A list of the most recent deficiencies for Northern Nevada State Veterans Home. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-12 | 2023-11-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-12 | 2023-10-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-30 | 2023-10-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-30 | 2023-10-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-30 | 2023-10-11 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-04-06 | 2023-05-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-06 | 2023-05-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-06 | 2023-05-22 | N |
| Provide appropriate foot care. | Health | 2023-04-06 | 2023-05-22 | 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 | 2023-04-06 | 2023-05-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-06 | 2023-05-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-06 | 2023-05-22 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-04-06 | 2023-05-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-06 | 2023-05-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-04 | 2023-05-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-06 | 2023-04-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-04 | 2023-04-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-01 | 2023-02-17 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-02-01 | 2023-02-17 | 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 | 2023-02-01 | 2023-02-17 | Y |
| 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 | 2023-02-01 | 2023-02-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-25 | 2022-06-22 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-04-25 | 2022-06-22 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-04-25 | 2022-06-22 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-04-25 | 2022-06-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-25 | 2022-06-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-04-25 | 2022-06-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-04-25 | 2022-06-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-25 | 2022-06-22 | N |
| Provide activities to meet all resident's needs. | Health | 2022-04-25 | 2022-06-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-25 | 2022-06-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-25 | 2022-06-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-25 | 2022-06-22 | 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 | 2022-04-25 | 2022-06-22 | 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 | 2022-04-25 | 2022-06-22 | N |
| Post nurse staffing information every day. | Health | 2022-04-25 | 2022-06-22 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-04-25 | 2022-06-22 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-04-25 | 2022-06-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-25 | 2022-06-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-25 | 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 | 2022-04-25 | 2022-06-22 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-04-25 | 2022-06-22 | 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 | 2022-04-25 | 2022-06-22 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-04-25 | 2022-06-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-25 | 2022-06-22 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-04-25 | 2022-06-22 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2022-04-25 | 2022-06-22 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-04-25 | 2022-06-22 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-04-25 | 2022-06-22 | 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 | 2022-04-25 | 2022-06-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-04-25 | 2022-06-22 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-04-25 | 2022-06-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-25 | 2022-06-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-04-25 | 2022-06-22 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-04-25 | 2022-06-22 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-25 | 2022-06-22 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-04-25 | 2022-06-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-04-27 | 2022-06-12 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-04-27 | 2022-06-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-04-27 | 2022-06-06 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-04-27 | 2022-06-06 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-04-27 | 2022-06-06 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-04-27 | 2022-06-06 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-04-27 | 2022-06-06 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-04-27 | 2022-06-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-27 | 2022-04-27 | N |
| Respond appropriately to all alleged violations. | Health | 2022-02-28 | 2022-04-06 | 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 | 2022-02-28 | 2022-04-06 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2021-12-06 | 2022-01-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-06 | 2022-01-31 | 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 | 2021-12-06 | 2022-01-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-01 | 2021-08-13 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-07-01 | 2021-08-13 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2021-07-01 | 2021-08-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-01 | 2021-08-13 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-07-01 | 2021-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-01 | 2021-08-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-07-01 | 2021-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-01 | 2021-08-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-01 | 2021-08-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-01 | 2021-08-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-01 | 2021-08-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-08 | 2021-05-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-08 | 2021-05-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-08 | 2021-05-31 | Y |
| 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 | 2021-03-08 | 2021-05-31 | Y |
