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Deficiency Records for The Nm Behavioral Health Institute at Las Vegas
A list of the most recent deficiencies for The Nm Behavioral Health Institute at Las Vegas. 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 The Nm Behavioral Health Institute at Las Vegas. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-07-20 | 2023-11-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-20 | 2023-11-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-20 | 2023-10-19 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-07-20 | 2023-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-21 | 2023-08-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-21 | 2023-08-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-21 | 2023-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-21 | 2023-08-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-20 | 2023-08-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-08 | 2022-07-13 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-04-08 | 2022-07-13 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-04-08 | 2022-07-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-08 | 2022-07-13 | 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 | 2022-04-08 | 2022-07-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-08 | 2022-07-13 | 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 | 2022-04-08 | 2022-07-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-08 | 2022-07-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-08 | 2022-07-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-12 | 2022-05-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-12 | 2022-05-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-19 | 2021-12-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-02-11 | 2021-03-11 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-02-11 | 2021-03-11 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-02-11 | 2021-03-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-02-11 | 2021-03-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-02-11 | 2021-03-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-02-11 | 2021-03-11 | 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 | 2021-02-11 | 2021-03-11 | N |
| Provide activities to meet all resident's needs. | Health | 2021-02-11 | 2021-03-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-11 | 2021-03-11 | 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 | 2021-02-11 | 2021-03-11 | 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 | 2021-02-11 | 2021-03-11 | 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 | 2021-02-11 | 2021-03-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-11 | 2021-03-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-11 | 2021-03-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-02-11 | 2021-03-11 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-02-10 | 2021-03-11 | N |
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