Gold Crest Retirement Center

In the surveyor’s words

From the most serious findings on record at Gold Crest Retirement Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Feb 24, 2022

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.17 Based on record review and interview, the facility failed to ensure measures in place were followed to prevent the potential spread of Covid-19 (a mild to severe respiratory illness that is caused by a coronavirus) related to resident screening logs. This had the potential to affect all residents. The facility identified a census of 38. FINDINGS ARE: A record review of the documents titled Active Screening of Residents Log - Skilled Nursing dated 2/9/22 through 2/23/22 revealed it contained resident names and temperatures while the signs/symptoms columns were blank. […]

• No harm, potential for more than minimal, widespreadF885Dec 8, 2021

  Based on record review and interview, the facility failed to provide updates to resident representatives and families by 5 PM the next calendar day each time a confirmed COVID-19 infection was identified. This has the potential to affect all 38 residents of the facility. Findings are: A review of testing logs and undated lists of positive residents and staff revealed positive staff and residents were identified on the following dates: -11/9/21; 6 residents and 1 staff member -11/12/21; 3 residents -11/16/21; 2 residents -12/2/21; 1 staff member -12/3/21; 1 staff member A review of the facility update emails sent to resident families and representatives revealed emails were sent out on 11/9/21, 11/19/21, and 11/24/21. […]

• No harm, potential for more than minimal, patternF677Mar 12, 2025

  Licensure Reference 175 NAC 12-006.09(H)(i)(3) Based on record review, observations, and interviews, the facility failed to provide oral cares for 4 (Residents 4, 18, 2, and 6) of 16 residents sampled. The facility census was 41 at the time of survey. Findings are: Record review of the undated facility policy titled ADL's (Activities of Daily Living) revealed that oral cares are a part of the resident's activities of daily living and will be provided daily. Record review of the undated facility Nursing Assistant Orientation Checklist revealed that oral cares will be a part of morning and evening resident cares. […]

• No harm, potential for more than minimal, patternF761Mar 12, 2025

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.12(D)(i) Based on interview, observation, and record review the facility failed to secure all medications in a locked storage area and to limit access only to authorized personnel. The facility identified a census of 41 Observation on 3/06/25 at 8:40AM revealed the treatment cart sitting in hallway in front of open door stating Drug on it. Treatment Cart was open and able to view insulin supplies in second drawer. Stood at side of Treatment Cart and open door for 6 minutes. […]

• No harm, potential for more than minimal, patternF880Mar 12, 2025

  LICENSURE REFERENCE NUMBER 175 NAC 1-005.06(D) Based on observations, interviews and record reviews the facility failed to ensure that staff follow principles of infection control and prevention through hand hygiene, glove use, use of personal protection equipment (PPE) and cleaning of equipment between residents. This affected 7 (Residents 1,8,9,16,27,35,39) out of 8 residents sampled. The facility identified a census of 41. Finding are: A. Record review of Gold Crest Retirement Center Handwashing Policy with revised date of 3/11/2025 revealed the following of when to staff should wash hands: - Wash hands before procedures, before direct contact with residents, after glove removal and after contact with inanimate object in the immediate vicinity of the patient. […]