Life Care Center of Elkhorn

In the surveyor’s words

From the most serious findings on record at Life Care Center of Elkhorn, in the surveyor’s own words.

• Actual harm, patternF692Jul 7, 2022

  Licensure Reference Number 175 NAC 12-006.09D8 and 12-006.09D9 Based on observations, interviews and record reviews, the facility failed to evaluate and implement interventions to prevent significant weight loss for 5 of 8 residents reviewed (Resident 7, 9, 17, 50, 65) and failed to ensure water was within reach for Resident 9 and 19. The facility census was 91. Findings are: A. Review of Resident 65's diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] - [CONDITION(S)] (weakness of one side of the body) related to [CONDITION(S)] (stroke) - Dysphagia (difficulty with swallowing) Review of the facility weight documentation revealed, on 03/17/2022 Resident 65 weighed 162 lbs. and on 06/15/2022 Resident 65 weight was down to 136 pounds which is a 16 percent loss in 3 months. […]

• Actual harm, patternF835Jul 7, 2022

  LICENSURE REFERENCE NUMBER 175 Chapter 12-006.02 Based on observations, record review and interview, the administrative and consultant staff failed to ensure the facility resources were utilized in a manner to ensure provision of care and services for residents. This deficient practice provided the potential to affect all residents of the facility. The facility census was 91. Findings are: The facility was found to be deficient in multiple areas of regulatory compliance which required an extended survey related to substandard quality of care. The following issues related to systems failure and or failure to follow standards of care resulted in patterns of failure in the facility related to weight loss and hydration needs. […]

• Actual harm, patternF867Jul 7, 2022

  Licensure Reference Number 175 NAC12-006.07 Based on interviews and record reviews, the facility failed to ensure the quality assurance program addressed concerns related to deficient practice cited on the annual and extended survey. The facility census was 91. Findings are: Annual survey completed on 7/7/2022 revealed deficient practice at the following areas: F558- Accommodation of needs F561-Self Determination F584-Safe/Clean/ homelike environment F623-Notice requirements before transfer/discharge F625-Notice of Bed Hold Policy before transfer F684-Quality of Care F689-Free of accident hazards F690-Bowel/Bladder Incontinence, catheter care F692-Nutrition/hydration maintenance F695-Respiratory care F726-Competent Nurse staff F809-Frequency of meals F812-Food storage and kitchen… […]

• Actual harm, isolatedF684Nov 6, 2025

  Licensure Reference Number 175 NAC 12-006.09(H). Based on observation, interview and record review, the facility failed to follow physician's orders, for daily weights and fluid restrictions for 1(Resident 1) of 3 residents sampled. The facility census was 83. The findings are:A. Record review of Resident 1's Minimum Data Set (MDS: a federally mandated assessment tool used for care planning) dated 09-19-2025 revealed the facility staff assessed the following about the resident:-date of admission [DATE].-Brief Interview of Mental Status (BIMS) was scored as a 15. According to the MDS Manual a score of 13-15 indicates a person is cognitively intact. -required extensive assistance with dressing, hygiene and bed mobility.-required total assistance with transfers, toileting and bathing. […]

• Actual harm, isolatedF692Aug 13, 2024

  Licensure Reference Number 175 NAC 12.006.09(J)(i)(1) Based on observation, interview, and record review the facility failed to evaluate and implement interventions to prevent significant weight loss for 1 (Resident 37) of 1 resident sampled. The facility census was 86. The Findings are: Record Review of Resident 37's Minimum Data Set (MDS, a federally mandated assessment tool used for care planning) dated 06-28-2024 revealed an admitted [DATE] following hospitalization for surgery of a diaphragmatic Hernia with Obstruction (is a protrusion of abdominal contents into the thoracic cavity due to a defect within the diaphragm), other diagnosis included Gastro Esophageal Reflux Disease (GERD, is a long-term condition that occurs when stomach acid flows back up into the esophagus), Barrett's… […]