Deficiency Records for Las Vegas Post Acute and Rehabilitation
Updated as of October 01, 2018
This is not the most recent data for Las Vegas Post Acute and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Las Vegas Post Acute and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Develop a communication plan. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Establish methods for sharing information. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Be properly staffed | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-05-18 | 2018-07-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-11 | 2018-06-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-11 | 2018-06-28 | N |
| Provide activities to meet all resident's needs. | Health | 2018-05-11 | 2018-06-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-11 | 2018-06-28 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-05-11 | 2018-06-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-05-11 | 2018-06-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-05-11 | 2018-06-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-05-11 | 2018-06-28 | N |
| Keep all essential equipment working safely. | Health | 2018-05-11 | 2018-06-28 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-05-11 | 2018-06-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-11 | 2018-06-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-24 | 2018-01-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-01 | 2017-10-16 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-05-04 | 2017-07-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-04 | 2017-07-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-05-04 | 2017-07-24 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-04 | 2017-07-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-04 | 2017-07-17 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-04 | 2017-07-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-04 | 2017-07-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-05-04 | 2017-07-17 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-05-04 | 2017-07-17 | N |
| Provide written records when a resident is transferred or discharged. | Health | 2017-05-04 | 2017-07-17 | Y |
| Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. | Health | 2017-05-04 | 2017-07-17 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-05-04 | 2017-07-17 | Y |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2017-05-04 | 2017-07-17 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-05-04 | 2017-07-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-05-04 | 2017-07-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-05-04 | 2017-07-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-05-04 | 2017-07-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-05-04 | 2017-07-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-05-04 | 2017-07-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-05-04 | 2017-07-12 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-05-04 | 2017-07-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-05-04 | 2017-07-12 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-07-27 | 2016-08-12 | Y |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2016-06-09 | 2016-07-08 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-06-09 | 2016-07-08 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-06-09 | 2016-07-08 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-06-09 | 2016-07-08 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-06-09 | 2016-07-08 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-06-09 | 2016-07-08 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2016-06-09 | 2016-07-08 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-06-09 | 2016-07-08 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-06-09 | 2016-07-08 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-06-10 | 2016-07-08 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-06-10 | 2016-07-08 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-06-10 | 2016-07-08 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-06-10 | 2016-07-08 | N |
| Provide adequate and comfortable lighting levels in all areas. | Health | 2016-06-10 | 2016-07-08 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-06-10 | 2016-07-08 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-10 | 2016-07-08 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-06-10 | 2016-07-08 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-10 | 2016-07-08 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-06-10 | 2016-07-08 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-06-10 | 2016-07-08 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-06-10 | 2016-07-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-06-10 | 2016-07-08 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2016-06-10 | 2016-07-08 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-06-10 | 2016-07-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-10 | 2016-07-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-06-10 | 2016-07-08 | N |
| Keep clinical record information safe. | Health | 2016-06-10 | 2016-07-08 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-29 | 2016-03-07 | Y |
