Marquis Plaza Regency: Respiratory Care Lapses - NV
The resident, identified in inspection records as R155, believed her medications could kill her and spit them out. She refused care from aides. She screamed near the nurses' station, disrupting other residents' sleep and staff trying to chart. Nursing staff logged the behavior repeatedly.
A psychiatrist had been seeing her since at least May 2024. The psychiatric notes, stretching through an April 2025 visit, documented bipolar disorder with psychotic features and generalized anxiety disorder. She was prescribed Seroquel three times a day for delusions, Fluoxetine for depression, Alprazolam for anxiety, and Hydroxyzine for restlessness.
None of that triggered what the facility's own protocol required: a PASRR Level II assessment, the federally mandated evaluation that determines whether a nursing home is equipped to handle a resident with serious mental illness, and whether additional services or a different placement might be needed.
The original PASRR Level I screening, completed in July 2023 when R155 was admitted, had found no mental illness at all. That determination was never revisited despite the psychiatric diagnoses that followed and the documented behavioral episodes that accumulated in her chart.
When inspectors arrived in September 2025, two registered nurses said they reported behavioral incidents to resident care managers and waited for direction. The care managers said behaviors got discussed at interdisciplinary team meetings. A social worker acknowledged, when asked directly, that a Level II assessment was needed for R155 and had not been done.
The social worker also explained what the PASRR process is designed to answer: whether the current facility is the right place, and whether the resident's behavioral needs require something more.
That question, for R155, remained unanswered.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Marquis Plaza Regency Post Acute Rehab from 2025-09-12 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 4, 2026 · Our methodology
MARQUIS PLAZA REGENCY POST ACUTE REHAB in LAS VEGAS, NV was cited for violations during a health inspection on September 12, 2025.
The resident, identified in inspection records as R155, believed her medications could kill her and spit them out.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.