Adept Nursing & Rehab of Central City

In the surveyor’s words

From the most serious findings on record at Adept Nursing & Rehab of Central City, in the surveyor’s own words.

• Actual harm, isolatedF686Aug 16, 2022

  Licensure Reference Number 175 NAC 12-006.09D2a,b,c Based on observation, interview, and record review, the facility failed to ensure that pressure ulcer prevention measures were in place to prevent a pressure ulcer and failed to ensure that interventions were put in place to prevent further skin breakdown for Resident 39. This affected 1 of 2 sampled residents. Total census was 56. Findings are: A record review of Resident 39's Admission Minimum Data Set (MDS)(a comprehensive assessment of each resident's functional capabilities and health needs) dated 07/30/2021 revealed the resident was admitted to the facility on [DATE] with a diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Jul 31, 2025

  Licensure Reference Number 175 NAC 12-006.11EBased on observations, interviews, and record reviews, the facility failed to store, prepare, and serve food in a manner to prevent potential for foodborne illness. Specifically failed were gloves while touching foods, failed to ensure food in storage were labeled, dated or sealed, failed to have thermometers in the milk refrigerator, failed to ensure foods and fluids were at the proper temperature and failed to ensure hand hygiene was completed. This had the potential to affect all 58 residents who ate food prepared in the kitchen.Findings are: Record review of the facility provided policy, titled “Personal Protective Equipment”, dated 4/1/24 revealed that staff should perform hand hygiene before donning gloves and after removal. […]

• No harm, potential for more than minimal, widespreadF804Feb 27, 2025

  Licensure Reference Number 175 NAC 12-006.11(D) Based on record reviews, observations, and interviews the facility failed to ensure residents were provided with nourishing and palatable meals. This had the potential to affect all residents who received meals from the kitchen. The facility census was 56. Findings Are: Record review of the policy Food Preparation Guidelines dated 8/1/2023 revealed the policy intent is to prepare foods in a manner to preserve or enhance a resident's nutrition and hydration status. […]

• No harm, potential for more than minimal, widespreadF806Feb 27, 2025

  Licensure Reference Number 175 NAC 12-006.11(A)(iii) Based on record reviews, observations, and interviews the facility failed to ensure residents were offered alternate meal items when residents choose not to eat food that was initially served. This had the potential to affect all residents who received meals from the kitchen. The facility census was 56. Findings Are: Record review of the policy Food Preparation Guidelines dated 8/1/2023 revealed the policy intent is to prepare foods in a manner to preserve or enhance a resident's nutrition and hydration status. […]

• No harm, potential for more than minimal, widespreadF800Aug 16, 2022

  Licensure Reference Number 175 NAC 12-006.11D Licensure Reference Number 175 NAC 12-006.11E Based on observation, interview, and record review, the facility failed to 1) ensure the kitchen staff followed infection control procedures during food preparation and service to prevent cross contamination; 2) ensure staff wore hair restraints to cover head and facial hair; and 3) ensure a facility recipe was followed. This had the potential to affect all residents in the facility. Total census was 56. Findings are: A. An observation on 08/10/2022 at 08:45 AM revealed floors had a fuzzy substance and crumbs under serving tables and equipment. 1 old, sliced potato under the reach-in refrigerator and 1 under the puree table. […]