8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
6 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Las Vegas, NV
4-star overall rating with 4-star inspections with $4,194 in total fines with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
2860 N Tenaya Way, Las Vegas, NV
(702) 546-9609
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
38
Certified beds
Average residents
38
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Advanced Health Care
Operator or chain grouping
Approved since
2014-08-26
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
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.79
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.80
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
3.08
Nurse aide staffing · state 2.37 · national 2.35
Total nurse hours
5.66
All reported nurse hours · state 4.34 · national 3.89
Licensed hours
2.59
RN + LPN hours · state 1.97 · national 1.54
Weekend hours
4.74
Weekend nurse staffing · state 3.85 · national 3.43
Weekend RN hours
1.09
Weekend registered nurse coverage · state 0.85 · national 0.47
Physical therapist
0.24
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
1.30
CMS adjusted RN staffing hours
Adjusted total hours
4.12
CMS adjusted total nurse staffing hours
Case-mix index
1.88
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
7,764
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.84
Composite VBP score used to determine payment impact.
Payment multiplier
0.9852
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 21.48% · Performance 22.22% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.64% · Performance 7.82% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.14
Baseline 47.54% · Performance 34.48% · Measure score 7.14 · Achievement 7.14 · Improvement 5.25
Adjusted total nurse staffing
4.39
Baseline 4.73 hours · Performance 4.33 hours · Measure score 4.39 · Achievement 4.39 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.18% |
10.72%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 591 · Observed rate 11.84% · Lower 95% interval 9.99% |
| Discharge to community | 64.25% |
50.57%
13.7 pts better
|
Better than the National Rate · Eligible stays 535 · Observed rate 60.75% · Lower 95% interval 59.86% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 96.29% |
95.27%
1 pts better
|
Numerator 337 · Denominator 350 |
| Falls with major injury | 0.86% |
0.77%
0.1 pts worse
|
Numerator 3 · Denominator 350 |
| Discharge self-care score | 43.44% |
53.69%
10.2 pts worse
|
Numerator 96 · Denominator 221 |
| Discharge mobility score | 33.94% |
50.94%
17 pts worse
|
Numerator 75 · Denominator 221 |
| Pressure ulcers or injuries, new or worsened | 1.43% |
2.29%
0.9 pts better
|
Numerator 5 · Denominator 350 · Adjusted rate 1.41% |
| Healthcare-associated infections requiring hospitalization | 7.82% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 331 · Observed rate 7.85% · Lower 95% interval 5.55% |
| Staff COVID-19 vaccination coverage | 2.26% |
8.2%
5.9 pts worse
|
Numerator 3 · Denominator 133 |
| Staff flu vaccination coverage | 43.31% |
42%
1.3 pts better
|
Numerator 55 · Denominator 127 |
| Discharge function score | 46.15% |
56.45%
10.3 pts worse
|
Numerator 102 · Denominator 221 |
| Transfer of health information to provider | 72.06% |
95.95%
23.9 pts worse
|
Numerator 227 · Denominator 315 |
| Transfer of health information to patient | 57.58% |
96.28%
38.7 pts worse
|
Numerator 19 · Denominator 33 |
| Resident COVID-19 vaccinations up to date | 11.46% |
25.2%
13.7 pts worse
|
Numerator 22 · Denominator 192 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.0% |
84.1%
9.9 pts better
|
81.7%
12.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 94.3% · Q3 92.9% · Q4 92.0% · 4Q avg 94.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.2% |
9.8%
1.6 pts better
|
12.0%
3.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.2% · Observed 7.9% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.6%
1.2 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.4% · Q4 0.4% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 75.9% |
80.7%
4.8 pts worse
|
79.7%
3.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 75.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.5% |
23.4%
6.1 pts worse
|
23.9%
5.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.5% · Observed 30.7% · Expected 24.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
6 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
14 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
16 fire-safety deficiencies
Top issue: Miscellaneous (4 deficiencies)
Fire safety
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-12-17
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-12-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-17
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-12-17
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-12-17
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-12-17
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-02-13
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-02-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-13
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-02-13
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-02-13
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-02-13
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-02-13
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-02-13
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-02-13
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-02-13
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-02-13
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-02-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-13
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2024-02-13
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-01-23
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-01-26
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-01-23
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-01-23
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-01-26
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-01-26
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-01-23
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-01-26
Fire Safety
Meet Health Care Facilities Code mechanical requirements.
Corrected 2023-01-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-26
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2023-01-23
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-01-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-23
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-01-23
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2023-01-17
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-01-26
Inspection history
Health
Respond appropriately to all alleged violations.
Corrected 2025-12-17
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-12-17
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-12-17
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-17
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-12-17
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-12-17
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-12-17
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-17
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-19
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-19
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 2024-02-19
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-02-19
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-02-19
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-08-10
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-08-10
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2023-01-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-01-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-01-23
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-01-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-23
Health
Implement a program that monitors antibiotic use.
Corrected 2023-01-23
Penalties and ownership
Fine · fine $4,194
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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4-star overall rating with 4-star inspections with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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