Pahrump Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Pahrump Health and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Apr 9, 2024

  Based on interview, record review and document review, the facility failed to ensure a resident with a full code status was provided basic life support (BLS) after having been found unresponsive for 1 of 9 sampled residents (Resident 1). The deficient practice deprived the resident of life-saving measures, specifically cardiopulmonary resuscitation (CPR) which may have potentially increased the resident's chances of recovery and survival. Findings include: Resident 1 (R1) R1 was admitted on [DATE] and readmitted on [DATE], with diagnoses including Alzheimer's disease with late onset, nutritional deficiency, and urinary tract infection (UTI). […]

• Actual harm, isolatedF688Oct 11, 2024

  Based on observation, interview, record review, and document review, the facility failed to 1) monitor and report a decline in function for 1 of 19 residents (Resident 65) and 2) identify and report a resident's increase in pain related to worsening contractures for 1 of 19 unsampled residents (Resident 14). The deficient practice placed the residents at risk for diminished function and potentially an impact on the physical, mental and psychosocial well-being of the residents. Findings include: Resident 14 (R14) R14 was admitted on [DATE] with diagnoses including contractures of the right hand and foot. According to the Minimum Data Set, R14 scored a 03 which indicated the resident was not able to make needs well known. […]

• No harm, potential for more than minimal, widespreadF812Oct 14, 2022

  Based on observation, interview, and document review, the facility failed to ensure 1) opened food items were labeled and dated, 2) cleanliness of the kitchen, equipment, and nourishment room refrigerator, and 3) walk-in freezer was free from ice build-up. The failure to label and date food items, maintain a clean and sanitary kitchen had the potential to serve foods to the residents at an increased risk of food safety. Findings include: On 10/11/2022 at 8:35 AM, during the initial kitchen tour of the kitchen revealed the following: 1) Opened items unlabeled and undated included: Dry storage: -Bottle of vinegar -Bottle of cherry syrup no label date -Bag of baking mix -Bag of penne pasta -Bag of elbow pasta -Container of potato powder Spice Shelf: -All the bottles on the spice shelf… […]

• No harm, potential for more than minimal, patternF565Oct 11, 2024

  Based on interviews and document review, the facility failed to ensure food concerns raised by the resident group were acted on, followed through and facility's actions (if any) were communicated back to the resident group. The deficient practice had the potential to have negative psycho-social outcomes to the residents. Findings include: On 10/09/2024 in the morning, Resident 51 (R51) was alert, oriented, and answered questions appropriately. R51 revealed being the President of the Resident Council. R51 explained the resident council meets on a regular basis every month to discuss any concerns to be brought to the attention of the facility staff. Discussions during the resident council were recorded by a staff member during the meeting. […]

• No harm, potential for more than minimal, patternF812Oct 11, 2024

  Based on observation, interview, and document review, the facility failed to ensure 1) kitchen staff were wearing appropriate facial coverings during food preparation and 2) molded strawberries were not being prepped for service. The deficient practice placed residents at risk for food related illnesses from ingesting contaminated food. Findings include: On 10/08/24 at 8:45 AM, the kitchen director and a cook were observed to have full beards and were not wearing beard nets during the initial tour of the kitchen. The kitchen director stated they should have been wearing beard nets. On 10/10/24 at 11:27 AM, observed another cook preparing multiple fruit salad plates, used strawberries that came from a container with a heavily molded strawberry. […]