Based on observation, interview, and clinical record review, the facility failed to ensure call light system in residents' rooms and bathrooms were equipped with call cords for residents at risk for falls for 21 of 25 sampled resident (Resident #68, #128, #12, #16, #26, #46, #66, #91, #127, #60, #39, #33, #45, #94, #131, #11, #126, #52, #582, #37, and #112) and 26 unsampled residents (Resident #6, #22, #38, #41, #51, #98, #43, #80, #27, #32, #75, #105, #122, #49, #29, #71, #76, #3, #17, #40, #101, #13, #23, #106, #21, #4, #34, #19, #118, #121, #59, #83, #104, #84, #433, and #434.) Findings include: On 03/14/18 at 11:31 AM, the Director of Nursing (DON) explained a Risk for Falls Care Plan indicated a resident had not fallen yet and the button would be appropriate without the need for a… …
F558 citations in Nevada
Accommodation of needs · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Nevada cites F558 less often than its own record predicts
0.29 times the national share — cited less often here than elsewhere.
Of every deficiency written in Nevada in 2025, this is the portion that was F558.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nevada surveyors wrote
F558 findings written in Nevada, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on observation, interview, clinical record review, and document review, the facility failed to accommodate the needs and preferences for 1 of 31 sampled residents (Resident #26) when the resident requested to get out of bed. This deficient practice had the potential to result in a decline in functional mobility, feelings of isolation and harm to the resident. Findings include:Resident #26 Resident #26 was admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses including polyneuropathy, unspecified, ankylosing spondylitis of unspecified sites in spine, unspecified osteoarthritis, and spinal stenosis, thoracic region. A physician's order, dated 04/24/2026, documented the resident was to get up in the chair every day per resident and doctor. …
The short window
Recent years
| Year | Share of Nevada citations | vs expected |
|---|---|---|
| 2023 | 0.19% | 0.17× |
| 2024 | 0.51% | 0.44× |
| 2025 | 0.33% | 0.29× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nevada surveyors cite →
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