Garden County Hospital & Nursing Home

In the surveyor’s words

From the most serious findings on record at Garden County Hospital & Nursing Home, in the surveyor’s own words.

• Actual harm, isolatedF692Jul 23, 2024

  Licensure Reference Number 175 NAC 12-006.09(J) Based on observations, record reviews, and interviews; the facility failed to evaluate and implement interventions for 2 (Residents 11 and 8) of 13 sampled residents to prevent significant weight loss. The facility census was 26. The Findings Are: A. A record review of Resident 11's Minimum Data Set (MDS,a federally mandated comprehensive assessment tool used in care planning), dated 5/14/24, revealed in Section C a Brief Interview for Mental Status (BIMS) score of 6/15, which indicated the resident had severe cognitive impairment. The MDS also revealed in Section K revealed Resident 11 had a weight loss of 5% or more in the last month or of 10% or more in the last six months and was not on a prescribed weight loss plan. […]

• No harm, potential for more than minimal, widespreadF812Aug 25, 2025

  Licensure Reference Number 175 NAC 12-006.18(D)Licensure Reference Number 175 NAC 12-006.11(E) Based on observation, interview, and record review; the facility failed to A) transport and then use visibly soiled utensils in a manner to prevent the potential for cross contamination B) sanitize counters and thermometers, C) have expiration or best used by dates on canned goods, and D) failed to ensure staff performed hand hygiene as required during meal delivery. This had the potential to affect all residents. The facility census was 21. A. An Observation on 8/21/2025 at 11:30 AM revealed [NAME] K removed covered food-from oven and placed the food on a Hot/Cold serving cart. […]

• No harm, potential for more than minimal, widespreadF940Aug 25, 2025

  Licensure Reference Number 175 NAC 12-006.04(B)(i) Based on record review and interview, the facility failed to ensure 3 of 4 sampled employees completed initial orientation as required. The facility census was 21.Findings Are: A record review conducted on 8/21/2025 of an undated and untitled facility staff list revealed the following:-Nurse Aide (NA)-B was hired on 8/1/2025.-Housekeeper (HSK)-C was hired on 4/7/2025.-Cook-D was hired on 8/11/2025. A record review of facility provided employee file for NA-B revealed no evidence that initial orientation had been completed. A record review of facility provided employee file for HSK-C revealed no evidence that initial orientation had been completed. […]

• No harm, potential for more than minimal, widespreadF947Aug 25, 2025

  Licensure Reference Number 175 NAC 12-006.04(B)(ii) Based on record review and interview, the facility failed to ensure 4 of 5 sampled nurse aides (NA) completed 12 hours of ongoing training annually and failed to ensure 5 of 5 sampled staff completed the required 4 hours of Alzheimer's care and dementia care training annually. This had the potential to affect all residents. The facility census was 21. Findings Are: A record review of the Facility assessment dated [DATE] revealed in Section 3.4 that staff training/education and competencies are maintained through the Relias Learning platform and the modules are completed upon hire and annually. […]

• No harm, potential for more than minimal, widespreadF812Jul 23, 2024

  Licensure Reference 175 NAC 12- 006.11(E) Based on observations, interviews, and record reviews; the facility failed to a) ensure foods were disposed of prior to the expiration date and to label open food items, b) ensure beard restraints were in use, c) implement hand hygiene as required during meal preparation and meal service and d) ensure sanitation of the kitchen environment. This had the potential to affect all 26 residents who resided within the facility. A. A record review of a facility policy Food Handling - Storage with a last revised date of [DATE] revealed foods which have been opened or prepared will be enclosed container, dated and labeled. Expiration dates will be checked on a regular basis and foods which have expired will be discarded. […]