Dunklau Gardens

In the surveyor’s words

From the most serious findings on record at Dunklau Gardens, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF804May 1, 2025

  Licensure reference: 175 NAC12-006.11D Based on observation, interview and record review, the facility failed to ensure food was prepared according to the recipe to conserve the nutritive value. This had the potential to affect all residents in the facility. The facility census was 84. Findings are: Observation on 4/30/2025 at 11:39 AM revealed [NAME] A used the following procedure and ingredients: Precooked beef unmeasured Diced the celery and placed it in the pan with the meat without measuring. Obtained two onions and diced them. Placed in pan with the meat without measuring Cut open 2 bags frozen peas and 2 bags of frozen Carrots and added to pan without measuring. Added frozen diced potatoes by opening the bag and pouring out a portion of the bag and did not measure. […]

• No harm, potential for more than minimal, widespreadF812Apr 23, 2024

  Licensure Reference Number 175 NAC 12.006.11E Licensure Reference Number 175 NAC 12.006.11D Based on observation, interview, and record review; the facility failed to ensure recipes were followed during food preparation (prep) and clean ceiling tiles, ventilation covers, and equipment surfaces in the kitchen to prevent the potential for cross-contamination. This had the potential to affect all 72 residents that consumed food from the kitchen. Findings are: A. A record review of the facility's Food Preparation and Production policy with a revised date of 6/21 revealed standardized recipes that incorporate hazard analysis and critical control points (HACCP) procedures that protect the safety of the food supply while maintaining the nutrient content of the food and appropriate preparation… […]

• No harm, potential for more than minimal, isolatedF695Jun 25, 2026

  Based on observation, interview, and record review, the facility failed to ensure staff followed provider's order related to 1 (Resident 5) of 1 sampled resident's flutter valve and oxygen. The facility census was 84. Findings are:A.A record review of Resident 5's Resident Census Periods dated 06.25.2026 revealed the resident was admitted to the facility 12/10/2024. A record review of Resident 5's Client Diagnosis Report dated 06/25/2026 revealed the resident had diagnoses of Unspecified systolic (congestive) heart failure (CHF), Pneumonia, Chronic Respiratory Failure, and Chronic Obstructive Pulmonary Disease (COPD). […]

• No harm, potential for more than minimal, isolatedF684May 1, 2025

  Licensure Reference Number 175 NAC 12.006.09(H)(iii)(3) Licensure Reference Number 175 NAC 12.006.09(A)(ii) Based on observation, interview, and record review, the facility failed to implement pressure reducing devices for skin breakdown prevention on 2 (Residents 60 and 68) of 4 sampled residents, and failed to ensure Insulin pens were dated when opened for 2 (Residents 31 and 37) of 2 sampled residents. The facility census was 84. Findings are: A. A record review of the facility's Skin Assessment, Care and Treatment policy dated September 2001 revealed a wound was a physical injury to the body with damage to the underlying tissue. […]

• No harm, potential for more than minimal, isolatedF880May 1, 2025

  Licensure Reference Number 175 NAC 12.006.18(B) Based on observation, interview and record review the facility failed to ensure staff performed hand hygiene (cleaning) with glove changing when going from a contaminated area to a clean area for 2 residents (Resident 47 and 62) of 4 residents sampled during cares and treatments to prevent the potential for cross contamination. The facility census was 84 at the time of the survey. Findings are: Record review of facility policy date revised 5/2024 titled Hand Hygiene revealed to complete Hand Hygiene before and after touching a patient, and immediately after glove removal. Record review of CDC.gov website Hand Hygiene for Healthcare Workers dated [DATE] stated to perform hand hygiene before donning gloves and after removing them. […]