Inspection Reports for Truewood by Merrill, Henderson

This 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 but had several regulatory deficiencies including failure to ensure annual tuberculosis testing for one employee, lack of current CPR and first aid training for two employees, missing annual physical examinations for three residents, and missing ultimate user agreements for medication administration for two residents.

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

The facility received a grade of A but was cited for several deficiencies including food service violations related to improper food storage and sanitation, failure to maintain Alzheimer's endorsement compliance, and lack of required infection control training for some employees.

The inspection was conducted as a result of a Facility Reported Incident (FRI) completed on 04/23/24, in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

One FRI was investigated and substantiated without deficient practice. The investigation included observation of the resident, facility tour, interviews with caregivers, Wellness Director, and Administrator, and review of resident records and facility policies. No regulatory deficiencies were identified and no further action was necessary.

One Facility Reported Incident (FRI #9737) was substantiated with no deficient practice.

This 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; however, a regulatory deficiency was identified related to food service permits and kitchen cleanliness, specifically grease and debris build-up on gas lines behind cooking equipment.

The inspection was conducted as a State Licensure annual survey and infection control survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for a Residential Facility for Groups.

The facility received a grade of A but had several deficiencies including overdue CPR training for one employee, food service violations related to refrigerator temperature and ice machine cleanliness, missing annual physical examinations for two residents, and incomplete initial 2-step TB testing for one resident.

The inspection was conducted as a result of a State Licensure complaint investigation triggered by Complaint #NV00065831 with four allegations.

Four allegations were investigated; two were substantiated without deficiencies related to COVID-19 dining room restrictions and testing protocols, and two allegations regarding resident isolation and restrictions were unsubstantiated. No regulatory deficiencies were identified and no further action was needed.

Complaint #NV00065831 with four allegations was substantiated without deficiencies for allegations #1 and #2 related to COVID-19 dining room closure and testing. Allegations #3 and #4 regarding resident isolation and restrictions were unsubstantiated based on resident interviews and observations.

The inspection was conducted as a State Licensure annual survey, complaint investigation, and infection control survey at the facility on 08/18/2021.

The facility received a grade of A. One complaint was investigated and found unsubstantiated. Several deficiencies were identified including deteriorated grout in the dish wash area, failure to ensure one resident had an annual physical examination, and failure to document medication orders properly for one resident.

One complaint (#NV00064541) was investigated and found unsubstantiated. Allegations included inadequate food, untimely call bell response, and use of bed rails as restraints; all were unsubstantiated based on interviews and observations.

The inspection was conducted as a result of a complaint and State Licensure survey initiated at the facility on 10/22/20 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

The complaint investigation found that two allegations regarding resident access to mail and medical records were unsubstantiated based on interviews and observations. No regulatory deficiencies were identified and no further action was necessary.

One complaint (#NV00062281) was investigated and found to be unsubstantiated. Allegation #1 regarding failure to allow resident access to mail and Allegation #2 regarding failure to allow resident access to medical records were both unsubstantiated based on interviews with the resident, Administrator, and Memory Care Director.

The inspection was a COVID-19 focused infection control survey initiated at the facility on 10/08/2020 in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

No regulatory deficiencies were identified. The facility had implemented multiple infection control measures including mask wearing, handwashing protocols, social distancing, symptom monitoring, and isolation procedures for COVID-19 positive residents.

The inspection was conducted as a result of a complaint investigation at the facility on 10/06/2020, triggered by Complaint #NV00060493 with three allegations.

The complaint investigation found all three allegations unsubstantiated after review of resident and employee files, interviews with staff and residents, and examination of relevant records. No regulatory deficiencies were cited and no further action was needed.

Complaint #NV00060493 with three allegations was unsubstantiated: (1) Physician and family were not notified of a resident's change in condition; (2) Resident was not assessed after a change in condition; (3) Facility does not provide nutritious meals and does not offer dietary meal plans.

The inspection was conducted as a result of a complaint investigation regarding an allegation that dishware was not properly cleaned and sanitized.

The complaint was investigated through observation of kitchen operations and interviews with staff. The allegation was not substantiated and no regulatory deficiencies were identified.

One complaint (NV00047188) was investigated with the allegation that dishware was not properly cleaned and sanitized. The allegation was not substantiated.

This Statement of Deficiencies was generated as a result of a requested grading re-survey conducted in the facility on 9/29/16.

The facility received a re-survey grade of A. No deficiencies were identified during this survey.

The inspection was conducted as a result of a Complaint Investigation State Licensure survey triggered by a complaint alleging sexual abuse between residents.

The allegation of sexual abuse by one resident toward another could not be substantiated after observations, interviews, and record reviews. No regulatory deficiencies were identified and no further action was necessary.

Complaint #NV00046648 alleging sexual abuse by one resident toward another was investigated and found to be unsubstantiated.

The inspection was conducted as an annual State Licensure survey for re-licensure of the facility on 07/26/2016.

The facility was found to have several deficiencies including missing employee TB test documentation, kitchen sanitation issues, missing first aid and CPR training documentation, unsecured resident files, and inadequate resident care documentation. The facility received a grade of B.

This annual State Licensure survey was conducted to assess compliance with state regulations for Siena Hills Assisted Living facility.

The facility was found to have multiple deficiencies including incomplete tuberculosis testing documentation for employees and residents, kitchen sanitation violations, delayed first aid and CPR training for caregivers, unsecured resident files, lack of chronic illness endorsement for a resident, and insufficient dementia training for employees.

The inspection was conducted as a complaint investigation initiated by the Division of Public and Behavioral Health on 03/25/14 regarding allegations that the facility was not clean and did not have adequate staffing.

The complaint was not substantiated. Observations, interviews, and record reviews confirmed the facility was clean and adequately staffed, with no complaints from residents, family members, or staff.

Complaint #NV00038410 was investigated and found unsubstantiated. The allegations that the facility was not clean and lacked adequate staffing were disproven through observation, interviews with staff, residents, family members, and review of records including resident council minutes and staffing schedules.

The inspection was conducted as a complaint investigation regarding an allegation that the facility was infested with bed bugs.

The complaint was not substantiated after interviews with the executive director and observations of ten rooms, which revealed no evidence of bed bugs in mattresses, linens, curtains, or furniture.

Complaint #NV00037058 alleged the facility was infested with bed bugs. The investigation included interviews and room observations and found no evidence to substantiate the complaint.

The inspection was conducted as a result of a complaint investigation regarding allegations of scabies in the facility.

The facility was found to have failed to ensure that 3 of 110 residents were not infected with scabies. The complaint was substantiated and corrective actions including treatment and monitoring were implemented.

Complaint #NV00036728 alleged the presence of scabies in the facility, which was substantiated.

The inspection was conducted as a complaint investigation from 09/04/2013 to 09/19/2013 regarding allegations of scabies in the facility.

The facility was found to have failed to ensure that 3 of 110 residents were not infected with scabies, substantiating the complaint of infestation by insects.

Complaint #NV00036728 alleging scabies infestation was substantiated.

The inspection was an initial State licensure survey conducted on 9/12/13 to assess compliance with state regulatory provisions for a residential facility providing assisted living services.

The facility was found to have multiple deficiencies including failure to meet background check requirements for employees, inadequate first aid and CPR training documentation, food service permit violations, and failure to conduct required monthly evacuation drills. The facility received a grade of A.