CARSON NURSING AND REHABILITATION CENTER

Nursing Home Inspector

2898 HIGHWAY 50 EAST
CARSON CITY, NV 89701
Carson City County
Phone: 775-882-3301
Provider Number: 295023
Last Inspection: 01/26/2017

About the Nursing Home

Number of Beds: 73
Number of Residents: 47
Beds Available: 26
Percent Occupancy: 64%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

43

Facility
27

County
22

NV
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

43

2017
22

2015
18

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

1/26/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated : Minimal 3 3/13/2017
 
Failed To: Provide written records when a resident is transferred or discharged. Isolated : Minimal 3 3/13/2017
 
Failed To: Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. Isolated : Minimal 3 3/13/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 3/13/2017
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 3/13/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 3/13/2017
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 3/13/2017
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 3/13/2017
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Isolated : Minimal 3 3/13/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 3/13/2017
 
Failed To: Make sure that all required doctor visits are made personally. Isolated : Minimal 3 3/13/2017
 
Failed To: Make sure the physician properly assigns tasks that can be delegated or satisfied by a physician assistant, nurse practitioner or clinical nurse specialist . Isolated : Minimal 3 3/13/2017
 
Failed To: Give specialized rehabilitative services that are medically necessary by qualified personnel, when ordered by a doctor. Isolated : Minimal 3 3/13/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 3/13/2017
 

10/22/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 12/1/2015
 
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 12/1/2015
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 12/1/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 12/1/2015
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 12/1/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 12/1/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 12/1/2015
 

12/11/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 1/9/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 1/9/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 1/9/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 1/9/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 1/9/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

8/23/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 9/23/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 9/23/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NV State Avg
Number of Residents 47 92.00 91.16
Registered Nurses 1.18 0.93 1.07
Licensed Practical / Vocational Nurses 0.87 0.61 0.92
Certified Nursing Assistants 2.48 2.15 2.48
Total Staff Hours 4.53 3.69 4.48

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NV State Avg%
of high risk long-stay residents with pressure ulcers 0 3 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 94 93 87
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 98 90
of long-stay residents experiencing one or more falls with major injury 1 1 2
of long-stay residents who have depressive symptoms 0 0 2
of long-stay residents who lose too much weight 5 5 5
of long-stay residents who received an antianxiety or hypnotic medication 15 24 24
of long-stay residents who received an antipsychotic medication 9 18 15
of long-stay residents who self-report moderate to severe pain 4 4 8
of long-stay residents who were physically restrained 0 2 0
of long-stay residents whose ability to move independently worsened 25 21 20
of long-stay residents whose need for help with daily activities has increased 10 14 15
of long-stay residents with a catheter inserted and left in their bladder 0 0 2
of long-stay residents with a urinary tract infection 10 8 3
of low risk long-stay residents who lose control of their bowels or bladder 68 51 47
of short-stay residents assessed and appropriately given the pneumococcal vaccine 85 78 76
of short-stay residents who had an outpatient emergency department visit 13 13 12
of short-stay residents who made improvements in function 79 63 61
of short-stay residents who newly received an antipsychotic medication 1 5 2
of short-stay residents who self-report moderate to severe pain 11 11 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 86 83 76
of short-stay residents who were rehospitalized after a nursing home admission 16 17 24
of short-stay residents who were successfully discharged to the community 65 50 48
of short-stay residents with pressure ulcers that are new or worsened 1 1 0