The NM Behavioral Health Institute at Las Vegas

In the surveyor’s words

From the most serious findings on record at The NM Behavioral Health Institute at Las Vegas, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Nov 19, 2021

  Based on record review and interview, the following was discovered: Facility failed to notify the physician of high blood sugars in [DATE] and beginning of [DATE] for one resident which prevented the Physician from being able to modify the treatment plan. By mid October, resident continued to have high blood sugar levels which were not controlled by sliding scale insulin. After 14 hours of elevated blood sugars (between ,d+[DATE]) facility received order to send resident to ER (emergency room ). Resident expired in facility parking lot prior to transfer. This resulted in Immediate Jeopardy being called on [DATE] at 5:01 pm. […]

• Actual harm, isolatedF600Aug 23, 2024

  Based on record review and interview, the facility failed to prevent abuse for 1 (R #79) of 1 (R #79) resident reviewed when the facility staff failed to recognize the difference between horseplay and unwanted touching and harassment between a staff and resident. This deficient practice likely resulted in R #79 increase of isolation and fear of further abuse. The findings are: A. On 08/19/24 at 2:47 pm, during an interview with R #79, she stated. One of the activities persons kicked me in the ass (buttocks). They (staff) thought she was messing around. I did not think she was messing around, she kicked me. That's not funny. They sent her home for a couple of days. I felt bad because she [Activities Assistant (AA) #1] might have a ton of bills to pay or whatever. […]

• No harm, potential for more than minimal, widespreadF728Dec 12, 2025

  Based on record review and interview, the facility failed to provide documentation confirming 2 (NA #1 and NA #3) of 5 (NA #1, NA #3, NA #4, and NA #5) Nurse Aides had completed a Nurse Aide Training and Competency Evaluation Program (NATCEP) or a Competency Evaluation Program (CEP) within four months of being employed at the facility. This deficient practice is likely to affect all 102 residents residing in the facility. Residents are likely to experience substandard care because of the use of untrained or unqualified aides providing direct care to residents. The findings are: NA #1:A. Record review of NA #1's personnel record revealed the following:1. NA #1's is a current employee with a hire date of [DATE]. NA #1's date of Certified Nurse Aide Training was completed on [DATE].3. […]

• No harm, potential for more than minimal, widespreadF835Dec 12, 2025

  Based on record review and interview, the facility's Administrator (ADM) and Director of Nursing (DON) failed to administer the facility when they knew/should have known and prevented the following deficient practices which occurred in the facility: 1. Not ensuring staff were trained and/or competent before providing care to residents. 2. Allowing untrained and uncertified nurse aides to train other nurse aides. These deficient practices are likely to affect all 102 residents residing in the facility according to the daily census provided by the Admissions Coordinator (AC) on [DATE] and could lead to residents not maintaining their highest practicable physical, mental, and social well-being. The findings are: A. […]

• No harm, potential for more than minimal, widespreadF812Aug 23, 2024

  Based on observation, interviews, and record review, the facility failed to maintain the kitchen in a sanitary manner when staff failed to: - Perform hand hygiene and to change gloves as often as necessary to avoid cross contamination, - Store open food protected and with labels and dates to prevent cross contamination and outdated usage, - Utilize hair restraints and beard guards in a manner which restrained all hair while in the kitchen, - Use the sanitizing solution according to manufacturer's instructions, - Protect clean disposable wares (includes dishware, drinkware, and flatware such as spoons, forks, and knives) to prevent contamination, These failures had the potential to result in cross contamination and foodborne which could affect all residents who ate food from the kitchens. […]