Deficiency Records for Las Vegas Post Acute and Rehabilitation
Updated as of April 01, 2023
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? |
---|---|---|---|---|
Address subsistence needs for staff and patients. | Fire Safety | 2022-05-25 | 2022-08-03 | N |
Provide primary/alternate means for communication. | Fire Safety | 2022-05-25 | 2022-08-03 | N |
Establish staff and initial training requirements. | Fire Safety | 2022-05-25 | 2022-08-03 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-25 | 2022-08-03 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-05-25 | 2022-08-03 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-25 | 2022-08-03 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-25 | 2022-08-03 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-05-25 | 2022-08-03 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-25 | 2022-08-03 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-25 | 2022-08-03 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-25 | 2022-08-03 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2022-05-25 | 2022-08-03 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-25 | 2022-08-03 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-25 | 2022-08-03 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-25 | 2022-08-03 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-05-25 | 2022-08-03 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-25 | 2022-08-03 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-27 | 2022-06-22 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-05-27 | 2022-06-22 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-27 | 2022-06-22 | N |
Provide and implement an infection prevention and control program. | Health | 2022-05-27 | 2022-06-22 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-27 | 2022-06-22 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-27 | 2022-06-22 | Y |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-04-16 | 2021-05-21 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-16 | 2021-05-21 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-04-16 | 2021-05-21 | Y |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-04-16 | 2021-05-21 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-18 | 2020-11-09 | N |
Provide and implement an infection prevention and control program. | Health | 2020-09-18 | 2020-11-09 | N |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2020-09-18 | 2020-11-09 | N |
Perform COVID19 testing on residents and staff. | Health | 2020-09-18 | 2020-11-09 | 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 |
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 |
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 |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-05-11 | 2018-06-28 | 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 |
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 | 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 |