Deficiency Records for Silver State Pediatric Skilled Nursing Facility
Updated as of April 01, 2024
A list of the most recent deficiencies for Silver State Pediatric Skilled Nursing Facility. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-16 | 2024-03-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-16 | 2024-03-19 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-02-16 | 2024-03-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-16 | 2024-03-19 | 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 | 2024-02-16 | 2024-03-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-16 | 2024-03-19 | 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 | 2024-02-16 | 2024-03-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-16 | 2024-03-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-15 | 2024-03-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-02-15 | 2024-03-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-02-15 | 2024-03-15 | N |
| Develop a communication plan. | Fire Safety | 2024-02-15 | 2024-03-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-02-15 | 2024-03-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-15 | 2024-03-15 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-02-15 | 2024-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-15 | 2024-03-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-15 | 2024-03-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-02-15 | 2024-03-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-02-15 | 2024-03-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-23 | 2023-05-02 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-03-23 | 2023-05-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-23 | 2023-05-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-23 | 2023-05-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-23 | 2023-05-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-23 | 2023-05-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-23 | 2023-05-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-23 | 2023-05-02 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-03-23 | 2023-04-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-23 | 2023-04-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-23 | 2023-04-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-23 | 2023-04-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-23 | 2023-04-24 | 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 | 2023-03-23 | 2023-04-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-23 | 2023-04-24 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-26 | 2022-02-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-01-26 | 2022-02-21 | N |
| 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 | 2022-01-21 | 2022-02-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-21 | 2022-02-18 | N |
| Respond appropriately to all alleged violations. | Health | 2022-01-21 | 2022-02-18 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-01-26 | 2022-02-18 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-01-26 | 2022-02-18 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-01-26 | 2022-02-18 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-01-26 | 2022-02-18 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-01-26 | 2022-02-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-26 | 2022-02-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-01-26 | 2022-02-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-26 | 2022-02-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-21 | 2022-02-14 | N |
