Based on interview, observation, clinical record review, and document review, the facility failed to ensure 2 of 153 total residents (Resident #124 and #29) were not exposed to bodily fluids (urine and feces) from 07/09/23-07/11/23, when a shared bathroom commode overflowed and remnants of the urine and feces were left soaking overnight in towels on the floor, tracked remnants were in the residents' room where Resident #124 always dined and Resident #29 snacked, Resident #124 rested with a soiled sock on linens in resident's bed, and household Lysol wipes were used as disinfectant by placing under the Certified Nursing Assistant's (CNA) foot and dragged around the floor of the bathroom on 07/10/23, leaving the residents' room floor uncleaned and not disinfected. …
F584 citations in Nevada
Safe, clean, homelike environment · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Nevada cites F584 less often than its own record predicts
0.55 times the national share — cited less often here than elsewhere.
Of every deficiency written in Nevada in 2025, this is the portion that was F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nevada surveyors wrote
F584 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, record review and document review, the facility failed to maintain a safe and comfortable room temperature for 1 of 8 sampled residents (Resident 1). The deficient practice had the potential to cause discomfort, dehydration, heat-related illness, and reduce the quality of life for the residents. Findings include: On 05/15/2026 at approximately 1:30 PM - 2:00 PM, observations and temperature measurements were conducted on the first-floor resident rooms located within the Lake [NAME] and Mt. [NAME] residential hallways. Room temperature measurements were obtained using a battery-operated temperature gun. Temperatures were taken along the forward-facing wall directly in front of the resident's bed in each room. …
Based on observation, interview and document review, the facility failed to provide a homelike environment when the facility utilized an overhead paging system to communicate with staff. The overhead paging system had the potential to affect the entire facility census. Findings include: On 02/12/24 at 4:55 PM, in the A hallway, an overhead page was heard indicating a call on line one. On 02/13/24 at 8:40 AM, 11:31 AM, 1:28 PM, 3:15 PM, 3:22 PM, 3:23 PM, 3:24 PM, and 3:53 PM at various locations throughout the facility, overhead pages were heard indicating calls on line one. On 02/14/24 from 2:30 to 2:31 PM, in the hallway near the nurses' station in B hall, three overhead pages were heard indicating calls on lines one and two. …
The short window
Recent years
| Year | Share of Nevada citations | vs expected |
|---|---|---|
| 2023 | 1.11% | 0.50× |
| 2024 | 0.89% | 0.42× |
| 2025 | 1.15% | 0.55× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nevada surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction