SRMC Long Term Care, LLC dba Pole Creek Estates

In the surveyor’s words

From the most serious findings on record at SRMC Long Term Care, LLC dba Pole Creek Estates, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 17, 2025

  Licensure Reference Number 175 NAC 12-006.18(B)Licensure Reference Number 175 NAC 12-006.18(D) Based on record reviews, observations, and interviews; the facility failed to ensure staff followed proper glove use practices by changing gloves when contaminated or between tasks in accordance with facility policy and Center for Disease Control (CDC) guidelines during meal service to prevent the potential for cross-contamination. This had the potential to affect all 15 residents who reside within the Memory Care Unit (MCU). […]

• No harm, potential for more than minimal, widespreadF812May 29, 2024

  Licensure Reference ,d+[DATE].11E Based on observations, interviews, and record review; the facility failed to a) ensure food products were disposed of prior to expiration dates, b) utilize handwashing as required to prevent potential food contamination during food preparation, and c) ensure food temperatures were maintained at least 135 degrees on the steam table as required during serving of meals. This had the potential to affect all residents who resided at the facility. The facility census was 43. Findings are: A. A record review of the facility policy General Requirements Food Supply with a last reviewed date of [DATE] revealed food was to be stored in accordance with professional standards for food service safety. […]

• No harm, potential for more than minimal, widespreadF880May 29, 2024

  Licensure Reference Number 175 NAC 12-006.17D Based on observations, interviews, and record review the facility failed to implement hand hygiene as required while passing water pitchers to resident rooms, during medication administration, and during dining room services. This had the potential to affect all residents who resided within the facility. The facility census was 43. The Findings Are: A. An observation on 5/23/24 at 10:55 AM revealed Domestic Aide (DA)-H collecting old water pitchers and passing out new water pitchers to resident rooms. DA-H went into Resident 31's room and carried a water pitcher out of the room, sat it on the lower shelf of a rolling cart, and wrote down the total amount drank on a piece of paper. […]

• No harm, potential for more than minimal, patternF656May 29, 2024

  Licensure Reference Number 175 NAC 12-006.09C Based on observations, record reviews and interviews the facility failed to develop and implement a comprehensive care plan for 2 (Residents 29, and 30) of 12 sampled residents. The facility census was 43. The Findings Are: A. A record review of facility policy Care Plan dated 5/15/24 revealed that the comprehensive care plan would describe the services that were being furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being. The policy also revealed the comprehensive care plan would describe care provided related to high-risk medications including, but not limited to psychotropics, anticoagulants, and antibiotics. […]

• No harm, potential for more than minimal, isolatedF605Jul 17, 2025

  Licensure Reference Number 175 NAC 12-006.09(H) Based on record review, observation, and interview, the facility failed to identify and address potential adverse side effects of psychotropic (drug that affects brain activities associated with mental processes and behavior) medications for 1 (Resident 7) of 5 sampled residents. The facility identified a census of 60.Findings are: A record review of the facility's policy Psychotropic Drug Use with a last revised date of 4/21/2025 revealed the effects of psychotropic medications on a resident's physical, mental, and psychosocial well-being will be evaluated on an ongoing basis upon physician evaluation routinely and as needed, during the pharmacist's monthly medication regimen review, during Minimum Data Set (MDS, a federally mandated… […]