GAYE HAVEN INTERMEDIATE CARE FACILITY
Nursing Home Inspector
1813 BETTY LANE
LAS VEGAS, NV 89156
Clark County
Phone: 702-452-8399
Provider Number: 29E021
Last Inspection: 04/27/2017
About the Nursing Home
Number of Beds: 20
Number of Residents: 15
Beds Available: 5
Percent Occupancy: 75%
Insurance Accepted: 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 Year
Lower Numbers Are Better
|
16
2017 |
54
2016 |
70
2015 |
Medicare Ratings
| Overall Rating: |
 |
| Health Rating: |
 |
| Staff Rating: |
|
| Quality Rating: |
 |
Details by Inspection Date
| 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
|
6/30/2017
|
| |
| Failed To: Provide housekeeping and maintenance services. |
Pattern :
Minimal
|
4
|
6/30/2017
|
| |
| Failed To: Ensure residents maintain acceptable nutritional status. |
Pattern :
Minimal
|
4
|
6/30/2017
|
| |
| Failed To: Store, cook, and serve food in a safe and clean way. |
Widespread :
Minimal
|
5
|
7/20/2017
|
| |
| Failed To: Ensure that residents are fully informed and understand their health status, care and treatments. |
Isolated :
Minimal
|
3
|
7/26/2016
|
| |
| Failed To: Try to resolve each resident's complaints quickly. |
Isolated :
Minimal
|
3
|
7/26/2016
|
| |
| Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. |
Isolated :
Minimal
|
3
|
7/26/2016
|
| |
| Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. |
Pattern :
Minimal
|
4
|
7/26/2016
|
| |
| 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
|
7/26/2016
|
| |
| Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. |
Isolated :
Minimal
|
3
|
7/26/2016
|
| |
| Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. |
Pattern :
Minimal
|
4
|
7/26/2016
|
| |
| Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated :
Minimal
|
3
|
7/26/2016
|
| |
| Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. |
Pattern :
Minimal
|
4
|
7/26/2016
|
| |
| Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Isolated :
Minimal
|
3
|
7/26/2016
|
| |
| Failed To: Store, cook, and serve food in a safe and clean way. |
Widespread :
Minimal
|
5
|
7/26/2016
|
| |
| Failed To: Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. |
Widespread :
Minimal
|
5
|
7/26/2016
|
| |
| Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. |
Isolated :
Minimal
|
3
|
7/26/2016
|
| |
| Failed To: Keep all essential equipment working safely. |
Isolated :
Minimal
|
3
|
7/26/2016
|
| |
| Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. |
Widespread :
Minimal
|
5
|
7/26/2016
|
| |
| Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. |
Isolated :
Minimal
|
3
|
9/22/2015
|
| |
| Failed To: Assess in a timely manner the resident when the resident enters the nursing home. |
Isolated :
Minimal
|
3
|
9/22/2015
|
| |
| Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
Isolated :
Minimal
|
3
|
9/22/2015
|
| |
| Failed To: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. |
Isolated :
Minimal
|
3
|
9/22/2015
|
| |
| Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . |
Pattern :
Minimal
|
4
|
9/22/2015
|
| |
| Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. |
Isolated :
Minimal
|
3
|
9/22/2015
|
| |
| Failed To: Ensure residents maintain acceptable nutritional status. |
Isolated :
Minimal
|
3
|
9/22/2015
|
| |
| 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
|
9/22/2015
|
| |
| Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. |
Pattern :
Minimal
|
4
|
9/22/2015
|
| |
| Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. |
Widespread :
Minimal
|
5
|
11/10/2015
|
| |
| Failed To: Make sure that special or therapeutic diets are ordered by the attending doctor. |
Isolated :
Minimal
|
3
|
9/22/2015
|
| |
| Failed To: Store, cook, and serve food in a safe and clean way. |
Widespread :
Minimal
|
5
|
11/10/2015
|
| |
| Failed To: Have a program that investigates, controls and keeps infection from spreading. |
Widespread :
Minimal
|
5
|
9/22/2015
|
| |
| Failed To: Be licensed under State and local laws. |
Widespread :
Minimal
|
5
|
11/10/2015
|
| |
| Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. |
Pattern :
Minimal
|
4
|
9/22/2015
|
| |
| Failed To: Provide written records when a resident is transferred or discharged. |
Isolated :
Minimal
|
3
|
9/22/2015
|
| |
| Failed To: Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. |
Widespread :
Minimal
|
5
|
9/22/2015
|
| |
| Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. |
Isolated :
Minimal
|
3
|
9/22/2015
|
| |
| Failed To: Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. |
Isolated :
Minimal
|
3
|
11/10/2015
|
| |
Complaint Investigation Deficiencies
These deficiencies resulted from complaints investigated by the state inspectors and substantiated.
| 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
|
9/15/2016
|
| |
| Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. |
Isolated :
Minimal
|
3
|
3/18/2015
|
| |
| Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. |
Isolated :
Minimal
|
3
|
3/18/2015
|
| |
About The Staff
(
Higher Numbers Are Better)
| Staffing Hours Per Day Per Resident... |
This Facility |
County Avg |
NV State Avg |
| Number of Residents |
15 |
104.72 |
91.16 |
| Registered Nurses |
0.38 |
0.96 |
1.07 |
| Licensed Practical / Vocational Nurses |
1.30 |
1.10 |
0.92 |
| Certified Nursing Assistants |
2.32 |
2.47 |
2.48 |
| Total Staff Hours |
4.00
|
4.53 |
4.48 |
About the Residents
(
Lower Numbers Are Better)
| Percent of Residents... |
This Facility | % |
County Avg | % |
NV State Avg | % |
|
of long-stay residents assessed and appropriately given the pneumococcal vaccine
|
|
100
|
|
7
|
|
6
|
|
of long-stay residents assessed and appropriately given the seasonal influenza vaccine
|
|
87
|
|
82
|
|
87
|
|
of long-stay residents experiencing one or more falls with major injury
|
|
10
|
|
86
|
|
90
|
|
of long-stay residents who have depressive symptoms
|
|
3
|
|
2
|
|
2
|
|
of long-stay residents who lose too much weight
|
|
2
|
|
2
|
|
2
|
|
of long-stay residents who received an antianxiety or hypnotic medication
|
|
36
|
|
6
|
|
5
|
|
of long-stay residents who received an antipsychotic medication
|
|
33
|
|
25
|
|
24
|
|
of long-stay residents who self-report moderate to severe pain
|
|
23
|
|
18
|
|
15
|
|
of long-stay residents who were physically restrained
|
|
0
|
|
8
|
|
8
|
|
of long-stay residents whose ability to move independently worsened
|
|
16
|
|
0
|
|
0
|
|
of long-stay residents whose need for help with daily activities has increased
|
|
20
|
|
22
|
|
20
|
|
of long-stay residents with a catheter inserted and left in their bladder
|
|
0
|
|
16
|
|
15
|
|
of long-stay residents with a urinary tract infection
|
|
7
|
|
2
|
|
2
|
|
of low risk long-stay residents who lose control of their bowels or bladder
|
|
28
|
|
2
|
|
3
|