Las Vegas, NV

Marquis Plaza Regency Post Acute Rehab

4-star overall rating with 4-star inspections with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

6021 W. Cheyenne Ave., Las Vegas, NV

(702) 658-9494

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

188

Certified beds

Average residents

148

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Marquis Companies

Operator or chain grouping

Approved since

1999-06-18

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

15 facilities

Chain averages 4 overall / 4 health / 4 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

Hours and turnover

RN hours / resident day

0.93

Registered nurse staffing · state 1.06 · national 0.68

LPN hours / resident day

0.62

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.42

Nurse aide staffing · state 2.37 · national 2.35

Total nurse hours

3.96

All reported nurse hours · state 4.34 · national 3.89

Licensed hours

1.54

RN + LPN hours · state 1.97 · national 1.54

Weekend hours

3.50

Weekend nurse staffing · state 3.85 · national 3.43

Weekend RN hours

0.72

Weekend registered nurse coverage · state 0.85 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.68

CMS adjusted RN staffing hours

Adjusted total hours

2.90

CMS adjusted total nurse staffing hours

Case-mix index

1.87

Higher values indicate more complex resident acuity

RN turnover

27%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

39%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,644

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

26.12

Composite VBP score used to determine payment impact.

Payment multiplier

0.9840

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

2.99

Baseline 5.38% · Performance 6.94% · Measure score 2.99 · Achievement 2.99 · Improvement 0

Total nurse turnover

4.85

Baseline 46.46% · Performance 43.87% · Measure score 4.85 · Achievement 4.85 · Improvement 0.70

Adjusted total nurse staffing

0

Baseline 2.70 hours · Performance 2.81 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.74%
10.72%
About the same
No Different than the National Rate · Eligible stays 64 · Observed rate 12.5% · Lower 95% interval 7.58%
Discharge to community 43.46%
50.57%
7.1 pts worse
No Different than the National Rate · Eligible stays 44 · Observed rate 34.09% · Lower 95% interval 27.98%
Medicare spending per beneficiary 1.04
1.02
About the same
Drug regimen review with follow-up 94.87%
95.27%
0.4 pts worse
Numerator 37 · Denominator 39
Falls with major injury 5.13%
0.77%
4.4 pts worse
Numerator 2 · Denominator 39
Discharge self-care score 28%
53.69%
25.7 pts worse
Numerator 7 · Denominator 25
Discharge mobility score 32%
50.94%
18.9 pts worse
Numerator 8 · Denominator 25
Pressure ulcers or injuries, new or worsened 2.56%
2.29%
0.3 pts worse
Numerator 1 · Denominator 39 · Adjusted rate 1.85%
Healthcare-associated infections requiring hospitalization 6.94%
7.12%
0.2 pts better
No Different than the National Rate · Eligible stays 31 · Observed rate 6.45% · Lower 95% interval 4.2%
Staff COVID-19 vaccination coverage 1.29%
8.2%
6.9 pts worse
Numerator 3 · Denominator 232
Staff flu vaccination coverage 25.97%
42%
16 pts worse
Numerator 60 · Denominator 231
Discharge function score 28%
56.45%
28.5 pts worse
Numerator 7 · Denominator 25
Transfer of health information to provider 91.3%
95.95%
4.7 pts worse
Numerator 21 · Denominator 23
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

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 1.3 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.8
1.5
0.7 pts better
1.8
1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.6%
91.5%
8.1 pts better
93.4%
6.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.5%
89.6%
8.9 pts better
95.5%
3 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5%
Percentage of long-stay residents experiencing one or more falls with major injury 3.1%
2.3%
0.8 pts worse
3.3%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.1% · Q3 2.5% · Q4 4.1% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.7%
4.9%
4.2 pts better
11.4%
10.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.7%
Percentage of long-stay residents who lose too much weight 6.6%
5.6%
1 pts worse
5.4%
1.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 7.4% · Q3 7.8% · Q4 6.0% · 4Q avg 6.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.6%
22.2%
7.6 pts better
19.6%
5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 14.5% · Q3 15.3% · Q4 15.3% · 4Q avg 14.6%
Percentage of long-stay residents who received an antipsychotic medication 3.4%
18.5%
15.1 pts better
16.7%
13.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.2% · Q3 4.3% · Q4 3.3% · 4Q avg 3.4% · 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 19.5%
19.1%
0.4 pts worse
16.3%
3.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 9.5% · Q3 30.8% · Q4 24.1% · 4Q avg 19.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 13.9%
14.2%
0.3 pts better
14.9%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 11.4% · Q3 16.9% · Q4 20.8% · 4Q avg 13.9% · 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 1.5% · Q2 2.5% · Q3 2.0% · Q4 2.3% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.1%
1.8%
0.3 pts worse
1.7%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 4.0% · Q3 2.5% · Q4 0.8% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 10.4%
16.5%
6.1 pts better
19.8%
9.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 7.6% · Q3 7.1% · Q4 19.8% · 4Q avg 10.4%
Percentage of long-stay residents with pressure ulcers 10.6%
5.5%
5.1 pts worse
5.1%
5.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 10.3% · Q3 11.5% · Q4 9.7% · 4Q avg 10.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.6%
84.1%
12.5 pts better
81.7%
14.9 pts better
Short Stay · 2024Q4-2025Q3 · Q1 97.7% · Q2 96.4% · Q3 96.3% · Q4 96.1% · 4Q avg 96.6%
Percentage of short-stay residents who had an outpatient emergency department visit 0.0%
9.8%
9.8 pts better
12.0%
12 pts better
Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 11.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.6%
1.6 pts better
1.6%
1.6 pts better
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88.2%
80.7%
7.5 pts better
79.7%
8.5 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.2%
23.4%
0.2 pts better
23.9%
0.7 pts better
Short Stay · 20240701-20250630 · Adjusted 23.2% · Observed 25.0% · Expected 25.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-12 · Fire 2025-09-12

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 2 Health 2024-09-20 · Fire 2024-09-20

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2023-09-14 · Fire 2023-09-14

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

9 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-12

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-10-01

E · Potential for more than minimal harm 2025-09-12

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2025-10-01

E · Potential for more than minimal harm 2025-09-12

K222 · Egress Deficiencies

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 2025-10-02

E · Potential for more than minimal harm 2025-09-12

K907 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure medical gas and vacuum systems have documented maintenance programs.

Corrected 2025-10-20

D · Potential for more than minimal harm 2025-09-12

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-09-12

E32 · Emergency Preparedness Deficiencies

Fire Safety

Provide primary/alternate means for communication.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-09-12

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-10-02

D · Potential for more than minimal harm 2025-09-12

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-10-20

F · Potential for more than minimal harm 2024-09-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-10-16

F · Potential for more than minimal harm 2024-09-20

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-10-16

E · Potential for more than minimal harm 2024-09-20

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-10-16

E · Potential for more than minimal harm 2024-09-20

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-10-16

D · Potential for more than minimal harm 2024-09-20

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-10-16

E · Potential for more than minimal harm 2023-09-14

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-10-12

E · Potential for more than minimal harm 2023-09-14

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-09-28

E · Potential for more than minimal harm 2023-09-14

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-09-22

E · Potential for more than minimal harm 2023-09-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-27

E · Potential for more than minimal harm 2023-09-14

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-09-19

E · Potential for more than minimal harm 2023-09-14

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-09-28

E · Potential for more than minimal harm 2023-09-14

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-09-19

E · Potential for more than minimal harm 2023-09-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-09-28

E · Potential for more than minimal harm 2023-09-14

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-10-03

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-12

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-10-20

D · Potential for more than minimal harm 2025-09-12

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-10-20

D · Potential for more than minimal harm 2025-09-12

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-10-20

D · Potential for more than minimal harm 2025-09-12

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-10-20

D · Potential for more than minimal harm 2025-09-12

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-10-20

D · Potential for more than minimal harm 2025-09-12

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2025-10-20

D · Potential for more than minimal harm 2025-05-07

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-05-16

D · Potential for more than minimal harm 2024-09-20

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-09-20

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-09-20

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-09-20

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-09-20

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-09-20

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-10-08

D · Potential for more than minimal harm 2023-09-14

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-10-05

D · Potential for more than minimal harm 2023-09-14

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-10-05

D · Potential for more than minimal harm 2023-09-14

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-10-05

D · Potential for more than minimal harm 2023-09-14

F690 · Quality of Life and Care Deficiencies

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 2023-10-05

Penalties and ownership

What sits behind the stars

Ownership

Fogg, Phillip

5% Or Greater Indirect Ownership Interest · Individual

100% 15 facilities 2012-06-22
Marquis Companies I, Inc

5% Or Greater Direct Ownership Interest · Organization

100% 15 facilities 2019-09-01
Fogg, Phillip

Operational/Managerial Control · Individual

0% 15 facilities 2019-09-01
Fogg, Phillip

Corporate Director · Individual

0% 15 facilities 2012-06-22
Fogg, Phillip

Corporate Officer · Individual

0% 15 facilities 2012-06-22
Fogg, Phillip

Contracted Managing Employee · Individual

0% 15 facilities 2012-06-22
Fogg, Steven

Operational/Managerial Control · Individual

0% 15 facilities 2018-09-01
Fogg, Steven

Corporate Officer · Individual

0% 15 facilities 2012-06-22
Fogg, Steven

Contracted Managing Employee · Individual

0% 15 facilities 2019-09-01
Meyer, Lisa

Operational/Managerial Control · Individual

0% 2 facilities 2019-08-16
Meyer, Lisa

W-2 Managing Employee · Individual

0% 2 facilities 2019-08-16
Sprando, Erin

Operational/Managerial Control · Individual

0% 4 facilities 2019-09-01
Sprando, Erin

Contracted Managing Employee · Individual

0% 4 facilities 2018-09-01
Tone, Staci

Operational/Managerial Control · Individual

0% 15 facilities 2019-09-01
Tone, Staci

W-2 Managing Employee · Individual

0% 15 facilities 2012-06-22

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