NEVADA STATE VETERANS HOME - BOULDER CITY

The information listed below provides an in-depth look into the type and quality of care offered at Nevada State Veterans Home - Boulder City. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

NEVADA STATE VETERANS HOME - BOULDER CITY
100 VETERANS MEMORIAL DR
BOULDER CITY, NV 89005
(702) 332-6864

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

92%

Number of Residents and Certified Beds

  • Residents: 165
  • Certified Beds: 180

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - State
  • Offers Both Resident and Family Counseling Services
  • This Facility is Not Part of a Chain or Franchise

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Rating Details For Nevada State Veterans Home - Boulder City

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours38 Minutes53 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours49 Minutes36 Minutes
Certified Nursing Assistant (CNA) Hours22 Minutes2 Hours and 17 Minutes
Total Licensed Nurse Hours1 Hour and 27 Minutes1 Hour and 29 Minutes
Total Nurse Hours1 Hour and 49 Minutes3 Hours and 46 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Nevada are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityNevada Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%82%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious9%13%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder50%55%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection4%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores6%11%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased20%18%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%6%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse17%15%
Percent of Long-Stay Residents Who Were Physically Restrained3%4%
Percent of Long-Stay Residents Who Lose Too Much Weight8%7%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%77%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90%75%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain19%23%
Percent of Short-Stay Residents Who Have Pressure Sores5%14%
Percent of Short-Stay Residents Who Have Delirium-3%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 01/11/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/22/2009
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/22/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/22/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 11/21/2008
  • Correction Date: 01/05/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/22/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/22/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/22/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/22/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/22/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/22/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/22/2009
Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900
Tell the Resident Completely About His or Her Health Status.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Nevada State Veterans Home - Boulder City, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 11/10/2009
  • Correction Date: 02/26/2010
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 03/31/2011
  • Correction Date: 04/22/2011

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 12/15/2008
  • Correction Date: 02/11/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 03/31/2011
  • Correction Date: 04/22/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Nevada State Veterans Home - Boulder City had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 01/11/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 11/26/2008
  • Correction Date: 01/05/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900

Medical Gases and Anesthetizing Areas

Properly Constructed Piped-In Oxygen Systems.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 01/11/2011
  • Correction Date: 01/01/1900
Source: Medicare Nursing Home Compare; State Health Division of Nevada - Retrieved 2011