Federal inspection record · CMS data as of October 1, 2026
Silver Hills Health Care Center
3450 N Buffalo Dr, Las Vegas, NV · (702) 952-2273
- Certified beds
- 155
- Residents per day
- 125
- Ownership
- For-Profit
- Chain
- Covenant Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 21, 1998
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nevada.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nevada homes
Silver Hills Health Care Center carries 67 inspection points. That is fewer than 23% of Nevada's 65 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nevada: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–16 pts
- 4★ 16–29 pts
- 3★ 29–46 pts
- 2★ 46–74 pts
- 1★ over 74 pts
Bars show every rated home in Nevada by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
31 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care9D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation6D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning5D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Resident Rights3D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Prepare residents for a safe transfer or discharge from the nursing home.
Administration2D
- D
Have a plan that describes the process for conducting QAPI and QAA activities.
- D
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-08-20
14 health deficiencies · 16 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2024-09-06
10 health deficiencies · 16 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-09-29
7 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 49 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 49 min
Nevada average
4 h 20 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 61% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 2.0 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 0.5 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.9 pts better | 97.6% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.2 pts worse | 85.6% | 92.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 2.1% | 1.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.6 pts better | 4.4% | 5.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts worse | 5.7% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.9 pts better | 17.0% | 21.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11 pts better | 6.1% | 17.1% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.3 pts better | 4.1% | 12.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.3 pts better | 7.2% | 12.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts better | 0.0% | 1.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.9 pts better | 11.6% | 15.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.2 pts better | 3.3% | 5.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts better | 89.3% | 85.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3 pts better | 6.1% | 9.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.6% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.6 pts worse | 76.9% | 82.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.4 pts worse | 23.3% | 21.9% | 23.4% |
·
Who owns and runs it
27 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Covenant Care California, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 7 facilities |
| Ashley, Dava | Corporate Officer · Individual | 0% | 7 facilities |
| Carney, Kevin | Corporate Officer · Individual | 0% | 7 facilities |
| Centre Capital Investors V, LP | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Centre Covenant Purchaser (B), LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Centre Covenant Purchaser (Q), LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Centre Covenant Purchaser (S), LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Centre V Secondary Fund, L.p. | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Covenant Care, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Covenant Holdco, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Covenant Subco, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Evans, Mary | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 7 facilities |
| Evans, Mary | Corporate Officer · Individual | 0% | 7 facilities |
| Hassell, Lance | Corporate Officer · Individual | 0% | 38 facilities |
| Hassell, Lance | Operational/Managerial Control · Individual | 0% | 38 facilities |
| Levin, Robert | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 7 facilities |
| Levin, Robert | Corporate Director · Individual | 0% | 7 facilities |
| Levin, Robert | Corporate Officer · Individual | 0% | 7 facilities |
| Midcap Funding Iv Trust | 5% Or Greater Security Interest · Organization | 0% | 26 facilities |
| Sims, Christine | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 7 facilities |
| Sims, Christine | Corporate Director · Individual | 0% | 7 facilities |
| Sims, Christine | Corporate Officer · Individual | 0% | 7 facilities |
| Sparks, Carol | Operational/Managerial Control · Individual | 0% | 7 facilities |
| State Treasurer Of Mich Custodian Of Public School Empl Rtmnt Systems | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Stockwell Fund Ii LP | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Torok, Andrew | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 7 facilities |
| Torok, Andrew | Corporate Officer · Individual | 0% | 7 facilities |
·
Fire safety
44 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness11F
- F
Develop a communication plan.
- F
Conduct testing and exercise requirements.
- E
Establish procedures for tracking staff and patients during an emergency.
- E
List the names and contact information of those in the facility.
- E
Conduct risk assessment and an All-Hazards approach.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- E
Address subsistence needs for staff and patients.
- E
Establish policies and procedures including evacuation.
- E
Conduct testing and exercise requirements.
- E
Address subsistence needs for staff and patients.
- E
List the names and contact information of those in the facility.
Smoke10F
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Construct fire resistant interior walls.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- E
Install a fire alarm system that can be heard throughout the facility.
- E
Properly provide smoke detection systems in areas open to corridors.
- E
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous8F
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Provide a written emergency evacuation plan.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems8F
- E
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Ensure proper usage of power strips and extension cords.
- E
Ensure when modifications are made that breach pipelines, testing is conducted on downstream portions of the piping system.
- E
Meet requirements for the installation and maintenance of electrical systems.
- E
Ensure that testing and maintenance of electrical equipment is performed.
Services5E
- E
Have properly installed electrical wiring and gas equipment.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress2E
- D
Install emergency lighting that can last at least 1 1/2 hours.
- E
Install emergency lighting that can last at least 1 1/2 hours.
·
Other homes nearby
-
Neurorestorative
Las Vegas, NV · Neurorestorative
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 8 h 2 min
- Fines
- $0
-
Advanced Health Care Of Summerlin
Las Vegas, NV · Advanced Health Care
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 5 h 58 min
- Fines
- $4,194
-
Royal Springs Healthcare And Rehab
Las Vegas, NV · Il & Joan Lee
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 48 min
- Fines
- $40,359