Delmar Gardens Of Green Valley

100 Delmar Gardens Drive
Henderson, NV 89074
Clark County

Phone: 702-361-6111
Provider Number: 295041
Last Inspection: 03/22/2017


About the Nursing Home


Residents / Beds
187 / 242

Nearest Dialysis
Facility

Type of Ownership
For profit - Corporation

Types of Councils
Resident

Insurance Accepted
Medicare & Medicaid

Located in a Hospital?
NO

Component of CCRC?
NO

Special Focus Facility?
NO

State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.

Deficiency Ratings By Region

  • Facility
  • County
  • NV
  • USA
  • 24
  • 24
  • 22
  • 20
Lower Numbers are Better

Deficiency Ratings By Year

  • 2017
  • 2016
  • 2015
  • 24
  • 22
  • 33
Lower Numbers are Better

Details by Inspection Date

3/22/2017 Inspection

Deficiency Description
Corrected
Deficiency Description
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident .

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
4/24/2017  

Deficiency Description
Failed To: 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.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
4/24/2017  

Deficiency Description
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
4/24/2017  

Deficiency Description
Failed To: Give or get specialized rehabilitative services per the patient's assessment or plan of care.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
4/24/2017  

Deficiency Description
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
4/24/2017  

Deficiency Description
Failed To: Have a program that investigates, controls and keeps infection from spreading.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
4/24/2017  

Deficiency Description
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
4/24/2017  

Deficiency Description
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
4/24/2017  

4/5/2016 Inspection

Deficiency Description
Corrected
Deficiency Description
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
6/8/2016  

Deficiency Description
Failed To: Have a program that investigates, controls and keeps infection from spreading.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
6/8/2016  

Deficiency Description
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
6/8/2016  

Deficiency Description
Failed To: Give or get specialized rehabilitative services per the patient's assessment or plan of care.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
6/8/2016  

Deficiency Description
Failed To: 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.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
6/8/2016  

Deficiency Description
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident .

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
6/8/2016  

Deficiency Description
Failed To: Ensure residents maintain acceptable nutritional status.

Scope: Isolated +
Harm: Actual

Severity:

4

Date of Correction
6/8/2016  

5/8/2015 Inspection

Deficiency Description
Corrected
Deficiency Description
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
6/12/2015  

Deficiency Description
Failed To: 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.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
6/12/2015  

Deficiency Description
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
6/12/2015  

Deficiency Description
Failed To: Have a program that investigates, controls and keeps infection from spreading.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
6/12/2015  

Deficiency Description
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
6/12/2015  

Deficiency Description
Failed To: Provide special eating equipment and utensils for each resident who needs them.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
6/12/2015  

Deficiency Description
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
6/12/2015  

Deficiency Description
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
6/12/2015  

Deficiency Description
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
6/12/2015  

Deficiency Description
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
6/12/2015  

Deficiency Description
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations.

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
6/12/2015  

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

10/1/2015 Inspection

Deficiency Description
Corrected
Deficiency Description
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident .

Scope: Isolated +
Harm: Minimal

Severity:

3

Date of Correction
11/4/2015  

About The Staff

(Higher numbers are better)

Hours Per Day Per Resident
This Facility
County Avg
State Avg
Number of Residents
187
105
91
Registered Nurses
0.54 hrs
0.96 hrs
1.07 hrs
Licensed Practical / Vocational Nurses
0.73 hrs
1.10 hrs
0.92 hrs
Certified Nursing Assistants
2.27 hrs
2.47 hrs
2.48 hrs
Total Staff Hours
3.55 hrs
4.53 hrs
4.48 hrs

About the Residents

(Read each measure closely)

Percent of Residents
This Facility
County Avg
State Avg
high risk long-stay residents with pressure ulcers
3%
7%
6%
long-stay residents assessed and appropriately given the pneumococcal vaccine
95%
82%
87%
long-stay residents assessed and appropriately given the seasonal influenza vaccine
97%
86%
90%
long-stay residents experiencing one or more falls with major injury
5%
2%
2%
long-stay residents who have depressive symptoms
0%
2%
2%
long-stay residents who lose too much weight
5%
6%
5%
long-stay residents who received an antianxiety or hypnotic medication
24%
25%
24%
long-stay residents who received an antipsychotic medication
21%
18%
15%
long-stay residents who self-report moderate to severe pain
5%
8%
8%
long-stay residents who were physically restrained
1%
0%
0%
long-stay residents whose ability to move independently worsened
11%
22%
20%
long-stay residents whose need for help with daily activities has increased
19%
16%
15%
long-stay residents with a catheter inserted and left in their bladder
2%
2%
2%
long-stay residents with a urinary tract infection
2%
2%
3%
low risk long-stay residents who lose control of their bowels or bladder
55%
48%
47%
short-stay residents assessed and appropriately given the pneumococcal vaccine
85%
74%
76%
short-stay residents who had an outpatient emergency department visit
6%
10%
12%
short-stay residents who made improvements in function
69%
59%
61%
short-stay residents who newly received an antipsychotic medication
2%
2%
2%
short-stay residents who self-report moderate to severe pain
8%
17%
16%
short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
83%
74%
76%
short-stay residents who were rehospitalized after a nursing home admission
17%
26%
24%
short-stay residents who were successfully discharged to the community
56%
43%
48%
short-stay residents with pressure ulcers that are new or worsened
1%
0%
0%


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