General Information: LAKE MEAD HEALTH AND REHABILITATION CENTER
Nursing home name LAKE MEAD HEALTH AND REHABILITATION CENTER
Address1180 E. LAKE MEAD DRIVE
HENDERSON, NV 89015
Phone number (702) 565-8555
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
*This is a specail focus facility with a recent history of persistent poor quality of care.
Certified number of beds 266
Total number of residents 192
Perc of occupied beds 72
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints49
Number of Fines4
Total Amount of Fines$70525
Total Number of Penalties1
Total Number of Penalties5
Ratings Summary: LAKE MEAD HEALTH AND REHABILITATION CENTER
Overall rating 2
2
Nursing Home Staffing 3
3
Registered Nurses only 3
3
Health Inspections 1
1
Quality Measures 5
5
Nursing Home Staffing Info: LAKE MEAD HEALTH AND REHABILITATION CENTER
National AverageNevada AverageLAKE MEAD HEALTH AND REHABILITATION CENTER
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 192
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.4 hours 3.77 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.99 hours 1.91 hours
Registered Nurses Hours per Residents per Day 0.81 hours 1.15 hours 0.64 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.84 hours 1.27 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.41 hours 1.86 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.17 hours 0.04 hours
Health Survey: LAKE MEAD HEALTH AND REHABILITATION CENTER
Heath Survey Summary on 2014-02-07
Total Number of Health Deficiencies 11
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2013-08-08
Total Number of Health Deficiencies 31
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Heath Survey Summary on 2013-02-26
Total Number of Health Deficiencies 17
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: LAKE MEAD HEALTH AND REHABILITATION CENTER
Inspection Results: 02/07/2014
Corrected Deficiency Scope and Severity
03/19/2014 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated/Minimal harm or potential for actual harm
03/19/2014 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
03/19/2014 Provide housekeeping and maintenance services. Isolated/Minimal harm or potential for actual harm
03/19/2014 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
03/19/2014 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
03/19/2014 Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. Isolated/Minimal harm or potential for actual harm
03/19/2014 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
03/19/2014 Ensure that residents are safe from serious medication errors. Isolated/Minimal harm or potential for actual harm
03/19/2014 Store, cook, and serve food in a safe and clean way. Isolated/Minimal harm or potential for actual harm
03/19/2014 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm
03/19/2014 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 08/08/2013
Corrected Deficiency Scope and Severity
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
Ensure that residents are fully informed and understand their health status, care and treatments. Isolated/Minimal harm or potential for actual harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Minimal harm or potential for actual harm
Keep residents' personal and medical records private and confidential. Isolated/Minimal harm or potential for actual harm
Allow residents to easily view the results of the nursing home's most recent inspection. Pattern/Minimal harm or potential for actual harm
Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. Pattern/Minimal harm or potential for actual harm
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Pattern/Minimal harm or potential for actual harm
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility Pattern/Minimal harm or potential for actual harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern/Minimal harm or potential for actual harm
Have a program that investigates, controls and keeps infection from spreading. Widespread /Minimal harm or potential for actual harm
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern/Minimal harm or potential for actual harm
Make sure that all required doctor visits are made personally. Isolated/Minimal harm or potential for actual harm
Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
Post nurse staffing information/data on a daily basis. Isolated/Minimal harm or potential for actual harm
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated/Minimal harm or potential for actual harm
Ensure residents maintain acceptable nutritional status. Isolated/Actual harm
Let residents talk to and get information from agencies acting on their behalf. Pattern/Minimal harm or potential for actual harm
Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. Isolated/Actual harm
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. Isolated/Actual harm
Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern/Minimal harm or potential for actual harm
Ensure services provided by the nursing facility meet professional standards of quality. Pattern/Minimal harm or potential for actual harm
Allow residents to self-administer drugs if determined safe. Isolated/Minimal harm or potential for actual harm
Provide housekeeping and maintenance services. Isolated/Minimal harm or potential for actual harm
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern/Minimal harm or potential for actual harm
Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated/Minimal harm or potential for actual harm
Reasonably accommodate the needs and preferences of each resident. Isolated/Minimal harm or potential for actual harm
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Minimal harm or potential for actual harm
Protect each resident from all abuse, physical punishment, and involuntary separation from others. Isolated/Minimal harm or potential for actual harm
Inspection Results: 02/26/2013
Corrected Deficiency Scope and Severity
04/01/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
04/01/2013 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated/Minimal harm or potential for actual harm
04/01/2013 Send unopened mail from residents and promptly deliver unopened mail to residents. Isolated/Minimal harm or potential for actual harm
04/01/2013 Keep each resident free from physical restraints, unless needed for medical treatment. Isolated/Minimal harm or potential for actual harm
03/01/2013 Provide housekeeping and maintenance services. Isolated/Minimal harm or potential for actual harm
04/01/2013 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
04/01/2013 Ensure that residents are safe from serious medication errors. Isolated/Minimal harm or potential for actual harm
04/01/2013 Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Isolated/Minimal harm or potential for actual harm
04/01/2013 Make sure that doctors visit residents regularly, as required. Isolated/Minimal harm or potential for actual harm
04/01/2013 Make sure that all required doctor visits are made personally. Isolated/Minimal harm or potential for actual harm
04/01/2013 Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated/Minimal harm or potential for actual harm
04/01/2013 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm
04/01/2013 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
04/01/2013 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated/Minimal harm or potential for actual harm
04/01/2013 Put firmly secured handrails on each side of hallways. Isolated/Minimal harm or potential for actual harm
04/01/2013 Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. Isolated/Minimal harm or potential for actual harm
04/01/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: LAKE MEAD HEALTH AND REHABILITATION CENTER
Fire Safety Survey Summary on 2014-02-07
Total Number of Fire SafetyDeficiencies 8
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2013-08-09
Total Number of Fire SafetyDeficiencies 8
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2013-02-26
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: LAKE MEAD HEALTH AND REHABILITATION CENTER
Fire Safety Survey Results: 02/07/2014
Corrected Deficiency Severity
Record of quarterly fire drills for each shift under varying conditions. Pattern/Minimal harm or potential for actual harm
An approved installation, maintenance and testing program for fire alarm systems. Pattern/Minimal harm or potential for actual harm
Properly maintained smoke detectors. Pattern/Minimal harm or potential for actual harm
Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
Noncombustible or limited-combustible interior walls. Isolated/Minimal harm or potential for actual harm
Proper construction of ducts through walls designed to prevent smoke passage. Isolated/Minimal harm or potential for actual harm
A properly installed medical gas master alarm panel. Pattern/Minimal harm or potential for actual harm
Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 08/09/2013
Corrected Deficiency Severity
Portable fire extinguishers. Isolated/Minimal harm or potential for actual harm
Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Pattern/Minimal harm or potential for actual harm
Properly protected cooking facilities. Isolated/Minimal harm or potential for actual harm
Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
Properly maintained smoke detectors. Isolated/Minimal harm or potential for actual harm
Noncombustible or limited-combustible interior walls. Isolated/Minimal harm or potential for actual harm
Weekly inspections and monthly testing of generators. Pattern/Minimal harm or potential for actual harm
A properly installed medical gas master alarm panel. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 02/26/2013
Corrected Deficiency Severity
04/12/2013 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Isolated/Minimal harm or potential for actual harm
04/12/2013 Record of quarterly fire drills for each shift under varying conditions. Widespread /Minimal harm or potential for actual harm
04/12/2013 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
04/12/2013 Properly protected cooking facilities. Isolated/Minimal harm or potential for actual harm
04/12/2013 Properly installed hallway dispensers for alcohol-based hand rub. Pattern/Minimal harm or potential for actual harm

Resident Complaints: LAKE MEAD HEALTH AND REHABILITATION CENTER
Date Complaint Substantiated: 07/10/2013
CorrectedCategoryDeficiencySeverity
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. E
Provide necessary care and services to maintain or improve the highest well being of each resident . D
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
Date Complaint Substantiated: 10/03/2012
CorrectedCategoryDeficiencySeverity
11/30/2012Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
11/30/2012Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. D
11/30/2012Keep accurate, complete and organized clinical records on each resident that meet professional standards. D
11/30/2012Ensure residents maintain acceptable nutritional status. D
01/03/2013Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. B
11/30/2012Ensure services provided by the nursing facility meet professional standards of quality. E
01/03/2013Provide necessary care and services to maintain or improve the highest well being of each resident . D
Date Complaint Substantiated: 07/13/2012
CorrectedCategoryDeficiencySeverity
08/29/2012Provide medically-related social services to help each resident achieve the highest possible quality of life. D
08/29/2012Keep accurate, complete and organized clinical records on each resident that meet professional standards. D
08/29/2012Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. D
Date Complaint Substantiated: 05/25/2012
CorrectedCategoryDeficiencySeverity
05/25/2012Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
05/25/2012Give each resident enough fluids to keep them healthy and prevent dehydration. D
07/02/2012Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. D
07/02/2012Provide necessary care and services to maintain or improve the highest well being of each resident . D
07/02/2012Keep accurate, complete and organized clinical records on each resident that meet professional standards. E
Date Complaint Substantiated: 01/31/2012
CorrectedCategoryDeficiencySeverity
03/19/20121) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. D
05/08/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
05/08/2012Keep accurate, complete and organized clinical records on each resident that meet professional standards. D
03/19/2012Reasonably accommodate the needs and preferences of each resident. E
05/08/2012Provide necessary care and services to maintain or improve the highest well being of each resident . G
05/08/2012Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. D
Date Complaint Substantiated: 11/15/2011
CorrectedCategoryDeficiencySeverity
01/06/2012Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. D
Date Complaint Substantiated: 11/14/2011
CorrectedCategoryDeficiencySeverity
05/08/2012Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. D
03/07/2012Ensure services provided by the nursing facility meet professional standards of quality. D
03/07/2012Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. D
05/08/2012Provide necessary care and services to maintain or improve the highest well being of each resident . D
03/07/2012Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. D
05/08/2012Keep accurate, complete and organized clinical records on each resident that meet professional standards. D
05/08/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. G
01/17/2012Give each resident enough fluids to keep them healthy and prevent dehydration. G
Date Complaint Substantiated: 08/24/2011
CorrectedCategoryDeficiencySeverity
11/17/2011Provide necessary care and services to maintain or improve the highest well being of each resident . D
11/17/2011Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
11/17/2011Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
11/17/2011Protect each resident from all abuse, physical punishment, and involuntary separation from others. D
11/17/2011Have enough nurses to care for every resident in a way that maximizes the resident's well being. D
11/17/2011Have a program that investigates, controls and keeps infection from spreading. D
11/17/2011Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. D
11/17/20111) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. D

Quality Measures: LAKE MEAD HEALTH AND REHABILITATION CENTER
Quality Measures National Average Nevada Average LAKE MEAD HEALTH AND REHABILITATION CENTER
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 16.1% 20.4%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 10.1% 11.0%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 7.0% 4.9%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 5.8% 6.2%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 50.1% 47.5%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 4.6% 5.3%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.7% 0.9%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 4.0% 5.3%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.1% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.3% 0.4%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 89.3% 70.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 90.5% 35.1%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 20.6% 22.6%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 21.8% 31.1%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 0.4%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 81.6% 61.7%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 82.8% 78.8%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.2% 4.3%

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