Deficiency Index

Every finding on record at Trinity Health of Nevada, LLC

Las Vegas, Nevada · CCN 291711

2 findings across 1 survey, in the inspector's own words.

The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.

Survey of April 16, 2025

2 findings
L0530

Upon patient record review, 3 of 6 (Patient #1,2,3) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient #1 Order dated 10/17/24 for Oxygen administration, no evidence of oxygen on medication profile. Corrected on site. Patient #2 Order dated 1/14/25 for Oxygen concentrator DME, no evidence of oxygen on medication profile. Corrected on site. Patient #3 Order dated 3/17/25 for Oxygen concentrator DME, no evidence of oxygen on medication profile. Orders dated 3/17/25 for Diclofenac Sodium Cream, apply 4x/day and Nystatin Cream 3x/day, no evidence of specific location on medication profile. Corrected on site.

L0549

Upon patient record review, 3 of 6 (Patient #1,2,3) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient #1 Order dated 10/17/24 for Oxygen administration, no evidence of orders for Oxygen concentrator DME on plan of care orders. Corrected on site. Patient #2 Order dated 1/14/25 for Oxygen concentrator DME, no evidence of orders for Oxygen administration on plan of care orders. Corrected on site. Patient #3 Order dated 3/17/25 for Oxygen concentrator DME, no evidence of orders for Oxygen administration. Orders dated 3/17/25 for Diclofenac Sodium Cream, apply 4x/day and Nystatin Cream 3x/day, no evidence of specific location on plan of care orders. Corrected on site.

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Federal survey findings only. State licensure findings for hospices are not shown.

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