A list of the most recent deficiencies for Hearthstone of Northern Nevada. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-16 | 2024-01-08 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-11-16 | 2023-12-22 | 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 | 2023-11-16 | 2023-12-22 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2023-11-16 | 2023-12-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-16 | 2023-12-22 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-11-16 | 2023-12-22 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2023-12-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-16 | 2023-12-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-04 | 2023-06-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-04 | 2023-06-09 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-05-04 | 2023-06-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-04 | 2023-06-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-04 | 2023-06-09 | 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 | 2023-05-04 | 2023-06-09 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-05-04 | 2023-06-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-04 | 2023-06-09 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-05-04 | 2023-06-09 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-05-04 | 2023-06-09 | 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 | 2023-05-04 | 2023-06-09 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-05-04 | 2023-06-09 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-05-04 | 2023-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-04 | 2023-06-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-04 | 2023-06-09 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-05-04 | 2023-06-09 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-05-04 | 2023-06-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-05-04 | 2023-06-09 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-05-04 | 2023-06-09 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-05-04 | 2023-06-09 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-05-04 | 2023-06-09 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-05-04 | 2023-06-09 | 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 | 2023-05-04 | 2023-06-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-04 | 2023-06-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-04 | 2023-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-04 | 2023-06-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-04 | 2023-06-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-04 | 2023-06-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-04 | 2023-06-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-14 | 2023-03-14 | 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 | 2023-02-14 | 2023-03-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-14 | 2023-03-14 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-21 | 2022-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-21 | 2022-08-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-07-21 | 2022-08-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-07-21 | 2022-08-22 | 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 | 2022-07-21 | 2022-08-22 | 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 | 2022-07-21 | 2022-08-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-21 | 2022-08-22 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-07-21 | 2022-08-22 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-07-21 | 2022-08-22 | 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 | 2022-07-21 | 2022-08-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-21 | 2022-08-22 | N |
| Dispose of garbage and refuse properly. | Health | 2022-07-21 | 2022-08-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-07-21 | 2022-08-22 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-21 | 2022-08-22 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-07-21 | 2022-08-22 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-07-21 | 2022-08-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-21 | 2022-08-22 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-07-21 | 2022-08-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-21 | 2022-08-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-07-21 | 2022-08-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-21 | 2022-08-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-21 | 2022-08-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-21 | 2022-08-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-21 | 2022-08-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-21 | 2022-08-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-21 | 2022-08-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-21 | 2022-08-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-21 | 2022-08-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-21 | 2022-08-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-02 | 2022-04-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-02 | 2022-04-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-21 | 2022-01-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-02 | 2021-10-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-02 | 2021-10-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-02 | 2021-10-01 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-09-02 | 2021-10-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-09-02 | 2021-10-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-02 | 2021-10-01 | 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 | 2021-09-02 | 2021-10-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-09-02 | 2021-10-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-02 | 2021-10-01 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-09-02 | 2021-10-01 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-09-02 | 2021-10-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-02 | 2021-10-01 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-09-02 | 2021-10-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-02 | 2021-10-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-09-02 | 2021-10-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-09-08 | 2021-10-01 | 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 | 2021-09-08 | 2021-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-08 | 2021-10-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-08 | 2021-10-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-08 | 2021-10-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-08 | 2021-10-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-08 | 2021-10-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-08 | 2021-10-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-05 | 2021-06-02 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-05-05 | 2021-06-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-05 | 2021-06-02 | Y |
