Premier Health & Rehabilitation Center Of Lv, Lp
Inspection Findings
F-Tag F0627
F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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 Resident 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, Resident R1's family member said they would take Resident 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 Resident R1 was stable. RN5 explained there was no documentation showing the provider had been contacted and did not recall calling again after Resident 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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PREMIER HEALTH & REHABILITATION CENTER OF LV, LP 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 PREMIER HEALTH & REHABILITATION CENTER OF LV, LP or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.