Northern Nevada State Veterans Home
NORTHERN NEVADA STATE VETERANS HOME in SPARKS, NV — inspection on March 13, 2025.
Found 2 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
F-F658.
295105
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 295105 B.
Wing 03/13/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Northern Nevada State Veterans Home 36 Battleborn Way Sparks, NV 89431
During administration, the LPN failed to draw the resident's lower eyelid down prior to administration of the medication. A portion of the eye drops fell below the resident's eye, onto the resident's skin.
The LPN handed Resident #72 a tissue, and the resident wiped the medication from below the resident's eyes.
On 03/13/2025 at 8:12 AM, the DON explained it was the DON's expectation of nursing staff to adhere to nursing standards of practice as well as state and federal guidelines when administering medications to residents.
The correct process for administering eye drops to residents was to perform hand hygiene, open the medication, ensure the eye was free from any discharge, hold the eye open (the DON demonstrated pulling the lower eye lid down), and administer the eye drop.
The DON explained if an eye drop was not administered with correct technique an infection could occur, or the medication could be less effective when the eye/eyelid was not held open as the resident could receive less than the ordered amount of the medication.
The facility policy titled Eye - Instillation of Medications, dated 04/01/2008, documented all eye medications would be administered appropriately and with a physician's order.
The procedure included having the resident tilt the resident's head backward, drawing the lower eyelid down, having the resident look up, and dropping one drop of medication every three to five minutes in the pouch of the lower lid.
295105
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 295105 B.
Wing 03/13/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Northern Nevada State Veterans Home 36 Battleborn Way Sparks, NV 89431
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.