13 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
16 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
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
2965 Wigwam Parkway, Henderson, NV
(410) 773-1175
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
124
Certified beds
Average residents
100
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Fundamental Healthcare
Operator or chain grouping
Approved since
2022-12-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
69 facilities
Chain averages 2 overall / 2 health / 2 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
0.44
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
1.46
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.77
Nurse aide staffing · state 2.37 · national 2.35
Total nurse hours
3.67
All reported nurse hours · state 4.34 · national 3.89
Licensed hours
1.89
RN + LPN hours · state 1.97 · national 1.54
Weekend hours
3.13
Weekend nurse staffing · state 3.85 · national 3.43
Weekend RN hours
0.11
Weekend registered nurse coverage · state 0.85 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
3.83
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
63%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
10,247
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.98
Composite VBP score used to determine payment impact.
Payment multiplier
0.9825
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.14
Performance 20.90% · Measure score 1.14 · Achievement 1.14 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
3.23
Performance 6.87% · Measure score 3.23 · Achievement 3.23 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
0
Performance 63.29% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
4.02
Performance 4.22 hours · Measure score 4.02 · Achievement 4.02 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.53% |
10.72%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 103 · Observed rate 18.45% · Lower 95% interval 9.25% |
| Discharge to community | 53.33% |
50.57%
2.8 pts better
|
No Different than the National Rate · Eligible stays 114 · Observed rate 41.23% · Lower 95% interval 44.09% |
| Medicare spending per beneficiary | 1.14 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 98 · Denominator 98 |
| Falls with major injury | 2.04% |
0.77%
1.3 pts worse
|
Numerator 2 · Denominator 98 |
| Discharge self-care score | 71.15% |
53.69%
17.5 pts better
|
Numerator 37 · Denominator 52 |
| Discharge mobility score | 63.46% |
50.94%
12.5 pts better
|
Numerator 33 · Denominator 52 |
| Pressure ulcers or injuries, new or worsened | 1.02% |
2.29%
1.3 pts better
|
Numerator 1 · Denominator 98 · Adjusted rate 0.79% |
| Healthcare-associated infections requiring hospitalization | 6.87% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 87 · Observed rate 8.05% · Lower 95% interval 4.26% |
| Staff COVID-19 vaccination coverage | 3.31% |
8.2%
4.9 pts worse
|
Numerator 4 · Denominator 121 |
| Staff flu vaccination coverage | 51.69% |
42%
9.7 pts better
|
Numerator 61 · Denominator 118 |
| Discharge function score | 69.23% |
56.45%
12.8 pts better
|
Numerator 36 · Denominator 52 |
| Transfer of health information to provider | 90% |
95.95%
6 pts worse
|
Numerator 36 · Denominator 40 |
| Transfer of health information to patient | 81.08% |
96.28%
15.2 pts worse
|
Numerator 30 · Denominator 37 |
| Resident COVID-19 vaccinations up to date | 10.42% |
25.2%
14.8 pts worse
|
Numerator 5 · Denominator 48 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.8
0.2 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 3 · Expected 3.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
1.5
0.8 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 3.2 · Expected 2.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 69.4% |
91.5%
22.1 pts worse
|
93.4%
24 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 60.3% · Q2 62.5% · Q3 74.2% · Q4 78.4% · 4Q avg 69.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.8% |
89.6%
2.8 pts worse
|
95.5%
8.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 86.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
2.3%
About the same
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.1% · Q3 1.6% · Q4 2.7% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.9%
4.9 pts better
|
11.4%
11.4 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 who lose too much weight | 8.4% |
5.6%
2.8 pts worse
|
5.4%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 14.0% · Q3 5.5% · Q4 11.1% · 4Q avg 8.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.6% |
22.2%
6.6 pts better
|
19.6%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 12.1% · Q3 24.6% · Q4 11.8% · 4Q avg 15.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.9% |
18.5%
7.6 pts better
|
16.7%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 9.7% · Q3 7.7% · Q4 15.2% · 4Q avg 10.9% · 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 | 26.0% |
19.1%
6.9 pts worse
|
16.3%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 17.3% · Q4 31.2% · 4Q avg 26.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.3% |
14.2%
1.1 pts worse
|
14.9%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 18.2% · Q3 14.8% · Q4 17.2% · 4Q avg 15.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.3% |
1.8%
2.5 pts worse
|
1.0%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 4.9% · Q3 3.9% · Q4 5.7% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.8% |
1.8%
1 pts worse
|
1.7%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 6.7% · Q4 2.9% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.0% |
16.5%
2.5 pts worse
|
19.8%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 22.9% · Q3 11.8% · Q4 19.6% · 4Q avg 19.0% |
| Percentage of long-stay residents with pressure ulcers | 13.1% |
5.5%
7.6 pts worse
|
5.1%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 18.5% · Q3 13.2% · Q4 12.1% · 4Q avg 13.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 51.9% |
84.1%
32.2 pts worse
|
81.7%
29.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 45.2% · Q2 40.3% · Q3 51.4% · Q4 70.6% · 4Q avg 51.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.3% |
9.8%
0.5 pts worse
|
12.0%
1.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.3% · Observed 12.7% · Expected 13.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.6% |
1.6%
1 pts worse
|
1.6%
1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 1.0% · Q3 3.5% · Q4 2.9% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 41.9% |
80.7%
38.8 pts worse
|
79.7%
37.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 41.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.9% |
23.4%
0.5 pts worse
|
23.9%
About the same
|
Short Stay · 20240701-20250630 · Adjusted 23.9% · Observed 29.6% · Expected 29.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
16 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Infection Control (3 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Fire safety
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-01-15
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-01-15
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2025-01-15
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2025-01-15
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-01-15
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-01-15
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-01-15
Fire Safety
Meet other general requirements.
Corrected 2025-01-15
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 2025-01-15
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-01-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-01-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-15
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-01-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-01-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-15
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-01-15
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-12-12
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2023-12-12
Fire Safety
Have a properly installed medical gas master alarm panel.
Corrected 2023-12-12
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-12-12
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-12-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-12
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-12-12
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-12-12
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-12-08
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2022-12-08
Fire Safety
Provide emergency officials' contact information.
Corrected 2022-12-08
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2022-12-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-08
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-12-08
Fire Safety
Ensure proper storage of liquid oxygen.
Corrected 2022-12-08
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-12-08
Inspection history
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-12-18
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2025-06-02
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2025-06-02
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2025-06-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-02
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 2025-06-02
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-02
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-14
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-02-14
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-01-17
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-17
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-01-17
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-01-17
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-01-17
Health
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.
Corrected 2025-01-17
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-10-01
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2024-10-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-05
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-12-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-08
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-12-21
Health
Keep all essential equipment working safely.
Corrected 2022-12-21
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-12-21
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-12-21
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-12-21
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-21
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2022-12-21
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-12-21
Penalties and ownership
Fine · fine $2,797
Fine
Fine · fine $2,447
Fine
Fine · fine $2,098
Fine
Fine · fine $1,748
Fine
Fine · fine $3,145
Fine
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Henderson, NV
3-star overall rating with 3-star inspections with 11 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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4-star overall rating with 4-star inspections with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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
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