Silver State Pediatric Skilled Nursing Facility

In the surveyor’s words

From the most serious findings on record at Silver State Pediatric Skilled Nursing Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 16, 2024

  Based on observation, interview, and document review, the facility failed to ensure: 1) expired items were not stored in the refrigerator and discarded; and 2) feeding formula and items were appropriately labeled in the nourishment room refrigerator. The deficient practice posed a potential risk to safety and health standards, as it could lead to contamination or inadequate storage conditions. Findings include: On [DATE] at 8:05 AM, a kitchen tour was conducted with one cook on duty. […]

• No harm, potential for more than minimal, widespreadF812Jan 21, 2022

  Based on observation, interview, and document review, the facility failed to ensure 1) opened food items were labeled and dated, 2) expired item in the sandwich station refrigerator was discarded, and 3) kitchen equipment was kept clean. Findings include: 1) Open Food Items On [DATE] at 8:58 AM, a kitchen tour was conducted with the cook. The walk-in freezer, walk-in refrigerator, dry storage, and sandwich station refrigerator contained opened food items with no label and use-by dates as listed below: Walk-in freezer: -An unknown food item wrapped in aluminum foil -A bag of tater tots wrapped in plastic -A bag of sweet potato fries wrapped in plastic -Five bags of pastries in plastic storage bags -A bag of broccoli florets wrapped in plastic -Two sheet pans of miscellaneous cooked… […]

• No harm, potential for more than minimal, patternF812Feb 26, 2026

  Based on observation, interview, and document review, the facility failed to ensure 1) sanitizer test strips were available to measure the concentration of the sanitizing solution of the three-compartment sink, 2) the refrigerator and nourishment room did not contain expired food items and 3) dented cans were discarded. The deficient practice had the potential to compromise food safety and cause foodborne illness.Findings include:1)On 02/24/2026 at 8:30 AM, the Dietary Manager was unable to perform the test strip verification for the three compartment sink because the facility had run out of test strips. The Dietary Manager could not verify the parts per million (ppm) concentration without the required test strips. […]

• No harm, potential for more than minimal, patternF693Feb 16, 2024

  Based on observation, interview, record review, and document review, the facility failed to ensure care and management orders were obtained, clarified, and transcribed for residents receiving gastric tube feeding (TF) for 6 of 12 sampled residents (Residents 16, 18, 1, 2, 10, and 20). This deficiency could lead to potential significant risks, including increased susceptibility to infections, dehydration, malnutrition, fluid overload, and gastrostomy tube (GT) dysfunction. Findings include: Resident 16 (R16) R16 was admitted on [DATE] and readmitted on [DATE], with diagnoses including dysphagia (difficulty swallowing) and gastrostomy status. […]

• No harm, potential for more than minimal, patternF584Jan 21, 2022

  Based on observation, interview and document review, the facility failed to ensure a comfortable homelike environment was maintained by providing hot water for 1 of 2 shower rooms, 5 of 8 resident bathrooms, and 1 of 4 kitchen handwashing stations. On 01/21/2022 at 8:03 AM, the kitchen handwashing sink next to the juice machine did not have hot water. The hot water was turned on for over three minutes and hot water was not available. The cook and the Dietary Manager were not aware there was no hot water at the handwashing sink. On 01/21/2022 at 9:18 AM, the Administrator indicated the staff members had notified the management team there was no hot water in the shower rooms and resident bathrooms. […]