cms_NV: 69
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 69 | LAS VEGAS POST ACUTE & REHABILITATION | 295006 | 2832 S. MARYLAND PARKWAY | LAS VEGAS | NV | 89109 | 2019-02-08 | 609 | D | 1 | 0 | YZ1W11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview, record review and document review, the facility failed to report resident to resident altercations for 3 of 5 sampled residents (Residents #1 (R1), #2 (R2) and #3 (R3)). Findings include : 1) R1 and R3 R1 was admitted on [DATE], with [DIAGNOSES REDACTED]. R3 was admitted on [DATE], with [DIAGNOSES REDACTED]. On 01/10/19 at 1:35 PM, R1 was propelling wheelchair along the 100-hall. R1 turned head away and did not respond to questions. On 01/10/19 at 1:55 PM, R3 was seated on wheelchair and was alert, pleasant and cooperative. R3 recalled on 12/16/18 R1 was blocking the pathway to R3's room and when R1 was asked to move away, R1 grabbed R3 by the arm and hit R3 leaving a bruise on R3's arm. R3 recalled another resident stopped the fight by separating the two residents. R3 indicated the Registered Nurse was made aware and eventually the Director of Nursing (DON). R3 recalled being offered to notify law the police but R3 declined indicating it was unnecessary. A nurses note dated 12/16/18, documented R1 had an altercation with R3. R1 was blocking R3's door when R3 asked R1 to move away. R1 grabbed the left arm of R3 and hit R3 leaving a bruise on R3's arm. The residents were separated by staff and residents. On 01/10/19 at 2:25 PM, the DON indicated being aware of the altercation between R1 and R3 on 12/16/18. The DON narrated visiting R3 after the incident and offered to call the police but R3 declined. The DON acknowledged the resident altercation was a reportable incident and confirmed it was not reported to the State agency. On 01/10/19 at 2:30 PM, the Administrator indicated the facility should report incidences of resident to resident abuse to appropriate agencies and it is not up to the resident to decide whether the incident should be reported or not. 2) R2 and R3 R2 was admitted on [DATE], with [DIAGNOSES REDACTED]. R3 was admitted on [DATE], with [DIAGNOSES REDACTED]. On 11/18/18 at 7:30 AM, R2 entered R3's room and started pulling R3's bed and clothing. On 01/10/19 at 2:00 PM, R3 revealed having been attacked by R2 on 11/18/18 and indicated R3 would try to stay away from R2 because of the previous incident. There was no facility reported incident submitted to the State Regulatory Agencies regarding the altercation between R2 and R3. On 01/10/19 at 2:37 PM, the Director of Nursing (DON) revealed being aware of the altercation between R2 and R3. The DON had informed the previous Administrator regarding the incident but the Administrator informed the DON the incident was not considered abuse and decided not to report the incident to the State Agencies. On 01/10/19 at 2:40 PM, the current Administrator indicated the incident on 11/18/18 between R2 and R3 should have been reported to the State Agencies and should have been investigated. The facility policy Abuse Investigation (undated), documented the Administrator would provide a written report of the results of all abuse investigations and appropriate action to the State Agency, local police department, Ombudsman within five days of the reported incident. The facility policy Reporting Abuse (undated), documented abuse was defined as the willful infliction of injury. | 2020-09-01 |