Inspection Reports for The Seasons of Reno, Assisted Living and Memory Care
5165 SUMMIT RIDGE COURT, RENO, NV 89523, RENO, NV
Back to Facility ProfileInspection Report Summary
The most recent inspection on July 11, 2024, identified deficiencies related to timely annual physical examinations, medication administration record accuracy, and tuberculosis test documentation. Earlier inspections also noted deficiencies in areas such as infection control training, mental illness endorsements, medication handling, and safety measures, showing a pattern of administrative and documentation issues. Complaint investigations conducted throughout the period were mostly unsubstantiated, except for one in August 2022 that confirmed medication management training was incomplete for some staff. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s inspection record shows ongoing challenges with compliance in staff training and documentation, with no clear trend of improvement or worsening.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
3.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
46% better than Nevada average
Nevada average: 7.1 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
77% occupied
Based on a July 2024 inspection.
Occupancy over time
Inspection Report
Annual Inspection
Census: 92
Capacity: 120
Deficiencies: 3
Date: Jul 11, 2024
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 but had deficiencies including failure to ensure timely annual physical examinations for some residents, inaccuracies in medication administration records for two residents, and incomplete tuberculosis test documentation for one resident.
Deficiencies (3)
Failed to ensure an annual physical examination was completed timely for 3 of 20 sampled residents (Residents #19, #20, and #15).
Failed to ensure the Medication Administration Record (MAR) was accurate for 2 of 20 sampled residents (Residents #11 and #20).
Failed to ensure a two-step tuberculosis (TB) test was completed upon admission for 1 of 20 sampled residents (Resident #14).
Report Facts
Total licensed beds: 120
Census: 92
Resident files reviewed: 20
Employee files reviewed: 15
Deficiencies cited: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| China West | Administrator | Signed the report as Laboratory Director's or Provider/Supplier Representative |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 120
Deficiencies: 0
Date: Apr 4, 2024
Visit Reason
The inspection was conducted as a complaint investigation triggered by Complaint #NV00070721, which included allegations regarding resident care and privacy.
Complaint Details
Complaint #NV00070721 included two allegations: 1) A resident was left with a soiled brief for an extended period and not cleaned properly after incontinence; 2) A resident's room was shown to a visitor without permission. Both allegations were not substantiated due to lack of evidence.
Findings
No regulatory deficiencies were identified during the investigation. The allegations of a resident being left with a soiled brief and a resident's room being shown without permission were not substantiated due to lack of evidence. Observations, interviews, and document reviews were conducted with staff and residents.
Report Facts
Sample size: 5
Beds for elderly and disabled persons: 90
Beds for Alzheimer's care: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Care Partner | Interviewed during investigation | |
| Health and Wellness Coordinator | Interviewed during investigation | |
| Health and Wellness Director | Interviewed during investigation | |
| Administrator | Interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 120
Deficiencies: 0
Date: Feb 27, 2024
Visit Reason
This inspection was conducted as a complaint investigation triggered by Complaint #NV00070095, involving multiple allegations related to infection control, incontinent care, safety/falls precautions, pressure sore precautions, and staff training.
Complaint Details
Complaint #NV00070095 with six allegations regarding infection control, incontinent care, safety/falls precautions, wet brief duration, pressure sore precautions, and staff training was investigated and found unsubstantiated due to lack of evidence.
Findings
The investigation included observations, interviews, and clinical record reviews. None of the allegations were substantiated due to lack of evidence, and no regulatory deficiencies were identified. The facility received a grade of A and no further action was necessary.
Report Facts
Sample size: 3
Grade: A
Inspection Report
Annual Inspection
Census: 93
Capacity: 120
Deficiencies: 3
Date: Oct 10, 2023
Visit Reason
The inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility was found to have deficiencies including failure to obtain a Mental Illness endorsement while admitting residents with mental illness diagnoses, failure to obtain annual physician placement determinations for residents with dementia, and lack of required infection control training for primary infection control staff and designee.
Deficiencies (3)
Facility failed to obtain an endorsement for Mental Illness and admitted and retained residents with mental illness without proper endorsement.
Facility failed to obtain a Physician Placement Determination Statement annually for residents with dementia to verify appropriate placement in Assisted Living.
Primary infection control staff and infection control designee lacked required infection control training.
Report Facts
Resident files reviewed: 19
Employee files reviewed: 12
Beds licensed: 120
Beds for elderly and disabled persons: 90
Beds for Alzheimer's care: 30
Census: 93
Employees mentioned
| Name | Title | Context |
|---|---|---|
| China West | Administrator | Named as Administrator who confirmed facility was not endorsed for Mental Illness and attested to personnel checklist accuracy |
| Employee #1 | Administrator | Primary infection control staff lacking required infection control training |
| Employee #2 | Health and Wellness Director | Infection control designee lacking required infection control training |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 120
Deficiencies: 0
Date: Mar 13, 2023
Visit Reason
The inspection was conducted as a result of a complaint investigation at the facility on 03/13/23, in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Complaint Details
One complaint (#NV00068037) was investigated with seven allegations, all of which could not be substantiated due to lack of evidence.
Findings
The investigation reviewed multiple allegations including inappropriate placement of a resident with dangerous items, lack of physician contact, medication administration issues, visitation restrictions, missing items, resident left soiled, and unwashed laundry. No regulatory deficiencies were identified and no further action was necessary.
Report Facts
Sample size: 5
Beds for elderly and disabled persons: 90
Beds for Alzheimer's care: 30
Inspection Report
Annual Inspection
Census: 95
Capacity: 120
Deficiencies: 4
Date: Dec 28, 2022
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 was found to have several deficiencies including failure to maintain current CPR training for a medication technician, failure to properly destroy discontinued medication, failure to label over-the-counter medication with resident and physician names, and failure to complete cultural competency training timely for multiple employees. The facility received a grade of A.
Deficiencies (4)
Failed to ensure a medication technician maintained current first aid and CPR training.
Failed to ensure a discontinued medication was destroyed for a sampled resident.
Failed to ensure an over-the-counter medication had resident name and ordering physician's name on the label.
Failed to ensure cultural competency training was completed timely for 11 sampled employees.
Report Facts
Number of resident files reviewed: 20
Number of employee files reviewed: 12
Number of sampled employees with late cultural competency training: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Marie Campbell | Administrator | Administrator who confirmed findings and signed the report |
| Employee #6 | Medication Technician | Named in deficiency for expired CPR training |
| Employee #3 | Life Enrichment Director | Named in deficiency for late cultural competency training and medication labeling |
| Employee #1 | Executive Director | Named in deficiency for late cultural competency training |
| Employee #4 | Care Partner | Named in deficiency for late cultural competency training |
| Employee #5 | Medication Technician | Named in deficiency for late cultural competency training |
| Employee #7 | Medication Technician | Named in deficiency for late cultural competency training |
| Employee #8 | Care Partner | Named in deficiency for late cultural competency training |
| Employee #9 | Health and Wellness Director | Named in deficiency for late cultural competency training |
| Employee #10 | Care Partner | Named in deficiency for late cultural competency training |
| Employee #12 | Medication Technician | Named in deficiency for late cultural competency training |
| Employee #13 | Care Partner | Named in deficiency for late cultural competency training |
Inspection Report
Complaint Investigation
Census: 94
Deficiencies: 1
Date: Aug 8, 2022
Visit Reason
This inspection was conducted as a complaint investigation triggered by Complaint #NV00066711 alleging that a resident did not receive medications to prevent seizures.
Complaint Details
Complaint #NV00066711 alleging a resident did not receive medications to prevent seizures was substantiated.
Findings
The investigation substantiated the complaint that two medication technicians administered medications without completing the required annual medication management training. The facility received a grade of A, and deficiencies were identified related to caregiver qualifications and medication training.
Deficiencies (1)
Facility failed to ensure 2 of 9 employees completed the required annual medication management training prior to administering medications to residents.
Report Facts
Census: 94
Sample size: 5
Employees not compliant: 2
Severity: 2
Scope: 2
Inspection Report
Re-Inspection
Census: 104
Capacity: 120
Deficiencies: 0
Date: Dec 15, 2021
Visit Reason
This Statement of Deficiencies was generated as a result of a grading re-survey State Licensure survey conducted on 12/15/21 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility was licensed for 120 beds and had a census of 104 at the time of the survey. No resident or employee files were reviewed as this was an environmental review only. The facility received a grade of A with no regulatory deficiencies identified and no further action necessary.
Report Facts
Licensed beds: 120
Census: 104
Bed distribution: 90
Bed distribution: 30
Inspection Report
Annual Inspection
Census: 99
Capacity: 120
Deficiencies: 4
Date: Nov 4, 2021
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 was found to have multiple deficiencies including improper garbage disposal outside the dumpster, clogged dryer vents posing fire hazards, an unlocked circuit breaker panel in the Memory Care Unit, and unsecured toxic substances accessible to residents in the Memory Care Unit.
Deficiencies (4)
Five bags of garbage were found on the sidewalk outside the enclosed dumpster area, attracting rodents or pests.
Two dryer vents from the memory care unit were clogged with lint, creating a fire hazard.
A circuit breaker panel in the Memory Care Unit was unlocked and accessible to residents, posing a safety hazard.
Toxic substances were left unsecured on bathroom counters in three resident rooms in the Memory Care Unit.
Report Facts
Total licensed beds: 120
Census: 99
Resident files reviewed: 20
Employee files reviewed: 14
Bags of garbage found: 5
Dryer vents clogged: 2
Residents with toxic substances unsecured: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| China West | Administrator | Signed report as Laboratory Director's or Provider/Supplier Representative |
| Maintenance Assistant | Verbalized that garbage bags should not have been on sidewalk and vents were clogged with lint | |
| Maintenance Director | Responsible for corrective actions including cleaning vents and inspecting dumpster area | |
| Memory Care Director | Confirmed unlocked circuit breaker panel and toxic substances accessibility issues | |
| Executive Director | Responsible for monitoring compliance with corrective actions |
Inspection Report
Complaint Investigation
Census: 94
Deficiencies: 0
Date: Feb 2, 2021
Visit Reason
The inspection was conducted as a result of a complaint investigation at The Seasons of Reno, Assisted Living & Memory Care facility on 02/02/2021, investigating two complaints regarding resident care and facility practices.
Complaint Details
Two complaints were investigated. Complaint #NV00062147 included five allegations regarding resident weight loss, family notification, room cleanliness, medication administration, and visitation rights, none substantiated. Complaint #NV00063015 included four allegations regarding COVID-19 vaccination timeliness, notification of COVID-19 cases, visitation accommodations, and social media posting, none substantiated.
Findings
The investigation found that none of the five allegations were substantiated, including issues related to resident weight loss, family notification of condition changes, room cleanliness, medication administration, visitation rights, COVID-19 vaccination timeliness, notification of COVID-19 cases, visitation accommodations, and social media posting. The facility received a grade of A and no regulatory deficiencies were identified.
Report Facts
Sample size: 5
Residents observed wearing facial coverings: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Executive Director (ED) | Interviewed regarding multiple allegations including resident care, family notification, COVID-19 vaccination, and visitation |
| Health and Wellness Director | Health and Wellness Director | Interviewed regarding resident care and family notification allegations |
| Care Partner/Medication Aide | Care Partner/Medication Aide | Interviewed regarding resident assistance and medication administration |
| Dining Services Partner | Dining Services Partner | Interviewed regarding meal assistance and menu availability |
| Housekeeper | Housekeeper | Interviewed regarding room cleanliness and housekeeping schedule |
| Concierge | Concierge | Interviewed regarding visitation accommodations and cleaning of visitation area |
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