Federal inspection record · CMS data as of October 1, 2026
Horizon Health And Rehabilitation Center
660 Martin Luther King Blvd, Las Vegas, NV · (702) 382-5580
- Certified beds
- 138
- Residents per day
- 124
- Ownership
- For-Profit
- Chain
- Fundamental Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 28, 1970
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nevada.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nevada homes
Horizon Health And Rehabilitation Center carries 32 inspection points. That is fewer than 60% of Nevada's 65 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nevada: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–16 pts
- 4★ 16–29 pts
- 3★ 29–46 pts
- 2★ 46–74 pts
- 1★ over 74 pts
Bars show every rated home in Nevada by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
27 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care10D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Pharmacy Service5D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure medication error rates are not 5 percent or greater.
Resident Assessment and Care Planning3D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights3D
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
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.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Environmental2F
- D
Keep all essential equipment working safely.
- F
Keep all essential equipment working safely.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1D
- D
Have a plan that describes the process for conducting QAPI and QAA activities.
Nursing and Physician Services1D
- D
Post nurse staffing information every day.
Inspection history
2026-05-22
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2025-06-13
14 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-07-12
8 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 27 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
3 h 27 min
Nevada average
4 h 20 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 31% of nursing staff and 31% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 2.1 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 0.8 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.1 pts better | 94.8% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.2 pts better | 100.0% | 92.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better | 0.4% | 1.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.7 pts better | 4.3% | 5.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.4 pts better | 2.9% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.6 pts better | 21.3% | 21.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.2 pts worse | 20.3% | 17.1% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.7 pts worse | 13.1% | 12.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.1 pts better | 8.4% | 12.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.7% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 0.7% | 1.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.4 pts worse | 17.9% | 15.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts better | 4.4% | 5.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccineAbout the same | 85.0% | 85.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better | 0.9% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.1 pts better | 92.6% | 82.5% | 80.1% |
·
Who owns and runs it
3 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Thi Of Nevada Ii Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 2 facilities |
| Hagar, James | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Hagar, James | Corporate Officer · Individual | 0% | 1 facilities |
·
Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness7F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- E
Address subsistence needs for staff and patients.
- E
Conduct risk assessment and an All-Hazards approach.
- D
Develop Emergency Preparedness policies and procedures.
- F
Conduct testing and exercise requirements.
- E
List the names and contact information of those in the facility.
- E
Establish staff and initial training requirements.
Smoke6F
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install a fire alarm system that can be heard throughout the facility.
- E
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems4F
- E
Have proper medical gas storage and administration areas.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Miscellaneous2F
- F
Provide a written emergency evacuation plan.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Egress1D
- D
Have properly located and lighted "Exit" signs.
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Other homes nearby
-
Saint Joseph Transitional Rehabilitation Center
Las Vegas, NV · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 45 min
- Fines
- $0
-
Silver State Pediatric Skilled Nursing Facility
Las Vegas, NV
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 7 h 21 min
- Fines
- $0
-
Las Vegas Post Acute & Rehabilitation
Las Vegas, NV · David Johnson
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h
- Fines
- $0