ORMSBY POST ACUTE REHABILITATION
Ratings & Quality
Staffing Details
| RN Hours per Resident per Day | 0.86 |
|---|---|
| Total Nurse Hours per Resident per Day | 3.41 |
| Number of Certified Beds | 120 |
| Number of Residents | 86 |
Inspection Deficiencies (100)
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Correction date: 2025-04-14
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction date: 2025-04-14
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction date: 2025-04-14
Ensure each resident receives an accurate assessment.
Correction date: 2025-04-14
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
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction date: 2025-04-14
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
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
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
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
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
Protect each resident from the wrongful use of the resident's belongings or money.
Correction date: 2024-11-03
Ensure services provided by the nursing facility meet professional standards of quality.
Correction date: 2024-11-03
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction date: 2024-11-03
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
Protect each resident from the wrongful use of the resident's belongings or money.
Correction date: 2024-07-24
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
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction date: 2024-07-24
Reasonably accommodate the needs and preferences of each resident.
Correction date: 2024-07-24
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction date: 2024-07-24
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
Ensure services provided by the nursing facility meet professional standards of quality.
Correction date: 2024-07-24
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction date: 2024-07-24
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
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction date: 2024-07-24
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction date: 2024-07-24
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Correction date: 2024-07-24
Provide safe and appropriate respiratory care for a resident when needed.
Correction date: 2024-07-24
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction date: 2024-07-24
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Correction date: 2024-07-24
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
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
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
Ensure medication error rates are not 5 percent or greater.
Correction date: 2024-07-24
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
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
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Correction date: 2024-07-24
Employ staff that are licensed, certified, or registered in accordance with state laws.
Correction date: 2024-07-24
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
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
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
Have a plan that describes the process for conducting QAPI and QAA activities.
Correction date: 2024-07-24
Provide and implement an infection prevention and control program.
Correction date: 2024-07-24
Implement a program that monitors antibiotic use.
Correction date: 2024-07-24
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction date: 2024-07-24
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
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Correction date: 2024-07-24
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Correction date: 2024-07-24
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
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Correction date: 2024-07-24
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
Provide training in compliance and ethics.
Correction date: 2024-07-24
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Correction date: 2024-07-24
Respond appropriately to all alleged violations.
Correction date: 2024-07-24
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
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction date: 2024-03-11
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
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
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction date: 2024-03-11
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
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
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction date: 2023-08-15
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction date: 2023-07-29
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
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
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
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
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
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
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction date: 2023-07-29
Provide activities to meet all resident's needs.
Correction date: 2023-07-29
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction date: 2023-09-07
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction date: 2023-07-29
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
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
Ensure medication error rates are not 5 percent or greater.
Correction date: 2023-08-15
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
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Correction date: 2023-08-15
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
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
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
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction date: 2023-08-15
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction date: 2023-08-15
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
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Correction date: 2023-08-15
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Correction date: 2023-08-15
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Correction date: 2023-08-15
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
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Correction date: 2023-08-15
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
Provide training in compliance and ethics.
Correction date: 2023-08-15
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
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Correction date: 2023-08-15
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
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction date: 2023-03-31
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
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
Provide safe, appropriate pain management for a resident who requires such services.
Correction date: 2023-03-31
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 | — |
Facility Information
- Address 3050 N ORMSBY ROAD, Carson City, NV 89703
- Phone 7758414646
- Type Medicare and Medicaid
- Ownership For profit - Limited Liability company
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.