Based on interview and document review the facility failed to ensure 1) an Infection Preventionist (IP) with the required specialized training worked at the facility from 09/17/2025 through 03/31/2026, and 2) the IP had a process in place to ensure staff were offered COVID-19 vaccines. This deficient practice had the potential to increase the risk of infection transmission within the facility.Findings include:Infection Preventionist On 05/05/2026 at 1:34 PM, the Regional Director of Nursing (Regional DON) explained the Regional DON was the previous facility IP and became the remote IP for the facility on 09/17/2025, when the Regional DON took a position at another location. The Regional DON confirmed working remotely as the facility IP from 09/17/2025 through 3/31/2026. …
F882 citations in Nevada
Infection preventionist · Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Nevada cites F882 more often than its own record predicts
1.80 times the share F882 takes of citations nationally.
Of every deficiency written in Nevada in 2025, this is the portion that was F882.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nevada surveyors wrote
F882 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 document review and interview, the facility failed to ensure the Infection Preventionist participated in the quality assessment and assurance committee. Findings include: The facility's, Quality Assurance Meeting, sign-in sheets dated 01/21/20, 04/21/20, 05/19/20, 07/21/20, 08/18/20, 11/24/20, 01/19/21, and 03/16/21, lacked documented evidence the facility's Infection Preventionist participated in the quality assessment and assurance committee. On 04/29/21 at 10:08 AM, the Administrator verbalized the Infection Preventionist was the Registered Nurse on the overnight shift and could not participate in the committee meetings as the Infection Preventionist had a day job elsewhere. …
The short window
Recent years
| Year | Share of Nevada citations | vs expected |
|---|---|---|
| 2023 | 0.37% | 1.48× |
| 2024 | 0.38% | 1.87× |
| 2025 | 0.33% | 1.80× |
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