Marquis Plaza Regency Post Acute Rehab
Inspection Findings
F-Tag F0644
F 0644 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
resident would get upset when offered care. Resident had spit out the morning medications because the resident believed the medications could kill the resident. The resident refused a brief change from CNA. The resident purposely raised voice to get attention and disrupt others.Other behaviors: Behavior of disrupting others. The resident could be loud screaming especially at the nurse's station. Resident R155 disrupts other residents' sleep during bedtime and disrupts staff while charting at the station. Multiple entries of behaviors were entered by nursing staff which demonstrates Resident R155 was experiencing symptoms or indicators of significant mental illness.Resident R155 had numerous documented routine Psychiatry Evaluations. The progress notes documented the following assessments: Initial Psychiatry Evaluation dated 05/30/2024 at 8:30AM, to
the most recent Psychiatry visit dated 04/25/2025 at 11:15AM, consistently documented under Complexity/Medical Decision Making:1. Bipolar disorder with psychotic features - Continue Seroquel (anti-psychotic) 75 milligram (mg) three times a day (TID) to help address delusions associated with (a/w) bipolar disorder. Continue Fluoxetine (anti-depressant) 40 mg daily for depression a/w bipolar disorder.2.
Generalized anxiety disorder - Continue Alprazolam (anti-anxiety) 0.5 mg TID for anxiety/restlessness.
Continue Hydroxyzine 25 mg TID for restlessness.The Initial PASRR level I Screening form dated 07/05/2023, documented Determination: No mental illness, mental retardation, related condition or dementia. The PASRR deemed the resident was appropriate for nursing facility placement.Resident R155 lacked documented evidence a PASRR level II assessment was completed even with Resident R155 demonstrated behaviors of a serious mental illness (SMI) or the actual diagnosis from the psychiatric evaluations.On 09/11/2025 in the morning, two Registered Nurses (RNs) indicated behavioral incidents were documented
on the progress notes. The RNs indicated the Resident Care Managers (RCM) would be informed of the behaviors as well. Any further directives would be received from the physicians or RCM.On 09/11/2025 at 2:14 PM, two RCMs indicated nurses would report any resident behaviors and would be discussed during interdisciplinary team (IDT) meetings. The RCM reviewed Resident R155‘s EHR and confirmed the resident did not have a PASRR level II. On 09/11/2025 at 3:03 PM, a social worker (SW) confirmed the assigned SW to the specific resident attends the IDT meeting and would be informed of behavioral changes exhibited by a resident. The need for a Level II PASRR assessment would be determined at the IDT meeting. The SW acknowledged the purpose of the PASRR was to assess if the current facility was appropriate for the level of care or additional recommendations needed for a resident's behavioral needs. The SW acknowledged a level II PASRR was needed for Resident R155. The facility policy titled PASRR Protocol - Nevada (Undated), documented when to complete the PASRR Level II Request: 1. When the resident is determined to have serios mental illness (SMI), mental retardation (MR) or related concerns (RC). 2. At any point if a person with SMI, MR or RC has an exacerbation of behaviors or indications of worsening mental health indicators.
Event ID:
Facility ID:
If continuation sheet
F-Tag F0655
Federal health inspectors cited MARQUIS PLAZA REGENCY POST ACUTE REHAB in LAS VEGAS, NV for a deficiency under regulatory tag F-F0655 during a standard health inspection conducted on 2025-09-12.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of MARQUIS PLAZA REGENCY POST ACUTE REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-20.
F-Tag F0677
Federal health inspectors cited MARQUIS PLAZA REGENCY POST ACUTE REHAB in LAS VEGAS, NV for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-09-12.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of MARQUIS PLAZA REGENCY POST ACUTE REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-20.
F-Tag F0694
Federal health inspectors cited MARQUIS PLAZA REGENCY POST ACUTE REHAB in LAS VEGAS, NV for a deficiency under regulatory tag F-F0694 during a standard health inspection conducted on 2025-09-12.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of MARQUIS PLAZA REGENCY POST ACUTE REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-20.
F-Tag F0695
Federal health inspectors cited MARQUIS PLAZA REGENCY POST ACUTE REHAB in LAS VEGAS, NV for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-09-12.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of MARQUIS PLAZA REGENCY POST ACUTE REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-20.
F-Tag F0813
Federal health inspectors cited MARQUIS PLAZA REGENCY POST ACUTE REHAB in LAS VEGAS, NV for a deficiency under regulatory tag F-F0813 during a standard health inspection conducted on 2025-09-12.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of MARQUIS PLAZA REGENCY POST ACUTE REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-20.
MARQUIS PLAZA REGENCY POST ACUTE REHAB in LAS VEGAS, NV inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 MARQUIS PLAZA REGENCY POST ACUTE REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.