Inspection Reports for Terracina Home Care II
1721 Glen Cove Ct, Reno, NV 89521, NV, 89521
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Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 2
Jul 23, 2025
Visit Reason
This inspection was a State Licensure annual grading survey conducted to assess compliance with regulations for a Residential Facility for Groups for elderly and disabled persons.
Findings
The facility received a grade of A. Deficiencies were identified related to medication administration errors for one resident and failure to obtain annual Standard Physician Assessments and Placement Determinations for four residents with dementia diagnoses.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Administrator failed to ensure a resident received medications as prescribed; medication was administered three times daily instead of as needed. | Severity: 2 |
| Administrator failed to obtain annual Standard Physician Assessment and Placement Determinations for 4 of 5 residents with dementia diagnoses. | Severity: 2 |
Report Facts
Licensed beds: 6
Residents present: 5
Residents with missing annual assessments: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Lewis | Manager/Owner | Named as facility Manager/Owner responsible for compliance |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 2
Jul 9, 2024
Visit Reason
This inspection was a State Licensure annual grading survey conducted by the Division of Public and Behavioral Health on 07/09/2024 to assess compliance with NAC 449 for Residential Facility for Groups.
Findings
The facility received a grade of A but had deficiencies including failure to ensure a medication change label was affixed to a resident's medication and failure to maintain proper hospice care documentation for two residents receiving hospice services.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure a medication change label was affixed to a resident's medication for 1 of 5 sampled residents (Resident #2). | Severity: 2 |
| Failure to maintain records of care and services provided to residents on hospice care for 2 of 5 sampled residents (Residents #2 and #3), including lack of CNA visit documentation, Hospice Nursing visit notes, and contact numbers for the Hospice Care Team. | Severity: 2 |
Report Facts
Resident census: 5
Total licensed capacity: 6
Deficiency severity count: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Lewis | Owner/Manager | Signed as Laboratory Director's or Provider/Supplier Representative |
| Employee #3 | Responsible for maintaining accurate medication records and hospice documentation |
Inspection Report
Annual Inspection
Census: 3
Capacity: 6
Deficiencies: 1
Jul 18, 2023
Visit Reason
The inspection was conducted as a State Licensure annual grading survey of the facility on 07/18/2023 by the Division of Public and Behavioral Health in accordance with NAC 449 for Residential Facility for Groups.
Findings
The facility received a grade of A. One deficiency was identified related to failure to obtain a Physician Placement Determination Statement for 1 of 3 residents (Resident #3), which is required to determine appropriate facility type and care.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to obtain a Physician Placement Determination Statement to determine the appropriate facility type and care for 1 of 3 residents (Resident #3). | Severity: 2 |
Report Facts
Licensed beds: 6
Resident census: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Lewis | Owner/Manager | Signed as Laboratory Director's or Provider/Supplier Representative |
Inspection Report
Re-Inspection
Census: 4
Capacity: 6
Deficiencies: 9
Oct 19, 2022
Visit Reason
This inspection was a grading re-survey State Licensure survey conducted by the Division of Public and Behavioral Health in accordance with NAC 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during this re-survey. The facility received a grade of A. Several referenced deficiencies from the original Statement of Deficiency/Plan of Correction were noted but no new deficiencies were cited in this report.
Severity Breakdown
D: 4
E: 2
F: 3
Deficiencies (9)
| Description | Severity |
|---|---|
| Contents of License - Multiple Types - NAC 449.190 License: Contents; issuance of more than one type. | D |
| Service of Food-Nutritious Meals; Frequency - NAC 449.2175 Service of food 7. Meals must be nutritious, served in an appropriate manner, suitable for the residents and prepared with regard for individual preferences and religious requirements. | D |
| First Aid & CPR - NAC 449.231 First aid and cardiopulmonary resuscitation. A first-aid kit must be available at the facility with required contents. | D |
| Supervision and Treatment of Residents - NAC 449.259 Supervision and treatment of residents generally. | F |
| Rights of Residents; Procedure for Filing - NAC 449.268 Rights of residents; procedure for filing grievance, complaint or report of incident; investigation and response. | F |
| Written Policy on Admissions - NAC 449.2702 Written policy on admissions; eligibility for residency. | D |
| Maintenance and Contents of Separate File - NAC 449.2749 Maintenance and contents of separate file for each resident; confidentiality of information. | E |
| Use Tag #1540 Do Not Site | F |
| Annual Assessment of History of Each Resident | E |
Report Facts
Licensed beds: 6
Resident census: 4
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 9
Jul 5, 2022
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 D with multiple deficiencies including failure to obtain a Mental Illness endorsement, failure to discard expired food, inadequate first aid kit contents, lack of protective supervision for residents, failure to screen visitors for COVID-19 symptoms, failure to obtain exemption for bedfast resident, incomplete initial ADL assessments, lack of cultural competency training, and failure to complete standard placement determinations for residents with dementia.
Severity Breakdown
Level 2: 9
Deficiencies (9)
| Description | Severity |
|---|---|
| Facility failed to obtain an endorsement for Mental Illness and admitted a resident with MI diagnosis. | Level 2 |
| Facility failed to ensure outdated perishable foods were discarded; expired ham found in refrigerator. | Level 2 |
| Facility failed to maintain required contents of first aid kit; expired wound cleanser and lack of germicide. | Level 2 |
| Facility failed to provide protective supervision for 5 residents; untrained person left alone with residents. | Level 2 |
| Facility failed to ensure visitors were screened for temperature and COVID-19 symptoms upon entry. | Level 2 |
| Facility failed to obtain exemption request to retain a bedfast resident. | Level 2 |
| Facility failed to complete initial Activities of Daily Living (ADL) assessments at or prior to admission for 2 residents. | Level 2 |
| Facility failed to submit or provide evidence of cultural competency training program for employees. | Level 2 |
| Facility failed to ensure standard placement determination was completed for residents with dementia prior to admission. | Level 2 |
Report Facts
Licensed beds: 6
Residents present: 5
Grade: D
Resurvey fee: 600
Deficiency count: 9
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 1
Aug 25, 2021
Visit Reason
This inspection was conducted as a State Licensure annual grading survey of the facility to assess compliance with regulations for Residential Facility for Groups.
Findings
The facility received a grade of A. One deficiency was identified related to medication administration where a six-month medication profile review was not completed for one resident as required.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure a six month medication profile review was completed by the physician for 1 of 4 residents (Resident #4). | Severity: 2 |
Report Facts
Licensed beds: 6
Current census: 4
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Lewis | Owner/Manager | Confirmed medication review deficiency during interview |
Inspection Report
Routine
Census: 4
Capacity: 6
Deficiencies: 0
Aug 27, 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 practices during the COVID-19 pandemic.
Findings
The facility demonstrated comprehensive infection control measures including visitor screening, use of PPE, cleaning protocols, and isolation plans for suspected or confirmed COVID-19 cases. No regulatory deficiencies were identified during the survey.
Report Facts
Licensed beds: 6
Residents present: 4
Inspection Report
Routine
Census: 5
Capacity: 6
Deficiencies: 0
Jul 27, 2020
Visit Reason
This 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 did not have a documented Infection Control and Prevention Plan at the time of the survey. Resources were provided to assist in developing a plan, and the Administrator committed to having the plan ready for follow-up by 08/06/20. No regulatory deficiencies were identified.
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 3
Jul 27, 2020
Visit Reason
This inspection was a State Licensure annual grading survey conducted to assess compliance with regulations for a Residential Facility for Groups.
Findings
The facility received a grade of A with several deficiencies identified related to caregiver medication training, medication administration records, and caregiver training timelines. Specific issues included an employee administering medication with expired training credentials, inaccurate medication documentation for a resident, and an employee lacking required initial caregiver training within 60 days of hire.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 4 employees who administered medications was trained in medication management; employee worked with expired medication management credentials. | Severity: 2 |
| Failed to ensure medication on site accurately documented the physician's order for 1 of 5 residents; medication label did not reflect all physician instructions. | Severity: 2 |
| Failed to ensure 1 of 5 employees received four hours of initial caregiver training within 60 days of hire. | Severity: 2 |
Report Facts
Licensed beds: 6
Current census: 5
Medication management training hours: 16
Initial caregiver training hours: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #2 | Caregiver | Named in deficiency for administering medication with expired training credentials |
| Employee #3 | Caregiver | Named in deficiency for lacking required initial caregiver training within 60 days of hire |
| Jennifer Lewis | Owner | Facility Owner and Caregiver who acknowledged training deficiencies and verbalized findings |
Inspection Report
Original Licensing
Census: 5
Capacity: 6
Deficiencies: 0
Oct 30, 2019
Visit Reason
The inspection was conducted as a State Licensure survey following a change of ownership and application for six Residential Facility for Group beds for elderly and disabled Category II residents.
Findings
One resident file and four employee files were reviewed along with facility policies and protocols. Deficiencies identified at the time of survey were corrected and no further action was necessary.
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