Adept Nursing & Rehab of Sutherland

In the surveyor’s words

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

• Immediate jeopardy, patternF689Mar 5, 2026

  Licensure Reference Number 175 NAC 12-006.09(I) Based on observations, interviews, and record review; the facility failed to ensure water temperatures in resident restroom sinks and a resident accessible dining room sink were 120 degrees or below, placing 6 (Residents 9, 15, 26, 29, 38, and 40) of 6 sampled residents at risk for burns. The facility census was 42. Findings Are: The facility was notified on 3/2/2026 at 2:30 PM of an Immediate Jeopardy (IJ) which began on 4/15/2025. The IJ was removed on 3/2/2026, as confirmed by surveyor onsite verification. A record review of facility policy Safe Water Temperatures with a revision date of 4/2/2025 revealed water temperatures will be set to a temperature of no more than 120 degrees Fahrenheit (F). […]

• Immediate jeopardy, isolatedF689Sep 24, 2025

  Licensure Reference Number 175 NAC 12-006.09(I)Based on record review and interviews, the facility failed to accurately assess a resident for elopement, failed to provide interventions to prevent elopements, and failed to implement interventions to prevent further elopement for 1 resident (Resident 1) of 3 sampled residents. The facility census was 41.Findings are:The facility was notified on [DATE] at 3:45 PM of an Immediate Jeopardy (IJ) which began on [DATE]. The IJ was removed on [DATE] as confirmed by surveyor onsite verification.Review of a facility policy titled Elopement and Wandering Residents dated 2025 revealed the facility would ensure that residents who are at risk for elopement receive adequate supervision to prevent accidents. […]

• Actual harm, isolatedF697Apr 9, 2025

  Licensure Reference Number 175 NAC 12-006.09(H) Based on record reviews and interviews, the facility failed to assess non-verbal indications of pain, and implement, monitor and revise interventions to manage pain for 1 (Resident 3) of 3 sampled residents. The facility identified a census of 45. Findings are: A record review of a facility policy, Pain Management with a date of 4/1/2024, revealed the following: -To help a resident attain or maintain their highest practicable level of physical, mental, and psychosocial well-being and to prevent or manage pain, the facility will. -Recognize when the resident is experiencing pain or activities where the resident may experience pain. […]

• No harm, potential for more than minimal, widespreadF804Mar 5, 2026

  The facility failed to prepare foods according to the recipe, including pureed foods, to ensure the nutritive value was maintained. This had the potential to affect all 42 residents.Pureed residents were 1, 5, 22Licensure Reference Number 175 NAC 12-006.09(J)(i) Based on observation, record review, and interviews, the facility failed to prepare foods according to the recipe, including pureed foods for Residents 1, 5, and 22, to ensure nutritive value was maintained. This had the potential to affect all residents.Findings are: A continuous observation in the kitchen on 3/4/26 from 9:05 AM through 10:45 AM revealed Cook-B performed the following:At 9:15 AM, Cook-B removed 1.5 pounds (lbs) of sliced raw bacon from a package, then chopped the bacon into small pieces. […]

• No harm, potential for more than minimal, widespreadF812Mar 5, 2026

  Based on observation, record review, and interviews, the facility failed to ensure the freezers were maintained at 0 degrees or below, failed to prevent the potential for cross contamination when handling raw meat, and failed to use or dispose of foods prior to expiration date, This had the potential to affect all 42 residents.Findings are:A.Record review of facility-provided documents of temperature records/documents from the walk-in freezer, the upright deep-freeze, and the refrigerator/freezer combination (records did not identify which freezer the temperature logs were related to) revealed the following measurements documented above 0 degrees Fahrenheit:September 2025, AM shift measurements -30 days with data listed, and 11 of 30 days (September 19th-30th) ranged from 6-20 degrees. […]