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6161 W CHARLESTON BLVD LAS VEGAS, NV 89146 | Government - State

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Health deficiencies are assigned during inspections that assess compliance with rules related to patient health and safety. Examples include violations of patients' rights and safety standards, as well as the administration of drugs and other treatments.

Life Safety deficiencies are assigned during inspections that assess a facility's compliance with National Fire Protection Association codes related to life safety in health care facilities. They are often conducted in tandem with health inspections. Examples include faulty or improperly maintained fire suppression and electrical systems.

Emergency Preparedness deficiencies can be cited during either a health or life safety inspection and relate to violations of CMS' Emergency Preparedness Rule. Examples include a lack of emergency plans, inadequate staff training and insufficient emergency supplies.

Complete reports and deficiency counts

Report date	Health Deficiencies	Life Safety	Emergency Preparedness	Total
Aug 28, 2020	0	19	0	19	Read full report
Deficiencies cited in this report: Horizontal Exits Cooking Facilities Fire Alarm System - Testing and Maintenance Fire Alarm System - Out of Service Sprinkler System - Maintenance and Testing Sprinkler System - Out of Service Portable Fire Extinguishers Corridor - Doors Subdivision of Building Spaces - Smoke Barrie Subdivision of Building Spaces - Smoke Barrie Elevators Fire Drills Smoking Regulations Maintenance, Inspection and Testing - Doors Portable Space Heaters Electrical Systems - Maintenance and Testing Electrical Systems - Essential Electric Syste Electrical Systems - Essential Electric Syste Electrical Equipment - Power Cords and Extens
Aug 20, 2020	8	0	0	8	Read full report
Deficiencies cited in this report: GOVERNING BODY INSTITUTIONAL PLAN AND BUDGET PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM IC PROFESSIONAL RESPONSIBILITIES POLICIES Treatment Plan - Modalities
Mar 12, 2014 Follow-up to inspection on 2013-07-26*	20	0	0	20	Read full report
Deficiencies cited in this report: MEDICAL STAFF - BYLAWS AND RULES EMERGENCY SERVICES COMPETENT DIETARY STAFF MAINTENANCE OF PHYSICAL PLANT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE SPECIAL MEDICAL RECORD REQUIREMENTS SOCIAL SERVICES RECORDS PROVIDE ASSESSMENT OF HOME PLANS COMPLETE NEUROLOGICAL EXAM RECORDED AT TIME OF ADMISSION EVALUATION ESTIMATES INTELLECTUAL/MEMORY FUNCTIONING EVALUATION INCLUDES INVENTORY OF ASSETS PLAN BASED ON INVENTORY OF STRENGTHS/DISABILITIES PLAN INCLUDES SHORT TERM/LONG RANGE GOALS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED TREATMENT DOCUMENTED TO ASSURE ACTIVE THERAPEUTIC EFFORTS RECORDS OF DISCHARGED PATIENTS INCLUDE DISCHARGE SUMMARY DISCHARGE SUMMARY INCLUDES RECOMMENDATIONS ON FOLLOWUP DISCHARGE SUMMARY INCLUDES SUMMARY OF CONDITION ON DISCHARGE MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS SOCIAL SERVICES
Nov 12, 2013 Follow-up to inspection on 2013-05-09*	4	0	0	4	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 EMERGENCY ROOM LOG MEDICAL SCREENING EXAM APPROPRIATE TRANSFER
Nov 8, 2013 Follow-up to inspection on 2013-07-26*	30	0	0	30	Read full report
Deficiencies cited in this report: GOVERNING BODY CONTRACTED SERVICES PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION QAPI QAPI GOVERNING BODY, STANDARD TAG NURSING SERVICES SUPERVISION OF CONTRACT STAFF ADMINISTRATION OF DRUGS UNUSABLE DRUGS NOT USED ALCOHOL-BASED HAND RUB DISPENSERS FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROFESSIONAL OPO AGREEMENT QUALIFIED EMERGENCY SERVICES PERSONNEL SPECIAL MEDICAL RECORD REQUIREMENTS SOCIAL SERVICES RECORDS PROVIDE ASSESSMENT OF HOME PLANS COMPLETE NEUROLOGICAL EXAM RECORDED AT TIME OF ADMISSION EVALUATION ESTIMATES INTELLECTUAL/MEMORY FUNCTIONING EVALUATION INCLUDES INVENTORY OF ASSETS PLAN BASED ON INVENTORY OF STRENGTHS/DISABILITIES PLAN INCLUDES SHORT TERM/LONG RANGE GOALS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED TREATMENT DOCUMENTED TO ASSURE ACTIVE THERAPEUTIC EFFORTS RECORDS OF DISCHARGED PATIENTS INCLUDE DISCHARGE SUMMARY DISCHARGE SUMMARY INCLUDES RECOMMENDATIONS ON FOLLOWUP DISCHARGE SUMMARY INCLUDES SUMMARY OF CONDITION ON DISCHARGE MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS SOCIAL SERVICES
Nov 8, 2013 Follow-up to inspection on 2013-06-14*	0	7	0	7	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available
Jul 26, 2013	26	0	0	26	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS: INFORMED CONSENT MEDICAL STAFF MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY MEDICAL STAFF BYLAWS NURSING SERVICES RN SUPERVISION OF NURSING CARE SUPERVISION OF CONTRACT STAFF ALCOHOL-BASED HAND RUB DISPENSERS FACILITIES FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE SPECIAL MEDICAL RECORD REQUIREMENTS SOCIAL SERVICES RECORDS PROVIDE ASSESSMENT OF HOME PLANS COMPLETE NEUROLOGICAL EXAM RECORDED AT TIME OF ADMISSION EVALUATION ESTIMATES INTELLECTUAL/MEMORY FUNCTIONING EVALUATION INCLUDES INVENTORY OF ASSETS PLAN BASED ON INVENTORY OF STRENGTHS/DISABILITIES PLAN INCLUDES SHORT TERM/LONG RANGE GOALS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED TREATMENT DOCUMENTED TO ASSURE ACTIVE THERAPEUTIC EFFORTS RECORDS OF DISCHARGED PATIENTS INCLUDE DISCHARGE SUMMARY DISCHARGE SUMMARY INCLUDES RECOMMENDATIONS ON FOLLOWUP DISCHARGE SUMMARY INCLUDES SUMMARY OF CONDITION ON DISCHARGE MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS SOCIAL SERVICES
Jun 14, 2013	0	15	0	15	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available Means of Egress - General
May 9, 2013	4	0	0	4	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 EMERGENCY ROOM LOG MEDICAL SCREENING EXAM STABILIZING TREATMENT
Mar 20, 2013	8	0	0	8	Read full report
Deficiencies cited in this report: GOVERNING BODY MEDICAL STAFF - ACCOUNTABILITY RN SUPERVISION OF NURSING CARE DISCHARGE PLANNING DISCHARGE PLANNING - EARLY IDENTIFICATION DISCHARGE PLANNING EVALUATION DISCUSSION OF EVALUATION RESULTS IMPLEMENTATION OF A DISCHARGE PLAN
Feb 8, 2012 Follow-up to inspection on 2011-11-03*	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: REVIEW OF GRIEVANCES PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT No Description Available
Nov 3, 2011	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: REVIEW OF GRIEVANCES PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT No Description Available
Sep 23, 2010	0	25	0	25	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available
Sep 20, 2010	6	0	0	6	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT CONTENT OF RECORD: INFORMED CONSENT WRITTEN DESCRIPTION OF SERVICES POLICIES FOR LABORATORY SERVICES MAINTENANCE OF PHYSICAL PLANT INFECTION CONTROL PROGRAM
Apr 29, 2010	2	0	0	2	Read full report
Deficiencies cited in this report: NURSING SERVICES RN SUPERVISION OF NURSING CARE

Some state health departments and regional offices of the Centers for Medicare and Medicaid Services sometimes did not upload their inspection reports into a central computer system that could then be shared by us. In such cases, CMS identified the dates of the missing inspections and the number of deficiencies identified. You can request the actual reports from CMS or your state health department.

* Deficiencies cited in follow-up inspections are not counted toward a facility's total deficiency count.

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SOUTHERN NEVADA ADULT MENTAL HEALTH SERVICES

Complete reports and deficiency counts