Inspection Reports for The Chateau at Gardnerville, Assisted Living and Memory Care
1565 Virginia Ranch Road, Gardnerville, NV 89410, Gardnerville, NV
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
12.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
79% worse than Nevada average
Nevada average: 7.1 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
67% occupied
Based on a July 2025 inspection.
Census over time
Inspection Report
Annual Inspection
Census: 100
Capacity: 150
Deficiencies: 8
Date: Jul 31, 2025
Visit Reason
This inspection was a State Licensure annual grading survey conducted in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of C with multiple deficiencies identified including health and sanitation issues such as cobwebs and improper smoking areas, kitchen sanitation problems, medication administration errors, and medication storage violations.
Deficiencies (8)
Facility failed to ensure premises were free from cobwebs on exterior and interior and smoking residents were smoking in designated smoking area.
Resident snack mini refrigerator was not sufficiently cleaned with red juice spilled inside.
Mini refrigerator in memory care unit lacked thermometer and temperature logs to ensure proper refrigeration of perishable food.
Open food items in mini refrigerator were not properly stored with missing resident names and dates.
First aid kit did not contain a cardiopulmonary resuscitation (CPR) mask.
Administrator failed to ensure an ultimate user agreement was completed with dates for 1 of 20 sampled residents.
Medications were not on-site to administer as prescribed for 1 resident and medication administration records were incomplete for another resident.
Medications were not stored securely in a locked area and were found unsecured in a resident's room.
Report Facts
Total licensed beds: 150
Current census: 100
Resident records reviewed: 20
Employee records reviewed: 15
Survey grade: C
Resurvey application fee: 600
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Nichols | ED | Laboratory Director's or Provider/Supplier Representative's signature on report |
| Health & Wellness Director | Named in medication administration and ultimate user agreement deficiencies | |
| Medication Technician | Confirmed medication deficiencies and missing CPR mask | |
| Resident Care Coordinator | Explained medication administration and storage issues | |
| Executive Director | Confirmed smoking area issues and pest control contract |
Inspection Report
Renewal
Census: 100
Capacity: 150
Deficiencies: 1
Date: Dec 23, 2024
Visit Reason
The inspection was conducted as a result of a State Licensure regrading survey and a complaint survey at the facility on 12/23/2024.
Complaint Details
Complaint #NV00072957 with allegations that residents were required to elect hospice to admit, hospice services were not provided, and medication technicians were messing up medications. The complaint was not substantiated due to lack of evidence after observations, interviews, and document review.
Findings
The facility was licensed for 150 beds with a census of 100 at the time of survey. Fifteen resident files were reviewed. The facility received a grade of A. One complaint was investigated but not substantiated due to lack of evidence. A deficiency was found related to kitchen sanitation where the cleaning agent used did not contain sanitizer, potentially affecting the entire census.
Deficiencies (1)
Facility failed to ensure cleaning agent used in the kitchen contained sanitizer to ensure proper cleaning of food preparation surfaces.
Report Facts
Licensed beds: 150
Current census: 100
Resident files reviewed: 15
Sanitizer test strip reading: 400
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Nichols | Executive Director | Named as Laboratory Director's or Provider/Supplier Representative's signature on the report. |
| Dining Service Director | Interviewed regarding kitchen sanitizer use and cleaning practices. | |
| Health and Wellness Director | Interviewed during complaint investigation. |
Inspection Report
Annual Inspection
Census: 106
Capacity: 150
Deficiencies: 11
Date: Sep 11, 2024
Visit Reason
This inspection was a State Licensure annual grading survey conducted in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of D with multiple deficiencies including medication storage issues, unsecured dangerous items, incomplete resident assessments, medication administration errors, kitchen sanitation problems, unsecured oxygen tanks, and incomplete ultimate user agreements.
Deficiencies (11)
Medication storage was not secured in 3 of 41 resident rooms with self-administering residents and 1 of 25 residents, with medications unsecured from a resident's spouse.
Dangerous items such as batteries were not secured in 1 of 21 resident rooms accessible to residents.
Failed to obtain timely and complete annual Standard Physician Assessment and Placement Determinations for 6 of 25 sampled residents with dementia.
Failed to notify physician within 12 hours of a missed dose of medication for 1 of 25 sampled residents.
Medication Administration Record (MAR) was inaccurate for 3 of 25 sampled residents.
Kitchen floors, walls, shelving, appliances, and preparatory surfaces were heavily soiled; dishwasher failed to reach required sanitizing temperature; quat sanitizer test strips were ineffective.
Oxygen tanks were not secured in 1 of 7 resident rooms containing oxygen cylinders.
Failed to ensure an annual general physical examination with review of systems was completed timely for 1 of 25 sampled residents.
Failed to notify resident's physician within 72 hours of pharmacy medication profile review recommendations for 3 of 25 sampled residents.
Ultimate User Agreements were inaccurately completed or lacked required signatures for 9 of 25 residents.
Medications were not on-site and available for 3 of 25 sampled residents and medication containers lacked change order stickers for 2 of 25 sampled residents.
Report Facts
Total licensed beds: 150
Current census: 106
Resident files reviewed: 25
Employee files reviewed: 10
Inspection date: Sep 11, 2024
Inspection grade: D
Resurvey fee: 600
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Nichols | Executive Director | Signed report and involved in oversight |
| Health and Wellness Director | Involved in multiple findings and corrective actions | |
| Resident Care Coordinator | Involved in medication and resident care findings | |
| Dining Service Director | Involved in kitchen sanitation and dishwasher issues | |
| Maintenance Director | Confirmed oxygen tank unsecured |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 150
Deficiencies: 0
Date: Feb 29, 2024
Visit Reason
The inspection was conducted as a result of a complaint investigation involving two complaints with multiple allegations related to COVID-19 testing and infection control, resident abuse, notification of guardian, bathing, staffing, and sanitation.
Complaint Details
Two complaints were investigated: Complaint #NV00068360 involved allegations of improper COVID-19 testing and failure to implement infection control policy during a COVID-19 outbreak; Complaint #NV00070006 involved allegations of sexual and physical abuse of residents, failure to notify guardian of change in condition, inadequate bathing, understaffing, improper cleaning and sanitation, and failure to implement infection control policy. None of the allegations were substantiated due to lack of evidence.
Findings
No regulatory deficiencies were identified during the investigation. Both complaints' allegations could not be substantiated due to lack of evidence after observations, interviews, and document reviews. The facility received a grade of A.
Report Facts
Sample size: 2
Grade: A
Inspection Report
Annual Inspection
Census: 105
Capacity: 150
Deficiencies: 2
Date: Dec 6, 2023
Visit Reason
The inspection was conducted as a State Licensure annual grading 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 food service violations related to kitchen cleanliness and equipment maintenance, and safety violations in the memory care unit regarding accessibility of toxic substances.
Deficiencies (2)
A pan was stacked on exposed and uncovered cake in the walk-in refrigerator; cook's line stove and oven were not maintained with grease buildup; kitchen ice machine interior surfaces were soiled; kitchen floors underneath equipment were soiled with grease and food debris; faucet plumbing fixtures at sinks were damaged and leaking.
Toxic substances were accessible to residents in the memory care unit, including lens cleaner, lotions, hand sanitizer, cleansers, body wash, and conditioner found unsecured in resident rooms.
Report Facts
Resident files reviewed: 25
Employee files reviewed: 10
Licensed capacity: 150
Census: 105
Inspection Report
Renewal
Census: 102
Capacity: 150
Deficiencies: 12
Date: Mar 20, 2023
Visit Reason
This inspection was a State Licensure re-grading survey conducted in accordance with Nevada Administrative Code Chapter 449 for a Residential Facility for Groups.
Findings
The facility was found to have multiple deficiencies related to medication administration, storage, training, and safety standards including failure to ensure proper documentation for PRN medications, unsafe medication storage in resident rooms, missing labeling on over-the-counter medications, unsecured dangerous items in memory care units, and late cultural competency training for employees.
Deficiencies (12)
Administrator failed to ensure records of the facility are complete and accurate.
Failure to ensure elder abuse training requirements were met.
Failure to maintain health and sanitation; premises not well maintained.
Failure to comply with fire safety regulations.
Failure to notify resident's physician within 72 hours after receiving medication administration report.
Failure to properly administer medication changes and maintain documentation.
Failure to document specific symptoms for PRN medication administration for Resident #11.
Medications not stored safely in 2 resident rooms with unlocked doors and unsecured medications.
Over-the-counter medications lacked resident and physician names on labels for Resident #3.
Failure to secure dangerous items such as scissors in memory care unit and resident room #5.
Failure to ensure all employees received cultural competency training within 30 days of hire for 2 employees.
Failure to maintain separate resident files with required documentation and confidentiality.
Report Facts
Total licensed capacity: 150
Current census: 102
Resident files reviewed: 15
Employee files reviewed: 6
Deficiency severity D: 11
Deficiency severity E: 1
Inspection Report
Annual Inspection
Census: 104
Capacity: 150
Deficiencies: 12
Date: Jan 4, 2023
Visit Reason
The inspection was conducted as a State Licensure annual grading survey from 2022-12-08 to 2023-01-04 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Complaint Details
One complaint investigated (Complaint #NV00067667) alleging the facility did not have authority to keep a resident and prevented discharge was not substantiated due to resident preference at the time of investigation.
Findings
The facility received a grade of D with multiple deficiencies identified including incomplete tuberculosis testing records, untimely elder abuse training, unclean air filters, missing evacuation maps, medication administration issues, unsecured medications and toxic items in memory care, late ADL assessments, and incomplete cultural competency training for employees.
Deficiencies (12)
Administrator failed to ensure tuberculosis (TB) testing records were complete, including time given and time results read, for 3 of 25 sampled residents.
Facility failed to ensure employees completed timely annual elder abuse prevention training for 1 of 10 sampled employees.
Facility failed to ensure air return filters in the kitchen were free from heavy accumulation of dust.
Facility failed to ensure evacuation maps were present on the third floor of the facility.
Administrator failed to ensure medication profile reviews were initialed by the Administrator for 9 of 25 residents.
Facility failed to ensure medications were on-site to administer as prescribed for 7 of 25 sampled residents.
Facility failed to ensure medications were stored safely in 3 of 52 resident rooms with residents authorized to self-administer medications.
Facility failed to ensure an Activities of Daily Living (ADL) Assessment was completed on or prior to admission for 3 of 25 sampled residents.
Facility failed to ensure dangerous items such as pens and pencils were secured in the memory care unit and resident rooms.
Facility failed to ensure toxic items were secured in 2 of 19 resident rooms in the memory care unit.
Facility failed to ensure all employees received cultural competency training within 30 days of hire for 2 of 10 sampled employees.
Facility failed to obtain a completed Standard Physician Assessment and Placement Determination for 1 of 25 sampled residents.
Report Facts
Resident files reviewed: 25
Employee files reviewed: 10
Survey duration days: 28
Resurvey fee: 600
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Nichols | Administrator | Named as Administrator in relation to multiple findings including TB testing, medication administration, and overall facility oversight. |
| Employee #5 | Medication Technician/Caregiver | Named in relation to failure to complete timely elder abuse training. |
| Employee #2 | Named in relation to failure to complete cultural competency training. | |
| Employee #6 | Named in relation to failure to complete cultural competency training. | |
| Executive Director | Referenced multiple times in relation to findings and corrective actions. | |
| Business Office Manager | Interviewed regarding training deficiencies. | |
| Dining Director | Interviewed regarding air filter deficiencies. | |
| Medication Technician | Interviewed regarding medication availability and administration. | |
| Resident Care Coordinator | Interviewed regarding ADL assessments and placement documentation. | |
| Sales Director | Interviewed regarding securing dangerous and toxic items in memory care. |
Inspection Report
Complaint Investigation
Census: 96
Capacity: 150
Deficiencies: 14
Date: Mar 29, 2022
Visit Reason
This inspection was conducted as a result of a mandatory re-grading and a complaint investigation State Licensure survey at the facility on 03/29/22. Three complaints were investigated during this visit.
Complaint Details
Three complaints were investigated: Complaint #NV00065913, #NV00065987, and #NV00065991. All allegations in these complaints were not substantiated due to lack of evidence after observations, interviews, and record reviews.
Findings
The facility was licensed for 150 beds with a census of 96 at the time of inspection. Three complaints were investigated but none were substantiated due to lack of evidence. A regulatory deficiency was identified related to the administrator's oversight responsibilities. Additionally, a deficiency was found regarding alcohol-based hand rub dispensers being accessible to residents in the secured memory care unit, which posed a safety risk.
Deficiencies (14)
Administrator's Responsibilities - Oversight - NAC 449.194 Responsibilities of administrator.
Qualifications of Caregiver - Med Training - NAC 449.196 Qualifications and training of caregivers.
Personnel File - TB Screening - NAC 449.200 Personnel files.
Health & Sanitation - Maintain Int/ext - NAC 449.209 Health and sanitation.
Kitchens- Equipment Works; Clean And Sanitary - NAC 449.217 Kitchens; storage of food; adequate supplies of food; permits; inspections.
Medical Care of Resident After Illness - NAC 449.274 Medical care of resident after illness, injury or accident; periodic physical examination of resident; rejection of medical care by resident; written records.
Medication Administration-Accuracy & Report - NAC 449.2742 Administration of medication: Responsibilities of administrator, caregiver and employees of facility.
Medication Administration-Report Received - NAC 449.2742 - Administration of medication: Responsibilities of administrator, caregiver and employees of facility.
Medication Administration - NRS 449.0302 - NAC 449.2742 - Administration of medication: Responsibilities of administrator, caregiver and employees of facility.
Medication/OTCS, Supplements, Change Order - NAC 449.2742 - Administration of medication: Responsibilities of administrator, caregiver and employees of facility.
Medication - Destruction - NAC 449.2742 - Administration of medication: Responsibilities of administrator, caregiver and employees of facility.
Medication: Storage - NAC 449.2748 Medication: Storage; duties upon discharge, transfer and return of resident.
Maintenance and Contents of Separate File - NAC 449.2749 Maintenance and contents of separate file for each resident; confidentiality of information.
Alzheimer's Care Standards for Safety - NAC 449.2756 Residential facility which provides care to persons with Alzheimer's disease: Standards for safety; personnel required; training for employees. Facility failed to ensure alcohol-based hand rub was not accessible to 23 of 23 residents in secured memory care unit.
Report Facts
Total licensed beds: 150
Census: 96
Complaints investigated: 3
Residents affected by ABHR accessibility: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Nichols | ED | Laboratory Director's or Provider/Supplier Representative's signature on report. |
| Memory Care Director | Confirmed alcohol-based hand rub dispenser was accessible to residents in secured memory care unit. | |
| Maintenance Director | Responsible for removing alcohol-based hand rub dispensers as part of plan of correction. |
Inspection Report
Annual Inspection
Census: 110
Capacity: 150
Deficiencies: 15
Date: Dec 21, 2021
Visit Reason
This Statement of Deficiencies was generated as a result of an annual survey and a complaint investigation State Licensure survey conducted at the facility on 12/21/21. Two complaints were investigated regarding cleanliness and COVID-19 visitation policies, both unsubstantiated.
Complaint Details
Two complaints were investigated: Complaint #NV00063116 alleging unclean facility and resident rooms was unsubstantiated due to lack of evidence; Complaint #NV00065002 alleging failure to follow COVID-19 visitation plan was unsubstantiated due to lack of evidence.
Findings
The facility was found deficient in multiple areas including tuberculosis testing for residents, timely completion of Activities of Daily Living assessments, safety concerns with toxic substances accessible in the memory care unit, inadequate oversight by the administrator, medication management training gaps for staff, incomplete personnel TB screening, delayed physical exams for residents, medication administration errors including missing six-month medication reviews, failure to notify physicians of pharmacist recommendations, incomplete ultimate user agreements, medication storage and labeling issues, and failure to remove discontinued medications timely. The kitchen and exterior premises also had sanitation and maintenance issues.
Deficiencies (15)
Failed to ensure 3 of 25 sampled residents met tuberculosis testing requirements.
Failed to ensure Activities of Daily Living assessments were completed timely for 5 of 25 sampled residents.
Toxic substances were accessible to 24 residents in the memory care unit.
Administrator failed to provide oversight and direction to ensure compliance with regulations.
Failed to ensure 1 of 4 sampled employees completed required annual medication management training timely.
Failed to ensure tuberculosis screening was completed for 1 of 9 sampled employees.
Failed to ensure physical examination was performed prior to admission for 1 of 25 sampled residents.
Failed to ensure medication profile review was performed at least every six months for 1 of 25 sampled residents.
Failed to notify resident's physician of pharmacist's medication recommendations for 1 of 25 sampled residents.
Failed to ensure ultimate user agreement was completed timely for 1 of 25 sampled residents.
Failed to follow physician order, ensure medications were on-site as prescribed for 3 residents, and complete change order labels for 2 residents.
Failed to remove and destroy discontinued medications timely for 5 of 25 sampled residents.
Failed to properly label over-the-counter medications with physician's name for 3 of 25 sampled residents.
Failed to maintain clean and sanitary kitchen and equipment; food thawing practices were unsafe.
Failed to ensure back patio and walkway were de-iced and refuse area was free of garbage and debris.
Report Facts
Total licensed beds: 150
Current census: 110
Deficiency severity counts: 14
Medication administration training hours: 16
Annual medication training hours: 8
Medication administration review frequency: 6
Plan of correction completion dates: Various dates mostly in early 2022 for corrective actions.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Nichols | Executive Director | Interviewed and provided oversight comments; named in multiple findings related to facility compliance and medication management. |
| Employee #9 | Care Partner/Medication Aide | Failed to complete required annual medication management training timely and lacked tuberculosis screening documentation. |
| Business Office Manager | Confirmed gaps in medication management training and TB screening for Employee #9. | |
| Lead Medication Technician | Confirmed toxic substances improperly stored in memory care unit and medication administration issues. | |
| Dining Director | Acknowledged kitchen sanitation deficiencies and unsafe food thawing practices. | |
| Health and Wellness Director | Responsible for monitoring TB testing, medication administration, and corrective actions. |
Inspection Report
Routine
Census: 109
Capacity: 150
Deficiencies: 1
Date: Dec 8, 2020
Visit Reason
This inspection was conducted as a State Licensure COVID-19 Focused Infection Control Survey to assess regulatory compliance with infection control and prevention practices in the facility.
Findings
The facility failed to provide a safe environment by not ensuring staff caring for six COVID positive residents used N95 respirators, not having staff fit tested for N95 masks, and not providing proper training on doffing PPE. The facility was following CDC symptom-based guidelines but had deficiencies in PPE use and staff education.
Deficiencies (1)
Failure to ensure PPE was utilized by staff caring for six COVID positive residents, lack of fit testing for N95 masks, and inadequate staff education on proper PPE doffing procedures.
Report Facts
COVID positive residents: 6
COVID positive staff: 7
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Nichols | Executive Director | Signed report and involved in interviews |
| Assistant Executive Director | Interviewed regarding PPE use and infection control |
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