Emerald Nursing & Rehab Legacy Pointe llc

In the surveyor’s words

From the most serious findings on record at Emerald Nursing & Rehab Legacy Pointe llc, in the surveyor’s own words.

• Immediate jeopardy, widespreadF678Jun 30, 2022

  LICENSURE REFERENCE NUMBER 175 NAC ,d+[DATE].09 Based on record review and interview; the facility staff failed to perform Cardiopulmonary Resuscitation (CPR) for 1 (Resident 3) of 1 resident, failed to identify a residents' Advance Directive (AD) upon admission for 2 residents (Resident 3 and 8), failed to ensure residents' medical records matched residents' AD for 3 residents (Resident 3, 6, 8 and 9), failed to ensure the facility transportation driver was CPR certified, and failed to have a facility process that identified each residents' AD and where the location of the information was located. The facility failure had the potential to affect all residents in the building. The facility staff identified a census of 60. Findings are: A. […]

• Immediate jeopardy, widespreadF835Jun 30, 2022

  LICENSURE REFERENCE NUMBER 175 NAC ,d+[DATE].02 Based on observations, record review, and interviews; the facility administration failed to ensure effective management of facility resources to maintain the highest practical well being of residents and the facility environment as evidenced by 1) failure to implement an effective plan of action to maintain correction for cited areas of deficient practice, 2) failure to implement plans of action to identify multiple issues of deficient practice. […]

• Immediate jeopardy, isolatedF689Jun 9, 2026

  Licensure Reference Number 175 NAC 12-006.09(I) and 12-006.09(I)(i)(1,2,3 and 4). Based on observation, record reviews and interviews; the facility failed to ensure residents that were identified as an elopement risk were supervised when leaving the facility for 1 (Resident 1) of 3 residents sampled, failed to ensure prompt follow-up after a resident's whereabouts were unknown for 1 (Resident 2) of 3 residents sampled, failed to identify and implement interventions to prevent elopements and falls and failed to monitor for neurological changes after unwitnessed falls or falls with head injuries for 1 (Resident 1) of 3 residents on sample. […]

• Actual harm, patternF689Jun 30, 2022

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.18 Based on observation, record review and interview; the facility staff failed to identify and implement interventions to prevent falls for 5 (Resident 2, 4, 5, 6, and 7) of 5 residents. The facility staff identified a census of 60. Findings are: A. Record review of Resident 4's Comprehensive Care Plan (CCP) dated 5-13-21 revealed Resident 4 was at risk for falls due to a history of fall with a fracture, had cognitive impairment and did not always understand safety issue. Further review of Resident 4's CCP revealed a dated entry of 2-22-2022 that identified Resident 4 as a fall risk related to Dementia and impulsivity, in addition as to not have safety awareness. […]

• Actual harm, isolatedF697Nov 17, 2022

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.09 Based on observation, record review and interview; the facility staff failed to manage pain for 1( Resident 50) of 1 sampled residents. The facility staff identified a census of 64. Findings are: Record review of an Order Summary Report sheet printed on 11-16-2022 revealed Resident 50 admitted to the facility on [DATE] with the diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Record review of Resident 50's Minimum Data Set ( MDS, a federally mandated assessment tool used for care planning) dated 9-08-2022 revealed the facility staff assessed the following about Resident 50: -Resident 50's cognition was not able to be evaluated. -Resident 50 required extensive assistance with bed mobility, eating, toilet use, personal hygiene and bed mobility. […]