All citations for Nevada State Veterans Home - Boulder City

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Nevada State Veterans Home - Boulder City

Last standard health inspection on record

February 13, 2026

Showing 1 to 24 of 24 citations

  1. Harm to a resident

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of December 6, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 20, 2025).

  2. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of January 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  3. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of February 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

  4. No harm, with potential for more than minimal harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of February 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

  5. No harm, with potential for more than minimal harm

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0773, Administration Deficiencies. Inspection of February 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

  6. No harm, with potential for more than minimal harm

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 22, 2025).

  7. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2025).

  8. No harm, with potential for more than minimal harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2025).

  9. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2025).

  10. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of December 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 20, 2025).

  11. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2025).

  12. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2025).

  13. No harm, with potential for more than minimal harm

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0847, Administration Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2025).

  14. No harm, with potential for more than minimal harm

    Provide a neutral and fair arbitration process and agree to arbitrator and venue.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0848, Administration Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2025).

  15. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2025).

  16. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 30, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 8, 2024).

    The home is disputing this citation.

  17. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Isolated (one or a few residents). CMS level D.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of January 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  18. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of January 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  19. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  20. No harm, with potential for more than minimal harm

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of January 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  21. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of January 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  22. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of January 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  23. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  24. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 20, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.