Inspection Reports for Starlight Group Home

The inspection was initiated as a complaint investigation based on two complaints alleging medication issues and missing employee fingerprints at the facility.

The facility was found to have one substantiated complaint regarding an employee missing fingerprints and background check documentation. Other allegations related to medication availability, handrail paint, door locks, and mold residue were not substantiated. The facility received a grade of A.

Two complaints were investigated: Complaint #NV00073379 alleging medications were not on site and no discharge orders, which was not substantiated; and Complaint #NV00073379 alleging an employee was missing fingerprints, which was substantiated.

The inspection was conducted as a grading re-survey State Licensure Survey and complaint investigation triggered by a complaint alleging a resident was pinched and called a derogatory name by a female staff member.

The complaint could not be substantiated due to lack of evidence. The facility was found to have several regulatory deficiencies related to health and sanitation, fire safety, supervision and treatment of residents, medication administration accuracy, and record maintenance. The facility received a grade of A.

Complaint #NV00072173 alleged a resident was pinched and called a derogatory name by a female staff member. The complaint could not be substantiated due to lack of evidence after observation, interviews with residents, caregivers, and the administrator, and review of personnel files.

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.

The facility received a grade of C with multiple deficiencies including failure to maintain clean and safe environment, failure to develop person-centered service plans for all residents, failure to comply with fire safety inspection requirements, failure to ensure proper admission policies for bedfast residents requiring skilled nursing, failure to complete initial physical exams for some residents, inaccurate medication administration records, and lack of policies and documentation reflecting residents' preferred names, pronouns, gender identity, and sexual orientation.

The inspection was conducted as a result of a complaint investigation regarding an allegation that a staff member hit a resident in the face with a mop head.

The allegation could not be substantiated due to lack of evidence. The investigation included observation, interviews with the Administrator and two Caregivers, and document review. No regulatory deficiencies were identified and the facility received a grade of A.

Complaint #NV00069698 alleged a staff member hit a resident in the face with a mop head; this allegation was not substantiated due to lack of evidence.

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.

The facility received a grade of A. Deficiencies were identified related to incomplete documentation including missing Ultimate User Agreement for one resident, missing Physician Placement Determinations for two residents, and untimely tuberculosis testing documentation for one resident. Corrective actions included filing missing documents and implementing monthly monitoring of resident files.

The inspection was conducted as a result of a complaint investigation and State Licensure Address Verification Survey at the facility.

The facility was found to be vacant due to closure for major renovations, all residents were notified and moved to another facility, and no regulatory deficiencies were identified. The complaint alleging a guardian was not notified or approved for a resident move was not substantiated due to lack of evidence.

Complaint #NV00068463 alleged a guardian of a resident was not notified nor approved for a move to another facility; this allegation could not be substantiated due to lack of evidence.

The inspection was conducted as an annual State Licensure Survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

The facility received a grade of A. Deficiencies were identified related to incomplete resident documentation, unsecured toxic substances in an Alzheimer's endorsed facility, and late cultural competency training for employees.

The inspection was conducted as an annual State Licensure Survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.

The facility received a grade of A but had deficiencies including failure to ensure medication change labels were adhered to on medication bottles for one resident and failure to secure sharp objects in the kitchen accessible to residents in an Alzheimer's endorsed facility.

The inspection was conducted as a complaint investigation triggered by a substantiated complaint alleging that a resident eloped from the facility.

The facility failed to ensure proper supervision of a resident, resulting in the resident eloping from the facility by climbing over a fence using trash bins placed near the gate. The administrator took corrective actions including removing the trash bins from near the fence and emphasizing supervision of residents in the backyard.

Complaint #NV00063567 was substantiated. The allegation that a resident eloped from the facility was confirmed. The complaint severity was 2 and scope was 1.

The inspection was conducted as a complaint investigation triggered by complaint #NV00061987 regarding a resident elopement and failure to provide protective supervision.

The investigation substantiated the complaint that a resident eloped due to failure in supervision. Additional deficiencies unrelated to the complaint were also identified, including issues with window screens, operational windows, storage space, supervision policies, alarm systems, resident safety regarding hazardous items, and toxic substances accessibility.

Complaint #NV00061987 was substantiated. The allegation that a resident eloped from the facility and the facility failed to provide protective supervision was substantiated.