Las Vegas Post Acute & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Las Vegas Post Acute & Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF623May 27, 2022

  Based on interview, record review and document review, the facility failed to ensure the State Long Term Care Ombudsman was notified of the facility's transfers and discharges for 4 of 4 sampled discharged residents (Residents 53, 44, 336 and 235). Findings include: The facility's Emergency Transfer or Discharge policy dated 12/2017, documented copies of notices for emergency transfer would have been sent to the Office of the State Long Term Care Ombudsman when practicable such as send a list of resident on a monthly basis. Resident 53 (R53) was admitted on [DATE], with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A Resident Transfer Form dated 05/18/2022, documented R53 was transferred for Legal 2000 (L2K) psychiatric hold. […]

• No harm, potential for more than minimal, patternF842May 27, 2022

  Based on observation, interview and record review, the facility failed to ensure resident-identifiable records including medical records were kept in a secured location for 122 unsampled residents. Findings include: The facility's policy and procedure titled Protected Health Information (PHI) Management and Protection of, revised 4/2014, indicated staff were responsible for ensuring PHI was managed and protected to prevent unauthorized release or disclosure. The facility's policy and procedure titled Location and Storage of Medical Records, revised 12/2017, indicated the facility would safeguard and protect all medical records. Current records would be stored in the medical records department and would be maintained by the medical records clerk. […]

• No harm, potential for more than minimal, isolatedF552Jun 26, 2026

  Based on observation, interview, record review, and document review, the facility failed to ensure informed consent for psychotropic medications was appropriately obtained and the purpose, risks, benefits, and potential side effects of the medications were explained to the resident for 1 of 29 sampled residents (Resident 98). The deficient practice had the potential to violate the resident's right to make informed decisions regarding treatment and to result in the administration of psychotropic medications without the resident's informed and voluntary, medication-specific consent. Findings include: Resident #98 (R98) was admitted on [DATE], with diagnoses including, anxiety disorder, bipolar disorder, and major depressive disorder. […]

• No harm, potential for more than minimal, isolatedF644Jun 26, 2026

  Based on observation, interview, record review, and document review, the facility failed to ensure specialized services were provided as specified on Pre-admission Screening and Resident Review (PASRR) level II for 1 of 29 sampled residents (Resident R7). The deficient practice had the potential to delay the resident's access to clinically necessary psychotherapy services, hinder appropriate transition planning to a less restrictive environment, and result in inadequate monitoring and advocacy. This placed the R7 at risk for unmet clinical, functional, and psychosocial needs.Findings include: Resident 7 (R7) was admitted on [DATE] with diagnoses of including paranoid schizophrenia, schizophrenia, post traumatic stress disorder (PTSD), and chronic medical conditions. […]

• No harm, potential for more than minimal, isolatedF658Jun 26, 2026

  Based on observation, interview, record review, and document review, the facility failed to ensure informed consent for psychotropic medications was obtained in accordance for 1 of 29 sampled residents (Resident 98) with accepted professional standards of practice, as evidenced by the use of photocopied informed consent forms. The deficient practice had the potential to result in the administration of psychotropic medications without valid, voluntary, medication-specific informed consent, to misrepresent the resident's authorization for treatment, and to compromise the authenticity and reliability of the medical record. Findings include:Resident #98 (R98) was admitted on [DATE], with diagnoses including, anxiety disorder, bipolar disorder, and major depressive disorder. […]