Nye Summit

In the surveyor’s words

From the most serious findings on record at Nye Summit, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 17, 2024

  Licensure Reference Number 178 NAC 12-006.09(I) Based on interview, observation, and record review, the facility staff failed to evaluate and implement interventions to prevent elopement for 2 (Resident 1 and 4) of 4 residents sampled. The facility identified a census of 44. Findings are: Record review of Facility policy dated 10/2024 revealed the following: -Elopement is a situation where an unsupervised resident is found outside of the facility. Staff is unaware of the resident's departure (did not visually see the resident leave). -Policy -It is the policy of the facility to take proper preventative measures to prevent episodes of resident wandering from the facility and to locate resident in an expedient and timely manner. -Procedure-Elopement I. […]

• Actual harm, isolatedF689Jul 22, 2024

  Licensure Reference Number 175 NAC 12-006.09(I) Based on observation, record review and interview; the facility failed to evaluate Resident 1's risk for hot liquid burns which resulted in a burn from a hot coffee spill. A total of 3 residents were reviewed for burn risk. The facility census was 38. Findings are: Record review of a facility policy entitled Hot Liquid Safety dated 6/2024 revealed the following: -Hot liquids are to be served at proper (safe and appetizing) temperatures using appropriate safety precautions. -Definitions: - Proper (safe and appetizing) temperature: means both appetizing to the resident and minimize the risk for scalding burns. - Scalding is a burn caused by spills, immersion, splashes, or contact with hot water, food and hot beverages, or steam. 1. […]

• Actual harm, isolatedF686Jul 12, 2022

  Licensure Reference: 175 NAC 12-006.09D2b Based on observation, interview, and record review, the facility failed to implement interventions to aid in healing of pressure sores for 2 [Resident 1 and 2] of 3 sampled residents. The facility had a total census of 42 residents, Findings are: A. Observations on 7/12/22 at 9:43 AM revealed Resident 1's right great toe and portion of adjoining foot had been amputated. Resident 1 had an incision with 13 sutures and an adjacent blackened area. A review of the Nurse Notes for Resident 1 dated 4/21/22 revealed Resident 1 returned from the hospital on that date. The Nurses Note dated 4/21/22 revealed the wound on right lateral great toe covered with eschar [dead tissue that falls off from healthy tissue]. […]

• No harm, potential for more than minimal, widespreadF812Jun 17, 2026

  Licensure Reference Number 175 NAC 12.006.11(E) Based on observation, interview, and record review, the facility failed to ensure staff performed handwashing before donning (putting on) and after removing gloves, all kitchen equipment was maintained in a clean and sanitary manner, and staff sanitized the food temperature (temp) probe before, during, and after use, all to prevent cross contamination. The facility failed to ensure all food in the facility's freezers were not expired, the bread was not expired, all recipes were followed, and all food temps were taken prior to serving the residents, all to prevent foodborne illness. This had the potential to affect all residents except one that resided at the facility. The total facility census was 40. […]

• No harm, potential for more than minimal, widespreadF812Jan 13, 2025

  Licensure Reference Number 175 NAC ,d+[DATE].11(E) Based on observations and interview, the facility failed to label and date opened packages of food and failed to dispose of expired food from the walk-in refrigerator and walk in freezer to prevent the potential for food borne illness. This had the potential to affect 47 residents that consumed food from the kitchen. Findings are: An initial observation on [DATE] at 8:15 AM of the walk in refrigerator in the kitchen revealed: - an undated zip lock bag of lettuce, - an undated zip lock bag of cut up celery. […]