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Several Deficiencies Identified at Nevada State Veterans Home

Nevada State Veterans Home (NSVH) in Boulder City, NV, is a state-owned and operated facility providing nursing services to veterans of military service and their qualified family members. According to a recent article from the Las Vegas Review-Journal, however, the facility is under investigation, uncovering many deficiencies and regulatory violations affecting its patients.

For example:

  • NSVH was cited for failure to monitor a patient who needed frequent supervision, following the death of former Nevada legislator Robert Robinson last summer. Robinson had been left outside in extreme heat for an extended period without supervision from the facility, causing him to suffer second-degree burns on his body. Three weeks later, Robinson died of sepsis, cellulitis, cutaneous burns, and prolonged environmental heat exposure.
  • The facility had a 15.5% medication error rate.
  • Clinical records at NVSH were incomplete.
  • Some of NSVH’s services did not otherwise meet professional standards.
  • NSVH was found to not be adhering to regulations with its policy for reserving beds for patients who are transferred to other facilities for short-term care.

The Nevada Attorney General’s Office continues to investigate the Veterans Home for additional deficiencies, and to ensure previously identified issues have been remedied. The Las Vegas Review-Journal reports that a plan of correction from NSVH shows that a licensed practical nurse is no longer employed at the facility; all staff members received training recently and were placed on quarterly skills assessments; and a new audit for medication administration was implemented.