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Deficiency Records for Las Vegas Post Acute and Rehabilitation
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.
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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-26 | 2024-07-16 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-06-26 | 2024-07-16 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-06-26 | 2024-07-16 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-06-26 | 2024-07-16 | N |
| Develop a communication plan. | Fire Safety | 2024-06-26 | 2024-07-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-06-26 | 2024-07-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-26 | 2024-07-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-26 | 2024-07-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-06-26 | 2024-07-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-06-28 | 2024-07-15 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-06-28 | 2024-07-15 | 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 | 2024-06-28 | 2024-07-15 | 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 | 2024-06-28 | 2024-07-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-28 | 2024-07-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-06-28 | 2024-07-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-08-11 | 2023-11-09 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-08-11 | 2023-11-09 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-08-11 | 2023-11-09 | N |
| Meet other general requirements. | Fire Safety | 2023-08-11 | 2023-11-09 | 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 | 2023-08-11 | 2023-11-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-11 | 2023-11-09 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-08-11 | 2023-11-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-11 | 2023-11-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-11 | 2023-11-09 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-08-11 | 2023-11-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-11 | 2023-11-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-11 | 2023-11-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-11 | 2023-11-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-11 | 2023-11-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-11 | 2023-11-09 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2023-08-11 | 2023-11-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-11 | 2023-11-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-11 | 2023-11-09 | 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 | 2023-08-10 | 2023-09-22 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-10 | 2023-09-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-10 | 2023-09-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-10 | 2023-09-22 | 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 | 2023-08-10 | 2023-09-22 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-08-10 | 2023-09-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-10 | 2023-09-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-10 | 2023-09-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-10 | 2023-09-22 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-05-31 | 2023-06-20 | Y |
| 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 |
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