Tiffany Square

In the surveyor’s words

From the most serious findings on record at Tiffany Square, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Oct 5, 2023

  Licensure Reference Number 175 NAC 12.006.011E Licensure Reference Number 175 NAC 12.006.017B Based on observation, interview, and record review, the facility failed to ensure the sanitizer (chemical cleaning) bucket was tested regularly and failed to ensure the top of the oven was clean to prevent food-borne illness. This had the potential to affect all 68 residents that consumed food from the kitchen; and the facility failed to serve meals to residents in a manner to prevent the potential for cross contamination (the spread of bacteria from one surface or resident to another). This affected 14 residents (Residents 29, 61, 36, 8, 37, 1, 35, 50, 56, 23, 20, 42, 59, and 118). The facility census was 68. Findings are: A. […]

• No harm, potential for more than minimal, widespreadF812Jul 26, 2022

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.11E Based on observation, interview, and record review; the facility failed to do hand hygiene while prepping food; failed to wear a hair covering while working in the kitchen; and failed to ensure the stove hood was not greasy and soiled. This had the potential to affect 73 of 74 facility residents for the potential to prevent food born illness that received food items from the kitchen. Findings are: Observation of the facility kitchen on 7/20/22 at 0910 AM revealed there were (2) staff, the MSS (Maintenance Services Supervisor) and MS-C (Maintenance Staff) in the kitchen working on a sink and did not have hair restraints or coverings on their heads. […]

• No harm, potential for more than minimal, widespreadF886Jul 26, 2022

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.17 Based on observation, interview, and record review; the facility failed to prevent the potential spread of Covid-19 by failing to ensure unvaccinated facility staff were tested for Covid-19 in accordance with CDC (Centers for Disease Control) and CMS (Centers for Medicare and Medicaid Services) guidelines. This had the potential to affect all the facility residents due to the risk of disease transmission. The facility identified a census of 74 at the time of survey. Findings are: Interview with the FA (Facility Administrator) on 7/21/22 at 9:35 AM revealed Resident 19 had tested positive for Covid-19 and would be moved to a Red Zone. […]

• No harm, potential for more than minimal, patternF684Dec 4, 2025

  Licensure Reference Number 175 NAC 12-006.09(H)(iv)(5)Based on record review, interview, and observation the facility failed to re-evaluate and revise interventions to treat ongoing constipation for 4 of (Residents 57, 14, 30, and 75) residents sampled. The facility census was 77.Findings were:Record review of the facility Bowel Elimination Protocol dated 06/2024 revealed that each night after midnight the night nurse will review the elimination records for their nurses' station and then prepare a list of residents who are in need of interventions for bowel management and document on the protocol sheet that is used each night.On the 2nd day or 48 hours without a Bowel Movement (BM) the staff would offer 4 ounces of prune juice or natural laxative of resident's choice and then record on the… […]

• No harm, potential for more than minimal, patternF880Dec 4, 2025

  Licensure Reference Number 175 NAC 1-005.06(D)Licensure Reference Number 175 NAC 12-006.18(B)Based on observation, record review, and interview the facility failed to perform hand hygiene (hand washing using soap and water or an alcohol-based hand rub (ABHR) to remove germs for reducing the risk of transmitting infection among patients and health care personnel) prior to applying gloves for patient contact, and failed to maintain infection control for catheter use for Resident 42. The facility census was 77. Findings are: A. Record review of the facility policy titled Hand Hygiene dated 9/12/17 revealed that hand hygiene is to occur before and after patient contact. […]