Life Care Center of Elkhorn

Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(F)(i)(5). Based on record review and interview, the facility failed to notify the residents provider that medications were not administered for the prescribed duration for 1 (Resident 2) of 1 sample resident. The facility identified a census of 87.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.10 Based on interviews and record review the facility failed to ensure that medications were administered as ordered for 1 (Resident 2) of 1 sampled resident. The facility identified a census of 87.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.18(S)Based on observation and interview the facility failed to ensure a toilet safety arm support device (a bathroom aid that attaches around or directly to a toilet to provide stable armrests) was securely attached to the toilet in the bathroom of room [ROOM NUMBER] and failed to ensure a toilet was secured to the floor in the bathroom of room [ROOM NUMBER]. The facility had a census of 87. An observation on 6/10/2026 between 7:25am and 8:05AM of the following rooms, 101, 102, 103, 106, 107, 108, 114, 124, 212, 310, and 412, containing toilet safety arm supports attached to the toilet revealed the single safety arm support for the toilet in the bathroom of room [ROOM NUMBER] was not securely attached to the toilet. [...]

Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(F)(i)(5). Based on record review and interview, the facility failed to notify the residents practitioner when pain and antibiotic medication were unavailable for 2 (Resident 2 and 3) of 3 residents sampled. The facility census was 93.

Inspectors wroteLicensure Reference Number NAC 175 12-006.05(G). Based on record review and interview the facility failed to ensure as needed psychotropic medications were re-evaluated by the medical practitioner for rationale and duration of continued use beyond 14 days for 1 (Resident 1) of 3 residents sampled. The facility census was 93.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H). Based on interview and record review the facility failed to ensure pain medication was available for pain management for 1 (Resident 3) of 3 residents sampled. The facility census was 93.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.10(D). Based on record review and interview, the facility failed to ensure residents were free of significant medication errors for 1(Resident 2) of 3 residents sampled. The facility census was 93.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(H) Based on observation, interview and record review the facility failed to ensure staff were competent to operate the dishwasher. This had the potential to effect 85 of 86 residents who received foods from the kitchen. The Facility census was 86.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.11(E) Based on observation, interview and record review the facility failed to ensure the dishwasher reached the minimum required temperature of 120 degrees and failed to ensure the floor under the dish racks in the dish room were free of debris and dark, waxy build up; and the facility failed to ensure the double convection ovens were clean and free of food debris and hard water buildup. This had the potential to affect 85 of 86 residents who received food from the kitchen. The facility census was 86.

Inspectors wroteLicensure Reference Number: 175 NAC 12-006.04(B)(ii)(1)Based on record review and interview, the facility failed to ensure 3 [Nurse Aides (NA) C, D, and E] of 5 nurse aides had completed 12 hours of yearly required in-service education. This had the ability to affect all residents that resided in the facility. The facility had a total census of 86 residents.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.19(C), 12-006.18(B)Based on observation, record review and interview, the facility failed to ensure soiled linen did not come into contact with staff clothing for Residents 5 and 15, ensure nebulizer kits were cleaned after use for Residents 27 and 63, ensure Resident 6's PAP and PAP mask were clean and off the floor, and ensure Resident 6's PAP machine contained a filter; and the facility staff failed to wear enhanced barrier precautions when providing catheter care for Resident 12. The facility census was 86.

Inspectors wroteLicensure Reference Number: 175 NAC 12-007.04(D)Based on observation and interview, the facility failed to ensure that ventilation systems were operational in resident bathrooms in 4 (Rooms 106, 108, 114 and 115) of 15 occupied resident rooms on the 100 hall of the facility. The facility census was 86.

Inspectors wroteLicensure Reference Number 175 NAC 12-006-05(A)(B)(C)Based on record review and interview, the facility failed to provide notice of resident rights on admission for 1 (Resident 95) of 1 sampled resident. The facility staff identified a census of 86.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(H)Based on interview and record review, the facility failed to protect 1 of 1 resident surveyed (Resident 14) during the investigation of an abuse allegation. The facility had a census of 88.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.05(G)Based on record review and interview, the facility failed to ensure an anti-psychotic medication [a class of medications used to manage symptoms of psychosis such as delusions and hallucinations] was used to treat a medically accepted, diagnosed, specific condition for 1 (Resident 10) of 5 residents reviewed for unnecessary medications. The facility census was 86.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.2(H)Based on interview and record review, the facility failed to ensure that an abuse allegation for 1 of 1 resident surveyed (Resident 14) was reported to officials within the required time limits. The facility claimed a census of 88.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.2(H)Based on interview and record review, the facility failed to investigate an allegation of abuse for 1 of 1 residents surveyed (Resident 14). The facility had a census of 88.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(E)(i)Based on record review and interview, the facility failed to develop a Comprehensive Care Plan (CCP, a written interdisciplinary comprehensive plan detailing how to provide quality care for a resident) related to prophylactic antibiotic use for Resident 8 and anticoagulant [a blood thinner medication which can increase the risk of bleeding] for Resident 14. The facility sample size was 25. The facility census was 86.

Inspectors wroteThe facility failed to administer tube feeding as ordered by the physician for 1 (Resident 7) of 1 sampled residents. The facility staff identified a census of 86. Record review of facility policy entitled Enteral Nutrition Therapy (Continuous) dated reviewed 9/5/2025 revealed: - The facility will provide continuous enteral nutrition therapy in accordance with physician orders and professional standards of practice. Record review of Resident 7's admission Record revealed the facility admitted the resident on 7/24/2025. Further review of the admission record identified Resident 7 had diagnoses which included encephalopathy (brain dysfunction often caused by an underlying condition such as infections, toxins, liver or kidney failure, or nutritional deficiency) and severe protein-calorie malnutrition. [...]

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(vi)(3)(g) Based on observation, interview, and record review, the facility failed to obtain valid positive airway pressure (PAP) device (a machine used to treat sleep apnea) orders for 2 (Residents 6 and 63) of 3 sampled residents and oxygen orders for 1 (Resident 63) of 3 sampled residents. The facility census was 86.

Inspectors wroteBased on interview and record review, the facility failed to evaluate for and identify situational triggers for post-traumatic stress disorder (PTSD) for 1 (Resident 9) of 1 sampled resident. The facility staff identified a census of 86.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.12(D)(i) Based on observation, interview, and record review, the facility failed to provide secured storage for medications stored in the residents' rooms for 2 (Residents 6 and 43) of 2 sampled residents. The facility census was 86.

Inspectors wroteBased on record review and interview, the facility failed to complete admission paperwork for 1 (Resident 95) of 1 sampled resident. The facility staff identified a census of 86.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H). Based on observation, interview and record review, the facility failed to follow physician's orders, for daily weights and fluid restrictions for 1(Resident 1) of 3 residents sampled. The facility census was 83.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(F)(i)(5) Based on interview and record review the facility failed to update the medical practitioner of changes in daily weights for 1 (Resident 1) of 3 resident sampled. The facility census was 83.

Inspectors wroteLicensure Reference Number 12-006.09(H)(vi)(3)(g). Based on observation, interview and record review the facility failed to ensure residents were assisted with respiratory equipment and treatments for 1(Resident 1) of 3 residents sampled. The facility census was 83.

Inspectors wroteLicensure Reference Number 175 NAC 12.006.09(J)(i)(1) Based on observation, interview, and record review the facility failed to evaluate and implement interventions to prevent significant weight loss for 1 (Resident 37) of 1 resident sampled. The facility census was 86.

Inspectors wroteLicensure Reference Number 175 NAC 12.006.11(E) Based on observation, interview, and record review, the facility failed to ensure all food items in the kitchen's refrigerators and freezers were sealed, labeled, and dated, ensure food preparation (prep) was completed in a sanitary manner and per the menu, and ensure all kitchen equipment was cleaned to prevent foodborne illness. This had the potential to affect all 86 resident that consumed food from the kitchen.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(F)(iii) Based on record review and interviews, the facility failed to update and revise Care Plans for straight catheterization, wound care, tube feeding, and dental care for 4 (Resident 6, 68, 34, and 14) of 4 residents sampled. The facility census was 86.

Inspectors wroteLicensure Reference Number 175 NAC 1.009.04(D) Based on observation and interview the facility failed to ensure safe water temperatures in resident bathrooms for rooms 101, 102, 109,113, 114, 117, 118, 120,122 and 123. This had the ability to affect 14 of the residents that reside at the facility. The facility census was 86.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.19(B) Based on record review, observation and interview the facility failed to maintain flooring in good repair for 12 resident rooms. This had the potential to affect 13 residents. The facility identified a census of 86.

Inspectors wroteLicensure Reference Number 175 NAC 12.006.09(J)(i)(1) Based on interview, and record review the facility failed to notify the resident's physician of a significant weight loss for 1 (Resident 37) of 1 resident sampled. The facility census was 86.

Inspectors wroteLicensure Reference Number 175 NAC 12.006.02(H) Based on observation, interview and record review the facility failed to report a fall resulting in serious bodily injury to the state agency for 1 (Resident 2) of 1 residents sampled. The facility census was 86.

Inspectors wroteLicensure Reference Number 175 NAC 12.006.09(D) Based on observation, interview, and record review, the facility failed to ensure 1 (Resident 57) of 1 sampled resident's tube feeding was on the Minimum Data Set (MDS)(a comprehensive assessment used to develop a resident's care plan) dated 07/12/2024 and Insulin and Insulin injections were excluded from the 7/12/24 MDS. The facility census was 86.

Inspectors wroteLicensure Reference Number 175 NAC 12.006.09(H)(vi)(3)(g) Based on observation, interview, and record review, the facility failed to ensure 1 (Resident 26) of 5 sampled resident's oxygen order was followed and failed to ensure 1 (Resident 42) of 5 sampled residents had valid oxygen orders. The facility census was 86.

Inspectors wroteLicensure Reference Number 175 NAC 12.006.09(H)(vi)(3) Based on observation, interview, and record review, the facility failed to ensure 2 (Resident 26 and 57) of 2 sampled resident's shunt site (an access point to a major artery) was assessed before and after each dialysis (mechanical treatment of the blood to clean it of impurities) treatment. The facility census was 86.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.18(B) Licensure Reference Number 175 NAC 12-006.18(C) Based on observations, record review and interview; the facility staff failed to ensure Resident 26, 38, and 42's respiratory equipment and supplies was cleaned and sanitized to prevent cross contamination, failed to implement enhanced barrier precautions during ADL care for Resident 14, and during catheter care for Resident 37, and failed to provide enhanced barrier signage for 1, Resident 68. The total sample size of the survey was 18. The facility staff identified a census of 86.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(8) Based on interviews and record review, the facility failed to report abuse allegations to the facility's Administrator and state survey agency within the required timeframe of two hours and failed to submit final investigation reports to the state survey agency within five working days of the occurrences involving 5 (Residents #39, #149, #57, #66, and #53) of 5 residents reviewed for abuse, neglect, and misappropriation of property.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(8) Based on interviews, record reviews, and facility document and policy review, the facility failed to thoroughly investigate allegations of abuse involving 5 (Residents #39, #149, #57, #66, and #53) of 5 residents reviewed for abuse, neglect, and misappropriation of property.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.12E1 Based on observations, interviews, and facility policy review, the facility failed to ensure medication and treatment carts were locked when not within line of sight for 4 (two treatment carts on the 100 Hall, one treatment cart on the 200 Hall, and one medication cart on the 200 Hall) of 8 carts in the facility.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D1c Based on observation, interviews, and record review, the facility failed to provide incontinence care to Resident #84 to ensure that no bowel movement remained on the resident before starting to put a new incontience brief on the resident.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09 Based on observations, interviews, and record review, the facility failed to ensure a resident (Resident #9), who was not a candidate for self-administration, did not have a medication brought into the facility by a family member available for use at the resident's bedside.