Advanced Health Care Of Las Vegas

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a physician's order for 1:1 meal assistance was followed for 1 of 12 residents (Resident 30). The deficient practice had the potential to put the resident at risk for weight loss and aspiration.Findings include:Resident 30 (R30)R30 was admitted on [DATE], with diagnoses including encephalopathy, dementia, sepsis, and urinary tract infection.On 01/13/2026 at 9:19 AM, R30 was observed sitting upright in bed with a sign posted on the wall above the bed that read 1:1 ASSIST WITH FEEDING. On 01/13/2026 at 12:20 PM, R30 was observed lying supine in bed, eyes closed with lunch tray on the bedside table.On 01/13/2026 at 2:05 PM, R30 was observed lying supine in bed, lunch tray was observed on the bedside table with approximately 30% meal gone.On 01/14/2026 at 12:54 PM, R30 was observed sitting upright in a wheelchair in front of an overbed table. The overbed table had a lunch tray with about 10% of the meal consumed. R30 stated no one…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and document review the facility failed to ensure food items were labeled and dated once removed from original packaging, food items were labeled with acceptable discard dates, damaged items were not mixed in with the stock items, and spray bottles containing chemicals were labeled. The deficient practice had the potential for exposing residents to expired perishable food items and compromise safety of residents and staff.Findings include:On 07/13/2026 at 7:41 AM, during a tour of the kitchen with the Registered Dietitian (RD) the following issues were observed: Two clear plastic bags in the walk-in freezer contained unknown food items without labels to identify contents or indicate the date placed in bag.In the refrigerator, a container of marinara sauce was labeled with an open date of 01/06/2026 and use by date of 06/26/2026. In the cleaning supply room, an unlabeled spray bottle of blue colored liquid.In the dry storage room, a dented can of cranberry sauce with undamaged cans. On 01/13/2026 at 8:05 AM, the RD explained the food items should have…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and document review, the facility failed to ensure physician's orders to obtain daily weights for residents with congestive heart failure (a chronic condition where the heart could not pump blood efficiently causing fluid to collect in lungs and legs) were followed for 3 of 12 sampled residents (Residents 2, 6 and 140). The deficient practice placed the residents at risk for a delay in identification of fluid overload and provision of timely interventions. Findings include: Resident 2 (R2) R2 was admitted on [DATE], with diagnoses including hypertensive heart disease with heart failure, acute respiratory failure with hypoxia and pneumonia (fluid in lungs). On 01/07/2025 in the morning, R2 laid awake in bed receiving two liters of humidified Oxygen by nasal cannula. R2 wore bilateral compression stockings and appeared weak as R2 spoke slowly and softly. R2 indicated having difficulty breathing and indicated being treated for pneumonia in the hospital. A physician's…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and document review, the facility failed to ensure physician's orders for pain medications were followed for 1 of 12 sampled residents (Resident 6). The deficient practice placed the resident at risk for inadequate pain control. Findings include: Resident 6 (R6) R6 was admitted on [DATE], with diagnoses including osteoarthritis and pain in left hip. On 01/07/2025 in the morning, R6 laid in bed covered in blanket, a left boot device was observed in the room. R6 indicated being in the facility for two months after falling at home and although R6 did not sustain a fracture from the fall, the resident verbalized being diagnosed with osteoarthritis more severe in left leg causing the resident chronic pain. A History and Physical dated 11/18/2024, documented R6 had a mechanical fall at home landing on left hip. R6 has had difficulty walking on left leg since the fall and complained of hip pain. A care plan for pain management initiated 11/18/2024, documented interventions…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and document review, the facility failed to ensure a resident was free from unnecessary medications, specifically, a PRN (as needed) pain medication order was not given earlier than scheduled for 1 of 12 sampled residents (Resident 6). The deficient practice placed the resident at risk for side effects of opioids to include constipation and dependence. Findings include: The Unnecessary Medications policy (undated) documented each resident's drug regimen would remain free from unnecessary drugs which shall not be given in excessive doses and ordered by the attending physician. R6 was admitted on [DATE], with diagnoses including osteoarthritis and pain in left hip. On 01/07/2025 in the morning, R6 laid in bed covered in blanket, a left boot device was observed in the room. R6 indicated being in the facility for two months after falling at home and although R6 did not sustain a fracture from the fall, the resident verbalized being diagnosed with osteoarthritis more…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review and document review, the facility failed to ensure 1) infection event forms were being initiated and/or completed and discussions between nursing staff and prescribers were documented regarding adherence to the McGeer criteria for antibiotic orders (a set of guidelines used to determine if a patient has an infection which may need antibiotics) for 4 of 12 sampled residents (Residents and 87, 146, 149 and 5) and; 2) prescribers were being provided education regarding the facility's antibiotic stewardship program (ASP) on an annual basis and as needed in accordance with the facility's ASP policy. The deficient practice placed residents at risk for antimicrobial resistance and adverse effects of antibiotics. Findings include: The Antibiotic Stewardship Program policy and procedure (undated), documented the ASP was designed to improve the use of antibiotics to improve outcomes for patients with infectious disease, prevent antimicrobial resistance, and prevent adverse events…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, record review, and document review, the facility failed to ensure the discontinued intravenous (IV) fluids and expired suppositories were removed from the active supply and discarded. The deficient practice had the potential for adverse reactions and compromised the effectiveness of treatments. Findings include: On 01/18/2024 at 8:30 AM, an inspection was conducted in the medication room with the Clinical Nurse Manager (CNM). Three bags of discontinued IV fluids belonging to three unsampled residents were stored together in the active supply. The CNM indicated the IV fluids were discontinued following residents discharge as follows: - Two bags of 0.9 sodium chloride (one (1) liter per bag). - 1 bag of 5% Dextrose, 1 liter The medication refrigerator stored expired Acetaminophen 650 milligrams (mg) suppositories with an expiration date of 12/2023 as follows: - 4 unopened boxes (12 suppositories/box) -11 suppositories in an open box. On 01/18/2024 at 8:40 AM, the CNM confirmed the Acetaminophen suppositories were expired and should have been removed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and document review, the facility failed to ensure expired meal products were disposed, failed to ensure ready to use raw meat was properly stored, and failed to ensure dishwasher machine attained an acceptable sanitizing temperature. The failure had the potential to place all residents at risk to contract food-related illnesses. Findings included: On 01/17/2024 in the morning, an inspection of the kitchen was conducted with a cook. The following issues were observed: Small refrigerator: 2- 1 gallon cartons of soy milk, expired 01/14/2024. 1 - 1/2 gallon carton of buttermilk, expired 01/10/2024. Walk-in refrigerator: Raw thawed ground beef and a thawed chicken packet were stored in same tray. There was leakage from the ground beef noted in the tray. Dry storage: A bag of chocolate chips was open to the air. Dishwasher: A high temperature dishwasher machine wash cycle temperature was 146 degrees Fahrenheit (F), and rinse cycle temperature was 117 degrees F. On 01/17/2024 at 8:30 AM, the cook confirmed the observations and acknowledged expired meal…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to ensure the provider was notified of the resident's persistent refusal of the blood pressure medication and when medication was held for 1 of 13 sampled residents (Resident #138). The deficient practice had the potential to result in unmanaged hypotension, increased cardiovascular risks, and compromised overall health. Findings include: Resident 138 (R138) R138 was admitted on [DATE], with diagnoses including joint replacement surgery, present of left artificial hip joint, polyneuropathy, and anxiety disorder. A Physician order dated 08/16/2023, documented a Midodrine tablet of 5 mg to be administered by mouth three times (x) a day for hypotension. Hold if systolic blood pressure (SBP) is greater than 110. A Care Plan dated 08/16/2024, documented R138 was at risk for an alteration in cardiac function related to hypotension (low blood pressure). The Administration History from 08/19/2023-08/21/2023, documented the Midodrine…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to ensure the medication was delivered as ordered or communicated for 1 of 13 sampled residents (Resident 97). The deficient practice could have potentially led to ineffective treatment, non-healing of medical conditions, and delayed recovery. Findings include: Resident 97 (R97) R97 was admitted on [DATE], with diagnoses including osteoarthritis and spinal stenosis. A physician order dated 01/16/2024, documented a Super B complex capsule to be administered daily by mouth as a supplement. On 01/18/2024 at 7:40 AM, during medication pass, a Registered Nurse (RN) prepared R97's medications except the Super B complex. An RN explained the Super B complex was not available since it was ordered on 01/16/2024, as the pharmacy had not delivered the medication. An RN demonstrated the ordering process through the computer system, which was accessible and linked to the pharmacy. The Medications Administration History from 01/17/2024 to…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.