Federal inspection record · CMS data as of October 1, 2026
Willow Haven Health and Rehab, LLC
5538 W Duncan Dr, Las Vegas, NV · (702) 645-2606
- Cited for abuse (CMS abuse icon)
- Certified beds
- 144
- Residents per day
- 137
- Ownership
- For-Profit
- Chain
- The Charly Bello Family, The Maze Family, The Swain Family, & Walter Myers
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 1969
1
How this home got 1 star
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.
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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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Nevada homes
Willow Haven Health and Rehab, LLC carries 84 inspection points. That is fewer than 12% 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
54 health citations on record since 2022. 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.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care19E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide safe, appropriate dialysis care/services 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
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Freedom from Abuse, Neglect, and Exploitation10D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 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
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Rights10E
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
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.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service6F
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- F
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
Resident Assessment and Care Planning3D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary3E
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Environmental1F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Infection Control1D
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspection history
2025-08-01
13 health deficiencies · 16 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2023-08-31
19 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2022-06-21
22 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 9 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
3 h 9 min
Nevada average
4 h 20 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$46,462 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-24 | Fine | $11,151 |
| 2025-12-11 | Fine | $35,311 |
6
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 days1.1 pts worse | 2.9 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 1.3 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine21.9 pts worse | 71.8% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine11.9 pts worse | 80.9% | 92.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts worse | 2.5% | 1.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.5 pts better | 0.5% | 5.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight10 pts worse | 15.3% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication15 pts worse | 36.9% | 21.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.4 pts worse | 30.5% | 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 worsened0.8 pts better | 11.6% | 12.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.4 pts worse | 16.9% | 12.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts better | 0.4% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts worse | 2.0% | 1.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.5 pts worse | 20.0% | 15.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts better | 3.9% | 5.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine43.3 pts worse | 41.7% | 85.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.8 pts better | 7.3% | 9.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.9 pts worse | 3.6% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine37.3 pts worse | 45.2% | 82.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.9 pts worse | 27.8% | 21.9% | 23.4% |
·
Who owns and runs it
18 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 |
|---|---|---|---|
| Get Smart Family Limited Partnership | 5% Or Greater Direct Ownership Interest · Organization | 25% | 2 facilities |
| Sellers, Randy | 5% Or Greater Indirect Ownership Interest · Individual | 24% | 2 facilities |
| Abbott, Ian | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Abbott, Ian | Adp Of The SNF · Individual | 0% | 2 facilities |
| Cottonwood Healthcare LLC | Operational/Managerial Control · Organization | 0% | 26 facilities |
| Cottonwood Healthcare LLC | Adp Of The SNF · Organization | 0% | 26 facilities |
| Le, Khoa | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Le, Khoa | Adp Of The SNF · Individual | 0% | 2 facilities |
| Myers, Walter | Corporate Officer · Individual | 0% | 25 facilities |
| Myers, Walter | Operational/Managerial Control · Individual | 0% | 25 facilities |
| Myers, Walter | Adp Of The SNF · Individual | 0% | 25 facilities |
| Professional Business Advisors LLC | Operational/Managerial Control · Organization | 0% | 11 facilities |
| Professional Business Advisors LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Slattery & Holman P.c. | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Slattery & Holman P.c. | Adp Of The SNF · Organization | 0% | 6 facilities |
| Spiker, Damoniesha | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Spiker, Damoniesha | Adp Of The SNF · Individual | 0% | 1 facilities |
| Willow Haven Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
·
Fire safety
36 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness11E
- E
Address subsistence needs for staff and patients.
- E
Establish policies and procedures including evacuation.
- E
Establish policies and procedures for volunteers.
- E
Develop a communication plan.
- E
Establish staff and initial training requirements.
- E
Conduct risk assessment and an All-Hazards approach.
- E
Conduct testing and exercise requirements.
- E
Implement emergency and standby power systems.
- D
Establish emergency prep training and testing.
- D
Develop and maintain an Emergency Preparedness Program (EP).
- E
Establish roles under a Waiver declared by secretary.
Gas, Vacuum, and Electrical Systems8E
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have power receptacles that are properly grounded.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- E
Meet requirements for the installation and maintenance of electrical systems.
- E
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Smoke7F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install a fire alarm system that can be heard throughout the facility.
- D
Inspect, test, and maintain automatic sprinkler systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
Egress5F
- F
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.
- E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- E
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.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous3E
- E
Provide a written emergency evacuation plan.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Services2F
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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