Inspection Reports for St Jeremiah Care Home

3918 E Cherokee Ave, Las Vegas, NV 89121, NV, 89121

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Deficiencies (last 11 years)

Deficiencies (over 11 years) 2.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

69% better than Nevada average
Nevada average: 7.1 deficiencies/year

Deficiencies per year

4 3 2 1 0
2014
2015
2016
2018
2019
2020
2021
2022
2023
2024
2025

Census

Latest occupancy rate 70% occupied

Based on a August 2025 inspection.

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

Census over time

0 4 8 12 16 Nov 2015 Dec 2018 Oct 2020 Aug 2022 Aug 2024 Aug 2025

Inspection Report

Annual Inspection
Census: 7 Capacity: 10 Deficiencies: 0 Date: 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 Date: 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.

Deficiencies (2)
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.
Medication Administration Record (MAR) was inaccurate for Resident #2; MAR directions did not match physician orders or medication label.
Report Facts
Resident census: 10 Total licensed capacity: 10

Employees mentioned
NameTitleContext
Ernie DiazAdministratorNamed as responsible for ensuring plan of correction implementation

Inspection Report

Annual Inspection
Census: 8 Capacity: 10 Deficiencies: 3 Date: 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.

Deficiencies (3)
Failure to ensure a two-step tuberculosis (TB) test was completed for 1 of 4 employees (Employee #1).
Failure to obtain a waiver to maintain two residents who were bedfast (Residents #5 and #7).
Failure to ensure initial cultural competency training for 1 of 4 employees (Employee #4).
Report Facts
Resident census: 8 Total licensed capacity: 10 Employee files reviewed: 4 Resident files reviewed: 8

Employees mentioned
NameTitleContext
Ernie M DiazAdministratorSigned the inspection report and responsible for ensuring compliance
Employee #1CaregiverNamed in deficiency for incomplete two-step TB test
Employee #4CaregiverNamed in deficiency for lack of initial cultural competency training

Inspection Report

Annual Inspection
Census: 9 Capacity: 10 Deficiencies: 4 Date: 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.

Deficiencies (4)
Failed to ensure 2 of 9 sampled residents were free from the use of restraints (bedrails).
Failed to ensure 3 of 9 sampled residents had an ultimate user agreement for medication administration.
Failed to ensure 1 of 9 sampled residents met tuberculosis testing requirements (initial two-step TB test incomplete).
Failed to ensure audible alarm system was activated on 2 of 4 exit doors.
Report Facts
Residents sampled: 9 Employee files reviewed: 3 Beds licensed: 10 Residents present: 9

Employees mentioned
NameTitleContext
Ernie M DiazAdministratorNamed as responsible party in plan of correction and signature on report

Inspection Report

Annual Inspection
Census: 6 Capacity: 10 Deficiencies: 3 Date: 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.

Deficiencies (3)
Failure to ensure 1 of 3 employees was certified to perform first aid and CPR (Employee #3).
Failure to ensure 2 of 6 residents met tuberculosis testing requirements (Residents #4 and #6).
Failure to ensure audible alarm system was activated on 3 of 3 exit doors.
Report Facts
Licensed beds: 10 Residents present: 6 Employees reviewed: 4 Resident files reviewed: 6 Deficiencies cited: 3

Employees mentioned
NameTitleContext
Ernie M DiazAdministratorSigned as Laboratory Director's or Provider/Supplier Representative
Employee #3CaregiverNamed in deficiency for lack of first aid and CPR certification
Employee #1Acknowledged lack of TB testing documentation and alarm activation

Inspection Report

Complaint Investigation
Census: 4 Capacity: 10 Deficiencies: 0 Date: 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.

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.
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.

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 Date: 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.

Deficiencies (1)
Failed to ensure a medication (Lorazepam) was refrigerated per label instructions for 1 of 3 residents (Resident #1).
Report Facts
Licensed beds: 10 Resident census: 3

Employees mentioned
NameTitleContext
Bonnie PierceAdministratorSigned as Laboratory Director's or Provider/Supplier Representative

Inspection Report

Deficiencies: 1 Date: 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.

Deficiencies (1)
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.

Inspection Report

Annual Inspection
Census: 6 Capacity: 10 Deficiencies: 1 Date: 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.

Deficiencies (1)
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.
Report Facts
Resident files reviewed: 6 Employee files reviewed: 3 Beds licensed: 10 Residents present: 6

Employees mentioned
NameTitleContext
Bonnie PierceAdministratorNamed as Laboratory Director's or Provider/Supplier Representative who signed the report

Inspection Report

Annual Inspection
Census: 6 Capacity: 10 Deficiencies: 1 Date: 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.

Deficiencies (1)
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.
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 Date: 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 Date: 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.

Deficiencies (4)
Facility premises were not clean; dust on microwave, dust and cobwebs in cabinet, container of used oil under oven, and unsecured linen cupboard.
Failure to provide residents with at least 10 hours per week of scheduled activities suited to their interests and capacities.
Failure to ensure that operational alarms were installed and functioning on exit doors.
Failure to ensure dangerous items such as knives were inaccessible to residents.
Report Facts
Licensed capacity: 5 Census: 4 Deficiency severity: 2 Deficiency scope: 3

Employees mentioned
NameTitleContext
Employee #1Acknowledged findings and was instructed regarding activities and cleaning
Caregiver #3Acknowledged alarm was turned off and moved dangerous items to locked storage
AdministratorAdministratorResponsible for monitoring compliance and acknowledged findings

Inspection Report

Annual Inspection
Census: 4 Capacity: 5 Deficiencies: 4 Date: 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.

Deficiencies (4)
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.
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.
One of two exit doors did not have operational alarms; alarms were turned off during facility tour.
Dangerous items such as unsecured butcher knives were accessible to residents; items were later moved to locked storage.
Report Facts
Licensed capacity: 5 Current census: 4

Employees mentioned
NameTitleContext
Employee #1Acknowledged findings related to cleanliness and lack of activities
Caregiver #3Acknowledged alarm was turned off and moved dangerous items to locked storage

Inspection Report

Original Licensing
Capacity: 5 Deficiencies: 0 Date: 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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