Inspection Reports for V N Senior Care Inc at Winery Rd
3281 Winery Rd., Pahrump, NV 89048, NV, 89048
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Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 3
Jun 3, 2025
Visit Reason
This inspection was conducted as an annual State Licensure survey of the residential facility for groups, to assess compliance with Nevada Administrative Code Chapter 449.
Findings
The facility received a grade of A but had several deficiencies including improper food storage in the kitchen pantry, failure to initial medication reviews by the administrator for 4 residents, and inadequate Tier 2 Alzheimer's/Dementia training for 2 employees within 3 months of employment.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Food was not stored appropriately; open jars of jelly not refrigerated, old potatoes in pantry, and presence of bugs in cooking oil. | Severity: 2 |
| Medication reviews for 4 residents were not initialed by the Administrator within 72 hours as required. | Severity: 2 |
| Two employees did not receive the required additional 8 hours of Tier 2 Alzheimer's/Dementia training within 3 months of employment. | Severity: 2 |
Report Facts
Residents reviewed: 7
Employee files reviewed: 4
Facility licensed beds: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Landicho Prudence | Administrator | Named in relation to medication review and training deficiencies and corrective actions |
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 0
May 14, 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 with no regulatory deficiencies identified. Nine resident files and four employee files were reviewed, and no further action is necessary.
Report Facts
Resident files reviewed: 9
Employee files reviewed: 4
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 0
May 8, 2023
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
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action is necessary.
Report Facts
Resident files reviewed: 9
Employee files reviewed: 4
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 0
May 17, 2022
Visit Reason
The inspection was conducted as an annual grading and infection control survey of the facility in accordance with Nevada Administrative Code Chapter 449.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and was provided guidance on nondiscrimination, privacy, cultural competency, and complaint policies.
Inspection Report
Annual Inspection
Census: 7
Capacity: 10
Deficiencies: 0
Jul 19, 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 Facilities for Groups.
Findings
No regulatory deficiencies were identified. The facility received a grade of A and was provided guidance on compliance with antidiscrimination, privacy, cultural competency, and complaint policies.
Report Facts
Resident files reviewed: 7
Employee files reviewed: 3
Inspection Report
Routine
Census: 6
Capacity: 10
Deficiencies: 0
Sep 3, 2020
Visit Reason
The inspection was a COVID-19 focused infection control survey initiated as part of a State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility was found to be compliant with no regulatory deficiencies identified. Observations included proper COVID-19 screening, social distancing, use of PPE by staff, sanitation procedures, and resident isolation protocols if COVID-19 positive cases occur.
Report Facts
Licensed beds: 10
Current census: 6
Hand sanitizer bottles: 10
Caregivers: 4
Staff on duty: 2
Meals served at a time: 4
Dining tables: 2
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 0
Mar 3, 2020
Visit Reason
This inspection was conducted as an annual State licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified. Eight resident files and five employee files were reviewed, and no further action was necessary.
Report Facts
Resident files reviewed: 8
Employee files reviewed: 5
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 2
Apr 4, 2019
Visit Reason
This inspection was conducted as an annual State Licensure survey of a residential facility for persons with Alzheimer's disease, Category II residents, to assess compliance with NAC 449 regulations.
Findings
The facility received a grade of A but was found deficient in providing appropriate activities to one bedfast resident and failing to obtain a required bedfast exemption for that resident. The administrator acknowledged these issues and implemented corrective actions including increased activity planning and filing of exemption requests.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure activities were provided to 1 of 3 bedfast residents (Resident #1). | Severity: 2 |
| Failed to obtain a bedfast exemption for 1 of 8 residents (Resident #1). | Severity: 2 |
Report Facts
Resident files reviewed: 8
Employee files reviewed: 3
Facility licensed capacity: 10
Current census: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vilma Nicholas | Administrator | Administrator named in findings related to activity provision and bedfast exemption |
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 0
Apr 24, 2018
Visit Reason
The inspection was an annual survey initiated at the facility on 04/24/18, conducted under the authority of NRS 449.0307 and Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No deficiencies were identified during the inspection. The facility received a grade of A after review of nine resident files and four employee files.
Report Facts
Resident files reviewed: 9
Employee files reviewed: 4
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 2
Apr 19, 2017
Visit Reason
This inspection was conducted as an annual State Licensure survey of the facility on 4/19/2017 to assess compliance with state regulations for a residential facility for elderly and disabled persons and/or persons with Alzheimer's disease.
Findings
The facility received a grade of A. Deficiencies were identified related to tuberculosis testing documentation for employees and a non-operational exit door alarm, which was corrected during the survey. The facility implemented corrective actions including review of employee hire/start dates and ongoing monitoring of exit door alarms.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure 2 of 6 employees met tuberculosis testing requirements, including documentation errors and timing of tests relative to hire/start dates. | Severity: 2 |
| Failure to ensure 1 of 3 exit doors had an operational alarm that sounded when the door was opened; alarm was not functioning but was fixed approximately one hour after observation. | Severity: 2 |
Report Facts
Resident census: 10
Total licensed capacity: 10
Employees reviewed: 6
Resident files reviewed: 10
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 5
May 24, 2016
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with regulations for a residential facility for elderly and disabled persons, including those with Alzheimer's disease.
Findings
The facility received a grade of C with multiple deficiencies identified, including failure to ensure caregivers received required medication management training, exit doors not equipped with approved locks, failure to obtain bedfast waiver for a resident, lack of signed ultimate user agreement for medication administration, and failure to obtain physician orders for medication discontinuation.
Severity Breakdown
Severity: 2: 4
Deficiencies (5)
| Description | Severity |
|---|---|
| Failed to ensure 2 of 4 employees received initial 16-hour medication management training. | — |
| Failed to ensure 2 of 3 primary exit doors were equipped with locks that could be opened from inside without a code. | Severity: 2 |
| Failed to obtain a bedfast waiver for 1 of 10 residents (Resident #2). | Severity: 2 |
| Failed to ensure a signed ultimate user agreement was obtained for 1 of 10 residents (Resident #3). | Severity: 2 |
| Failed to obtain a physician order or discontinued order for medication prescribed to 1 of 10 residents (Resident #10). | Severity: 2 |
Report Facts
Residents present: 10
Total licensed capacity: 10
Employees reviewed: 4
Residents reviewed: 10
Deficiencies cited: 5
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 8
May 24, 2016
Visit Reason
This annual State Licensure survey was conducted on 5/24/16 by the Division of Public and Behavioral Health to assess compliance with state regulations for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of C with multiple deficiencies identified including failure to ensure initial medication management training for caregivers, unsecured exit doors and gates, lack of required documentation for residents, failure to ensure awake staff at night, and improper medication management and destruction.
Severity Breakdown
E: 1
D: 5
F: 2
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to ensure 2 of 4 employees received the initial 16 hour medication management training. | E |
| Failed to ensure 2 of 3 primary exit doors could be opened from the inside without a code. | D |
| Failed to obtain a bedfast waiver for 1 of 10 residents (Resident #2). | D |
| Failed to ensure a signed ultimate user agreement was obtained for 1 of 10 residents (Resident #3). | D |
| Failed to obtain a physician order or discontinued order for a medication prescribed to 1 of 10 residents (Resident #10). | D |
| Failed to ensure medications were destroyed in a timely manner; expired medication found in refrigerator. | D |
| Failed to ensure one member of the staff was awake at night in an Alzheimer's care facility. | F |
| Failed to ensure an exit gate in an Alzheimer's endorsed facility was secured. | F |
Report Facts
Residents present: 10
Total licensed capacity: 10
Employee files reviewed: 4
Resident files reviewed: 10
Medication expiration date: Jan 23, 2016
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver #4 | Acknowledged multiple findings including medication training, unsecured exit door keypad, bedfast resident, ultimate user agreement, medication order issues, expired medication, staff awake status, and unsecured gate. | |
| Caregiver #3 | Scheduled night shift caregiver observed sleeping during night hours, violating awake staff requirement. | |
| Employee #2 | Failed to have documented initial 16 hour medication management training. | |
| Employee #4 | Failed to have documented initial 16 hour medication management training and acknowledged multiple findings. | |
| Administrator | Reported installation of keypad on exit door and policy on locked gate; acknowledged issues with bedfast resident waiver and gate security. |
Inspection Report
Re-Inspection
Deficiencies: 0
May 28, 2015
Visit Reason
This document is a required grading re-survey conducted at the facility on 5/28/15 as part of a State Licensure survey by the Division of Public and Behavioral Health.
Findings
No deficiencies were identified during this re-survey, and the facility received a re-survey grade of A.
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 6
Apr 9, 2015
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted on 4/9/15 to assess compliance with regulations for a residential facility providing care to persons with Alzheimer's disease.
Findings
The facility was found to have multiple deficiencies including failure to maintain clean and well-maintained premises, improper storage of food and medications, unsecured dangerous items accessible to residents, and failure to ensure proper medication storage. The facility received a grade of C.
Severity Breakdown
Severity: 2: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to ensure the interior and exterior of the facility was clean and well maintained, including broken furniture, missing window screens, inoperable air conditioning, and exposed electrical outlets. | Severity: 2 |
| Failed to ensure proper refrigeration of perishable foods; thawing foods observed on kitchen counter. | Severity: 2 |
| Failed to ensure adequate storage and packaging of food; improperly stored cooked rice, unsealed rice, expired mustard found. | Severity: 2 |
| Failed to ensure medications were stored securely; unsecured medications found in resident rooms and outside storage shed. | Severity: 2 |
| Failed to ensure dangerous items such as knives, scissors, razors, curling irons, lighters, and sharp keys were stored securely and inaccessible to residents. | Severity: 2 |
| Failed to ensure toxic substances were inaccessible to residents; denture cleaner, furniture polish, mouthwash, bleach wipes, and eyeglass cleaner found unsecured. | Severity: 2 |
Report Facts
Licensed beds: 10
Residents present: 8
Employee files reviewed: 6
Resident files reviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #3 | Acknowledged deficiencies related to facility conditions, food storage, medication storage, and toxic substances | |
| Employee #2 | Acknowledged unsecured dangerous items found during inspection |
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 6
Apr 9, 2015
Visit Reason
This annual State Licensure survey was conducted on 4/9/15 by the Division of Public and Behavioral Health to assess compliance with state regulations for a residential facility providing care to persons with Alzheimer's disease.
Findings
The facility received a grade of C with multiple deficiencies identified including failure to maintain clean and well-maintained premises, improper food storage and refrigeration, unsecured medications, unsecured dangerous items, and unsecured toxic substances. Employee #3 and Employee #2 acknowledged the deficiencies during the inspection.
Severity Breakdown
Level 2: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to ensure the interior and exterior of the facility was clean and well maintained, including broken furniture, missing window screens, plumbing issues, dog feces in yard, exposed nails and electrical hazards, and soiled mattresses stored in garage. | Level 2 |
| Failed to ensure perishable foods were refrigerated at proper temperatures; foods were thawing on kitchen counter in unsafe conditions. | Level 2 |
| Failed to ensure food was properly stored; unsealed rice and sugar, expired mustard, and cooked rice stored improperly. | Level 2 |
| Failed to ensure medications were stored and secured in a locked area; medications found unsecured in resident rooms and outside storage shed. | Level 2 |
| Failed to ensure dangerous items such as scissors, razors, curling irons, lighters, and sharp keys were stored securely and inaccessible to residents. | Level 2 |
| Failed to ensure toxic substances such as denture cleaner, furniture polish, mouthwash, eyeglass cleaner, and bleach wipes were inaccessible to residents. | Level 2 |
Report Facts
Facility licensed beds: 10
Resident census: 8
Employee files reviewed: 6
Resident files reviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #3 | Acknowledged multiple deficiencies including facility maintenance, food storage, medication storage, and toxic substances | |
| Employee #2 | Acknowledged unsecured dangerous items |
Inspection Report
Complaint Investigation
Census: 10
Capacity: 10
Deficiencies: 3
Mar 3, 2015
Visit Reason
This inspection was conducted as a complaint investigation regarding a lack of protective supervision after a memory care resident left the facility unattended.
Findings
The investigation substantiated the complaint of inadequate supervision leading to elopement. Additional unrelated deficiencies were identified including failure to implement elopement prevention policies and unsecured prescription medications.
Complaint Details
Complaint #NV00041022 contained one allegation of lack of protective supervision after a memory care resident eloped. The complaint was substantiated.
Severity Breakdown
Severity: 3: 2
Severity: 2: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to provide necessary assessment and intervention to prevent elopement for Resident #1. | Severity: 3 |
| Failure to develop and implement Elopement Prevention Policies and Procedures for Resident #1. | Severity: 3 |
| Failure to ensure residents did not have access to unsecured prescription medications. | Severity: 2 |
Report Facts
Residents present: 10
Licensed capacity: 10
Sample size: 3
Severity level 3 deficiencies: 2
Severity level 2 deficiencies: 1
Inspection Report
Complaint Investigation
Census: 10
Capacity: 10
Deficiencies: 3
Mar 3, 2015
Visit Reason
The inspection was conducted as a complaint investigation following a substantiated complaint regarding lack of protective supervision when a memory care resident left the facility unattended.
Findings
The facility failed to provide necessary assessment and intervention to prevent elopement of one resident, lacked an effective elopement prevention policy, and failed to secure prescription medications accessible to residents.
Complaint Details
Complaint #NV00041022 contained one allegation of lack of protective supervision when a memory care resident left the facility unattended. The complaint was substantiated.
Severity Breakdown
Severity: 3: 1
Severity: 2: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to provide necessary assessment and intervention to prevent elopement of Resident #1. | Severity: 3 |
| Failed to develop and implement Elopement Prevention Policies and Procedures to avert elopement of Resident #1. | Severity: 2 |
| Failed to ensure residents did not have access to unsecured prescription medications. | Severity: 2 |
Report Facts
Residents present: 10
Licensed capacity: 10
Sample size: 5
Incident time: 1035
Incident date: Oct 29, 2014
Inspection Report
Annual Inspection
Census: 4
Capacity: 10
Deficiencies: 0
Apr 22, 2014
Visit Reason
This document reports the results of an annual State Licensure survey conducted at the facility on 4/22/2014 to assess compliance with state regulations for a Residential Facility for Group beds providing care to persons with Alzheimer's disease.
Findings
The facility received a grade of A with no deficiencies identified at the time of the survey. Four resident files and five employee files were reviewed during the inspection.
Report Facts
Resident files reviewed: 4
Employee files reviewed: 5
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 2
Sep 24, 2013
Visit Reason
This complaint investigation was conducted due to allegation #NV00036340 that a resident's medications were not given according to physician instructions.
Findings
The investigation substantiated the complaint, finding that the facility failed to ensure the medication plan was followed for 1 of 6 residents, with Resident #1 not receiving medication for five consecutive days.
Complaint Details
Complaint #NV00036340 alleging resident's medications were not given according to physician instructions was substantiated.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure the facility's medication plan was followed for 1 of 6 residents, resulting in Resident #1 not receiving medication for five consecutive days. | Severity: 2 |
| Failure to administer over-the-counter medications or dietary supplements according to physician orders and facility policies. | Severity: 2 |
Report Facts
Licensed capacity: 10
Residents reviewed: 6
Days medication missed: 5
Medication dosage: 50
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 2
Sep 24, 2013
Visit Reason
This inspection was conducted as a complaint investigation from 08/01/2013 through 09/24/2013 regarding allegations that a resident's medications were not given according to physician instructions.
Findings
The investigation substantiated that the facility failed to follow its medication plan for 1 of 6 residents, resulting in a resident not receiving prescribed medication (Tramadol 50 mg) for five consecutive days.
Complaint Details
Complaint #NV00036340 was substantiated regarding the allegation that a resident's medications were not given according to physician instructions.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure the facility's medication plan was followed, resulting in a resident going without medication for five consecutive days. | Severity: 2 |
| Failure to administer medications as prescribed by the physician, including not giving Tramadol 50 mg once per day from 7/10/13 through 7/15/13. | Severity: 2 |
Report Facts
Licensed capacity: 10
Residents reviewed: 6
Days medication missed: 5
Medication dosage: 50
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