Advanced Health Care Of Paradise

Location & what’s nearby

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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

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.

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.

66.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 294 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 43.1% 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 181 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 1.13 therapist hours per resident per day in 2026Q1 — more than 98% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 23% 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.

Staffing

How full it usually is: this home is certified for 38 beds and averages 37.6 residents a day — about 99% occupied, or roughly 0 beds typically open. It runs essentially full — expect a waiting list. 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 6.11 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 2.13 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.61 is at or above 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 5.00 hrs/resident/day on weekends vs 6.56 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 2.27 to 1.78 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 29% is below the national median of 45%. 1 administrator has left in the past year.

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

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.

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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · Dcited before2026-04-17 · 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 observation, interview, record review and document review, the facility failed to ensure a resident received the medication as ordered for 1 of 4 sampled residents for medication pass observation (Resident 51); and a resident's follow-up appointment in one to two weeks with Neurology, per the hospital discharge instructions, was facilitated for 1 of 12 sampled residents (Resident 16). The deficient practice had the potential for the resident not to receive the maximum therapeutic effect of the medication and identify neurological issues.Findings include:Resident 51 (R51) was admitted on [DATE], with diagnoses including encephalopathy, anemia, and long term use of oral hypoglycemic drugs. The physician order dated 04/10/2026, documented Megestrol Suspension 400 milligram (mg)/10 milliliter (ml), amount: 5 ml by mouth twice a day from 7:00 AM to 9:00 AM, and from 7:00 PM to 9:00 PM. The indication was for appetite stimulant. On 04/15/2026 at 8:26 AM, during a medication pass observation, a Registered…

  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 · D2025-07-23 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 resident was appropriately discharged for 1 of 6 sampled residents (Resident (R) 6). This failure could potentially lead to medical complications or adverse events which could result in rehospitalization.Findings include:Resident 6 (R6) was admitted to the facility on [DATE] with diagnoses including spondylosis, type 2 diabetes mellitus, hypothyroidism, and hypertension.A care plan dated 6/12/2025 documented the need for discharge planning. R6 was to be discharged from the facility with a safe and coordinated discharge to R6's home with family. The facility was to assist R6 and/or support person in locating and coordinating post discharge services and to plan for specific resident needs and continuing care needs after discharge such as home health care, durable medical equipment, oxygen (if needed), prescriptions, and other support services.On 07/24/2025 at 9:02 AM, a Case Manager (CM) stated a new resident assessment was…

  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 Rights Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · D2025-03-20 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  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 record review and interview, the facility failed to ensure proper Medicare Notice of Medicare Non-Coverage letter was completed and provided for 1 of 3 unsampled residents selected for beneficiary notification review. The deficient practice resulted in non-compliance with Medicare requirements, that could hinder the resident's ability to make informed decisions regarding their coverage and care. Findings include: Resident #99 (R99) R99 was admitted to the facility on [DATE], with diagnoses including fall, right hip fracture and syncope. Review of R99 S's CMS (Centers for Medicare and Medicaid Services) SNF (Skilled Nursing Facility) Beneficiary Protection Notification Review form provided by the Case Manager on 03/19/2025, revealed R99's Medicare Part A skilled services episode started on 08/30/2024 and the last covered day for Part A services was on 09/18/2024. R99 was discharged home on [DATE]. The medical record lacked documented evidence the Notice of Medicare Non-Coverage letter was provided to R99…

  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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-20 · 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, medical record review, and document review, the facility failed to implement care plan interventions for 4 of 13 sampled residents and one unsampled resident (Resident #11), for pressure reducing device (Resident #92), intravenous midline care (Residents #17 and 21), feeding assistance (Resident #11 and 21), and constipation care (Resident #39). The deficient practice had the potential to compromise the quality of care, disrupt continuity in treatment, and may lead to negative outcomes, including deterioration in residents' overall health. Findings include: Resident #92 (R92) R92 was admitted on [DATE] with diagnoses including dementia, benign prostatic hyperplasia (BPH), chronic hypoxic respiratory failure, diabetes mellitus, and bed-bound status. The admission skin assessment dated [DATE], revealed an unspecified open area in coccyx. Skin assessment dated [DATE], documented R92 had a deep tissue injury (DTI) with moisture-associated skin damage (MASD) in the coccyx area. [NAME]…

  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 · D2025-03-20 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  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 care not provided to residents, were not documented in the medical record as completed for the application of antimicrobial wipes for 1 of 13 sampled residents (Resident #92), and for wound care and intravenous midline dressing change for 2 of 13 sample residents (Resident #17 and 21). Failure to accurately document care in the medical record had the potential to compromise patient safety by leading to gaps or errors in care, delay necessary interventions, and hinder continuity of treatment that could lead to deterioration of resident's health due to unmet care needs. Findings include: Resident #92 (R92) R92 was admitted on [DATE] with diagnoses including included dementia, benign prostatic hyperplasia (BPH), chronic hypoxic respiratory failure, diabetes mellitus, and bed-bound status. A physician order dated 03/15/2025 documented to wipe down resident's entire body with Chlorhexidine (CHG) wipes once daily to be…

  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 · D2025-03-20 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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 assistance was provided for residents who were assessed or evaluated to require one-on-one (1:1) feeding assistance for 1 of 13 sampled residents (Resident 21) and one unsampled resident (Resident 11). The deficient practice placed the residents at risk for significant weight loss and malnutrition. Findings include: Resident 21 (R21) R21 was admitted on [DATE], with diagnoses including metabolic encephalopathy, dementia and history of craniotomy. On 03/19/2025 at 9:18 AM, R21's head of bed was elevated approximately 30 degrees, R21 appeared weak and lethargic and responded with singular words or nodding head. A signage on the wall read 1:1 feeding assistance. Sit resident up in chair during mealtimes. A meal tray was observed on the resident's bedside table and contained a bowl of cream of wheat covered in plastic wrap and an Ensure supplement. The meal ticket read regular pureed diet with thin liquids. There 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-20 · 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 observation, record review, interview, and document review, the facility failed to ensure prescribed antimicrobial wipes were used for the treatment of a multidrug resistant fungal infection for 1 of 13 sampled residents (Resident #92). The deficient practice had the potential to increase the risk of complications for the affected resident, compromise the overall quality of care, lead to further spread of the infection, and jeopardizing the health and safety of other residents and staff within the facility. Findings include: Resident #92 (R92) R92 was admitted on [DATE] with diagnoses including included dementia, benign prostatic hyperplasia (BPH), chronic hypoxic respiratory failure, diabetes mellitus, and bed-bound status. A physician order dated 03/10/2025, revealed R92 was on strict contact isolation for Candida auris in the groin area (Candida auris is a multidrug-resistant fungal pathogen that can cause serious infections, particularly in healthcare settings, and is difficult to treat with…

  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 · D2025-03-20 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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, medical record review, and document review, the facility failed to ensure a physician order for an air mattress was followed for 1 of 13 sampled residents (Resident #92), and wound care treatment was provided as per physician's order for 2 of 13 sampled residents (Residents #17 and 21). The deficient practice placed the residents at risk to develop new pressure ulcers and had the potential to worsen or delay healing of the existing pressure ulcer and increase patient pain and discomfort. Findings include: Resident #92 (R92) R92 was admitted on [DATE] with diagnoses including included dementia, benign prostatic hyperplasia (BPH), chronic hypoxic respiratory failure, diabetes mellitus, and bed-bound status. The admission skin assessment dated [DATE], revealed an unspecified open area in coccyx. Skin assessment dated [DATE], documented R92 had a deep tissue injury (DTI) with moisture-associated skin damage (MASD) in the coccyx area. [NAME] risk observation for the prediction of…

  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 · D2025-03-20 · 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 facility's bowel protocol was followed for a resident who was constipated for 1 of 13 sampled residents (Resident 139). The deficient practice placed the resident at risk for bowel complications such as fecal impaction. Findings include: Resident 139 (R139) R139 was admitted on [DATE], with diagnoses including ulcerative colitis and diverticulitis. On 03/20/2025 at 2:12 PM, R139 was seated in wheelchair with family member present. R139 responded slowly to questions using singular words. The family member indicated visiting the resident daily and expressed concern regarding R139 not having a bowel movement (BM) since 03/11/2025. The family member reported R139 had been suffering from stomach issues for 20 years and BMs were very irregular, but the family member had a routine which worked for them at home. R139's family member indicated administering a stool softener and a laxative after two days of no BM. If this…

  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 · D2025-03-20 · 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 ensure physician's orders to provide one-on-one (1:1) feeding assistance were followed for 1 of 13 sampled residents (Resident 21) and one unsampled resident (Resident 11). The deficient practice placed the residents at risk for significant weight loss and malnutrition. Findings include: Resident 21 (R21) R21 was admitted on [DATE], with diagnoses including metabolic encephalopathy, dementia and history of craniotomy. On 03/19/2025 at 9:18 AM, R21's head of bed was elevated approximately 30 degrees, R21 appeared weak and lethargic and responded with singular words or nodding head. A signage on the wall read 1:1 feeding assistance. Sit resident up in chair during mealtimes. A meal tray was observed on the resident's bedside table and contained a bowl of cream of wheat covered in plastic wrap and an Ensure supplement. The meal ticket read regular pureed diet with thin liquids. There were no staff members observed in 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.

  Quality of Life and Care 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.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ADVANCED HEALTH CARE — 26 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 9 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

5 organizational owners 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.

This home reported $2.3M paid to related parties — landlords or management companies under common ownership — equal to about 23% 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

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