not well maintained, including dust on microwave, dust and cobwebs in cabinet, used oil stored under oven, and unsecured linen cupboard. | Severity 2 |
| Failed to provide at least 10 hours per week of scheduled activities suited to residents' interests and capacities; lack of clear activity schedule and resident participation. | Severity 2 |
| One of two exit doors did not have operational alarms; alarms were turned off during facility tour. | Severity 2 |
| Dangerous items such as unsecured butcher knives were accessible to residents; items were later moved to locked storage. | Severity 2 |
Report Facts
Licensed capacity: 5
Current census: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Acknowledged findings related to cleanliness and lack of activities | |
| Caregiver #3 | Acknowledged alarm was turned off and moved dangerous items to locked storage |
Inspection Report
Original Licensing
Capacity: 5
Deficiencies: 0
Nov 6, 2014
Visit Reason
This visit was an initial State licensure survey conducted to approve the facility's request to change its license from a two-bed Home for Individual Residential Care to a five-bed Adult Group Care facility with endorsements to provide care for chronic illness and/or Alzheimer's disease, Category 2 residents.
Findings
No regulatory deficiencies were identified as corrections were made at the time of the survey. Licensure was approved and will be effective 01/01/2015.
Report Facts
Licensed capacity: 5
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