Good Samaritan Society - Hastings Village

Inspectors wroteLicensure Reference Number 175 NAC 12-006.11(E) Based on record reviews, observations, and interviews, the facility failed to follow the 2022 Food and Drug Administration (FDA) food code. This had the potential to affect all residents eating food out of the kitchen. The facility census was 52.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(A)(ii)Licensure Reference Number 175 NAC 12-006.18Licensure Reference Number 175 NAC 12-006.09 (H)(vi)(3)(g)Based on record review and interview the facility failed to ensure that pre-employment health screens were completed for 5 of 6 sampled staff to prevent the potential for communicable disease for all facility residents; failed to ensure that reusable medical care equipment was cleansed and/or changed at a frequency to ensure it was maintained in a sanitary and usable condition for 2 residents (Resident 6 and 15); failed to ensure that staff providing direct resident cares did not have artificial nails that prevented proper hand sanitization during care for 2 residents (Resident 6 and 15); failed to ensure that all reusable oxygen equipment was thoroughly cleaned after use; [...]

Inspectors wroteLicensure Reference Number 175 NAC 12-007.03(K). Based on observations and interviews, the facility failed to affix handrails securely to the walls in resident corridors, this had the potential to affect all residents residing in the facility. The facility census was 52.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.12(D)(iii)Based on observation, record review, and interview the facility failed to ensure that medications and medical supplies were not expired. The facility census was 52.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(H) Based on record reviews, interviews and observations, the facility failed to serve meals in a timely manner based on the facility's posted time for meals. This had the potential to affect all residents who ate meals in the dining rooms. The facility census was 52.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.19 Based on record reviews and interviews, the facility failed to provide daily housekeeping per the Resident Agreement for 2 residents (Resident 18 and Resident 25) of 13 residents sampled. The facility census was 52.

Inspectors wroteThe facility failed to ensure that the Ombudsman was notified of transfers and discharges; and failed to ensure that a written copy of the reason for transfer to the hospital was given to the resident or the resident representative. This affected one of one sampled residents, Resident 14. Based on record review and interview, the facility failed to ensure that the State Ombudsman was notified of all transfers and discharges; and failed to ensure that a written copy of the reason for transfer to the hospital was given to the resident or the resident representative. This affected 1 of 1 sampled residents, Resident 14. The facility Census was 52.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(F)Based on record review and interview the facility failed to ensure that care conferences (meetings) (essential team conferences held quarterly at nursing homes with multiple medical professionals in one room to update the resident's care plan, address problems and answer resident/resident representative's questions) were provided to the resident/resident representative as required for 1 resident (Resident 5) of 3 sampled residents. The facility census was 52.

Inspectors wroteLicensure Reference Number 175 NAC. 12-006.09(H)(i)(2)Based on interviews, observations, and record reviews, the facility failed to provide the necessary care and services to assist in maintaining a resident's level of function for 1 resident (Resident 6) of 1 sampled resident, and complete routine bathing for 1 resident (Resident 6) of 2 sampled residents. The facility census was 52.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(iii)(2)Based on observations, record review, and interviews, the facility failed to provide care in a manner to promote healing of a pressure related skin injury for 1 resident, (Resident 15), of 1 sampled resident. The facility census was 52.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(iv)(1)Based on record review, observation, and interview, the facility failed to provide perineal care (the cleansing in the genital and anal areas to prevent infection and skin breakdown) per professional standards of practice for 2 residents (Resident 6 and Resident 15) of 2 sampled residents. The facility census was 52.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09 (H)(vi)(3)(a)Licensure Reference Number 175 NAC 12-006.09 (J)(i)(1) The facility failed to ensure that admission weights were taken for all individuals in order to monitor and assess for adequate nutrition and hydration for those who receive assisted nutrition. This affected resident 67. Record review of the facility policy dated 6/2/26 admission Documentation revealed that the policy purpose was to obtain appropriate initial information regarding the resident and family and to provide the initial documentation needed on admission. The procedures included; [...]

Inspectors wroteLicensure Reference Number 175 NAC 12-006.10(D)Based on observation, record review, and interview the facility failed to maintain a medication administration error rate of less than 5%. The facility error rate was 7.61% (27 medication administrations and 2 errors). This affected 2 of 6 residents (Residents 62 and 12). The facility census was 52.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.10(D)Based on observation, record review, and interview the facility failed to ensure that staff administered resident insulin (a medication used to regulate blood sugar levels) in a manner to prevent significant medication administration errors (errors that jeopardize the residents health or safety) for 2 of 2 residents observed (Residents 62 and 12). The facility census was 52.

Inspectors wroteLicensure Reference Number 175NAC 12-006.11(E) Based on observation, interview, and record review the facility failed to ensure sanitary conditions in the kitchen and failed to label and date leftover foods in order to prevent the potential for food borne illnesses for all residents who consumed meals prepared in the kitchen. This had to potential to affect all residents that consumed meals prepared by the facility kitchen; and the facility failed to ensure that resident room meals were served and removed in a manner to prevent the potential for foodborne illness for 2 residents (Residents 34 and 16) of 2 residents observed. The facility census was 37.

Inspectors wroteBased on interviews and record reviews, the facility failed to employ a qualified social worker on a full-time basis. The facility census was 37.

Inspectors wroteTitle 175 NAC Chapter 12-006.05 (E) Based on interviews and record reviews, the facility failed to provide bathing as required for 1 resident (Resident 5). The facility census was 37.

Inspectors wroteLicensure Reference Number 175NAC 12-006.18(B) Licensure Reference Number 175NAC 1-005.06(E) Based on observation, interview, and record review the facility failed to ensure that staff wore gown and gloves as required during high contact resident care (activities with the highest risk for transfer of germs to hands and clothing) for 1 resident (Resident 33) of 2 residents observed to prevent the potential for cross contamination and infection. The facility census was 37.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09 Based on record review and interview, the facility failed to follow the advance directive for Cardiopulmonary Resuscitation (CPR) (a lifesaving attempt combination of rescue breathing and chest compressions when someone's heart has stopped) or DNR (A type of advance directive in which a person states that health care providers should not perform cardiopulmonary resuscitation (restarting the heart) if his or her heart or breathing stops) for two residents (Resident 7 and 39) of 16 sampled residents. Facility census was 38.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.10A1 Based on observation, record review, and interview; the facility failed to implement a process to access residents for self-administration of medications. This affected 2 (Resident #4 and Resident #24) of 5 sampled residents. Facility stated census of 38.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D7a Based on observation, record review, and interview; the facility failed to implement interventions to prevent accidents for 1 (Resident #20) of 5 sampled residents. Facility census was 38.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D8a Based on observation, record review, and interview; the facility failed to provide the physician ordered diet to 1 (Resident #20) of 5 sampled residents. The facility census was 38.

Inspectors wroteLicensure Reference Number 175 NAC 12006.17 Based on observation, record review, and interview; the facility failed to perform hand hygiene during resident perineal care (cleansing of a residents private areas between the legs), and failed to clean respiratory care equipment after resident use. This affected 2 (Resident #4 and Resident #13) of 5 sampled residents. Facility census was 38.