Southlake Village Rehabilitation & Care Center

In the surveyor’s words

From the most serious findings on record at Southlake Village Rehabilitation & Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF947Nov 25, 2025

  Licensure Reference Number 175 NAC 12-006.04(B)(ii)1Based on record review and interviews, the facility failed to ensure 1 out of 5 Nursing Assistant (NA) sampled nurse aides had completed at least 12 hours ongoing training, including abuse prevention and dementia management training annually based upon their employment date as required and the facility failed to ensure 1 (NA) out of 5 sampled NA's had a performance review at least once every 12 months as required. This had the potential to affect all residents who reside within the facility. The facility had a census of 123 at the time of survey. […]

• No harm, potential for more than minimal, widespreadF812May 12, 2022

  Licensure Reference Number 175 NAC 12-006.11C Based on observation, interview, and record review, the facility failed to ensure the ovens, ranges, utensils, and backsplashes had been maintained in a clean and safe operating condition to prevent the potential for food-borne illness, and the facility failed to ensure meals were served without the potential for cross contamination by gloves worn and not changed between tasks, thumbs touching the eating surfaces of plates, and no eye protection worn in the dining room. This had the potential to affect 111 residents consuming food from the kitchen. Total census was 114. Findings are: A. Record review of the undated Sanitation Policy revealed the food service area shall be maintained in a clean and sanitary manner. […]

• No harm, potential for more than minimal, patternF803Nov 25, 2025

  Licensure Reference Number 175 NAC 12-006.11 Based on observations, record reviews and interviews, the facility failed to follow the menu when preparing food for residents on pureed diet. This had the potential to affect 6 residents who receive a pureed diet. The facility census was 123. A record review of residents receiving pureed diets revealed that there are six residents receiving pureed diets.A record review of the recipe for Pureed Beef Stroganoff Casserole revealed: A recipe for 5 servings:Beef, Stroganoff entree, 1 quart 2 cups, Beef Broth 2 cupsPlace prepared stroganoff casserole and broth in a food processor, blend until smooth. Add any food thickener as needed. Portion size 2- #8 scoops. […]

• No harm, potential for more than minimal, patternF761Jan 25, 2023

  Licensure Reference Number 175 NAC 12-006 Based on observation and interview; the facility failed to ensure that the medication cart was secured when left unattended to prevent the potential for diversion of medications for 2 out of 6 medication carts in the building. The facility census was 118 at the time of survey. Findings are: A. An observation on 1/24/23 at 10:56 AM on the College View Hall medication cart was found to be unlocked with the keys in the top drawer. An interview on 1/24/23 at 10:59 AM with Registered Nurse (RN) - B (ADON) Assistand Director of Nurses confirmed that the medication cart should have been locked and the keys should not have been in the cart. B. An observation on 1/24/23 at 11:28 AM on the [NAME] Hall the medication cart was found to be unlocked. […]

• No harm, potential for more than minimal, patternF761May 12, 2022

  Licensure reference 175 NAC 12-006.12E7 Based on observation and interviews, the facility failed to ensure potentially expired and expired medications weren't available for resident use and outdated lab supplies weren't available for resident use on six of eight medication and treatment carts and in the medication room. The facility also failed to ensure medications left in rooms for 2 (Resident 3 and Resident 100) were secured. Sample size was 24 sampled residents. The facility census was 114. A. Observation on 05/10/22 at 2:00 PM of the 200 Hall medication cart revealed: -1 open and undated [MEDICATION(S)] insulin vial. -1 open and undated [MEDICATION(S)] insulin pen. -1 open and undated bottle of Artificial Tears eyedrops. -1 open and undated bottle of [MEDICATION(S)] gel drops. […]