General Information: NEVADA STATE VETERANS HOME - BOULDER CITY
Nursing home name NEVADA STATE VETERANS HOME - BOULDER CITY
Address100 VETERANS MEMORIAL DR
BOULDER CITY, NV 89005
Phone number (702) 332-6864
Located within a hospital No
Type of ownership Government - State
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Both
Certified number of beds 180
Total number of residents 171
Perc of occupied beds 95
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints6
Number of Fines1
Total Amount of Fines$20166
Total Number of Penalties0
Total Number of Penalties1
Ratings Summary: NEVADA STATE VETERANS HOME - BOULDER CITY
Overall rating 4
4
Nursing Home Staffing 4
4
Registered Nurses only 4
4
Health Inspections 4
4
Quality Measures 4
4
Nursing Home Staffing Info: NEVADA STATE VETERANS HOME - BOULDER CITY
National AverageNevada AverageNEVADA STATE VETERANS HOME - BOULDER CITY
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 171
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.4 hours 3.79 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.99 hours 1.54 hours
Registered Nurses Hours per Residents per Day 0.81 hours 1.15 hours 0.75 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.84 hours 0.79 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.41 hours 2.26 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.17 hours 0.03 hours
Health Survey: NEVADA STATE VETERANS HOME - BOULDER CITY
Heath Survey Summary on 2013-12-20
Total Number of Health Deficiencies 8
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-12-11
Total Number of Health Deficiencies 10
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2012-01-12
Total Number of Health Deficiencies 6
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Health Survey Details: NEVADA STATE VETERANS HOME - BOULDER CITY
Inspection Results: 12/20/2013
Corrected Deficiency Scope and Severity
01/24/2014 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
01/24/2014 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
01/24/2014 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
01/24/2014 Ensure 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. Isolated/Minimal harm or potential for actual harm
01/24/2014 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated/Minimal harm or potential for actual harm
01/24/2014 Ensure that residents are safe from serious medication errors. Isolated/Minimal harm or potential for actual harm
01/24/2014 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
01/24/2014 Train all employees on what to do in an emergency, and carry out unannounced staff drills. Isolated/Minimal harm or potential for actual harm
Inspection Results: 12/11/2012
Corrected Deficiency Scope and Severity
01/28/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Widespread /Minimal harm or potential for actual harm
01/28/2013 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated/Minimal harm or potential for actual harm
01/28/2013 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
01/28/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
01/28/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
01/28/2013 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
01/28/2013 Develop 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. Pattern/Minimal harm or potential for actual harm
01/28/2013 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
01/28/2013 Train all employees on what to do in an emergency, and carry out unannounced staff drills. Isolated/Minimal harm or potential for actual harm
01/28/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern/Minimal harm or potential for actual harm
Inspection Results: 01/12/2012
Corrected Deficiency Scope and Severity
02/21/2012 Keep residents' personal and medical records private and confidential. Isolated/Minimal harm or potential for actual harm
02/27/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
02/21/2012 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
02/27/2012 Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Isolated/Minimal harm or potential for actual harm
02/17/2012 Store, cook, and serve food in a safe and clean way. Isolated/Minimal harm or potential for actual harm
02/27/2012 Train all employees on what to do in an emergency, and carry out unannounced staff drills. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: NEVADA STATE VETERANS HOME - BOULDER CITY
Fire Safety Survey Summary on 2013-12-17
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-11-27
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-01-11
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey: NEVADA STATE VETERANS HOME - BOULDER CITY
Fire Safety Survey Results: 12/17/2013
Corrected Deficiency Severity
01/24/2014 An approved installation, maintenance and testing program for fire alarm systems. Isolated/Minimal harm or potential for actual harm
01/24/2014 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
01/24/2014 Properly installed hallway dispensers for alcohol-based hand rub. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 11/27/2012
Corrected Deficiency Severity
01/28/2013 Proper medical gas storage and administration areas. Pattern/Minimal harm or potential for actual harm
01/28/2013 Record of quarterly fire drills for each shift under varying conditions. Isolated/Minimal harm or potential for actual harm
01/28/2013 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 01/11/2012
Corrected Deficiency Severity
02/09/2012 Portable fire extinguishers. Widespread/Potential for minimal harm
02/27/2012 Properly protected cooking facilities. Widespread/Potential for minimal harm
02/17/2012 Other fire safety features required by fire safety codes. Isolated/Minimal harm or potential for actual harm
02/17/2012 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm

Resident Complaints: NEVADA STATE VETERANS HOME - BOULDER CITY
Date Complaint Substantiated: 10/24/2012
CorrectedCategoryDeficiencySeverity
11/16/2012Provide necessary care and services to maintain or improve the highest well being of each resident . D
11/14/2012Permit residents to remain in the facility and not be transferred or discharged without adequate reason. D
Date Complaint Substantiated: 07/09/2012
CorrectedCategoryDeficiencySeverity
08/03/2012Provide necessary care and services to maintain or improve the highest well being of each resident . D
08/03/2012Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D

Quality Measures: NEVADA STATE VETERANS HOME - BOULDER CITY
Quality Measures National Average Nevada Average NEVADA STATE VETERANS HOME - BOULDER CITY
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 16.1% 17.7%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 10.1% 0.9%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 7.0% 3.9%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 5.8% 7.9%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 50.1% 31.5%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 4.6% 10.3%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.7% 4.0%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 4.0% 0.2%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.1% 2.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.3% 3.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 89.3% 100.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 90.5% 98.8%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 20.6% 13.1%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 21.8% 9.9%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 2.1%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 81.6% 97.9%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 82.8% 91.7%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.2% 4.9%

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