Nye Legacy Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Nye Legacy Health & Rehabilitation Center, in the surveyor’s own words.

• Actual harm, patternF886Apr 7, 2022

  Licensure Reference Number 175 NAC 12-006.17A Based on interview and record review, the facility staff failed to prevent the spread of COVID-19 as evidenced by the failure to ensure unvaccinated staff members were tested in accordance with CMS (Centers for Medicare and Medicaid Services) guidelines. This failure led to facility residents on the 100, 200 and 300 halls being isolated for exposure to COVID-19 with 6 facility residents initially testing positive for COVID-19 and with 2 facility staff members testing positive for COVID-19'. Prior to exiting the facility 18 additional residents were identified as testing positive for COVID-19 with 6 residents being hospitalized . […]

• No harm, potential for more than minimal, widespreadF812May 14, 2024

  Licensure Reference Number 175 NAC 12-006.11E Based on observations, interviews, and record review; the facility failed to ensure food items were dated upon opening to prevent the potential for food borne illness, this had the potential to affect 85 of 85 residents who ate meals from the kitchen. The facility identified a census of 85. Findings are: An observation on 05/08/24 at 8:15 AM of the dry storage room, fridge, and freezer; during the initial kitchen walk-through, while accompanied by the DM (Dietary Manager), revealed that the following items were opened and undated: 1 bag of noodles 1 brown gravy mix packet 1 gallon of milk 1 box of apples 1 stalk of celery, wilted and lying on top of a box, not in baggie or container 1 bag containing cubed cheese 1 bag of sausage undated and… […]

• No harm, potential for more than minimal, widespreadF838Apr 7, 2022

  Based on record review and interview, the facility failed to ensure the facility assessment reflected specific staffing needs for each shift and did not identify the Infection Preventionist on the staffing plan. This had the potential to affect all residents in the facility. The facility staff identified a census of 80. Findings are: Review of the facility assessment dated [DATE] revealed the facility assessment was not specific to the staffing needs for care of residents by not identifying staffing needs for each shift. […]

• No harm, potential for more than minimal, widespreadF888Apr 7, 2022

  Based on record review and interview, the facility failed to ensure that policies and procedures included a process for ensuring the implementation of additional precautions, intended to mitigate the transmission and spread of COVID-19, for all staff who are not fully vaccinated for COVID-19. This had the potential to affect all residents that resided in the facility. The facility census was 80. Findings are: Record review of a Staff Vaccination Matrix dated 2022 revealed Nursing Assistant (NA) E, Licensed Practical Nurse (LPN) H and Cook G were not vaccinated and did not have a exemption. […]

• No harm, potential for more than minimal, patternF880Aug 24, 2026

  Licensure Reference Number 175 NAC 1-005.06(D)The facility failed to prevent potential cross contamination by not performing hand hygiene between gloving during the discontinuation of a PICC line for Resident 104, failed to prevent potential cross contamination by administering medication into the hand and then into a medication cup for Residents 61, failed to perform hand hygiene and change gloves during a dressing change for Resident 3, failed to ensure that a catheter bag did not come in contact with the floor to prevent the potential for cross contamination for Resident 63, and failed to ensure respiratory tubing and equipment were cleaned and changed to prevent the potential for infection for Residents 2 and 16. […]