Life Care Center Of South Las Vegas
LIFE CARE CENTER OF SOUTH LAS VEGAS in LAS VEGAS, NV — inspection on May 27, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
resident was a known diabetic.The facility's Changes in Resident's Condition or Status policy
jeopardy to resident health or physical, mental, or psychosocial status, a deterioration of health or a life-threatening condition or safety clinical complications.
The facility would utilize the Lippincott procedure.The Lippincott procedure: Change in status, identifying and communicating, long-term care, revised [DATE], documented the
complications.
Chronic diseases may lead to potentially life-threatening conditions so the nurse must keep up to date on monitoring for changes.
The Table List for chronic conditions included monitoring for hypoglycemia or hyperglycemia for residents with diabetes.4) On [DATE] at 1:00 PM, the Regional Director of Clinical Services confirmed the facility did not have a diabetes management protocol but went by physician's orders.A history of present illness dated [DATE], revealed R161 arrived at the hospital by emergency medical services (EMS), the resident was confused and had altered mental status. R161's blood glucose level was greater than 600 mg/dl at 9:08 AM and was recorded at 807 mg/dl at 9:13 AM. R161 had severe confusion found to be in diabetic ketoacidosis (DKA - a life-threatening medical emergency which occurs when the body lacks Insulin to convert blood sugar into energy.
Without Insulin, the body starts breaking down fat, producing acids called ketones making the blood dangerously acidic) requiring intensive care unit (ICU) level admission.An independent history provided by emergency medical services (EMS) dated [DATE], revealed R161 came from a skilled nursing facility and had been confused since 2:00 AM, R161 was typically oriented x 2 to 3 but zero for EMS.A hospital Discharge summary dated [DATE], revealed R161 was admitted to the hospital on [DATE] with acute encephalopathy likely metabolic in the setting of DKA and stress hyperglycemia. R161 was started on an Insulin drip, placed on a DKA protocol and moved to the ICU for further assessment and management. R161 was intubated due to altered mentation and respiratory failure.
Palliative care was discussed and R161 was discharged to hospice care on [DATE].A report received by the State Agency on [DATE], revealed R161 expired on [DATE] under hospice care.The facility's Admissions policy revised [DATE], documented the facility would provide uniform guidelines for admission or residents to the facility.
Prior to admission, the resident would be evaluated for physical, emotional and social needs through a pre-admission screening process.
The referral will contain medical findings, diagnoses, treatment to follow, prescribed diet, medication and treatment orders, short- and long-term goals and signed orders for immediate care.
This should be available at the time of admission. A physician must personally approve in writing a recommendation that an individual be admitted to the facility, each resident must remain under the care of a physician, who would provide orders for the resident's immediate care and needs.Complaint 2992873
295076 05/27/2026
Life Care Center of South Las Vegas 2325 E.
Harmon Ave.
Las Vegas, NV 89119
According to the DON, the resident was placed at risk for a urinary tract infection (UTI) and other catheter-related complications.The facility's Indwelling Urinary Catheter Foley Management reviewed 09/04/2025, documented based on comprehensive assessment of a resident, the facility must ensure residents receive treatment and care in accordance with professional standards of practice, the comprehensive care plan and resident's choices.
Refer to [NAME] Procedural Guidance on routine care.The Lippincott procedure: Indwelling Urinary Catheter Removal and Insertion policies (undated), outlined documentation requirements to include, indication for use, assessment findings, date and time of procedure, urine characteristics, any complications, size and type of catheter and amount of sterile water in the catheter balloon.
295076 05/27/2026
Life Care Center of South Las Vegas 2325 E.
Harmon Ave.
Las Vegas, NV 89119
orders, at each required visit.
jeopardy to resident health or NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on safety interview, record review and document review, the facility failed to ensure the attending physician conducted an independent, thorough review of a hospital discharge summary for a resident admitted
resulted in the resident experiencing diabetic-related complications which required rehospitalization.
Findings include:Resident 161 (R161) was admitted on [DATE], with diagnoses including type one diabetes mellitus, and encounter for surgical amputation of right toe due to gangrene.The hospital Discharge summary dated [DATE], revealed R161 underwent amputation of the right third toe on [DATE]. R161 was receiving Insulin Glargine (long-acting) twice a day (BID) and Insulin Humalog (fast-acting) before meals (AC) and at bedtime (HS) following a sliding scale. R161's BG was monitored twice a day with the Insulin Glargine administration and before meals and at hour of sleep for the Insulin Humalog administration.The hospital discharge medication reconciliation dated [DATE], included Insulin Glargine (Lantus injection) 100 units/milliliter (ml) vial, 50 units subcutaneously daily. A free text med rec notes read please consider sliding scale insulin while at rehab facility.
Please also consider splitting long-acting Insulin to twice daily.The medical record lacked documented evidence discharge recommendations to put R161 on an Insulin sliding scale and splitting the long-acting Insulin twice daily were reviewed and addressed by the attending physician.On [DATE] at 11:51 AM, R161's attending physician indicated expecting the admitting nurses to communicate hospital recommendations for an Insulin sliding scale.
The physician indicated they would have agreed to follow hospital recommendations for an Insulin sliding scale and to divide the resident's long-acting Insulin into two administrations.
The physician verbalized being under the impression the facility protocol was to perform BG checks at least three times a day for residents being admitted with a diagnosis of diabetes.A health status note dated [DATE] (5:32 AM), documented R161 was being sent out to the hospital due to a change in condition.
Specifically, R161's heart rate was 32 beats per minute, hands were cold, Oxygen saturation was 82 % (normal 95% to 100%) on room air, deep rapid respirations, unable to speak due to catching breath and was lethargic.
Physician called.A hospital Discharge summary dated [DATE], revealed R161 was admitted to the hospital on [DATE] with acute encephalopathy likely metabolic in the setting of DKA and stress hyperglycemia. R161 was started on an Insulin drip, placed on a DKA protocol and moved to the ICU for further assessment and management. R161 was intubated due to altered mentation and respiratory failure.
Palliative care was discussed and R161 was discharged to hospice care on [DATE].A report received by the State Agency on [DATE], revealed R161 expired on [DATE] under hospice care.On [DATE] in the morning, the Regional Director of Clinical Services and the Clinical Quality Coordinator indicated physicians had an obligation to conduct a thorough independent review of the hospital discharge summary to include discharge medications, treatment services received at the hospital and free text recommendations and not merely rely on nurses.The facility's Physician Services policy reviewed [DATE], revealed each resident was supervised by a licensed physician to provide quality medical care, routine scheduled physician visits, monitor resident care and make changes as needed.
Physician services include but are not limited to resident evaluation - physicians complete, sign and date comprehensive assessment history and physician within 72 hours within 24 hours prior to all admissions to the facility.Complaint 2992873
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.