9 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
17 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Las Vegas, NV
2-star overall rating with 2-star inspections with 9 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
5650 South Rainbow Blvd, Las Vegas, NV
(702) 470-1102
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
160
Certified beds
Average residents
140
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sandstone Healthcare Group
Operator or chain grouping
Approved since
2016-03-11
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
3 facilities
Chain averages 2 overall / 1 health / 3 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
RN hours / resident day
1.07
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
1.03
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.20
Nurse aide staffing · state 2.37 · national 2.35
Total nurse hours
4.30
All reported nurse hours · state 4.34 · national 3.89
Licensed hours
2.10
RN + LPN hours · state 1.97 · national 1.54
Weekend hours
4.02
Weekend nurse staffing · state 3.85 · national 3.43
Weekend RN hours
1.23
Weekend registered nurse coverage · state 0.85 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.77
CMS adjusted RN staffing hours
Adjusted total hours
3.07
CMS adjusted total nurse staffing hours
Case-mix index
1.91
Higher values indicate more complex resident acuity
RN turnover
49%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
13,106
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
8.34
Composite VBP score used to determine payment impact.
Payment multiplier
0.9807
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 19.18% · Performance 22.41% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 8.02% · Performance 9.37% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.34
Baseline 69.01% · Performance 52.07% · Measure score 3.34 · Achievement 2.84 · Improvement 3.34
Adjusted total nurse staffing
0
Baseline 4.08 hours · Performance 3.03 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.02% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 101 · Observed rate 17.82% · Lower 95% interval 8.47% |
| Discharge to community | 48.09% |
50.57%
2.5 pts worse
|
No Different than the National Rate · Eligible stays 110 · Observed rate 31.82% · Lower 95% interval 37.89% |
| Medicare spending per beneficiary | 1.26 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 94.85% |
95.27%
0.4 pts worse
|
Numerator 92 · Denominator 97 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 97 |
| Discharge self-care score | 60.53% |
53.69%
6.8 pts better
|
Numerator 23 · Denominator 38 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 19 · Denominator 38 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 97 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 9.37% |
7.12%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 49 · Observed rate 24.49% · Lower 95% interval 6.05% |
| Staff COVID-19 vaccination coverage | 0.79% |
8.2%
7.4 pts worse
|
Numerator 3 · Denominator 380 |
| Staff flu vaccination coverage | 24.22% |
42%
17.8 pts worse
|
Numerator 116 · Denominator 479 |
| Discharge function score | 52.63% |
56.45%
3.8 pts worse
|
Numerator 20 · Denominator 38 |
| Transfer of health information to provider | 94.74% |
95.95%
1.2 pts worse
|
Numerator 54 · Denominator 57 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 26 · Denominator 26 |
| Resident COVID-19 vaccinations up to date | 9.3% |
25.2%
15.9 pts worse
|
Numerator 4 · Denominator 43 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 66.2% |
91.5%
25.3 pts worse
|
93.4%
27.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 59.7% · Q2 72.7% · Q3 62.9% · Q4 69.2% · 4Q avg 66.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 36.8% |
89.6%
52.8 pts worse
|
95.5%
58.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 36.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
2.3%
2.3 pts better
|
3.3%
3.3 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 who have depressive symptoms | 3.8% |
4.9%
1.1 pts better
|
11.4%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 2.4% · Q3 5.0% · Q4 2.9% · 4Q avg 3.8% |
| Percentage of long-stay residents who lose too much weight | 14.9% |
5.6%
9.3 pts worse
|
5.4%
9.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 7.9% · Q3 17.6% · Q4 23.1% · 4Q avg 14.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.0% |
22.2%
0.8 pts worse
|
19.6%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 22.2% · Q3 23.5% · Q4 23.1% · 4Q avg 23.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.1% |
18.5%
0.6 pts worse
|
16.7%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 17.8% · Q3 24.5% · Q4 20.0% · 4Q avg 19.1% · 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 | 25.7% |
19.1%
6.6 pts worse
|
16.3%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.4% |
14.2%
5.2 pts worse
|
14.9%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 23.1% · Q3 23.3% · Q4 18.9% · 4Q avg 19.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 6.7% |
1.8%
4.9 pts worse
|
1.0%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 7.6% · Q3 8.2% · Q4 7.4% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
1.8%
1.4 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.2% |
16.5%
1.7 pts worse
|
19.8%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.6% · Q2 20.2% · Q3 19.9% · Q4 15.7% · 4Q avg 18.2% |
| Percentage of long-stay residents with pressure ulcers | 13.4% |
5.5%
7.9 pts worse
|
5.1%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 11.2% · Q3 17.7% · Q4 11.8% · 4Q avg 13.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 53.4% |
84.1%
30.7 pts worse
|
81.7%
28.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 39.8% · Q2 47.6% · Q3 55.7% · Q4 73.0% · 4Q avg 53.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.3% |
9.8%
4.5 pts better
|
12.0%
6.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.3% · Observed 7.1% · Expected 15.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
1.6%
0.2 pts worse
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.8% · Q3 2.1% · Q4 2.2% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 36.7% |
80.7%
44 pts worse
|
79.7%
43 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 36.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.3% |
23.4%
3.9 pts worse
|
23.9%
3.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.3% · Observed 45.2% · Expected 39.4% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
17 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Top issue: Pharmacy Service (5 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
10 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-09-18
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-09-26
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-10-03
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-10-03
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-10-03
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2025-09-18
Fire Safety
Provide emergency officials' contact information.
Corrected 2025-09-18
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-09-18
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-10-03
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-10-03
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-10-03
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-10-03
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-10-17
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 2025-10-03
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 2025-10-03
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-03
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-10-03
Fire Safety
Install proper backup exit lighting.
Corrected 2024-11-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-21
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-21
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-11-21
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-11-21
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-11-21
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-11-21
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-11-21
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2024-11-21
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-11-21
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-11-21
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-11-21
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-11-21
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 policies and procedures including evacuation.
Corrected 2023-10-31
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-10-31
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-10-31
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-10-31
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-31
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-10-31
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-10-31
Fire Safety
Meet Health Care Facilities Code mechanical requirements.
Corrected 2023-10-31
Inspection history
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-25
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 2025-09-25
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 2025-09-25
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-09-25
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-25
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-03
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-07-12
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-06
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-06-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-02-03
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2025-02-03
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-02-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-03
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 2025-02-03
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-11-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-08
Health
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.
Corrected 2024-11-08
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 2024-11-08
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2024-11-08
Health
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.
Corrected 2024-11-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-08
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-11-08
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-11-08
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-11-08
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-11-08
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 2024-11-08
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-11-08
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-11-08
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-08
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2024-11-08
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-03-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-24
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2023-10-24
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 2023-10-24
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-10-24
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-10-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-24
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-10-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-24
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 2023-10-24
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-10-24
Health
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.
Corrected 2023-10-24
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-10-24
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-10-24
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-24
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
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