Advanced Health Care Of Summerlin

Assistant (CNA) indicated being assigned to R1 when the resident was still at the facility. 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, R1 requested the CNA to be gentle because the resident was in a lot of pain. R1 claimed other people, especially on night shift, were rough with the 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 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 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 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 R1's room prior to 05/18/2025. R1 and other residents who were possible witnesses should have been interviewed. 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 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 R1.

The Administrator acknowledged there was no investigation conducted regarding 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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