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Complaint Investigation

Advanced Health Care Of Summerlin

Inspection Date: November 25, 2025
Total Violations 1
Facility ID 295092
Location LAS VEGAS, NV
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Inspection Findings

F-Tag F0610

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Assistant (CNA) indicated being assigned to Resident R1 when the resident was still at the facility. Resident R1 required two to three person assist and maximum assistance in turning and repositioning. The CNA revealed on two occasions while the CNA was changing the resident in bed with another CNA, Resident R1 requested the CNA to be gentle because the resident was in a lot of pain. Resident R1 claimed other people, especially on night shift, were rough with the resident. Resident R1 was always in pain and complained when being turned and repositioned. On 09/24/2025 at 1:26 PM, the DON explained the staff were expected to notify the DON or the Administrator right away for an allegation of abuse, even if it was a hearsay. The DON and the Administrator would have initiated an investigation immediately which included interviewing the residents and staff or possible witnesses. The alleged perpetrator, if a staff member, would have been suspended pending investigation.

The facility would ensure the resident's safety. The Administrator would have reported the incident to the State. The DON explained a head-to-toe skin assessment would have been completed for an allegation of physical abuse and documented the assessment in the progress notes. The DON confirmed not being aware of the alleged incident documented in the nurse's notes dated 05/18/2025 at 4:10 PM. The DON acknowledged Resident R1's allegation was not reported to the DON. The DON revealed there was no documentation in the progress notes about the follow-up made regarding the Resident R1's allegation. The DON indicated RN1 was the supervisor on 05/18/2025 and should have done an investigation such as determining the staff involved and reported to the DON. The DON confirmed the allegation was not followed through and investigated because the DON was not aware of the allegation. The DON acknowledged Resident R1 made an allegation of physical abuse based on the nurse's notes. If the DON was made aware of the alleged incident, the DON would have conducted an investigation right away and notified the Administrator.

The DON would have asked the Administrator to review the closed-circuit television (CCTV) to find the staff members who went inside Resident R1's room prior to 05/18/2025. Resident R1 and other residents who were possible witnesses should have been interviewed. Resident R1's family should have been informed regarding the abuse allegation. The DON explained the staffing schedule should have been reviewed to determine the CNAs and nurses who were assigned to Resident R1 prior to 05/18/2025, then interviewed the nursing staff identified in the schedule. The DON acknowledged these actions were not done and the abuse allegation was not investigated. On 09/24/2025 at 1:47 PM, the Administrator confirmed not being informed of the alleged incident documented in the nurse's notes dated 05/18/2025 at 4:10 PM for Resident R1. The Administrator acknowledged there was no investigation conducted regarding Resident R1's allegation. The facility policy titled Abuse Policy and Procedure (undated), documented the Administrator and Director of Nursing would be immediately called for any suspected or reported abuse. The Administrator or Director of Nursing would then ensure the safety of the residents, begin the investigation, and if necessary, report the information to

the police, Department of Health and Welfare, family, physician, and/or any other appropriate agency. The charge nurse would complete an Incident Report when indicated. The Incident Report would be reported to

the Administrator and/or Director of Nursing immediately. The Administrator and/or Director of Nursing would complete an investigation of the incident including a written summary of the findings no later than five working days of the reported occurrence. The summary would include interview notes, incident report, and written, signed, and dated statements from the accused, and witnesses, and the person reporting the incident. Complaint 2297619

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📋 Inspection Summary

ADVANCED HEALTH CARE OF SUMMERLIN in LAS VEGAS, NV inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LAS VEGAS, NV, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ADVANCED HEALTH CARE OF SUMMERLIN or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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