3 health deficiencies
Top issue: Environmental (1 deficiency)
14 fire-safety deficiencies
Top issue: Miscellaneous (4 deficiencies)
Las Vegas, NV
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
2832 S. Maryland Parkway, Las Vegas, NV
(702) 735-5848
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
79
Certified beds
Average residents
78
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.57
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.93
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.69
Nurse aide staffing · state 2.37 · national 2.35
Total nurse hours
3.19
All reported nurse hours · state 4.34 · national 3.89
Licensed hours
1.50
RN + LPN hours · state 1.97 · national 1.54
Weekend hours
2.87
Weekend nurse staffing · state 3.85 · national 3.43
Weekend RN hours
0.54
Weekend registered nurse coverage · state 0.85 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.68
CMS adjusted RN staffing hours
Adjusted total hours
3.78
CMS adjusted total nurse staffing hours
Case-mix index
1.16
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
4,443
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.94
Composite VBP score used to determine payment impact.
Payment multiplier
0.9929
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.23
Baseline 21.50% · Performance 18.54% · Measure score 6.23 · Achievement 6.23 · Improvement 6.12
Healthcare-associated infections
4.22
Baseline 8.36% · Performance 6.77% · Measure score 4.22 · Achievement 3.57 · Improvement 4.22
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
1.53
Baseline 3.60 hours · Performance 3.51 hours · Measure score 1.53 · Achievement 1.53 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.45% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 213 · Observed rate 7.04% · Lower 95% interval 7% |
| Discharge to community | 34.6% |
50.57%
16 pts worse
|
Worse than the National Rate · Eligible stays 136 · Observed rate 20.59% · Lower 95% interval 26.14% |
| Medicare spending per beneficiary | 1.34 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 98.05% |
95.27%
2.8 pts better
|
Numerator 301 · Denominator 307 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 307 |
| Discharge self-care score | 57.23% |
53.69%
3.5 pts better
|
Numerator 99 · Denominator 173 |
| Discharge mobility score | 43.35% |
50.94%
7.6 pts worse
|
Numerator 75 · Denominator 173 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 307 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.77% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 143 · Observed rate 4.9% · Lower 95% interval 4.1% |
| Staff COVID-19 vaccination coverage | 8.59% |
8.2%
0.4 pts better
|
Numerator 11 · Denominator 128 |
| Staff flu vaccination coverage | 20.41% |
42%
21.6 pts worse
|
Numerator 30 · Denominator 147 |
| Discharge function score | 56.07% |
56.45%
0.4 pts worse
|
Numerator 97 · Denominator 173 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 108 · Denominator 108 |
| Transfer of health information to patient | 54.35% |
96.28%
41.9 pts worse
|
Numerator 50 · Denominator 92 |
| Resident COVID-19 vaccinations up to date | 22.81% |
25.2%
2.4 pts worse
|
Numerator 39 · Denominator 171 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.8
0.5 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 2.9 · Expected 4.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.5
0.6 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.5 · Expected 2.8 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.1% |
89.6%
7.5 pts better
|
95.5%
1.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.0% |
2.3%
1.3 pts better
|
3.3%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.7% · 4Q avg 1.0% · 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 | 0.0% |
5.6%
5.6 pts better
|
5.4%
5.4 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 received an antianxiety or hypnotic medication | 28.1% |
22.2%
5.9 pts worse
|
19.6%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 26.0% · Q3 25.0% · Q4 33.3% · 4Q avg 28.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 55.5% |
18.5%
37 pts worse
|
16.7%
38.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 60.9% · Q2 42.3% · Q3 53.8% · Q4 62.9% · 4Q avg 55.5% · 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 | 13.5% |
19.1%
5.6 pts better
|
16.3%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 17.7% · Q3 18.1% · Q4 12.9% · 4Q avg 13.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.7% |
14.2%
2.5 pts worse
|
14.9%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 17.8% · Q3 17.1% · Q4 19.6% · 4Q avg 16.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.9% |
1.8%
1.1 pts worse
|
1.0%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.9% · Q3 4.0% · Q4 3.5% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
1.8%
0.7 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 2.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.2% |
16.5%
4.3 pts better
|
19.8%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 13.6% · Q3 16.8% · Q4 11.8% · 4Q avg 12.2% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
5.5%
0.5 pts worse
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 2.9% · Q3 7.7% · Q4 9.9% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
84.1%
15.1 pts better
|
81.7%
17.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.2% · Q2 99.5% · Q3 100.0% · Q4 100.0% · 4Q avg 99.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.9% |
9.8%
3.1 pts worse
|
12.0%
0.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.9% · Observed 18.1% · Expected 15.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 8.5% |
1.6%
6.9 pts worse
|
1.6%
6.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 11.1% · Q3 9.1% · Q4 5.1% · 4Q avg 8.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.5% |
80.7%
16.8 pts better
|
79.7%
17.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.4% |
23.4%
6 pts worse
|
23.9%
5.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.4% · Observed 32.2% · Expected 26.1% · Used in QM five-star |
Survey summary
Top issue: Environmental (1 deficiency)
14 fire-safety deficiencies
Top issue: Miscellaneous (4 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Top issue: Resident Rights (3 deficiencies)
18 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Fire safety
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-08-17
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-08-18
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 2025-08-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-17
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-08-17
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-08-17
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-08-17
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-08-17
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-08-17
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-08-17
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-08-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-08-17
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-08-17
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2025-08-17
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-07-16
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-07-16
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2024-07-16
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-07-16
Fire Safety
Develop a communication plan.
Corrected 2024-07-16
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-07-16
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-07-16
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2024-07-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-16
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-11-09
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-11-09
Fire Safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2023-11-09
Fire Safety
Meet other general requirements.
Corrected 2023-11-09
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 2023-11-09
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-11-09
Fire Safety
Construct fire resistant interior walls.
Corrected 2023-11-09
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-09
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-11-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-09
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-11-09
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-11-09
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-09
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-11-09
Fire Safety
Ensure gas cylinders are properly stored.
Corrected 2023-11-09
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-11-09
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-11-09
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-09
Inspection history
Health
Provide appropriate foot care.
Corrected 2025-08-18
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 2025-08-18
Health
Keep all essential equipment working safely.
Corrected 2025-08-18
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-07-15
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-07-15
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 2024-07-15
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2024-07-15
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-07-15
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-07-15
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-09-22
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 2023-09-22
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-09-22
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-09-22
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-22
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-09-22
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-09-22
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 2023-09-22
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-09-22
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2023-06-20
Penalties and ownership
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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5-star overall rating with 4-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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