Inspection Reports for Oasis Nursing & Rehab of Green Valley
100 DELMAR GARDENS DRIVE HENDERSON, NV 89074-3216, NV
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
58% better than Nevada average
Nevada average: 7.1 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Census: 200
Deficiencies: 3
Date: May 22, 2025
Visit Reason
The inspection was conducted as a result of a complaint investigation completed on 05/22/2025, including two complaints and one Facility Reported Incident (FRI). The investigation included observation, interviews, and clinical record reviews.
Complaint Details
Two complaints and one Facility Reported Incident (FRI) were investigated. Complaint NV00073304 and FRI NV00073489 were substantiated. Complaint NV00073571 was unsubstantiated with no regulatory deficiencies identified.
Findings
The facility was found to have substantiated complaints related to abuse and neglect, and medication errors. Deficiencies included failure to keep a resident safe from abuse and failure to ensure correct medication administration, with potential harm to residents. The facility also had issues with infection prevention and control and water management related to Legionella.
Deficiencies (3)
Facility failed to ensure a resident was kept safe from abuse for 1 of 5 sampled residents (Resident 4).
Facility failed to ensure the wrong medication was not administered to a resident for 1 of 5 sampled residents (Resident 3).
Facility failed to establish and maintain an infection prevention and control program.
Report Facts
Sample size: 5
Resident census: 200
Medication doses administered in error: 6
Medication cards audited: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse 1 | Licensed Practical Nurse (LPN1) | Confirmed administering incorrect medication to Resident 3 due to mislabeled medication pack. |
| Licensed Practical Nurse 2 | Licensed Practical Nurse (LPN2) | Verified medication by comparing physician order to medication label and ensured correct administration. |
| Director of Nursing | Director of Nursing (DON) | Acknowledged medication error and familiarity with Resident 3's medication error; audited medication cards weekly. |
| Registered Nurse | Registered Nurse (RN) | Provided clinical information about Resident 3's kidney transplant and medication regimen. |
| Maintenance Director | Maintenance Director (MD) | Interviewed regarding the facility's Legionella Water Management Program and related activities. |
| Administrator | Administrator | Provided information about Legionella concerns and water management program updates. |
| Consultant Pharmacist | Consultant Pharmacist | Indicated pharmacy procedures for medication packing and verification. |
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