GUARDIAN SENIOR HOME ON NEVADA

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review and interviews, formal annual training has not been completed for four out of four staff within the last 12 months which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 08/15/2025 Plan of Correction Administrator stated he will conduct training for staff using training materials and certifying staff as trained. AD to provide proof to LPA by POC due date.

Official classification

Type B

Official code

87465(a)(6)

Regulation authority

CCR

What the official deficiency says

(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review and interview, centrally stored medication and destruction records for two out of three residents are not availalble which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 08/15/2025 Plan of Correction Administrator stated he will use the Department's centrally stored medication and destruction record to update the two resident files and provide proof to LPA by POC due date.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, an emergency drill was not conducted in the second quarter of 2025 which poses/posed a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 08/15/2025 Plan of Correction Administrator stated he will complete a emergency drill with staff and provide proof to LPA by POC due date.

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

87211(A)(1)(D) REPORTING REQUIREMENTS (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of...(D) Any incident which threatens the welfare, safety or health of any resident. Based on interviews conducted and records reviewed, the licensee did not comply with the above regulation due to the facility not reporting aggressive acts to staff by a resident.

Official plan of correction

Adminsitrator stated they will conduct an in-service training with all staff regarding eviction procedures. AD stated they will document the topics covered, staff in attendance and date/time of the training. AD stated they will email LPA documentation related to training by the POC due date.

Deadline recorded: Oct 31, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87224(b)

Regulation authority

CCR

What the official deficiency says

87224(b) EVICTION PROCEDURES (b) The licensee may, upon obtaining prior written approval from the licensing agency, evict the resident upon three (3) days written notice to quit. The licensing agency may grant approval for the eviction upon a finding of good cause. Based on interviews conducted and records reviewed, the licensee did not comply with the above regulation due to the facility issuing a same-day eviction notice without prior written approval from the licensing agency.

Official plan of correction

Adminsitrator stated they will conduct an in-service training with all staff regarding eviction procedures. AD stated they will document the topics covered, staff in attendance and date/time of the training. AD stated they will email LPA documentation related to training by the POC due date.

Deadline recorded: Oct 25, 2024. A deadline is not proof that correction was completed.