Inspection Reports for Tranquillium Halah Senior Care
3460 W Haleh Ave., Las Vegas, NV 89141, NV, 89141
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 5
Nov 21, 2024
Visit Reason
The inspection was conducted as an annual State licensure survey combined with a complaint investigation at the facility on 11/21/2024.
Findings
The facility was found deficient in multiple areas including failure to complete six-month medication reviews for some residents, missing Ultimate User Agreements prior to medication administration, lack of physician orders and medication availability for several residents, improper labeling of over-the-counter medications, missing initial Activities of Daily Living assessments for some residents, and incomplete cultural competency training for certain employees.
Complaint Details
Two complaints were investigated during the survey. Both complaints (#NV00072650 and #NV00072727) were found to be unsubstantiated.
Severity Breakdown
E: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Failed to ensure a six-month Medication Review was completed for 2 of 8 sampled residents (Resident #5 and #8). | E |
| Failed to ensure an Ultimate User Agreement (UUA) was completed for 2 of 8 residents prior to administering medications (Resident #4 and #5). | E |
| Failed to ensure physician orders for 1 of 8 residents; medications were missing or not documented as administered for 5 of 8 residents; over-the-counter medications lacked proper labeling for 1 of 8 residents. | E |
| Failed to maintain initial Activities of Daily Living (ADL) Assessment for 2 of 8 residents (Resident #1 and #4). | E |
| Failed to ensure 2 of 5 employees completed required initial cultural competency training. | E |
Report Facts
Licensed beds: 10
Current census: 8
Residents sampled: 8
Employee files reviewed: 5
Complaints investigated: 2
Inspection Report
Annual Inspection
Census: 3
Capacity: 10
Deficiencies: 0
Dec 28, 2023
Visit Reason
This inspection was conducted as a State licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups, including a review of a one-bed increase approval.
Findings
No regulatory deficiencies were identified during the survey. The facility is licensed for 10 Category II beds and had a census of three at the time of inspection.
Report Facts
Licensed beds: 10
Census: 3
Inspection Report
Annual Inspection
Census: 5
Capacity: 9
Deficiencies: 0
Nov 30, 2023
Visit Reason
This inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.
Report Facts
Resident files reviewed: 5
Employee files reviewed: 5
Inspection Report
Complaint Investigation
Census: 5
Deficiencies: 0
Jul 11, 2023
Visit Reason
The inspection was conducted as a result of a complaint investigation at the facility on 07/11/2023, in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The complaint investigated (Complaint #NV00068701) was unverified and no regulatory deficiencies were identified. Observations and interviews were conducted, and no further action was necessary.
Complaint Details
One complaint was investigated but could not be verified. No regulatory deficiencies were found.
Report Facts
Sample size: 5
Inspection Report
Annual Inspection
Census: 4
Capacity: 9
Deficiencies: 2
Nov 17, 2022
Visit Reason
The inspection was conducted as an annual State Licensure and infection control survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A. Two regulatory deficiencies were identified: failure to ensure the Medication Administration Record reflected the physician's current orders for one resident, and failure to ensure employees received cultural competency training within 30 days of hire for three employees.
Severity Breakdown
Level 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Medication Administration Record (MAR) did not reflect the physician's current order for prescribed medications for 1 of 4 residents (Resident #3). | Level 2 |
| Facility failed to ensure employees received cultural competency training within 30 days of their date of hire for 3 of 4 employees. | Level 2 |
Report Facts
Licensed beds: 9
Current census: 4
Employees lacking cultural competency training: 3
Residents reviewed: 4
Employee files reviewed: 4
Inspection Report
Complaint Investigation
Census: 8
Capacity: 9
Deficiencies: 0
Jan 26, 2022
Visit Reason
The inspection was conducted as a complaint investigation triggered by Complaint #NV00065453 with two allegations regarding therapeutic diets and insulin medication administration.
Findings
Both allegations were found to be unsubstantiated after review of menus, clinical records, and interviews with residents, caregivers, and the administrator. No regulatory deficiencies were identified.
Complaint Details
Complaint #NV00065453 with two allegations was unsubstantiated. Allegation #1 regarding failure to provide therapeutic diets was unsubstantiated. Allegation #2 regarding improper insulin administration was unsubstantiated.
Report Facts
Sample size: 3
Number of allegations: 2
Inspection Report
Annual Inspection
Census: 7
Capacity: 9
Deficiencies: 1
Nov 29, 2021
Visit Reason
The inspection was conducted as an annual State Licensure and infection control survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A. Deficiencies were identified related to failure to ensure two residents had required two-step or annual tuberculosis tests. The facility was also provided guidance on compliance with nondiscrimination, privacy, and cultural competency regulations.
Severity Breakdown
2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure 2 of 7 residents had a two-step tuberculosis (TB) test or an annual TB test as required. | 2 |
Report Facts
Resident census: 7
Total licensed capacity: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nichole Schmal | Administrator | Named as Laboratory Director's or Provider/Supplier Representative signing the report |
Inspection Report
Routine
Census: 1
Capacity: 9
Deficiencies: 0
Nov 13, 2020
Visit Reason
This inspection was a COVID-19 focused infection control State Licensure survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility had appropriate COVID-19 infection control measures in place including signage, screening, PPE use, hand hygiene, and cleaning protocols. No residents or staff were positive for COVID-19, and no regulatory deficiencies were identified.
Report Facts
Hand sanitizer bottles: 3
Face shields: 20
N95 masks: 3
Shoe coverings: 100
Disposable masks: 100
Gowns: 10
Gloves: 350
Temperature checks frequency: 2
Inspection Report
Original Licensing
Capacity: 9
Deficiencies: 0
May 29, 2020
Visit Reason
This inspection was conducted as an initial State Licensure survey for a Residential Facility for Groups seeking licensure for 10 beds with endorsement for Alzheimer's Disease and/or Category II residents.
Findings
No deficiencies were identified during the survey. The facility was approved for nine beds due to the number of bathrooms available.
Report Facts
Licensed beds approved: 9
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