Based on interview and document review, the facility failed to ensure Administration: (1) verified the Infection Preventionist (IP) possessed the required training and competency to effectively educate, track, and monitor staff COVID 19 (COVID) vaccinations, and (2) ensured staff were screened for eligibility, provided education on the COVID vaccine, and offered the vaccine with documentation of acceptance or declination. This deficient practice placed the resident population at increased risk of exposure to and infection from COVID. Findings include: Infection PreventionistOn 05/05/2026 at 10:41 AM, the Regional Director of Nursing (Regional DON), who was also the previous IP, provided the Infection Control Manual to survey team. …
F835 citations in Nevada
Administration · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Nevada cites F835 more often than its own record predicts
2.78 times the share F835 takes of citations nationally.
Of every deficiency written in Nevada in 2025, this is the portion that was F835.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nevada surveyors wrote
F835 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.
The short window
Recent years
| Year | Share of Nevada citations | vs expected |
|---|---|---|
| 2023 | 0.56% | 1.93× |
| 2024 | 0.51% | 1.56× |
| 2025 | 0.82% | 2.78× |
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