Saint Joseph Transitional Rehabilitation Center
SAINT JOSEPH TRANSITIONAL REHABILITATION CENTER in LAS VEGAS, NV — inspection on September 12, 2025.
Found 10 citations. 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
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.
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.
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.
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.
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.
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 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 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
Facility ID:
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.
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.
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.
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.