ORMSBY POST ACUTE REHABILITATION

Nursing Home Carson City, NV Medicare and Medicaid
1/5
Overall Rating
1/5
Certified Beds
120
Residents
86
Total Fines
$60,464

Ratings & Quality

Overall
1/5
Health Inspection
1/5
Staffing
3/5
Quality
3/5

Staffing Details

RN Hours per Resident per Day0.86
Total Nurse Hours per Resident per Day3.41
Number of Certified Beds120
Number of Residents86

Inspection Deficiencies (100)

0940 2025-03-27 D Not Corrected

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Correction date: 2025-04-14

0582 2025-03-27 D Not Corrected

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Correction date: 2025-04-14

0640 2025-03-27 D Not Corrected

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Correction date: 2025-04-14

0641 2025-03-27 D Not Corrected

Ensure each resident receives an accurate assessment.

Correction date: 2025-04-14

0656 2025-03-27 D Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2025-04-14

0757 2025-03-27 D Not Corrected

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Correction date: 2025-04-14

0761 2025-03-27 D Not Corrected

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Correction date: 2025-04-14

0812 2025-03-27 F Not Corrected

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction date: 2025-04-14

0842 2025-03-27 D Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2025-04-14

0849 2025-03-27 E Not Corrected

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Correction date: 2025-04-14

0600 2024-09-18 D Not Corrected

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction date: 2024-11-03

0602 2024-09-18 D Not Corrected

Protect each resident from the wrongful use of the resident's belongings or money.

Correction date: 2024-11-03

0658 2024-09-18 D Not Corrected

Ensure services provided by the nursing facility meet professional standards of quality.

Correction date: 2024-11-03

0757 2024-09-18 D Not Corrected

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Correction date: 2024-11-03

0600 2024-05-29 D Not Corrected

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction date: 2024-07-24

0602 2024-05-29 D Not Corrected

Protect each resident from the wrongful use of the resident's belongings or money.

Correction date: 2024-07-24

0622 2024-05-29 D Not Corrected

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Correction date: 2024-07-24

0552 2024-05-29 D Not Corrected

Ensure that residents are fully informed and understand their health status, care and treatments.

Correction date: 2024-07-24

0558 2024-05-29 D Not Corrected

Reasonably accommodate the needs and preferences of each resident.

Correction date: 2024-07-24

0609 2024-05-29 D Not Corrected

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction date: 2024-07-24

0657 2024-05-29 D Not Corrected

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction date: 2024-07-24

0658 2024-05-29 E Not Corrected

Ensure services provided by the nursing facility meet professional standards of quality.

Correction date: 2024-07-24

0677 2024-05-29 D Not Corrected

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction date: 2024-07-24

0678 2024-05-29 D Not Corrected

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Correction date: 2024-07-24

0684 2024-05-29 D Not Corrected

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction date: 2024-07-24

0686 2024-05-29 D Not Corrected

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction date: 2024-07-24

0691 2024-05-29 D Not Corrected

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Correction date: 2024-07-24

0695 2024-05-29 D Not Corrected

Provide safe and appropriate respiratory care for a resident when needed.

Correction date: 2024-07-24

0698 2024-05-29 D Not Corrected

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Correction date: 2024-07-24

0712 2024-05-29 D Not Corrected

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Correction date: 2024-07-24

0725 2024-05-29 D Not Corrected

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Correction date: 2024-07-24

0726 2024-05-29 F Not Corrected

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Correction date: 2024-07-24

0755 2024-05-29 D Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2024-07-24

0759 2024-05-29 D Not Corrected

Ensure medication error rates are not 5 percent or greater.

Correction date: 2024-07-24

0761 2024-05-29 E Not Corrected

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Correction date: 2024-07-24

0812 2024-05-29 F Not Corrected

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction date: 2024-07-24

0835 2024-05-29 F Not Corrected

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Correction date: 2024-07-24

0839 2024-05-29 C Not Corrected

Employ staff that are licensed, certified, or registered in accordance with state laws.

Correction date: 2024-07-24

0841 2024-05-29 C Not Corrected

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Correction date: 2024-07-24

0842 2024-05-29 D Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2024-07-24

0851 2024-05-29 D Not Corrected

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Correction date: 2024-07-24

0865 2024-05-29 F Not Corrected

Have a plan that describes the process for conducting QAPI and QAA activities.

Correction date: 2024-07-24

0880 2024-05-29 D Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2024-07-24

0881 2024-05-29 F Not Corrected

Implement a program that monitors antibiotic use.

Correction date: 2024-07-24

0883 2024-05-29 E Not Corrected

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Correction date: 2024-07-24

0887 2024-05-29 D Not Corrected

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Correction date: 2024-07-24

0941 2024-05-29 D Not Corrected

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Correction date: 2024-07-24

0942 2024-05-29 E Not Corrected

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Correction date: 2024-07-24

0943 2024-05-29 D Not Corrected

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Correction date: 2024-07-24

0944 2024-05-29 E Not Corrected

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Correction date: 2024-07-24

0945 2024-05-29 E Not Corrected

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Correction date: 2024-07-24

0946 2024-05-29 F Not Corrected

Provide training in compliance and ethics.

Correction date: 2024-07-24

0949 2024-05-29 E Not Corrected

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Correction date: 2024-07-24

0610 2024-05-29 J Not Corrected

Respond appropriately to all alleged violations.

Correction date: 2024-07-24

0656 2024-05-29 D Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2024-07-24

0552 2024-02-16 D Not Corrected

Ensure that residents are fully informed and understand their health status, care and treatments.

Correction date: 2024-03-11

0600 2024-02-16 D Not Corrected

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction date: 2024-03-11

0656 2024-02-16 D Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2024-03-11

0657 2024-02-16 D Not Corrected

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction date: 2024-03-11

0689 2024-02-16 D Not Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction date: 2024-03-11

0600 2023-10-16 D Not Corrected

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction date: 2023-10-30

0600 2023-07-05 D Not Corrected

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction date: 2023-07-29

0550 2023-07-05 D Not Corrected

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction date: 2023-08-15

0552 2023-07-05 D Not Corrected

Ensure that residents are fully informed and understand their health status, care and treatments.

Correction date: 2023-07-29

0561 2023-07-05 D Not Corrected

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Correction date: 2023-07-29

0580 2023-07-05 D Not Corrected

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Correction date: 2023-08-15

0584 2023-07-05 E Not Corrected

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Correction date: 2023-07-29

0655 2023-07-05 D Not Corrected

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Correction date: 2023-07-29

0656 2023-07-05 D Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2023-07-29

0657 2023-07-05 D Not Corrected

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction date: 2023-08-15

0677 2023-07-05 D Not Corrected

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction date: 2023-07-29

0679 2023-07-05 D Not Corrected

Provide activities to meet all resident's needs.

Correction date: 2023-07-29

0684 2023-07-05 D Not Corrected

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction date: 2023-09-07

0686 2023-07-05 D Not Corrected

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction date: 2023-07-29

0726 2023-07-05 F Not Corrected

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Correction date: 2023-08-15

0758 2023-07-05 D Not Corrected

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Correction date: 2023-08-15

0759 2023-07-05 D Not Corrected

Ensure medication error rates are not 5 percent or greater.

Correction date: 2023-08-15

0761 2023-07-05 D Not Corrected

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Correction date: 2023-08-15

0835 2023-07-05 F Not Corrected

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Correction date: 2023-08-15

0837 2023-07-05 C Not Corrected

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.

Correction date: 2023-08-15

0838 2023-07-05 F Not Corrected

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Correction date: 2023-08-15

0842 2023-07-05 F Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2023-08-15

0867 2023-07-05 D Not Corrected

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Correction date: 2023-08-15

0883 2023-07-05 D Not Corrected

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Correction date: 2023-08-15

0887 2023-07-05 D Not Corrected

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Correction date: 2023-08-15

0940 2023-07-05 F Not Corrected

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Correction date: 2023-08-15

0941 2023-07-05 E Not Corrected

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Correction date: 2023-08-15

0942 2023-07-05 E Not Corrected

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Correction date: 2023-08-15

0943 2023-07-05 D Not Corrected

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Correction date: 2023-08-15

0944 2023-07-05 E Not Corrected

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Correction date: 2023-08-15

0945 2023-07-05 E Not Corrected

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Correction date: 2023-08-15

0946 2023-07-05 E Not Corrected

Provide training in compliance and ethics.

Correction date: 2023-08-15

0947 2023-07-05 D Not Corrected

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Correction date: 2023-08-15

0949 2023-07-05 D Not Corrected

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Correction date: 2023-08-15

0600 2023-04-27 D Not Corrected

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction date: 2023-06-08

0550 2023-03-01 D Not Corrected

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction date: 2023-03-31

0600 2023-03-01 D Not Corrected

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction date: 2023-03-31

0623 2023-03-01 D Not Corrected

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Correction date: 2023-03-31

0697 2023-03-01 D Not Corrected

Provide safe, appropriate pain management for a resident who requires such services.

Correction date: 2023-03-31

0839 2023-03-01 D Not Corrected

Employ staff that are licensed, certified, or registered in accordance with state laws.

Correction date: 2023-03-31

Penalties & Fines

Date Type Fine Amount
2024-05-29 Fine $60,464
2024-05-29 Payment Denial

About ORMSBY POST ACUTE REHABILITATION

ORMSBY POST ACUTE REHABILITATION is a medicare and medicaid certified nursing home in Carson City, Nevada. The facility has 120 certified beds and currently houses 86 residents. It has received an overall quality rating of 1 out of 5 stars from CMS. The facility has 100 inspection deficiencies on record. Total fines assessed: $60,464 across 2 penalties. Registered nurse hours are 0.86 per resident per day.