7 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Henderson, NV
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
2855 W. Horizon Ridge Parkway, Henderson, NV
(702) 805-5050
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
121
Certified beds
Average residents
108
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Generations Healthcare
Operator or chain grouping
Approved since
2017-12-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
33 facilities
Chain averages 4 overall / 3 health / 3 staffing / 4 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
1.01
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
1.23
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.35
Nurse aide staffing · state 2.37 · national 2.35
Total nurse hours
4.59
All reported nurse hours · state 4.34 · national 3.89
Licensed hours
2.24
RN + LPN hours · state 1.97 · national 1.54
Weekend hours
3.92
Weekend nurse staffing · state 3.85 · national 3.43
Weekend RN hours
0.94
Weekend registered nurse coverage · state 0.85 · national 0.47
Physical therapist
0.17
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.92
CMS adjusted RN staffing hours
Adjusted total hours
4.18
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
63%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
3,189
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.56
Composite VBP score used to determine payment impact.
Payment multiplier
0.9988
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.05
Baseline 20.72% · Performance 20.48% · Measure score 2.05 · Achievement 2.05 · Improvement 0.16
Healthcare-associated infections
6.78
Baseline 9.48% · Performance 6.21% · Measure score 6.78 · Achievement 5.43 · Improvement 6.78
Total nurse turnover
4.73
Baseline 68.67% · Performance 45.74% · Measure score 4.73 · Achievement 4.39 · Improvement 4.73
Adjusted total nurse staffing
4.65
Baseline 4.68 hours · Performance 4.40 hours · Measure score 4.65 · Achievement 4.65 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.48% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 290 · Observed rate 10% · Lower 95% interval 7.88% |
| Discharge to community | 55.48% |
50.57%
4.9 pts better
|
No Different than the National Rate · Eligible stays 284 · Observed rate 50% · Lower 95% interval 48.54% |
| Medicare spending per beneficiary | 1.3 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 96.58% |
95.27%
1.3 pts better
|
Numerator 226 · Denominator 234 |
| Falls with major injury | 0.86% |
0.77%
0.1 pts worse
|
Numerator 2 · Denominator 233 |
| Discharge self-care score | 47.62% |
53.69%
6.1 pts worse
|
Numerator 30 · Denominator 63 |
| Discharge mobility score | 44.44% |
50.94%
6.5 pts worse
|
Numerator 28 · Denominator 63 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 231 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.21% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 171 · Observed rate 5.26% · Lower 95% interval 3.63% |
| Staff COVID-19 vaccination coverage | 5.67% |
8.2%
2.5 pts worse
|
Numerator 14 · Denominator 247 |
| Staff flu vaccination coverage | 30.61% |
42%
11.4 pts worse
|
Numerator 101 · Denominator 330 |
| Discharge function score | 39.68% |
56.45%
16.8 pts worse
|
Numerator 25 · Denominator 63 |
| Transfer of health information to provider | 87.64% |
95.95%
8.3 pts worse
|
Numerator 78 · Denominator 89 |
| Transfer of health information to patient | 77.87% |
96.28%
18.4 pts worse
|
Numerator 95 · Denominator 122 |
| Resident COVID-19 vaccinations up to date | 11.02% |
25.2%
14.2 pts worse
|
Numerator 14 · Denominator 127 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.8
0.3 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.8 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.5
0.1 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.4 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
91.5%
7.9 pts better
|
93.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.7% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
89.6%
10.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.9% |
2.3%
2.6 pts worse
|
3.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 7.0% · Q3 2.5% · Q4 0.0% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.0% |
4.9%
2.9 pts better
|
11.4%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.1% · Q4 3.0% · 4Q avg 2.0% |
| Percentage of long-stay residents who lose too much weight | 6.1% |
5.6%
0.5 pts worse
|
5.4%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 5.6% · Q3 6.2% · Q4 6.7% · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.3% |
22.2%
0.9 pts better
|
19.6%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 19.4% · Q3 17.6% · Q4 26.7% · 4Q avg 21.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 0.0% |
18.5%
18.5 pts better
|
16.7%
16.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 24.0% |
19.1%
4.9 pts worse
|
16.3%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.3% |
14.2%
4.1 pts worse
|
14.9%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 18.8% · Q3 23.5% · Q4 17.2% · 4Q avg 18.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.1% |
1.8%
0.3 pts worse
|
1.0%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
1.8%
1.2 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.2% |
16.5%
2.7 pts worse
|
19.8%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 23.5% · Q3 15.8% · Q4 15.2% · 4Q avg 19.2% |
| Percentage of long-stay residents with pressure ulcers | 3.3% |
5.5%
2.2 pts better
|
5.1%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 6.3% · Q3 2.0% · Q4 1.9% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.4% |
84.1%
9.3 pts better
|
81.7%
11.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.5% · Q2 95.3% · Q3 95.8% · Q4 89.9% · 4Q avg 93.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.3% |
9.8%
6.5 pts worse
|
12.0%
4.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.3% · Observed 16.0% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.6%
0.7 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.3% · Q2 0.9% · Q3 0.9% · Q4 1.4% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.0% |
80.7%
13.3 pts better
|
79.7%
14.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.7% |
23.4%
5.3 pts worse
|
23.9%
4.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.7% · Observed 29.0% · Expected 24.1% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
26 fire-safety deficiencies
Top issue: Smoke (9 deficiencies)
Fire safety
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-09-17
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-09-17
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-09-17
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-09-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-09-17
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-09-17
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-09-17
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 2024-08-30
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-08-30
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-08-30
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-08-30
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-08-30
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-08-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-30
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-08-30
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 2023-10-05
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-10-05
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-10-05
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-10-05
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-13
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-09-13
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-09-13
Fire Safety
Provide primary/alternate means for communication.
Corrected 2023-09-13
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-09-13
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-09-13
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-09-13
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2023-09-13
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-10-05
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-10-05
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-10-05
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-10-05
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-10-05
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-09-13
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-09-13
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2023-09-13
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-10-05
Fire Safety
Construct fire resistant interior walls.
Corrected 2023-09-13
Fire Safety
Have an alternate power supply for its alarm system.
Corrected 2023-09-13
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-09-13
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-13
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-21
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-09-17
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-09-17
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-17
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-09-17
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-09-17
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-04-28
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-01-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-31
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-09-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-11
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-09-11
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-09-11
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 2024-09-11
Health
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected 2023-08-28
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-08-28
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-08-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-17
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 2023-08-28
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-08-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-28
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Security Interest · Organization
W-2 Managing Employee · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
Las Vegas, NV
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
Henderson, NV
3-star overall rating with 3-star inspections with 11 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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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