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Mountain View Care Center

601 Adams Boulevard, Boulder City, NV 89005 · For profit - Limited Liability company · 87 certified beds · (702) 293-5151 Medicare & Medicaid certified

Call the home — (702) 293-5151 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Jun 2024
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Jun 2024
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • about 22% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
895 Adams Blvd · (702) 293-0406 · Call to confirm hours
Pharmacy
800 Buchanan Blvd · (702) 293-6705 · Call to confirm hours
Grocery
1506 San Felipe Dr · (702) 293-3451 · Call to confirm hours
Park
ABC Park<0.1 mi
801 Adams Blvd · (702) 294-0335 · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased2.0%12.6%15.4%better
Long-stay residents who lose too much weight5.3%5.5%5.4%typical
Long-stay residents with a catheter left in their bladder1.0%1.6%0.9%worse
Long-stay residents with a urinary tract infection0.7%1.9%2.0%better
Long-stay residents with depressive symptoms4.2%5.1%6.5%better
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury2.3%2.0%3.3%better
Long-stay residents whose ability to walk worsened2.7%13.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication24.3%22.2%18.9%worse
Long-stay residents given the seasonal flu vaccine97.6%89.6%95.3%typical
Long-stay residents with pressure ulcers4.6%5.4%4.7%typical
Long-stay residents with worsening bladder/bowel control20.8%15.5%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table18.2%17.1%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.0%1.8%1.4%better
Short-stay residents given the seasonal flu vaccine66.7%80.7%79.4%worse
Short-stay residents rehospitalized after admission15.3%23.2%22.6%better
Short-stay residents with an outpatient ER visit14.4%9.6%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.111.851.67better
Long-stay outpatient ER visits per 1,000 resident days0.581.451.80better

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

10.8%U.S. median 10.7%
Went back to hospital
45.8%U.S. median 56.6%
Met the expected recovery
0.20U.S. median 0.31
Therapy hours / resident / day
0.07hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy

Met the expected recovery: 45.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 24 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.20 therapist hours per resident per day in 2026Q1 — more than 22% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.8%CMS range 7.0–16.510.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge45.8%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge33.3%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge41.7%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened10.3%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.0%CMS range 4.9–15.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.261.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.46
RN hours/ resident / day
1.26
LPN hours/ resident / day
2.31
Aide hours/ resident / day
4.03
Total nurse hours/ resident / day
0.50
RN hoursweekends
47.0%
Total nursing turnover
58.3%
RN turnover

How full it usually is: this home is certified for 87 beds and averages 77.7 residents a day — about 89% occupied, or roughly 9 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.03 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.46 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.31 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.84 hrs/resident/day on weekends vs 4.11 on weekdays — 7% thinner on weekends. RN hours go from 0.44 to 0.50 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 47% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

4
deficiencies at the latest standard inspection (2025-12-05)
8
at the previous standard inspection (2024-11-01)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.

  • Potential for harm · D2025-12-05 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on recorded review, interview and document review the facility failed to ensure physician orders were followed for the treatment of hypoglycemia (low blood sugar) and the physician notified of a change of condition for 1 of 20 sampled residents (Resident 52). The deficient practice had the potential to lead to worsened symptoms of hypoglycemia, hospitalization, or even death.Findings include: Resident 52 (R52) was admitted on [DATE] with diagnoses including type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema.A review of R52's weights and vitals summary dated 10/21/2025 through 10/31/2025 documented a blood sugar value of 43 milligrams per deciliter (mg/dL), a unit for measuring substance concentration (like blood sugar) on 10/29/2025. The summary documenting a warning low of 70.2 mg/dL exceeded.A review of R52's Medication Administration Record (MAR) revealed an order for Glucose Gel 15 grams/32 milliliter (GM/ML) (a fast-acting sugar solution used to treat low blood…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-05 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and document review, the facility failed to ensure a pharmacist's recommendation for a gradual dose reduction (GDR) was act upon for 1 of 20 sampled residents (Resident 30). The deficient practice had the potential for significant side effects including drowsiness, blurred vision, fatigue, trouble sleeping, and changes in mood. Findings include:Resident 30 (R30) was admitted [DATE], readmitted [DATE], with diagnosis including phantom limb syndrome with pain, major depressive disorder recurrent moderate and dementia unspecified severity with agitation.A physician order dated 10/18/2025, documented Fluoxetine Hydrochloride (HCI) oral capsule 40 milligrams (mg), give one capsule by mouth one time a day, related to major depressive disorder recurrent moderate. Record review revealed R30 had been receiving the same dose of Fluoxetine HCI 40 mg since 08/18/2023.A Medication Regimen Review dated 09/29/2025, documented a recommendation from the consultant pharmacist to consider a trial…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-05 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interview, and document review, the facility failed to ensure the medication error rate was less than five percent (%) resulted in a medication error rate of 6.67%. This deficient practice had the potential to put the resident at risk for adverse drug reactions, ineffective treatment, and compromised health outcome.Findings include:On 12/03/2025 at 7:40 AM, Licensed Practical Nurse (LPN4) was observed preparing medications for Resident 61 (R6). LPN4 administered Aspirin 81 milligrams (mg) chewable, 1 tablet and Losartan Potassium 50 mg 1 tablet orally to R61. R61 was admitted on [DATE] with diagnoses including gastro-esophageal reflux disease (GERD) and essential hypertension.A physician order dated 11/19/2025 indicated, Aspirin Oral Capsule 81 mg, give 1 tablet by mouth once daily for deep venous thrombosis.A physician order dated 11/22/2025 Losartan Potassium 100 mg 1 tablet by mouth one time a day for hypertension.On 12/03/2025 at 7:50 AM, the LPN acknowledged the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-05 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure 1) safe and sanitary medication administration practices for 1 of 3 residents (Resident 61) during the medication pass observation, and 2) the Water Management Program included all requirements to prevent the growth and spread of Legionella. This deficient practice had the potential to compromise resident safety by increasing the risk of infection and cross contamination during medication administration, and exposure to waterborne pathogens.Findings include:Resident 61(R61) was admitted on [DATE] with diagnoses including gastro-esophageal reflux disease (GERD). On 12/03/2025 at 7:40 AM, during a medication administration observation a Licensed Practical Nurse (LPN), retrieved a new bottle of aspirin intended for R61. The LPN used a bare finger to remove a tablet from the container. The inspector directed the LPN to discard the tablet since it was contaminated after being touched with a bare finger. During this process, four aspirin…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-11-01 · tag F0693 — failed to provide proper feeding-tube care — pattern
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to ensure residents' tube feeding (TF) orders were followed and completely delivered as ordered for 3 of 5 sampled residents (Residents 54, 48, and 11). The deficient practice could have led to a potential risk of malnutrition, dehydration, and inadequate caloric intake, compromising residents' health and increasing susceptibility to further medical complications. Findings include: A facility policy titled Enteral Nutrition revised February 2008, documented adequate nutritional support through enteral nutrition was provided to residents as ordered. A facility policy revised February 2008 documented the adequate nutritional support through enteral nutrition was provided to residents as ordered. Examples of potential benefits from using a feeding tube included addressing malnutrition and dehydration, promoting wound healing, allowing residents to regain strength, and enabling a transition back to oral nutrition. Resident 54…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-11-01 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to label, and date open stored food products, and maintain sanitary conditions in the kitchen. The deficient practice could potentially expose residents to foodborne illnesses. Findings include: On 10/29/24 at 8:15 AM, an inspection was conducted in the kitchen with the kitchen manager. The following issues were identified: -The coffee machine and the iced tea dispenser had visible ground coffee residue and appeared dirty. - Two ovens were visibly soiled with substantial accumulations of grease and burned food debris. The kitchen manager indicated the ovens were scheduled to be deeply cleaned and acknowledged the ovens should had been cleaned more often. - Two trays and a cart containing cartons of milk and chocolate milk were visibly soiled with dairy matters. - The kitchen floor, including the food preparation area, under the steam table, stove, and dishwashing area, was visibly soiled with food debris and grease. The kitchen manager admitted the kitchen was cleaned every two weeks and acknowledged it should have been cleaned…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-11-01 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to ensure: 1) Signage for Enhanced Barrier Precaution (EBP) was posted for a resident with a urinary catheter and an unstageable wound, and personal protective equipment (PPE) was available (Resident 82), 2) Gown was used by staff when providing direct care to residents on precautions, and hand hygiene was performed after removing the used gloves (Resident 63); and 3) a policy was in place regarding the reuse of gowns after use. This deficient practice had the potential to increase the risk of cross-contamination, the spread of healthcare-associated infections, and compromise infection control measures. Findings include: 1) Resident 82 (R82) R82 was admitted on [DATE] and readmitted on [DATE], with the diagnoses including urinary tract infection, acute kidney infection, unstageable pressure ulcer and urinary retention. On 10/30/2024 at 10:45 AM, R82 was in bed with eyes closed, a Foley catheter was covered yet visible from…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-01 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to develop a baseline care plan for the use of an indwelling Foley catheter within 48 hours of a resident's admission for 1 of 20 sampled residents (Resident 82). This deficient practice posed potential risks, including increased likelihood of infection, catheter blockage, tissue damage, and inadequate monitoring of urinary output. Findings include: Resident 82 (R82) R82 was admitted on [DATE] and readmitted on [DATE], with the diagnoses including urinary tract infection, acute kidney infection, unstageable pressure ulcer and urinary retention. On 10/29/224 at 2:08 PM, R82 was in bed with eyes closed. R82 had Foley catheter 18 French (Fr) times (x) 5-10 milliliters (ml) water balloon. Few drops of urine observed in the urinary bag. A Physician order dated 09/26/2024, documented Foley catheter 16 FR x 10 ml water balloon for neurogenic bladder related to urine retention. The Readmit Screener dated 10/13/2024, documented R2…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-11-01 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to develop a comprehensive care plan for: 1) fall prevention for a resident at risk for fall (Resident #56), 2) and medication self-administration (Resident #79). The deficient practice had the potential to deprive the residents for receiving necessary care to prevent health complications. Findings include: Resident #56 (R56) R56 was admitted on [DATE], with diagnoses including severe sepsis, neurocognitive disorder, history of alcoholism and drug abuse, weight loss, and cerebrovascular accident. Initial fall risk assessment dated [DATE], revealed a score of 12, indicating R56 was at risk for falls. The assessment documented if the total score was 10 or greater, the resident should be considered at a high risk for potential falls and the prevention protocol should be initiated immediately and documented on the care plan. R56 was re-assessed for fall risk on 08/11/2024, scoring 14 (high risk). The fall assessments were…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-01 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to ensure the resident's Foley catheter was properly assessed and the correct Foley size was inserted or clarified for 1 of 20 sampled residents (Resident 82). This deficient practice had the potential to increase the risk of discomfort or pain, or urinary tract injury and complications. Findings include: Resident 82 (R82) R82 was admitted on [DATE] and readmitted on [DATE], with the diagnoses including urinary tract infection, acute kidney infection, unstageable pressure ulcer and urinary retention. A Physician order dated 09/26/2024, documented Foley catheter 16 FR x 10 ml water balloon for neurogenic bladder related to urine retention. The Minimum Data Set, dated [DATE], documented R82 had indwelling catheter. The Readmit Screener dated 10/13/2024, documented R2 had indwelling/Foley catheter 16 Fr. A Nursing Progress Notes dated 10/15/2024, documented R2's Foley catheter 16 Fr draining and in place related to urinary…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · D2024-11-01 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to; 1) monitor weights for a resident with prescribed weight gain (Resident #67), and 2) ensure vulnerable residents' tube feeding free water flush (FWF) orders were followed and completely delivered as ordered for 1 of 5 sampled residents receiving continue hydration via gastrostomy tube (Resident #11). The deficient practice could have led to a potential risk of dehydration, electrolyte imbalance, kidney complications, and increased susceptibility to further health issues, thereby compromising the residents' overall well-being and recovery. Findings include: 1) Weight monitoring: Resident #67 (R67) R67 was admitted on [DATE], with diagnoses including anxiety, acute psychosis, agitation, chronic obstructive pulmonary disease, hyperlipidemia, and dysphagia. R67's weight records revealed weights were obtained three times during the last 120 days as follows: 04/10/2024: 151 pounds (lbs.) 07/11/2024: 145.8 lbs. 10/24/2024:…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-01 · tag F0908 — failed to keep essential equipment working — isolated
    Keep all essential equipment working safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and document review, the facility failed to maintain essential kitchen equipment in good repair. The deficient practice had the potential to affect the quality and safety of the ice produced, and the lack of reliable temperature monitoring posed a risk to food safety, as it prevents accurate assessment of the freezer's ability to maintain appropriate food storage temperatures. Findings include: On 10/29/24 at 8:15 AM, an inspection was conducted in the kitchen with the kitchen manager. The following issues were identified: - Six steam table pans were observed with significant staining, exhibiting brown and white matter build-up. The discoloration and residue suggested possible water damage and inadequate cleaning practices. - The ice machine exhibited significant white mineral deposits both on its exterior and interior surfaces. The kitchen manager reported ongoing issues with the ice machine's performance, despite previous repairs. - A freezer had its manufacturer's thermometer out of service, and the internal thermometer was not functioning. The…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-26 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review and document review the facility failed to ensure a dependent, non-verbal resident was not left in a wet brief for an extended period of time for 1 of 5 sampled residents (Resident 1). The deficient practice had the potential to place the resident at risk for worsening of health conditions and psychosocial harm. Findings include: Resident 1 (R1) R1 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including intellectual disabilities, dementia, cognitive communication deficit, and diabetes mellitus. A Brief Interview for Mental Status (BIMS; a tool used to screen and identify the cognitive condition of a resident) on 05/14/2024 documented a score of 03, which indicated a severe cognitive impairment. A report of neglect by a staff member was received by the state agency. On 06/25/2024 at 1:00 PM, the Assistant Administrator confirmed concern regarding neglect of resident by a Certified Nursing Assistant (CNA) at the facility. The Assistant…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · Dcited before2023-12-15 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and document review, the facility failed to ensure a person-centered care plan was developed and implemented for a resident with limited English proficiency (LEP) for 1 of 19 sampled residents (Resident 74). The deficient practice placed the resident at risk for feeling isolated and unable to express needs impacting quality of life. Findings include: Resident 74 (R74) R74 was admitted on [DATE], with diagnoses including aphasia (a language disorder which affects a person's ability to communicate) following cerebral infarction. On 12/12/2023 at 9:18 AM, R74 laid awake in bed, television was on, and enteral feed was infusing. R74 was smiling, maintained eye contact, and attempted to mouth words but was unsuccessful. R74 was able to respond to simple questions by nodding head or moving left thumb up or down but the resident moved head from side to side removing smile when asked if R74 could understand English. There were no pictures or communication boards observed in…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-12-15 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and document review, the facility failed to ensure a physician's order for a splint device was carried out for 1 of 19 sampled residents (Resident 46). The deficient practice placed the resident at risk for worsening contracture of the right hand. Findings include: Resident 46 (R46) R46 was admitted on [DATE] and readmitted on [DATE], with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting right dominant side. A Physician's Order dated 12/07/2023, documented to wear splint for 30 minutes two times a day and increase wear time as needed as patient tolerates. On 12/12/2023 at 9:00 AM, R46 was seated in wheelchair inside room watching television. The resident used left hand to organize personal items while the right-hand rested on the wheelchair's armrest. The resident was not wearing a splint device, nor was a splint device observed inside the resident's room. On 12/13/2023 at 8:03 AM, R46 was seated in wheelchair watching…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-12-15 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review, and document review the facility failed to ensure a physician order for continuous use of Oxygen was followed for 1 of 19 sampled residents (Resident 53). The deficient practice had the potential for adverse outcomes for a resident requiring use of Oxygen. Findings include: Resident 53(R53) R53 was admitted on [DATE] with diagnosis of chronic respiratory failure. On 12/12/2023 at 11:50 AM, R53 verbalized receiving 4 liters per minute (LPM) of Oxygen via nasal cannula continuously. Observation indicated flow rate was set at 3 LPM on the Oxygen concentrator in room. On 12/13/2023 at 8:15 AM, the Oxygen concentrator was set at an Oxygen flow rate of 3 LPM. A certified nursing assistant (CNA) confirmed the flow rate was at 3 LPM. On 12/14/2023 at 1:15 PM, the Oxygen flow rate was 3 LPM, confirmed by CNA on the unit. A Physician Order dated 08/21/2022 documented continuous oxygen at 4 liters per minute (LPM) via nasal cannula. On 12/14/2023 in the afternoon, a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-12-15 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and document review, the facility failed to ensure a physician's order was obtained in the administration of a medication for one unsampled resident (Resident 10). The deficient practice had the potential for the resident not receiving the physician ordered medication regimen or non-pharmacological interventions for pain management. Findings include: Resident 10 (R10) R10 was admitted on [DATE], with diagnoses including long term (current) use of opiate analgesic and other chronic pain. On 12/13/2023 at 8:31 AM, during the medication administration pass observation, R10 complained of pain to the Licensed Practical Nurse (LPN). R10 indicated having a pain scale of two when asked by the LPN (A 10-point Pain Intensity Scale where 0 = no pain, 10 = worst pain). The LPN verbalized Tylenol (Acetaminophen) for pain would have been given to the resident. On 12/13/2023 at 8:33 AM, the LPN administered Acetaminophen 325 milligram (mg) two tablets to R10. R10's medical record…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-12-15 · tag F0761 — failed to label and store drugs safely — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, the facility failed to ensure a multi-dose Insulin pen stored in 1 of 3 medication carts inspected was dated when opened (200 Hall Medication Cart). The deficient practice had the potential for the resident to receive an expired medication. Findings include: On [DATE] at 10:14 AM, an inspection of a medication cart in 200 Hall was conducted with a Licensed Practical Nurse (LPN). An open multi-dose Insulin pen named Levemir FlexPen 100 unit/milliliter was found inside the medication cart. The medication (Insulin) was not dated nor labeled with an open date. The medication had the name of Resident 30 (a current resident). The LPN confirmed the observations and explained the medication should have been dated when opened because the medication would have expired after 28 days and had to be discarded. On [DATE] at 1:36 PM, the Director of Nursing (DON) indicated the nurses were expected to label the Insulin pen with the date when the medication was opened. The DON…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-12-15 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and document review the facility failed to ensure items in a refrigerator were not expired and food in the freezer was labeled and dated. The deficient practice had the potential to result in residents receiving outdated food items increasing the risk of food-borne illness. Findings include: On 12/12/2023 at 7:48 AM, during tour of the kitchen there were individual milk cartons on a cart in the walk-in refrigerator with an expiration date of 12/10/2023. There were labels on the milk cartons indicating they were sent to the resident units on 12/11/2023 and returned to kitchen. On 12/12/2023 at 7:52 AM, the Kitchen Manager verbalized the identified milk cartons were sent to the unit on 12/11/2023 and returned to the kitchen unopened. The Kitchen Manager indicated the milk should not have been sent to the unit or stored in the refrigerator after the expiration date and should have been discarded by the kitchen staff on 12/10/2023. On 12/12/2023 at 8:06 AM, there was a clear plastic bag filled with pre-made pancakes in the freezer, and several clear…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-12-15 · tag F0941 — isolated
    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and document review, the facility failed to ensure training was provided to employees regarding the facility's language line or interpretation services for 1 of 19 residents (Resident 74). The deficient practice had the potential to make residents with limited English proficiency (LEP) feel isolated and unable to express needs impacting their quality of life. Findings include: Resident 74 (R74) R74 was admitted on [DATE], with diagnoses including aphasia (a language disorder which affects a person's ability to communicate) following cerebral infarction. On 12/12/2023 at 9:18 AM, R74 was awake watching television. R74 would attempt to mouth words but unsuccessfully and was not able to respond to questions. The resident was able to smile, nod head and raise left thumb up or down. There were no pictures or communication boards observed in the room. On 12/13/2023 at 1:52 PM, the Social Services Director (SSD) indicated R74 was alert but unable to express needs to do a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleShareSince
BOULDER CITY NV HOLDCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 06/01/2022
RAMI, ISAACIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL94%since 09/04/2024
RIEDER, STEVENIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST5%since 09/04/2024
JONES, JOLINEIndividualADP OF THE SNFsince 08/12/2025

CMS files one row per role, so the 5 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$10.7M
Net patient revenuemost recent cost report
+1.1%
Operating marginrevenue minus expenses
$2.4M
Related-party expense22% of expenses
Who pays — share of resident-days
Medicaid 82%Medicare 4%Other / private 14%

About 82% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $2.4M paid to related parties — landlords or management companies under common ownership — equal to about 22% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$364per resident / day
operating cost
$11,080per month
≈ monthly operating cost
$369per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NV

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Nevada Medicaid page.

Typical monthly cost in Nevada
$11,786/mo
Nursing home (semi-private)
$14,463/mo
Nursing home (private)
$6,241/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 295080. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-05, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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