Deficiency Records for Las Vegas Post Acute and Rehabilitation
Updated as of July 01, 2020
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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-12 | 2019-12-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-12 | 2019-12-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-11-12 | 2019-12-12 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-11-12 | 2019-12-12 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-11-12 | 2019-12-12 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Develop a communication plan. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-10 | 2019-09-04 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-07-12 | 2019-09-04 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-07-12 | 2019-09-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-12 | 2019-09-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-12 | 2019-09-04 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-07-12 | 2019-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-12 | 2019-09-04 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-02-08 | 2019-03-28 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-02-08 | 2019-03-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-08 | 2019-03-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-02-08 | 2019-03-28 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-12-11 | 2019-01-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-09-13 | 2018-10-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-10 | 2018-08-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-10 | 2018-08-31 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-07-10 | 2018-08-31 | Y |
| 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 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-03-22 | 2018-04-18 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-03-22 | 2018-04-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-22 | 2018-04-18 | 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 |
