cms_NV: 79

In collaboration with The Seattle Times, Big Local News is providing full-text nursing home deficiencies from Centers for Medicare & Medicaid Services (CMS). These files contain the full narrative details of each nursing home deficiency cited regulators. The files include deficiencies from Standard Surveys (routine inspections) and from Complaint Surveys. Complete data begins January 2011 (although some earlier inspections do show up). Individual states are provides as CSV files. A very large (4.5GB) national file is also provided as a zipped archive. New data will be updated on a monthly basis. For additional documentation, please see the README.

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
79 LAS VEGAS POST ACUTE & REHABILITATION 295006 2832 S. MARYLAND PARKWAY LAS VEGAS NV 89109 2017-05-04 406 D 1 1 XLYQ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview, record review, and document review the facility failed to ensure specialized rehabilitative services specifically Applied Behavior Analysis (ABA) therapy was provided per the physician's orders [REDACTED].#14). Findings include: Resident #14 Resident #14 was admitted on [DATE] and discharged on [DATE], with a [DIAGNOSES REDACTED]. The physician's orders [REDACTED]. The resident's clinical record lacked documented evidence the resident received ABA therapy per the physician's orders [REDACTED].>On 5/3/17 at 4:35 PM, the Director of Rehabilitation revealed the resident had a physical and occupational therapy evaluation. The resident's functional mobility was appropriate for age and current medical diagnosis. The treatment for [REDACTED]. The resident needed more ABA therapy which was provided by outside healthcare practitioners. On 5/4/17 at 11:00 AM, a Licensed Practical Nurse (LPN) showed a copy of a typewritten note signed by the Director of Social Services which read: 10-22-16 Received an order from (name of physician) for ABA therapy for (name of Resident #14). Spoke with DFS (Department of Family Services) worker, (name of worker) and she indicated that (name of Resident #14) has been referred with Early Childhood Services through Southern Nevada Regional Center since 9-15-16. Will contact to re-initiate services . The LPN explained the Early Childhood Services included ABA therapy which the resident had received since 9/15/16. The LPN acknowledged the typewritten note was not filed in the resident's clinical record. The LPN could not provide documentation the resident received the ABA therapy per the physician's orders [REDACTED]. On 5/4/17 at 11:13 AM, the LPN provided a copy of a typewritten note signed by the Director of Social Services with the same information from the note previously shown by the LPN, but the date was changed from 10/22/16 to 9/22/16. The LPN indicated the note dated 10/22/16 was shredded. The LPN confirmed the notes dated 10/22/16 and 9/22/16 were signed by the Director of Social Services on 5/4/17. The LPN acknowledged there was no documented evidence the resident received ABA therapy per the physician's orders [REDACTED].>On 5/4/17 at 12:00 PM, the Director of Social Services explained the facility would have called the DFS worker to verify if the resident received ABA therapy when the physician ordered an ABA therapy. The Director acknowledged there was no documentation the resident received ABA therapy per the physician's orders [REDACTED].>The Director of Social Services confirmed in the presence of the State Survey Team the typewritten notes dated 10/22/16 and 9/22/16 were prepared and signed on 5/4/17, and were not filed in the resident's clinical record. The facility's policy titled Pediatric Residents Doctor's Appointment/Family Notification dated (MONTH) 2014, indicated a physician's orders [REDACTED]. Complaint #NV 592 2020-09-01