Inspection Reports for Washington Senior Guest Home
3709 W Washington Ave, Las Vegas, NV 89107, NV, 89107
Back to Facility ProfileDeficiencies per Year
12
9
6
3
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Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 6
Capacity: 8
Deficiencies: 4
May 19, 2025
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A but had several deficiencies including failure to submit a medical exemption request for a resident requiring wound and catheter care, medication administration issues such as use of range orders, inaccurate medication administration records, and unsecured medication storage. Corrective actions were planned and implemented.
Severity Breakdown
Level D: 3
Level F: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to submit a medical exemption request for a resident requiring wound care and Foley catheter care. | Level D |
| Failure to ensure a resident's medication did not have range orders for a blood pressure medication. | Level D |
| Failure to ensure the instructions on the Medication Administration Record accurately reflected the physician's prescription. | Level D |
| Failure to ensure medications were stored securely; insulin pens were found unsecured in refrigerators and an outside building. | Level F |
Report Facts
Residents present: 6
Licensed capacity: 8
Deficiencies cited: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Emelita R Tugas | Administrator | Named as responsible for plan of correction and involved in findings related to medication and exemption requests |
| Employee #1 | Caregiver involved in wound care and catheter care for Resident #4 and medication administration | |
| Employee #2 | Caregiver involved in medication administration and catheter care |
Inspection Report
Re-Inspection
Census: 6
Capacity: 8
Deficiencies: 8
Jul 10, 2024
Visit Reason
This inspection was a State Licensure mandatory grading resurvey conducted to assess compliance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A with no regulatory deficiencies identified. Several minor deficiencies related to oxygen tank security, medication administration, medication storage, resident physical exams, and infection control training were noted and corrected promptly with plans of correction implemented.
Deficiencies (8)
| Description |
|---|
| Oxygen tank found unsecured in resident R3's closet. |
| Annual physical examinations for residents R6 and R7 were not current. |
| Medication review for resident R2 was not up to date. |
| Over-the-counter medication (Vicks Vapor Rub) was present without a physician's order. |
| Medications stored in an unlocked refrigerator without a locked box. |
| Two-step TB test not completed timely for residents R3 and R8. |
| Facility lacked policies and documentation to ensure residents are addressed by preferred name and pronoun. |
| Infection control designees E1 and E2 had not completed the required 15 hours of infection control training. |
Report Facts
Licensed beds: 8
Resident census: 6
Deficiencies cited: 8
Infection control training hours: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Emelita R Tugas | Administrator | Named as Administrator responsible for ensuring implementation of plans of correction. |
Inspection Report
Annual Inspection
Census: 8
Capacity: 8
Deficiencies: 8
May 2, 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 C with multiple deficiencies identified including unsecured oxygen tank, missing annual physical exams for residents, missing six-month medication review, lack of physician orders for medications, unsecured medications, incomplete TB testing documentation, lack of policies and resident record updates for preferred names and pronouns, and failure to ensure infection control designees completed required training.
Severity Breakdown
Level 1: 1
Level 2: 7
Deficiencies (8)
| Description | Severity |
|---|---|
| Oxygen tank was found unsecured in Room 3 closet. | Level 2 |
| Failed to ensure annual physical examination was completed for 2 of 8 residents. | Level 2 |
| Failed to ensure a six-month Medication Review was completed for 1 of 8 sampled residents. | Level 2 |
| Failed to ensure a physician order was obtained for a medication (Vapor Rub) for 1 of 8 sampled residents. | Level 2 |
| Failed to ensure medications were secured; unsecured medications found in a black refrigerator outside the facility and a jar of Vapor Rub on bedside table. | Level 2 |
| Failed to ensure 2 of 8 sampled residents completed initial or annual tuberculin (TB) or QuantiFERON tests properly documented. | Level 2 |
| Failed to ensure policies developed and resident records revised to reflect preferred name, pronoun, gender identity or expression, and sexual orientation. | Level 1 |
| Failed to ensure primary and secondary infection control designees completed required initial 15 hours infection control training. | Level 2 |
Report Facts
Residents present: 8
Total licensed beds: 8
Resident files reviewed: 8
Employee files reviewed: 3
Grade: C
Severity 2 deficiencies: 7
Severity 1 deficiencies: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Emelita R Tugas | Administrator | Confirmed observations and findings during inspection |
Inspection Report
Complaint Investigation
Census: 7
Deficiencies: 0
Aug 24, 2023
Visit Reason
The inspection was conducted as a result of a complaint investigation at the facility on 08/24/23, in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The complaint investigated could not be verified and no regulatory deficiencies were identified. Observations, interviews, and clinical record reviews were conducted with no further action necessary.
Complaint Details
One complaint (#NV00069209) was investigated and found to be unverified. No regulatory deficiencies were identified.
Report Facts
Sample size: 1
Complaints investigated: 1
Unverified complaints: 1
Inspection Report
Annual Inspection
Census: 7
Capacity: 8
Deficiencies: 0
May 4, 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: 7
Employee files reviewed: 2
Inspection Report
Annual Inspection
Census: 7
Capacity: 8
Deficiencies: 0
May 2, 2022
Visit Reason
The inspection was conducted as an annual, infection control, and complaint investigation State Licensure survey at the facility on 05/02/2022.
Findings
No regulatory deficiencies were identified during the inspection. One complaint alleging bed bugs was investigated and found to be unsubstantiated after interviews and inspections.
Complaint Details
Complaint NV00065984 with one allegation regarding bed bugs on a resident was investigated and found unsubstantiated based on interviews with staff and residents, inspection of residents and beds, hospice case manager visit, and review of pest control records.
Report Facts
Licensed beds: 8
Resident census: 7
Complaint allegations: 1
Inspection Report
Annual Inspection
Census: 7
Capacity: 8
Deficiencies: 0
May 2, 2022
Visit Reason
The inspection was conducted as an annual, infection control, and complaint investigation 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. One complaint alleging bed bugs was investigated and found to be unsubstantiated after interviews and inspections. The facility was provided guidance on nondiscrimination and privacy regulations.
Complaint Details
Complaint NV00065984 with one allegation of bed bugs on a resident was unsubstantiated based on interviews with staff and residents, inspections of residents and beds, and review of pest control records for February, March, and May 2022.
Report Facts
Licensed beds: 8
Residents present: 7
Inspection Report
Complaint Investigation
Census: 7
Capacity: 8
Deficiencies: 0
Dec 6, 2021
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding allegations of bed bugs at the facility.
Findings
The complaint alleging bed bugs was unsubstantiated based on observations of residents, beds, interviews, and pest control documentation. No regulatory deficiencies were identified and no further action was required.
Complaint Details
One complaint (#65193) with one allegation was investigated and found unsubstantiated. The allegation that the facility had bed bugs and never properly treated the issue was not supported by evidence.
Report Facts
Complaint number: 65193
Licensed beds: 8
Census: 7
Inspection Report
Re-Inspection
Census: 7
Capacity: 8
Deficiencies: 8
Sep 21, 2021
Visit Reason
This inspection was conducted as a State Licensure re-grading survey of a residential facility for groups, in accordance with Nevada Administrative Code Chapter 449.
Findings
The facility received a grade of A with no regulatory deficiencies identified. Several deficiencies were noted with severity levels ranging from C to F, primarily related to administrative and maintenance requirements such as personnel files, activities calendar, medical care documentation, and resident file maintenance.
Severity Breakdown
F: 2
D: 5
C: 1
Deficiencies (8)
| Description | Severity |
|---|---|
| Administrator's Responsibilities - Oversight - NAC 449.194 Responsibilities of administrator. | F |
| Personnel File - TB Screening - NAC 449.200 Personnel files must include health certificates. | D |
| Health & Sanitation - Maintain Interior/Exterior - NAC 449.209 Health and sanitation requirements. | D |
| Activities for Residents - NAC 449.260 Caregivers must post and maintain a calendar of activities. | C |
| Medical Care of Resident After Illness - NAC 449.274 Requires physical examinations and care per physician instructions. | D |
| Maintenance and Contents of Separate File - NAC 449.2749 Separate resident files must be maintained and secured. | D |
| Maintenance and Contents of Separate File - NAC 449.2749 Requires evaluation of resident's ability to perform activities of daily living annually or upon condition change. | F |
| Alzheimer’s Care Application for Endorsement - NAC 449.2754 Facility must obtain endorsement to provide care for residents with Alzheimer's disease. | D |
Report Facts
Licensed beds: 8
Current census: 7
Inspection Report
Annual Inspection
Census: 7
Capacity: 8
Deficiencies: 9
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
The facility received a grade of C and was found deficient in multiple areas including failure to implement safe infection control practices during the COVID-19 pandemic, incomplete tuberculosis testing for employees and residents, lack of current activity calendars, failure to maintain the exterior premises, incomplete annual physical exams and ADL assessments for residents, and failure to have required physician placement forms for residents with cognitive impairments. Additionally, the facility lacked a cultural competency training program for employees.
Severity Breakdown
Level 2: 7
Level 1: 1
Deficiencies (9)
| Description | Severity |
|---|---|
| Failure to implement safe infection control practices for COVID-19, including lack of screening and mask use. | Level 2 |
| Failure to ensure 2 of 3 sampled employees had annual tuberculosis tests. | Level 2 |
| Failure to maintain the exterior premises; presence of debris and inoperable equipment in backyard. | Level 2 |
| Failure to ensure a current activity calendar was prepared and posted; calendar was dated March 2020. | Level 1 |
| Failure to ensure 1 of 7 residents had an annual physical examination. | Level 2 |
| Failure to ensure 2 of 7 residents met tuberculosis testing requirements. | Level 2 |
| Failure to ensure 4 of 7 residents had initial and/or annual Activities of Daily Living assessments. | Level 2 |
| Failure to provide required standard physician placement forms for residents with Alzheimer's disease or mild cognitive impairment. | Level 2 |
| Failure to submit or provide evidence of a cultural competency training program for employees. | — |
Report Facts
Licensed beds: 8
Resident census: 7
Employees reviewed: 3
Residents reviewed: 7
Facility grade: C
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Emelita Tugas | Administrator | Named in relation to oversight responsibilities and corrective actions |
Inspection Report
Abbreviated Survey
Census: 8
Capacity: 8
Deficiencies: 2
Aug 24, 2020
Visit Reason
The inspection was a focused COVID-19 infection control and state licensure survey initiated at the facility on 08/24/2020 to assess compliance with infection control measures and state licensure requirements.
Findings
The facility was found to have no residents or staff diagnosed with COVID-19 and practiced appropriate infection control measures such as social distancing, mask usage, and sanitization. However, deficiencies were identified including the lack of written infection control policies related to COVID-19 and failure to obtain waivers for two bedfast residents.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| The facility did not have written policies and procedures to prevent and control the spread of COVID-19. | Severity: 2 |
| The facility failed to obtain a waiver to retain two bedfast residents who were unable to reposition themselves without assistance. | Severity: 2 |
Report Facts
Number of resident files reviewed: 8
Number of employee files reviewed: 4
Number of caregivers reported: 4
Number of surgical masks on site: 15
Number of bottles of hand sanitizer: 10
Number of staff on duty during survey: 2
Inspection Report
Annual Inspection
Census: 8
Capacity: 8
Deficiencies: 4
Oct 31, 2017
Visit Reason
The inspection was conducted as an annual State Licensure survey combined with a complaint investigation at the Washington Senior Guest Home.
Findings
The facility received a grade of B with several deficiencies cited including failure to maintain clean and well-maintained premises and outdoor furniture, unclean kitchen and appliances, undocumented menu substitutions, and medication administration errors for one resident. The complaint investigated was not substantiated.
Complaint Details
One complaint (NV00050497) was investigated with allegations that the Owner did not refund resident's board and care and that the resident's jewelry was not returned. The allegations were not substantiated after review of records and interviews.
Severity Breakdown
Severity: 1: 1
Severity: 2: 3
Deficiencies (4)
| Description | Severity |
|---|---|
| Facility failed to ensure the interior and exterior premises were clean and the outdoor furniture was well maintained, including dirty and torn upholstery, uncovered storage of equipment, and soiled bathroom conditions. | Severity: 2 |
| Facility failed to ensure the kitchen and appliances were clean, with rust, grease, and dirt build-up observed on vent screen, oven door, cabinets, and rice dispenser. | Severity: 2 |
| Facility failed to ensure menu substitutions were documented and posted as required. | Severity: 1 |
| Facility failed to ensure medication was administered as prescribed for one resident, with discrepancies in Warfarin administration documented. | Severity: 2 |
Report Facts
Licensed capacity: 8
Census: 8
Resident files reviewed: 8
Discharged resident files reviewed: 1
Employee files reviewed: 3
Complaint investigated: 1
Inspection Report
Annual Inspection
Census: 8
Capacity: 8
Deficiencies: 0
Sep 26, 2016
Visit Reason
This Statement of Deficiencies was generated as a result of an annual State Licensure survey conducted in the facility on 9/26/16 by the Division of Public and Behavioral Health.
Findings
The facility received a grade of A with no regulatory deficiencies identified at the time of the survey.
Inspection Report
Annual Inspection
Census: 7
Capacity: 8
Deficiencies: 0
Nov 9, 2015
Visit Reason
This annual State Licensure grading survey was conducted to assess compliance with state regulations for the facility licensed for elderly and disabled persons.
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: 7
Employee files reviewed: 3
Inspection Report
Annual Inspection
Census: 8
Capacity: 8
Deficiencies: 0
Dec 8, 2014
Visit Reason
This inspection was conducted as a State Licensure annual grading re-survey of the facility on 12/08/2014 by the authority of NRS 449.0307, Powers of the Health Division.
Findings
No deficiencies were found during the inspection. The facility received a grade of A.
Report Facts
Resident files reviewed: 8
Employee files reviewed: 3
Inspection Report
Annual Inspection
Census: 8
Capacity: 8
Deficiencies: 0
Dec 26, 2013
Visit Reason
This inspection was a State Licensure annual grading re-survey conducted by the authority of NRS 449.0307, Powers of the Health Division.
Findings
The facility received a grade of A with no deficiencies noted during the inspection. Eight resident files and three employee files were reviewed.
Report Facts
Resident files reviewed: 8
Employee files reviewed: 3
Inspection Report
Annual Inspection
Census: 6
Capacity: 8
Deficiencies: 8
Jul 25, 2013
Visit Reason
This document is a State Licensure annual grading survey conducted on 7/25/2013 to assess compliance with regulatory requirements for the Washington Senior Guest Home, a residential facility for elderly and disabled persons.
Findings
The facility received a grade of C with multiple deficiencies identified including failure to meet background check requirements for one employee, medication administration errors for several residents, inaccurate medication administration records, unsecured medications, improper storage of resident files, and lack of required employee training.
Severity Breakdown
Level 1: 1
Level 2: 7
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 3 employees met background check requirements (missing State and FBI clearance reports). | Level 2 |
| Failed to ensure 1 of 6 resident medications were not at a maintenance level (Resident #2's blood pressure medication). | Level 2 |
| Failed to ensure 1 of 6 residents received medications as prescribed (Resident #2's Alprazolam given every 12 hours instead of every 8 hours). | Level 2 |
| Medication administration record (MAR) was inaccurate for 5 of 6 residents with multiple medication errors and omissions. | Level 1 |
| Failed to ensure all medications were kept secured; medications belonging to caregiver's relatives found unlocked in bedroom closet. | Level 2 |
| Failed to keep resident hospice files in a locked cabinet; file cabinet found unlocked in front room. | Level 2 |
| Failed to ensure 1 of 3 employees received 4 hours of chronic illness training within 60 days of employment. | Level 2 |
| Failed to ensure 1 of 3 employees received Elder Abuse Training (missing initial 2011 training). | Level 2 |
Report Facts
Residents present: 6
Total licensed capacity: 8
Employees reviewed: 3
Resident files reviewed: 6
Inspection Report
Annual Inspection
Census: 6
Capacity: 8
Deficiencies: 8
Jul 25, 2013
Visit Reason
This document is a State Licensure annual grading survey conducted on 7/25/13 to assess compliance with regulatory requirements for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of C with multiple deficiencies identified, including failure to meet background check requirements for employees, medication administration errors, inaccurate medication administration records, unsecured medication storage, improper resident file storage, and insufficient chronic illness and elder abuse training for employees.
Severity Breakdown
2: 7
3: 1
Deficiencies (8)
| Description | Severity |
|---|---|
| Failure to ensure 1 of 3 employees met background check requirements including missing State and FBI clearance reports. | 2 |
| Failure to ensure 1 of 6 resident medications were maintained at a proper level per doctor order. | 2 |
| Failure to ensure 1 of 6 residents received medications as prescribed (Alprazolam given every 12 hours instead of every 8 hours). | 2 |
| Failure to ensure medication administration records (MAR) were accurate for 5 of 6 residents, including missed signatures and incorrect documentation. | 3 |
| Failure to ensure all medications were kept secured in a locked area; medications were found unlocked in a bedroom closet. | 2 |
| Failure to keep resident hospice files locked; hospice files found unlocked in front room of facility. | 2 |
| Failure to ensure 1 of 3 employees received 4 hours of chronic illness training within 60 days of employment. | 2 |
| Failure to ensure 1 of 3 employees received elder abuse training; missing initial 2011 training. | 2 |
Report Facts
Deficiencies cited: 8
Facility licensed capacity: 8
Census: 6
Employees reviewed: 3
Residents reviewed: 6
Inspection Report
Complaint Investigation
Capacity: 8
Deficiencies: 4
Feb 25, 2013
Visit Reason
This document is a Statement of Deficiencies generated as a result of a complaint investigation conducted from 2013-01-04 through 2013-02-25 at Washington Senior Guest Home, a residential facility for elderly and disabled persons.
Findings
The facility was found to have multiple deficiencies including failure to provide adequate protective supervision for 6 of 6 residents, failure to document medication administration properly for 5 of 6 residents, failure to obtain mental illness endorsement for 2 of 6 residents, and failure to ensure adequate training for employees regarding care for residents with mental illness. The complaint was substantiated.
Complaint Details
Complaint #NV00034206 was substantiated. The investigation found failures in supervision, medication administration, mental illness endorsement, and employee training.
Severity Breakdown
Level L: 1
Level C: 1
Level F: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to provide adequate protective supervision for 6 of 6 residents. | Level L |
| Failure to document medication administration properly for 5 of 6 residents. | Level C |
| Failure to obtain mental illness endorsement prior to admitting 2 of 6 residents with mental illness. | Level F |
| Failure to ensure 3 of 6 employees received 8 hours of training concerning care for residents with mental illness. | Level F |
Report Facts
Total licensed capacity: 8
Residents affected: 6
Residents affected: 5
Residents affected: 2
Employees affected: 3
Severity: 4
Scope: 3
Severity: 1
Scope: 3
Severity: 2
Scope: 2
Severity: 2
Scope: 3
Inspection Report
Complaint Investigation
Census: 6
Capacity: 8
Deficiencies: 4
Feb 25, 2013
Visit Reason
This inspection was conducted as a complaint investigation from 2013-01-04 through 2013-02-25 following substantiated complaint #NV00034206 regarding supervision and care at the facility.
Findings
The facility failed to provide adequate protective supervision for 6 residents, admitted residents without required mental illness endorsement, failed to document medication administration for 5 residents, and failed to ensure staff received required mental illness training. A resident with mental illness killed a caregiver and another resident during the investigation period.
Complaint Details
Complaint #NV00034206 was substantiated. The complaint involved failure to provide adequate supervision, medication administration documentation issues, lack of mental illness endorsement, and lack of staff training. The investigation revealed a resident with mental illness killed a caregiver and another resident.
Severity Breakdown
Level 4: 1
Level 2: 2
Level 1: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to provide adequate protective supervision for 6 residents, resulting in a resident killing a caregiver and another resident. | Level 4 |
| Failure to maintain accurate medication administration records for 5 residents. | Level 1 |
| Failure to obtain mental illness endorsement prior to admitting residents with mental illness. | Level 2 |
| Failure to ensure employees received required mental illness training within 60 days of employment. | Level 2 |
Report Facts
Licensed beds: 8
Residents present: 6
Medications prescribed: 9
Medications prescribed: 13
Medications prescribed: 8
Medications prescribed: 10
Medications prescribed: 9
Residents with mental illness: 2
Employees lacking training: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Administrator | Named in relation to failure to provide supervision and medication administration documentation |
| Employee #2 | Caregiver | Deceased employee killed by Resident #1 |
| Employee #3 | Named as employee lacking required mental illness training |
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