Emerald Nursing & Rehabilitation Mercy

In the surveyor’s words

From the most serious findings on record at Emerald Nursing & Rehabilitation Mercy, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Sep 20, 2023

  Licensure Reference Number 175 NAC 12-006.09D7 Based on record review and interview; the facility staff failed to implement interventions to prevent elopement and failed to implement action plans to identify the location of 1 (Resident 14) of 3 sampled residents. The facility staff identified a census of 94. Findings are: Record review of an undated Policy titled Signing Resident Out revealed the following information: -Policy: -Residents leaving the facility premises will be encouraged to sign out/or inform nursing staff of their plan to leave the facility. -Specific Procedures/Guidance: -Residents and/or the residents representatives will be educated on the facility process for signing-out when the resident leaves the facility premises. -1 a. […]

• Actual harm, patternF686Jun 16, 2026

  Licensure Reference Number 175 NAC 12-006.09(H)(iii)(1) and 12-006.09(H)(iii)(2).Based on observation, interview and record review the facility failed to perform treatment for pressure ulcers according to the practitioner's orders for Resident 509, failed to accurately complete and score the Braden Scale for Resident 4 and 509, and failed to evaluate, implement and monitor interventions to prevent pressure ulcer development and to promote wound healing for 4 (Resident 4, 502, 506, and 509) of 4 residents on sample. […]

• Actual harm, patternF835Jun 16, 2026

  Licensure Reference Number 175 NAC 12-006.01(A) Based on observations, record reviews, and interviews, the facility management failed to utilize its resources to attain or maintain the highest practicable physical and psychosocial well-being of each resident as identified by the deficient practices cited. The facility staff identified a census of 79. Findings are:A record review of the facility's Job Description And Performance Standards Administrator dated 04/22/2025 revealed the Administrator's position was responsible for establishing and maintaining systems in an effective and efficient manner and operate the facility in a manner to safely meet the needs of the residents in compliance with federal, state, and local requirements. […]

• Actual harm, patternF867Jun 16, 2026

  Licensure Reference Number 175 NAC 12-006.07(C) Based on observation, interview, and record review, the facility failed to ensure the Quality Assurance and Performance (QAPI, . It is a data-driven, proactive program required by the Centers for Medicare and Medicaid Services for healthcare facilities like nursing homes to continuously track and elevate patient care safety and quality) program identified and addressed concerns related to deficient practice identified on the survey and ensure correction for repeat deficient practice from previous surveys were maintained. This had the potential to affect all residents that resided in the facility. The facility census was 79. […]

• Actual harm, isolatedF689May 7, 2026

  Licensure Reference Number 175 NAC 12-006.09(H)Based on record review and interview, the facility failed to follow the plan of care for transfers resulting in significant injury and failed to complete a post-fall evaluation for 1 (Resident 100) of 3 sampled residents. The facility staff identified a census of 103.Findings are:Record review of facility policy entitled Falls Management dated revised 01/2024 revealed the facility would implement goals and interventions with the resident and family for inclusion in the comprehensive care plan (CCP, a document that includes measurable objectives and timetables to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment) and communicate interventions to the care giving teams. […]