10 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Las Vegas, NV
4-star overall rating with 3-star inspections with 10 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
2035 W. Charleston Blvd., Las Vegas, NV
(702) 386-7980
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
100
Certified beds
Average residents
93
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Genesis Healthcare
Operator or chain grouping
Approved since
1988-01-19
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
193 facilities
Chain averages 2 overall / 2 health / 3 staffing / 3 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
RN hours / resident day
0.87
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.87
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.02
Nurse aide staffing · state 2.37 · national 2.35
Total nurse hours
3.75
All reported nurse hours · state 4.34 · national 3.89
Licensed hours
1.74
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
0.78
Weekend registered nurse coverage · state 0.85 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.56
CMS adjusted RN staffing hours
Adjusted total hours
2.44
CMS adjusted total nurse staffing hours
Case-mix index
2.11
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
10,969
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.48
Composite VBP score used to determine payment impact.
Payment multiplier
0.9820
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.30
Baseline 20.07% · Performance 20.37% · Measure score 2.30 · Achievement 2.30 · Improvement 0
Healthcare-associated infections
2.30
Baseline 9.03% · Performance 7.90% · Measure score 2.30 · Achievement 0 · Improvement 2.30
Total nurse turnover
2.80
Baseline 44.19% · Performance 52.25% · Measure score 2.80 · Achievement 2.80 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.47 hours · Performance 2.53 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.3% |
10.72%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 71 · Observed rate 21.13% · Lower 95% interval 8.08% |
| Discharge to community | 33.44% |
50.57%
17.1 pts worse
|
Worse than the National Rate · Eligible stays 63 · Observed rate 19.05% · Lower 95% interval 24.1% |
| Medicare spending per beneficiary | 1.21 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 83.72% |
95.27%
11.5 pts worse
|
Numerator 36 · Denominator 43 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 43 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 6.98% |
2.29%
4.7 pts worse
|
Numerator 3 · Denominator 43 · Adjusted rate 4.37% |
| Healthcare-associated infections requiring hospitalization | 7.9% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 34 · Observed rate 14.71% · Lower 95% interval 3.35% |
| Staff COVID-19 vaccination coverage | 100% |
8.2%
91.8 pts better
|
Numerator 165 · Denominator 165 |
| Staff flu vaccination coverage | 18.4% |
42%
23.6 pts worse
|
Numerator 30 · Denominator 163 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| 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 8 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 10 · 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 2.1 · Expected 2.6 · 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 1.0 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.5% |
91.5%
3 pts worse
|
93.4%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 77.1% · Q2 89.9% · Q3 90.1% · Q4 97.4% · 4Q avg 88.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 61.8% |
89.6%
27.8 pts worse
|
95.5%
33.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 61.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.3% |
2.3%
2 pts better
|
3.3%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · 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 2.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% |
| Percentage of long-stay residents who lose too much weight | 3.9% |
5.6%
1.7 pts better
|
5.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 5.4% · Q3 3.8% · Q4 4.0% · 4Q avg 3.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.0% |
22.2%
10.2 pts better
|
19.6%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 14.3% · Q3 12.3% · Q4 7.9% · 4Q avg 12.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.7% |
18.5%
14.8 pts better
|
16.7%
13 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 4.0% · Q3 1.9% · Q4 0.0% · 4Q avg 3.7% · 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 | 11.8% |
19.1%
7.3 pts better
|
16.3%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.0% |
14.2%
8.2 pts better
|
14.9%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 2.0% · Q3 4.0% · Q4 6.7% · 4Q avg 6.0% · 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 | 0.0% |
1.8%
1.8 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 15.3% |
16.5%
1.2 pts better
|
19.8%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 25.9% · Q3 11.4% · Q4 8.5% · 4Q avg 15.3% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
5.5%
1.4 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 2.1% · Q3 4.8% · Q4 5.0% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 53.8% |
84.1%
30.3 pts worse
|
81.7%
27.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 50.6% · Q2 47.7% · Q3 56.3% · Q4 59.8% · 4Q avg 53.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.1% |
9.8%
0.3 pts worse
|
12.0%
1.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.1% · Observed 11.5% · Expected 12.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.3% |
1.6%
0.7 pts worse
|
1.6%
0.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 3.8% · Q3 0.0% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 53.4% |
80.7%
27.3 pts worse
|
79.7%
26.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 53.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.7% |
23.4%
6.7 pts better
|
23.9%
7.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.7% · Observed 23.1% · Expected 32.9% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (5 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
19 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Fire safety
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-10-09
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2025-10-09
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-10-09
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-10-09
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-10-09
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-09-11
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-09-16
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-09-11
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-10-09
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2024-11-12
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-11-12
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2024-11-12
Fire Safety
Construct fire resistant interior walls.
Corrected 2024-11-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-12
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-11-12
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2024-11-12
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-11-12
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-11-12
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-11-12
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-11-12
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-11-12
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-11-12
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-11-12
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-12
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-11-12
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-11-12
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-11-12
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-12
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-10-31
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2023-10-31
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-10-31
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-10-31
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-10-31
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-10-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-31
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-10-31
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-10-31
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-31
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-10-31
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 2023-10-31
Inspection history
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-10-09
Health
Assess the resident when there is a significant change in condition
Corrected 2025-10-09
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2025-10-09
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-10-07
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 2025-10-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-10-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-08
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-10-08
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-10-09
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-27
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-10-04
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 2024-10-15
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 2024-10-29
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-29
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-10-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-31
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-10-31
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-10-31
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-10-31
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-10-31
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 2023-10-31
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-10-31
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 2023-10-31
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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