NEVADA STATE VETERANS HOME - BOULDER CITY

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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.

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

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.

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

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.

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