Saint Joseph Transitional Rehabilitation Center
Inspection Findings
F-Tag F0553
Federal health inspectors cited SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER in LAS VEGAS, NV for a deficiency under regulatory tag F-F0553 during a standard health inspection conducted on 2025-09-12.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Allow resident to participate in the development and implementation of his or her person-centered plan of care.
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 10 deficiencies cited during this inspection of SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-09.
F-Tag F0637
Federal health inspectors cited SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER in LAS VEGAS, NV for a deficiency under regulatory tag F-F0637 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: Assess the resident when there is a significant change in condition
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 10 deficiencies cited during this inspection of SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-09.
F-Tag F0638
Federal health inspectors cited SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER in LAS VEGAS, NV for a deficiency under regulatory tag F-F0638 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: Assure that each resident’s assessment is updated at least once every 3 months.
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 10 deficiencies cited during this inspection of SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-09.
F-Tag F0656
Federal health inspectors cited SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER in LAS VEGAS, NV for a deficiency under regulatory tag F-F0656 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: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 10 deficiencies cited during this inspection of SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-07.
F-Tag F0657
Federal health inspectors cited SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER in LAS VEGAS, NV for a deficiency under regulatory tag F-F0657 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: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 10 deficiencies cited during this inspection of SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-08.
F-Tag F0677
F 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
being informed of the required level of assistance with meals for each resident through the hand off report from the previous shift. The required meal assistance was documented in the point-of-care (POC) charting
in the kiosk (electronic charting) where the CNAs documented the ADL charting for each resident. The CNA explained verifying in the POC charting the level of meal assistance required for each resident such as supervision, set up help only, or 1:1 meal assistance. The CNA indicated the level of meal assistance provided to each resident should have been documented every meal. The CNA confirmed Resident R111's ADL charting for eating was incomplete because some dates were left blank.On 09/12/2025 at 1:58 PM, the Director of Nursing (DON) explained the CNAs were expected to follow the ADL level of assistance including eating indicated in the POC such as moderate assistance, supervision, set-up help only, or dependent and document in the ADL charting every meal. The DON confirmed Resident R111's ADL documentation for eating, including meal percentage, was incomplete.The facility's policy titled Activities of Daily Living (ADLs), Supporting revised in March 2018, documented the residents who were unable to carry out activities of daily living independently would receive the services necessary to maintain good nutrition, grooming, and personal and oral hygiene. Appropriate care and services would be provided for residents who were unable to carry out ADLs independently, with the consent of the resident and in accordance with
the plan of care, including appropriate support and assistance with dining (meals and snacks).Complaint Event ID:
Facility ID:
If continuation sheet
F-Tag F0684
Federal health inspectors cited SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER in LAS VEGAS, NV for a deficiency under regulatory tag F-F0684 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 appropriate treatment and care according to orders, resident’s preferences and goals.
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 10 deficiencies cited during this inspection of SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-08.
F-Tag F0686
Federal health inspectors cited SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER in LAS VEGAS, NV for a deficiency under regulatory tag F-F0686 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 appropriate pressure ulcer care and prevent new ulcers from developing.
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 10 deficiencies cited during this inspection of SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-08.
F-Tag F0842
Federal health inspectors cited SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER in LAS VEGAS, NV for a deficiency under regulatory tag F-F0842 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: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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 10 deficiencies cited during this inspection of SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-09.
F-Tag F0880
Federal health inspectors cited SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER in LAS VEGAS, NV for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-12.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
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 10 deficiencies cited during this inspection of SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-27.
SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER 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 SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.