Premier Health & Rehab: Unsafe Discharge Protocol - NV
The registered nurse on duty, identified in inspection records as RN5, told investigators she didn't notice EMS until they were already leaving. She said another employee let them in through the side door. She did not recall calling the provider again after the resident left. There was no documentation showing the provider had been reached at all.
The resident, identified only as R1, was described as stable at the time of discharge. The family had told staff they were taking R1 to a hospital for better care. What the medical record lacked was any signed against-medical-advice form, any documentation that the risks and benefits of leaving had been explained to R1 or the family, and any written evidence that the physician had been notified.
The Director of Nursing acknowledged all of it during the December 19 inspection. She told investigators that if a resident refused to sign the AMA form, two nurses were supposed to witness the refusal, sign the form themselves, and document the incident. The expectation was for the nurse to speak with EMS, document the situation, and contact the physician. The DON confirmed RN5 had called the physician, but said there was no documentation of that call either.
RN5's account of how EMS entered only deepened the picture. She said someone else let them in through the side door while she was at the nurses' station. A second nurse, RN6, explained the side door worked by buzzer, that staff would check the camera before granting entry, and that CNAs were not permitted to open it without a nurse's authorization.
Whether a nurse authorized EMS entry or a CNA did it without permission, nobody stopped to talk to the paramedics about the resident they were removing from the building.
The family had said thank you and called 911. The facility's own policy, in place since March 2023, spelled out exactly what should have happened next. None of it did.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Premier Health & Rehabilitation Center of Lv, Lp from 2025-12-19 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: June 20, 2026 · Our methodology
PREMIER HEALTH & REHABILITATION CENTER OF LV, LP in LAS VEGAS, NV was cited for violations during a health inspection on December 19, 2025.
The registered nurse on duty, identified in inspection records as RN5, told investigators she didn't notice EMS until they were already leaving.
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.