Oasis Nursing & Rehab of Green Valley

In the surveyor’s words

From the most serious findings on record at Oasis Nursing & Rehab of Green Valley, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Jul 17, 2026

  Based on interview, record review, and document review, the facility failed to ensure 1 of 50 residents (Resident 205) with a Full Code status was provided basic life support (BLS) after being found unresponsive. Facility staff did not initiate cardiopulmonary resuscitation (CPR) as required. This deficient practice deprived the R205 of required life saving measures, specifically CPR, which may have potentially increased the resident's chance of recovery and survival. Findings include:Resident 205 (R205) admitted on [DATE] with diagnoses including acute respiratory failure.A nursing progress note dated [DATE], documented at approximately 8:15 AM when the Registered Nurse (RN) was doing rounds the patient was found unresponsive to verbal and tactile stimuli, no heartbeat noted, no pulse, no… […]

• Immediate jeopardy, isolatedF684Jul 17, 2026

  Based on record review, interview, and document review, the facility failed to ensure nursing staff followed physician orders for medication hold parameters, reassessed a resident with critically abnormal vital signs, implemented appropriate interventions for hypotension, and notified the attending physician of significant changes in condition for 1 of 50 sampled residents (Resident 206). This deficient practice contributed to a delay in necessary medical intervention for Resident R206, who was later found unresponsive, leading to activation of emergency response measures and subsequent death.Findings included:Resident 206 (R206) was originally admitted on [DATE] with diagnoses including atrial fibrillation, hypotension, supraventricular tachycardia, hypertension, and the presence of a… […]

• Actual harm, isolatedF689Jul 17, 2026

  Based on interview, record review and document review, the facility failed to use the correct technique when applying a mechanical lift sling for 1 of 50 residents (Resident 102) who requires care in pairs. This deficient practice constituted past non-compliance, existing from 05/22/2026 to 05/26/2026. The facility returned to compliance on 05/26/2026 prior to the start of the current survey, after implementing corrective actions including staff termination, disciplinary actions, removal of incorrect sling sizes, and 100% staff competency retraining. This deficient practice had the potential to increase serious body harm and risk of injury to the resident. […]

• No harm, potential for more than minimal, patternF880May 22, 2025

  Based on interview and record review, the facility failed to ensure the water management plan was enforced. Findings include: During a complaint investigation, it was determined the facility had not been following the facility policy titled, Legionella Water Management Program, dated [DATE]. The policy contained a checklist of items to inspect, the frequency to inspect them, and how to inspect the items. The checklist documented, Record All Actions Taken in Your Water Management Plan Binder - Section 9. On [DATE] at 10:30 AM, the Administrator and Maintenance Director explained the facility became aware of a possibility of Legionella in the building's water system when representatives from Southern Nevada Health District (SNHD) came to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF758Sep 27, 2024

  Based on observation, interview, record review, and document review, the facility failed to ensure the residents' behavior was monitored and documented for residents receiving psychoactive medications for 6 of 25 sampled residents (Residents 44, 102, 5, 161, 4, and 99). This deficient practice could have increased the risk of adverse side effects, ineffective medication management, missed signs of worsening conditions, and compromised resident safety. Findings include: A facility policy titled Medication Monitoring and Management revised in November 2014, indicated the resident's medication regimen required monitoring for significant negative changes from baseline. […]