10 health deficiencies
Top issue: Administration (2 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Boulder City, NV
2-star overall rating with 3-star inspections with $10,358 in total fines with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
100 Veterans Memorial Dr, Boulder City, NV
(702) 332-6711
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
180
Certified beds
Average residents
164
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2002-09-24
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
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
824
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
63.23
Composite VBP score used to determine payment impact.
Payment multiplier
1.0180
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
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
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
6.75
Baseline 31.30% · Performance 36.09% · Measure score 6.75 · Achievement 6.75 · Improvement 0
Adjusted total nurse staffing
5.90
Baseline 4.89 hours · Performance 4.76 hours · Measure score 5.90 · Achievement 5.90 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.87% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 35 · Observed rate 5.71% · Lower 95% interval 6.48% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.12 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 90.91% |
95.27%
4.4 pts worse
|
Numerator 30 · Denominator 33 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 33 |
| Discharge self-care score | 18.52% |
53.69%
35.2 pts worse
|
Numerator 5 · Denominator 27 |
| Discharge mobility score | 14.81% |
50.94%
36.1 pts worse
|
Numerator 4 · Denominator 27 |
| Pressure ulcers or injuries, new or worsened | 6.06% |
2.29%
3.8 pts worse
|
Numerator 2 · Denominator 33 · Adjusted rate 4.47% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 92.19% |
8.2%
84 pts better
|
Numerator 118 · Denominator 128 |
| Staff flu vaccination coverage | 88.7% |
42%
46.7 pts better
|
Numerator 212 · Denominator 239 |
| Discharge function score | 25.93% |
56.45%
30.5 pts worse
|
Numerator 7 · Denominator 27 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
Quality measures
| 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 1.2 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.5
0.9 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 59.4% |
91.5%
32.1 pts worse
|
93.4%
34 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 53.9% · Q2 59.2% · Q3 60.4% · Q4 63.6% · 4Q avg 59.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.8% |
89.6%
7.2 pts better
|
95.5%
1.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
2.3%
0.7 pts worse
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.4% · Q3 2.5% · Q4 3.6% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
4.9%
4.3 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 6.4% |
5.6%
0.8 pts worse
|
5.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 8.5% · Q3 8.6% · Q4 4.2% · 4Q avg 6.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.8% |
22.2%
11.4 pts better
|
19.6%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 10.5% · Q3 11.4% · Q4 10.4% · 4Q avg 10.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.8% |
18.5%
6.7 pts better
|
16.7%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 10.8% · Q3 13.2% · Q4 12.7% · 4Q avg 11.8% · 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 | 13.8% |
19.1%
5.3 pts better
|
16.3%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 17.9% · Q3 10.3% · Q4 8.7% · 4Q avg 13.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.1% |
14.2%
2.9 pts worse
|
14.9%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 17.5% · Q3 15.6% · Q4 20.3% · 4Q avg 17.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.8%
1.8 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.5% |
1.8%
0.3 pts better
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 1.4% · Q3 1.3% · Q4 2.4% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.9% |
16.5%
11.4 pts worse
|
19.8%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 31.5% · Q3 28.7% · Q4 23.9% · 4Q avg 27.9% |
| Percentage of long-stay residents with pressure ulcers | 4.6% |
5.5%
0.9 pts better
|
5.1%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 4.2% · Q3 2.8% · Q4 3.5% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 67.7% |
84.1%
16.4 pts worse
|
81.7%
14 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 70.4% · Q2 56.5% · Q3 79.3% · Q4 72.0% · 4Q avg 67.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.3% |
9.8%
2.5 pts better
|
12.0%
4.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.3% · Observed 8.0% · Expected 12.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 75.6% |
80.7%
5.1 pts worse
|
79.7%
4.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 75.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 4.0% |
23.4%
19.4 pts better
|
23.9%
19.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.0% · Observed 4.0% · Expected 23.9% · Used in QM five-star |
Survey summary
Top issue: Administration (2 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Quality of Life and Care (3 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Resident Rights (4 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-01-21
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-01-21
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-01-21
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-01-21
Fire Safety
Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.
Corrected 2025-01-21
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-03-19
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-03-19
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 2024-03-19
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-03-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-19
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-19
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-03-19
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-03-19
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-03-19
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-01-10
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-01-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-30
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-01-10
Fire Safety
Meet Health Care Facilities Code mechanical requirements.
Corrected 2023-01-10
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-01-10
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-01-10
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-01-10
Inspection history
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-05-22
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-01-20
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-01-20
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-01-20
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-01-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-20
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-01-20
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 2025-01-20
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-01-20
Health
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected 2025-01-20
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-20
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-03-21
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-03-08
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-03-21
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-21
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-21
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-03-21
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-21
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 2024-03-21
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-15
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-01-17
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2023-01-17
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-01-17
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 2023-01-17
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-01-17
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-01-17
Health
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.
Corrected 2023-01-17
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-01-17
Penalties and ownership
Fine · fine $10,358
Fine
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
Nearby options
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Henderson, NV
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