TLC Care Center: Bathing Neglect Leaves Resident with Rash - NV
The resident, identified in the inspection report as Resident 1, had been admitted to TLC Care Center at 1500 W. Warm Springs Road with a history of stroke, type 2 diabetes, and high blood pressure. A stroke had left her with difficulty swallowing. She was fully dependent on staff to wash, rinse, and dry her during baths. She could not do it herself.
The facility's own schedule called for her to receive a shower or bed bath twice a week, on Wednesday and Saturday evenings. That schedule, a CNA confirmed during the December 30, 2025 inspection, was documented in the medical record.
The documentation told a different story than twice a week.
Inspectors pulled Resident 1's bathing records and found the following: a bed bath on September 30, a shower on October 11, a bed bath on October 22, another on October 29, then nothing until November 19. After that, a shower on December 10, a bed bath on December 17, a bed bath on December 20, and a shower on December 21. Nine bathing entries across nearly three months, for a resident whose schedule required bathing twice weekly. In a stretch running from late October through mid-November, three weeks passed with a single entry.
The Director of Nursing reviewed the records during the inspection. She confirmed that showers were scheduled for Wednesday and Saturday evenings and had not been provided as scheduled. She said it herself: when a resident does not receive routine bathing, they are at risk for skin breakdown, rashes, and overall poor hygiene.
Resident 1 had a rash. She was itching. She told the inspector at 9:30 in the morning, ten minutes before the CNA explained how the bathing schedule was supposed to work.
Diabetes complicates skin problems in ways that go beyond ordinary discomfort. Diabetic patients are more vulnerable to infections and slower to heal. A rash that might resolve quickly in a healthier person can become something worse. The inspection report noted the deficient practice had the potential to place Resident 1 at risk for skin breakdown, rashes, and overall poor hygiene. The rash she described to the inspector was not potential. It was already there.
The facility's own undated shower policy stated that qualified nursing staff would provide bathing as needed and that residents would be offered at least two full baths or showers per week. The gap between that policy and what Resident 1's records showed was not a matter of a missed shift here and there. The pattern stretched across the fall.
The inspection was conducted as a complaint investigation, complaint number 2651495, and was completed December 31, 2025. TLC Care Center was cited at a level of minimal harm or potential for actual harm, the lower end of the deficiency scale. The citation covered one of six sampled residents.
Resident 1 was dependent on staff for nearly every part of bathing. She could not compensate when staff did not come. She could not shower herself on the nights the evening shift skipped her. She could only wait, and eventually, she told someone.
She told an inspector.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Tlc Care Center from 2025-12-31 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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
TLC CARE CENTER in HENDERSON, NV was cited for neglect violations during a health inspection on December 31, 2025.
The resident, identified in the inspection report as Resident 1, had been admitted to TLC Care Center at 1500 W.
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.