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: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 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.