Cycle 1
Health 2025-07-18 · Fire 2025-07-18
1 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Las Vegas, NV
Advanced Health Care Of Henderson
5-star overall rating with 5-star inspections with $8,018 in total fines with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1285 E Cactus Avenue, Las Vegas, NV
(702) 790-6300
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
38
Certified beds
Average residents
36
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Advanced Health Care
Operator or chain grouping
Approved since
2019-01-22
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
26 facilities
Chain averages 5 overall / 4 health / 4 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
2.44
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.40
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
3.22
Nurse aide staffing · state 2.37 · national 2.35
Total nurse hours
6.06
All reported nurse hours · state 4.34 · national 3.89
Licensed hours
2.84
RN + LPN hours · state 1.97 · national 1.54
Weekend hours
5.00
Weekend nurse staffing · state 3.85 · national 3.43
Weekend RN hours
1.80
Weekend registered nurse coverage · state 0.85 · national 0.47
Physical therapist
0.34
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
1.73
CMS adjusted RN staffing hours
Adjusted total hours
4.28
CMS adjusted total nurse staffing hours
Case-mix index
1.94
Higher values indicate more complex resident acuity
RN turnover
24%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,355
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
50.04
Composite VBP score used to determine payment impact.
Payment multiplier
1.0041
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.29
Baseline 19.91% · Performance 19.44% · Measure score 4.29 · Achievement 4.29 · Improvement 1.12
Healthcare-associated infections
7.20
Baseline 5.02% · Performance 5.68% · Measure score 7.20 · Achievement 7.20 · Improvement 0
Total nurse turnover
5.09
Baseline 60.00% · Performance 42.86% · Measure score 5.09 · Achievement 5.09 · Improvement 4.38
Adjusted total nurse staffing
3.43
Baseline 4.5 hours · Performance 4.05 hours · Measure score 3.43 · Achievement 3.43 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.83% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 584 · Observed rate 9.76% · Lower 95% interval 7.78% |
| Discharge to community | 68.26% |
50.57%
17.7 pts better
|
Better than the National Rate · Eligible stays 488 · Observed rate 64.34% · Lower 95% interval 64.14% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 346 · Denominator 346 |
| Falls with major injury | 0.29% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 346 |
| Discharge self-care score | 54.05% |
53.69%
0.4 pts better
|
Numerator 120 · Denominator 222 |
| Discharge mobility score | 59.91% |
50.94%
9 pts better
|
Numerator 133 · Denominator 222 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 346 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.68% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 272 · Observed rate 4.78% · Lower 95% interval 3.89% |
| Staff COVID-19 vaccination coverage | 4.4% |
8.2%
3.8 pts worse
|
Numerator 4 · Denominator 91 |
| Staff flu vaccination coverage | 5.81% |
42%
36.2 pts worse
|
Numerator 5 · Denominator 86 |
| Discharge function score | 64.41% |
56.45%
8 pts better
|
Numerator 143 · Denominator 222 |
| Transfer of health information to provider | 99.69% |
95.95%
3.7 pts better
|
Numerator 319 · Denominator 320 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 27.27% |
25.2%
2.1 pts better
|
Numerator 48 · Denominator 176 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
84.1%
15.9 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.3% |
9.8%
1.5 pts better
|
12.0%
3.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.3% · Observed 9.2% · Expected 12.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.1% |
1.6%
1.5 pts better
|
1.6%
1.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.9% |
80.7%
18.2 pts better
|
79.7%
19.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.8% |
23.4%
6.6 pts better
|
23.9%
7.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.8% · Observed 18.4% · Expected 26.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-23 · Fire 2024-07-23
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
10 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Cycle 3
Health 2023-07-21 · Fire 2023-07-21
6 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
17 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (7 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-07-18
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Corrected 2025-08-07
D · Potential for more than minimal harm
2025-07-18
E32 · Emergency Preparedness Deficiencies
Fire Safety
Provide primary/alternate means for communication.
Corrected 2025-08-07
D · Potential for more than minimal harm
2025-07-18
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-07
D · Potential for more than minimal harm
2025-07-18
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-08-07
F · Potential for more than minimal harm
2024-07-23
E35 · Emergency Preparedness Deficiencies
Fire Safety
Provide family notifications of emergency plan.
Corrected 2024-08-15
F · Potential for more than minimal harm
2024-07-23
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-08-15
F · Potential for more than minimal harm
2024-07-23
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-08-15
F · Potential for more than minimal harm
2024-07-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-15
F · Potential for more than minimal harm
2024-07-23
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-08-15
F · Potential for more than minimal harm
2024-07-23
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-08-15
E · Potential for more than minimal harm
2024-07-23
E29 · Emergency Preparedness Deficiencies
Fire Safety
Develop a communication plan.
Corrected 2024-08-15
E · Potential for more than minimal harm
2024-07-23
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-15
D · Potential for more than minimal harm
2024-07-23
E1 · Emergency Preparedness Deficiencies
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2024-08-15
D · Potential for more than minimal harm
2024-07-23
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-15
E · Potential for more than minimal harm
2023-07-21
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-08-28
E · Potential for more than minimal harm
2023-07-21
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-08-28
E · Potential for more than minimal harm
2023-07-21
K342 · Smoke Deficiencies
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2023-08-28
E · Potential for more than minimal harm
2023-07-21
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-08-28
E · Potential for more than minimal harm
2023-07-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-28
E · Potential for more than minimal harm
2023-07-21
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-08-28
E · Potential for more than minimal harm
2023-07-21
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-08-28
E · Potential for more than minimal harm
2023-07-21
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-08-28
E · Potential for more than minimal harm
2023-07-21
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-08-28
E · Potential for more than minimal harm
2023-07-21
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-08-28
E · Potential for more than minimal harm
2023-07-21
K904 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a properly installed medical gas master alarm panel.
Corrected 2023-08-28
E · Potential for more than minimal harm
2023-07-21
K908 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2023-08-28
E · Potential for more than minimal harm
2023-07-21
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-28
E · Potential for more than minimal harm
2023-07-21
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-08-28
E · Potential for more than minimal harm
2023-07-21
K927 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2023-08-28
E · Potential for more than minimal harm
2023-07-21
K930 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper storage of liquid oxygen.
Corrected 2023-08-28
D · Potential for more than minimal harm
2023-07-21
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-08-28
Inspection history
Recent health citations
C · Minimal harm
2025-07-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Not marked corrected
G · Actual harm
2024-07-23
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-28
D · Potential for more than minimal harm
2024-07-23
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-28
D · Potential for more than minimal harm
2023-07-21
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-08-21
D · Potential for more than minimal harm
2023-07-21
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-21
D · Potential for more than minimal harm
2023-07-21
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-08-21
D · Potential for more than minimal harm
2023-07-21
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-21
D · Potential for more than minimal harm
2023-07-21
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-08-21
D · Potential for more than minimal harm
2023-07-21
F847 · Administration Deficiencies
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2023-08-21
Penalties and ownership
What sits behind the stars
$8,018
2024-07-23
Fine
Fine · fine $8,018
Fine
Ownership
New Ahc Holdings, LLC
5% Or Greater Direct Ownership Interest · Organization
Advanced Health Care - Larry H Miller Corporation
5% Or Greater Indirect Ownership Interest · Organization
Gonzalez Sanchez, Miguel
Contracted Managing Employee · Individual
Karen Gail Miller Irrev Tr Fbo Zane Miller
5% Or Greater Indirect Ownership Interest · Organization
Oxnam, Nathan
Corporate Officer · Individual
The Bryan Miller Utah Dynasty Trust Dated April 22, 2014
5% Or Greater Indirect Ownership Interest · Organization
The G&H Miller Utah Trust Dated February 26, 2019
5% Or Greater Indirect Ownership Interest · Organization
The Gail Miller Gst Trust
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Karen R. Wi
5% Or Greater Indirect Ownership Interest · Organization
The Miller Utah Trust, Dated August 22, 2019
5% Or Greater Indirect Ownership Interest · Organization
The Rnc Opportunity Trust
5% Or Greater Indirect Ownership Interest · Organization
Tuck, Michael
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Coronado Ridge Skilled Nursing & Rehabilitation Ce
Henderson, NV
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Sage Creek Post-Acute
Las Vegas, NV
4-star overall rating with 4-star inspections with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#3
Green Valley Health And Wellness Suites
Henderson, NV
2-star overall rating with 3-star inspections with $12,235 in total fines with 13 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
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