Premier Health & Rehabilitation Center Of Lv, Lp
PREMIER HEALTH & REHABILITATION CENTER OF LV, LP in LAS VEGAS, NV — inspection on December 19, 2025.
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
3:30 PM, the DON explained If a resident refused to sign the AMA form, two nurses would have witnessed the refusal, signed it and kept it on file, and documented the incident.
The DON explained the expectation was for the nurse to speak with EMS, document the situation, contact the physician, and follow the AMA policy.
The DON verbalized that the nurse had called the physician, but there was no documentation of the call.
The medical record lacked documented evidence of a signed AMA form and documentation that the risks and benefits were explained to R1 and their family.On 12/19/2025 at 3:39 PM, RN5 recalled the AMA discharge and explained that on the day of discharge, R1's family member said they would take R1 to the hospital for better care and demanded to speak with a provider face-to-face within 10 minutes. RN5 explained providers did not come to the facility on Sundays unless it was an emergency. RN5 stated they called the nurse practitioner, who said they were not coming. RN5 told the family, who said, thank you, and about 10 minutes later paramedics came and removed the resident. RN5 said R1 was stable. RN5 explained there was no documentation showing the provider had been contacted and did not recall calling again after R1 left. RN5 said another employee let EMS in through the side door, and no one spoke to EMS about the resident or the discharge. RN5 stated EMS just showed up, and RN5 did not notice them until they were leaving. RN5 said the Administrator, DON, and physician were normally notified per protocol but was unsure if it was documented.On 12/19/2025 at 4:11 PM, the DON explained when EMS came to the facility, they pushed a button located at the side door, which rang at the nurses' station, and staff then let them in. EMS did not have a code for self-entry and did not enter through the front doors.On 12/19/2025 at 4:17 PM, Registered Nurse 6 (RN6), explained EMS entered the facility through the side door. RN6 stated, EMS pressed a button outside the door and an audible buzzer alarmed at the nurses' station.
The nurse or charge nurse would then look at the door cameras visualize who was at the door prior to letting them in.
RN6 stated only the nurse or charge nurse allowed individuals entry through the side door; CNAs did not open the door without a nurse's permission.
Once the nurse or charge nurse confirmed it was safe, they used the speaker system to verbally instruct EMS to enter.
The facility's policy titled Against Medical Advice (AMA) dated 03/2023, documented when a resident or resident's representative expressed the desire to leave the facility before the attending physician had discharged the resident the nurse shall notify the physician and administrator and/or the director of nurses.
Risks of leaving would be discussed, documented and the AMA form signed and placed in the resident's medical record.
Should the resident or resident's representative refuse to sign the form, a clinical staff member signed the form, and a clinical staff member witnessed.
The refusal to sign would also be documented.
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