North las Vegas Care Center

In the surveyor’s words

From the most serious findings on record at North las Vegas Care Center, in the surveyor’s own words.

• Actual harm, isolatedF600Sep 1, 2023

  Based on interview and record review, the facility failed to ensure 1) a resident was kept safe from physical abuse for 1 of 31 sampled residents (Resident 159); 2) nursing staff followed up on physician orders and monitored a resident who experienced a change in condition for 1 of 31 sampled residents (Resident 309) ; and 3) incontinence care was provided to 2 of 31 sampled residents (Resident 1 and 84) for seven hours. The deficient practice had the potential for the residents to not receive adequate care. […]

• No harm, potential for more than minimal, patternF684Apr 8, 2021

  Based on observation, interview and document review, the facility failed to ensure the crash carts contained the supplies and equipment needed for emergencies and resuscitation for 2 of 3 crash carts. Findings include: The facility's Emergency Cart Policy dated 07/01/2016, revealed the licensed nursing staff or designee would have been responsible for the maintenance of the emergency cart. The nursing staff or designee would verify the emergency cart contained all the supplies and equipment needed for an emergency and resuscitation. The licensed nursing staff or designee should check the integrity of the cart, restock, and seal the emergency cart after each use and/or opening. On 04/08/2021 in the morning, a crash cart was observed inside the nurses' station at the 200 Unit. […]

• No harm, potential for more than minimal, isolatedF603Jan 7, 2026

  Based on observations, interviews, record review and document review, the facility failed to ensure residents were not confined to a room and barricaded bed, for 2 of 6 sampled residents (Resident 2 and 3). The deficient practice resulted in residents being confined to bed without consent, placing the residents at risk of psychosocial harm, loss of dignity, and compromised resident rights.Findings include:Resident 2 (R2) was admitted on [DATE] and readmitted on [DATE] with diagnoses including bipolar disorder and history of falling.Resident 3 (R3) was admitted on [DATE] and readmitted on [DATE] with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, intellectual disabilities, and contractures.A review of facility reports revealed on… […]

• No harm, potential for more than minimal, isolatedF561Aug 29, 2025

  Based on observation, interview, and document review, the facility failed to ensure residents have a right to make choices about aspects of their life in the facility which were significant to the residents for 1 of 40 sampled residents (Resident 46) and 6 unsampled residents from the resident council interview. The deficient practice had the potential for the facility to not accommodate the residents' preferences and choices had the potential risk to cause psychosocial distress to the residents.Findings include:The facility had a large patio which was surrounded, in total, by different hallways of the building. The patio contained a large gazebo type structure that was fitted with ceiling fans and a misting type of system. […]

• No harm, potential for more than minimal, isolatedF600Aug 29, 2025

  Based on interview, record review and document review, the facility failed to ensure a resident was kept safe from abuse for 1 of 40 sampled residents (Resident 166). The deficient practice had the potential for residents to experience emotional distress and physical harm.Findings include:Resident 166 (R166) was admitted to the facility on [DATE] with diagnoses including fusion of cervical spine, cocaine abuse with cocaine-induced psychotic disorder with hallucinations, depression, and pain.The Administrator was notified on 04/15/2025 of an allegation of abuse which occurred on 04/12/2025. R166 reported that a certified nursing assistant (CNA) was rough when changing the resident's brief. The resident reported the CNA tugged on the resident. […]