Marquis Care At Centennial Hills
MARQUIS CARE AT CENTENNIAL HILLS in LAS VEGAS, NV — inspection on July 26, 2024.
Found 1 citation. 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
Findings included:
Resident #11 (R11)
R11 was admitted on [DATE], with diagnoses including hypertension, diabetes, epilepsy, CVA, and chronic hypoxia.
A physician order dated 04/26/2024 documented floating heels while in bed for skin integrity.
A Braden Scale for predicting pressure sore risk assessment dated [DATE] indicated R11 had moderate risk for pressure sore.
On 07/23/24, at 10:00 AM, R11 was in bed without any heel protectors, and the heels were not floating. A registered nurse confirmed the observation and explained the bed should have been in a position to allow heels to float.
The bed was in a flat position, which did not prevent the heels from coming into direct contact with the mattress.
On 07/25/2024 at 2:00 PM, R11 was in bed and was not wearing heel protectors, and the heels were not floating.
The RN confirmed the observation and, after reviewing the medical record, acknowledged R11's heels should have been floating to prevent pressure ulcers.
A care plan dated 05/24/2024 revealed R11 was at risk for skin impairment related to friction, incontinence, bruises, diabetes, chronic progressive diseases, and decreased mobility.
The care plan's approaches included float heels with pillows to relieve pressure on bony prominence and heel and foot drop protector boots on both feet while in bed.
On 07/25/2024 in the afternoon, the Director of Nursing explained the floating heels procedure was a nursing intervention and should have been implemented following the plan of care.
The facility policy titled Prevention of Pressure Injury-Level II, dated 05/15/2019, stipulated when a resident is in bed, any attempt should be made to keep heels off of the bed by placing a pillow or a Keen Heel Float device.
295089
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 295089 B.
Wing 07/26/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Marquis Care at Centennial Hills 6351 N Fort Apache Rd Las Vegas, NV 89149
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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.