Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Saint Joseph Transitional Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to provide quarterly trust account statements to a resident and two others, leading to grievances and financial confusion. One resident was unaware of a $5000 past due bill, while another suspected potential fraud. The BOM, new to the position, had not distributed statements and was unaware of grievances. The Regional BOM found improper fund management, and the Administrator noted recent management changes.
The facility failed to address grievances from three residents regarding their trust account statements, leading to frustration and suspicion. Despite filing grievances, the residents did not receive their statements, and the facility's grievance process lacked documentation and resolution. The Business Office Manager and Administrator, both new to their positions, were unaware of the grievances and acknowledged the lack of follow-through.
A resident with quadriplegia and other conditions did not receive scheduled restorative nursing services due to a staff meeting, and the session was not rescheduled. The resident's program included a standing frame activity designed by a PT, requiring two RNAs to perform. The facility's policy required restorative care to promote safety and independence, but scheduling conflicts and workload issues led to the deficiency.
The facility failed to provide physician-ordered medications for three residents, resulting in missed doses. A resident with epilepsy missed a dose of Keppra due to an unavailable supply. Another resident with GERD did not receive Protonix, and a third resident with osteoporosis missed Alendronate Sodium doses. The LPN acknowledged the oversight, and the DON explained the expectation to reorder medications 72 hours before depletion.
A resident was administered incorrect medications, resulting in a medication error rate of 7.41%. An LPN gave a Cranberry Oral Tablet at an incorrect dosage and failed to administer a prescribed Fish Oil Capsule, mistaking it for Vitamin E. The facility's policy requires verification of the right medication, dose, and resident before administration.
The facility failed to label raw chicken stored in the walk-in refrigerator with the date and time it was placed there. During a kitchen tour, a pan of cut-up chicken was found without a label, contrary to facility policy. The Dietary Regional Director confirmed the labeling requirement but could not determine when the chicken was refrigerated.
Failure to Provide Trust Account Statements
Penalty
Summary
The facility failed to consistently provide residents with quarterly trust account statements, affecting one sampled resident and two unsampled residents. Resident 30, who was responsible for their finances and had normal memory function, reported not receiving a trust account statement for a long time despite previously receiving them monthly. This resident had filed a grievance about four months prior regarding the lack of statements but had not received a response from the facility. Resident 31, also responsible for their finances and with normal memory function, expressed frustration over not receiving a trust account statement despite filing a grievance. This resident was shocked to receive a facility bill showing a past due amount of $5000, which they were unaware of how to pay. Resident 72, who had congestive heart failure and was responsible for their finances, reported receiving only one trust account statement after involving the Ombudsman and filing a grievance. This resident felt frustrated and suspicious of potential fraud due to the lack of regular statements. The Business Office Manager (BOM), who started the position in June 2024, admitted to not distributing monthly statements since beginning work and was unaware of the grievances filed by the residents. The BOM acknowledged that Resident 31 had overdrawn their trust account by withdrawing cash daily without checking the balance. The Regional BOM confirmed that Resident 31 had not paid their share of cost for three months and had overdrawn petty cash, which was not in accordance with proper management of resident funds. The facility's Administrator noted recent management changes and that the current BOM was being assisted by a corporate consultant to learn facility procedures for managing trust accounts and billing.
Failure to Address Resident Grievances on Trust Account Statements
Penalty
Summary
The facility failed to adequately address grievances related to trust account statements for three residents, leading to feelings of frustration and suspicion among the residents. Resident 30, who was responsible for their finances and had normal memory function, reported not receiving a trust account statement for a long time despite filing a grievance four months prior. The grievance documentation indicated that the account was to be audited, but there was no evidence that the resident received the statement or that the grievance was resolved. Similarly, Resident 31, also responsible for their finances and with normal memory function, had not received a trust account statement since admission. Despite filing a grievance, there was no documentation of resolution or assignment of responsibility for addressing the concern. Resident 72, who had congestive heart failure and was responsible for their finances, received a trust account statement only after involving the Ombudsman. However, the statements were not provided monthly as required, and the grievance documentation lacked evidence of resolution. The facility's grievance process was not followed, as evidenced by the lack of documentation and resolution of the grievances. The Business Office Manager, who was new to the position, had not distributed monthly statements and was unaware of the grievances. The Administrator, also new to the position, acknowledged the lack of follow-through and resolution in the grievance process. The facility's policy required immediate action and notification of resolution within 72 hours, which was not adhered to in these cases.
Failure to Provide Scheduled Restorative Nursing Services
Penalty
Summary
The facility failed to provide restorative nursing services as ordered and scheduled for a resident, identified as Resident 16, who was admitted with diagnoses including quadriplegia, age-related osteoporosis, muscle wasting and atrophy, and polyneuropathy. The resident's restorative nursing program, designed by a physical therapist, included a standing frame activity scheduled once weekly on the day shift. However, the resident did not receive the scheduled session on 09/12/2024 because all nursing staff attended a meeting, and the session was not rescheduled. Interviews with the resident and restorative nurse assistants (RNAs) confirmed the missed session and revealed that the facility employed three RNAs, with two required to perform the standing frame activity. The RNAs cited workload and scheduling conflicts as reasons for not rescheduling the session. The Director of Nursing acknowledged that the RNAs should have reported the missed session, which could have been rescheduled. The facility's policy stated that residents would receive restorative nursing care as needed to promote optimal safety and independence.
Medication Availability Deficiency
Penalty
Summary
The facility failed to ensure the availability of physician-ordered medications for three residents, leading to missed doses. Resident 29, diagnosed with epilepsy, did not receive their morning dose of Keppra on 09/17/2024 because the medication supply had run out. The LPN confirmed that the medication was not available and needed to be reordered. The Nurse Practitioner was made aware of the missed dose the following day, and the Medication Administration Record (MAR) documented the missed dose. Resident 72, with a diagnosis of gastro-esophageal reflux disease, did not receive their scheduled dose of Protonix on 09/17/2024 due to the medication being unavailable. Similarly, Resident 16, diagnosed with quadriplegia and osteoporosis, missed doses of Alendronate Sodium on 09/10/2024 and 09/17/2024 because the medication was not reordered in time. The LPN acknowledged the oversight and confirmed the absence of documentation for the missed doses. The Director of Nursing explained that medications should be reordered at least 72 hours before the supply runs out.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to maintain a medication error rate below five percent, as evidenced by a 7.41% error rate observed during a Medication Administration Pass. This deficiency involved a resident with multiple diagnoses, including quadriplegia and polyneuropathy, who was administered incorrect medications. During the observation, an LPN prepared and administered medications to the resident, including a Cranberry Oral Tablet at an incorrect dosage of 450 mg instead of the prescribed 300 mg. The LPN acknowledged that the physician's order was not followed due to the use of house stock, which was not clarified. Additionally, the LPN failed to administer a Fish Oil Capsule 3,000 mg as prescribed, mistakenly believing it was the same as Vitamin E 180 mg, which was given instead. The Fish Oil Capsule was available in the medication cart but was not administered due to this confusion. The Director of Nursing later confirmed that nurses are expected to verify the physician's order and ensure the right medication, dose, and resident before administration, as per the facility's policy on administering medications.
Failure to Label Raw Chicken in Refrigerator
Penalty
Summary
The facility failed to ensure that raw chicken stored in the walk-in refrigerator was labeled with the date and time it was placed there. During a kitchen tour, a metal pan containing approximately 10 pounds of cut-up chicken was found covered with plastic wrap but lacking any labeling. The Dietary Regional Director confirmed that the facility's policy requires all refrigerated products to be labeled with the product name, date, and time of refrigeration. However, the chicken did not have such a label, and the Dietary Regional Director was unable to determine when the chicken had been placed in the refrigerator.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Silver State Pediatric Skilled Nursing Facility | 0.6 mi | — | 11 | 0 |
| Horizon Health And Rehabilitation Center | 1.4 mi | — | 0 | 0 |
| Las Vegas Post Acute & Rehabilitation | 2.2 mi | — | 2 | 0 |
| Premier Health & Rehabilitation Center Of Lv, Lp | 2.7 mi | — | 1 | 0 |
| Silver Ridge Healthcare Center | 3.3 mi | — | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.