3 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Las Vegas, NV
5-star overall rating with 5-star inspections with $8,018 in total fines with 3 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
2170 East Harmon Ave, Las Vegas, NV
(702) 794-0100
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
10
Certified beds
Average residents
7
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Fundamental Healthcare
Operator or chain grouping
Approved since
1990-02-23
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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
4.21
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.05
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
3.52
Nurse aide staffing · state 2.37 · national 2.35
Total nurse hours
7.78
All reported nurse hours · state 4.34 · national 3.89
Licensed hours
4.26
RN + LPN hours · state 1.97 · national 1.54
Weekend hours
7.42
Weekend nurse staffing · state 3.85 · national 3.43
Weekend RN hours
4.05
Weekend registered nurse coverage · state 0.85 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
4.67
CMS adjusted RN staffing hours
Adjusted total hours
8.62
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Medicare spending per beneficiary | Not Available |
1.02
|
No data were submitted for this measure. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Staff COVID-19 vaccination coverage | 12.66% |
8.2%
4.5 pts better
|
Numerator 10 · Denominator 79 |
| Staff flu vaccination coverage | 77.88% |
42%
35.9 pts better
|
Numerator 81 · Denominator 104 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.5%
8.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
2.3%
2.3 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.6%
5.6 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.2% |
22.2%
4 pts better
|
19.6%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.2% |
| 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.0% |
14.2%
4.2 pts better
|
14.9%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 12.9% |
1.8%
11.1 pts worse
|
1.0%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 18.2% |
1.8%
16.4 pts worse
|
1.7%
16.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.2% · Used in QM five-star |
| Percentage of long-stay residents with pressure ulcers | 18.2% |
5.5%
12.7 pts worse
|
5.1%
13.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.6% |
84.1%
4.5 pts better
|
81.7%
6.9 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 88.6% |
Survey summary
Top issue: Nursing and Physician Services (1 deficiency)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Resident Rights (5 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Fire safety
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-02-26
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-02-26
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-02-26
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-02-26
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-02-26
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-02-26
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-02-26
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2025-02-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-02-09
Fire Safety
Develop a communication plan.
Corrected 2024-02-09
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-02-09
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-02-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-09
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-02-09
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-09
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-02-09
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-02-10
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2023-02-10
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2023-02-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-10
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-02-10
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-02-10
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-02-10
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-02-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-02-10
Inspection history
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-02-21
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-02-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-21
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-01-09
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-02-02
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-02-02
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-02-02
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-02-10
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 2023-02-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-02-10
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2023-02-10
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-02-10
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-02-10
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 2023-02-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-10
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2023-02-10
Health
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2023-02-10
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-02-10
Health
Post nurse staffing information every day.
Corrected 2023-02-10
Penalties and ownership
Fine · fine $8,018
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
W-2 Managing Employee · Individual
Nearby options
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