Eventide Crete

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 13, 2024

  Licensure Reference Number 175 NAC 12-006.11(E) Based on record reviews, observations, and interviews, the facility failed to ensure the facility's dishwashing machine for House 2 reached the required water temperature to prevent the potential for food borne illnesses, failed to clean range hoods and ice machines in Houses 1 and 2, and ovens in House 1 in a manner to prevent the potential for food borne illnesses, failed to ensure food was covered to prevent cross-contamination while transported through the hallway for Resident 2 and Resident 13, and failed to implement hand hygiene practices in House 2 to prevent cross contamination and the potential for food borne illnesses. These practices had the potential to affect all residents who ate food that was prepared in one of the kitchens. […]

• No harm, potential for more than minimal, widespreadF812Oct 6, 2022

  Licensure Reference Number 175 NAC 12-006.11E Based on observation, interview and record review, the facility failed to ensure that food was held at 135 degrees Fahrenheit or above during meal service to prevent the potential for foodborne illness. This had the potential to affect 37 residents that ate food prepared in the facility kitchen. Facility census was 38. Findings are: An observation on 10/4/22 at 11:19 AM revealed in House 1, the Cook removed food items from the oven. Temperatures were as follows: roast turkey 195.4 degrees F (Fahrenheit), pork 196.2 degrees F, squash 180 degrees F, green beans 194.8 degrees F. Twenty-two minutes after the food was removed from the oven, the Cook began to serve without rechecking temperatures. At 11:55 AM, meal service ended. […]

• No harm, potential for more than minimal, patternF570Oct 6, 2022

  Based on record review and interview, the facility failed to provide a surety bond to cover the amount in the Resident Trust Accounts (RTA). This had the potential to affect 21 residents. The facility census was 33. Findings are: A review of an email dated 10/5/22 provided by the facility gave the balance of the facility's trust account as $4864.06. In an interview conducted on 10/6/22 at 10:44 AM, the Administrator (ADM) confirmed the facility did not currently have a surety bond for the trust account. In an interview conducted 10/6/22 at 11:13 AM, the ADM confirmed that 21 residents had RTAs.

• No harm, potential for more than minimal, patternF684Jun 8, 2021

  LICENSURE REFERENCE NUMBER 12-006.09D Based on interview and record review, the facility failed to ensure residents received medication monitoring in accordance with professional standards of practice and per facility policy related to blood pressure, pulse and weight monitoring for Residents 8, 16, 22, 28, 31 and 32. The sample size was 12. The facility identified a census of 36. FINDINGS ARE: A. A record review completed on 06/08/21 at 09:13 AM of the active orders for Resident 8 revealed an order for [MEDICAL RECORD OR PHYSICIAN ORDER] . The record review for Resident 8 revealed daily weights were scheduled every morning at 04:00 AM. A record review completed on 06/08/21 at 09:13 AM of the Medication Administration Record [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF628Sep 18, 2025

  Licensure Reference Number 175 NAC 12-006.09(G)(ii).Based on record review and interview, the facility failed to document a recapitulation (a complete summary of the resident stay in the nursing home from admittance to discharge) for one (Resident 38) of 5 sampled residents. The facility census was 32. A record review of admission record reveals that Resident 38 was admitted to the facility on 7/25 with the diagnosis of Heart failure, pericardial effusion (where excessive fluid accumulates in the pericardial sac, the thin membrane surrounding the heart), Coronary artery disease (where the arteries that supply blood to the heart become narrowed or blocked), Acute-on-chronic kidney disease (where an acute decline in kidney function that occurs in individual with chronic kidney disease), and… […]