Advanced Health Care Of Summerlin

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.

64.2% 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 535 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 45.1% 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 215 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 1.39 therapist hours per resident per day in 2026Q1 — more than 99% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 28% 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 36.9 residents a day — about 97% occupied, or roughly 1 bed 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 5.95 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.79 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.32 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 5.02 hrs/resident/day on weekends vs 6.32 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 1.99 to 1.30 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 34% is below 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

Deficiencies are more than at the previous inspection — worsening. 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.

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 · D2025-11-25 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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 an allegation of abuse was thoroughly investigated for 1 of 4 sampled residents (Resident 1). The deficient practice had the potential for failure to ensure the resident's safety and prevent further abuse from occurring. Findings include:Resident 1 (R1) was admitted on [DATE] and discharged on 05/27/2025, with diagnoses including intervertebral disc degeneration, morbid obesity, and long term use of opiate analgesic. The Nurse's Notes (progress notes) dated 05/18/2025 at 4:10 PM, documented (Name of R1) complained that a few nights ago, three nurses came in to reposition me at night, They pulled my arm and as a result, I developed bruises on my left arm and the inner side of my elbow. 2 spots around 3 cm dark decolorization noticed. No s/sx of infection or pain. Pt couldn't remember the exact date. DON reported. There was no documented evidence of the facility's investigation regarding R1's allegation. On 09/24/2025 at 11:38 AM,…

  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 · Deficient, Provider has date of correction
• Potential for harm · D2024-11-22 · tag F0622 — isolated
  Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
  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 properly discuss and provide documentation of resident's discharge planning and appeal rights for 1 of 14 sampled residents (Resident 95). The deficient practice had a potential for a resident to not be able to exercise the right to appeal a discharge decision from the Managed Medicare (MA) Plan and have the necessary planning for discharge. Findings include: Resident 95 (R95) R95 was admitted on [DATE], with diagnoses including Parkinson's disease without dyskinesia and acute respiratory failure. On 08/21/2024 at 12:10 PM, R95 verbalized being discharged tomorrow (08/22/2024). The resident voiced concerns regarding the continuation of care proposed by the facility and the quality of care to be received with the Home Health Agency (HHA). The resident had reservations the current functional capacity might not be fitting to be downgraded to a lower level of care. The resident verbalized signing a discharge notice and 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 date of correction
• Potential for harm · D2024-11-22 · 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 ensure a baseline person-centered care plan to manage a resident's edema (swelling) following admission was completed for 1 of 14 sampled residents (Resident 146). This deficient practice had the potential for delayed interventions, worsening edema, increased risk of skin breakdown or infection, and compromised resident's overall health and well-being. Findings include: R146 was admitted on [DATE], with diagnoses including cardiogenic shock, chronic obstructive pulmonary disease, cardiomyopathy, hypertensive heart disease with heart failure, acute kidney failure, lymphedema and localized edema. The Physician Progress Note dated 11/17/2024, documented R146 presented to the hospital with severe leg swelling and unable to ambulate. R146 was found to be in acute exacerbation of chronic congestive heart failure. The Nursing Progress Notes dated 11/17/2024, documented R146 had bilateral lower extremities edema. On 11/19/2024 at…

  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 before2024-11-22 · 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 the resident's edema (swelling) was appropriately assessed following admission and interventions implemented for 1 of 14 sampled residents (Resident 146). This deficient practice had the potential to result in delayed treatment, worsening edema, increased risk of skin breakdown or infection, and compromised overall health and well-being. Findings include: Resident 146 (R146) R146 was admitted on [DATE], with diagnoses including cardiogenic shock, chronic obstructive pulmonary disease, cardiomyopathy, hypertensive heart disease with heart failure, acute kidney failure, lymphedema and localized edema. The Observation Detail List Report dated 11/15/2024, documented a brief interview of mental status score of 15/15, which indicated R146's cognitive status was intact. The Observation Detail List Report dated 11/15/2024, documented R146 had no edema. The admission Skin assessment dated [DATE], documented R146 had no…

  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 · D2024-11-22 · 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, interviews, record reviews, and document reviews, the facility failed to ensure the fluid restriction was followed, or the physician's order was clarified and communicated for 1 of 14 residents (Resident 146). This deficient practice had the potential to result in fluid overload, which could lead to complications such as edema, hypertension, or congestive heart failure, compromising the resident's overall health and safety. Findings include: Resident 146 (R146) R146 was admitted on [DATE], with diagnoses including cardiogenic shock, chronic obstructive pulmonary disease, cardiomyopathy, hypertensive heart disease with heart failure, acute kidney failure, lymphedema, and localized edema. The Observation Detail List Report dated 11/15/2024, documented a brief interview of mental status score of 15/15, which indicated R146's cognitive status was intact. The physician progress note dated 11/17/2024, documented R146 presented to the hospital with severe leg swelling and was unable to ambulate.…

  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 before2024-11-22 · tag F0694 — isolated
  Provide for the safe, appropriate administration of IV fluids 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 observation, interview, record review, and document review, the facility failed to ensure the peripheral intravenous (IV) access was identified, flushed, and monitored, and a physician order was obtained or removed when not in use for 1 of 14 sampled residents (Resident 144). This deficient practice could have the potential to result in complications such as infection, infiltration, and phlebitis, or other adverse outcomes. Findings: Resident 144 (R144) R144 was admitted on [DATE], with diagnoses including anemia and altered mental status. On 11/19/2024 at 10:09 AM, R144 was in bed alert, verbally responsive but hard of hearing. A peripheral IV access was on the right arm; the dressing was undated, and skin redness was observed around the insertion site and had dried blood-like residue. R144 was unaware of the reason for the IV access placement and could not remember when it was inserted. R144's admission Skin assessment dated [DATE], lacked documented evidence the peripheral IV access was identified.…

  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 before2024-11-22 · 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, record review and document review, the facility failed to ensure residents had physician orders and assessment for self-medicating; and medications were properly secured in the resident's room for 2 of 14 sampled residents (Resident 98 and 102). The deficient practices had a potential for a resident to improperly administer and store medications. Findings include: Resident 98 (R98) R98 was admitted on [DATE], with diagnoses including fracture of left lower leg and end stage renal disease on hemodialysis. On 11/19/2024 at 10:34 AM, observed at R98's bedside table was a Family Wellness brand Stomach Relief, Maximum Strength, bismuth subsalicylate 1050 milligram bottle. R98 indicated bringing in the medication from home just in case of needing it. R98 indicated taking the medication for upset stomach or hyperacidity. The resident confirmed placing the medication at the bedside table ever since arrival and none of the staff had questioned its presence. On 11/20/2024 at 11:45 AM, 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 · D2024-11-22 · 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, record review, and document review, the facility failed to ensure: 1) visitors were educated on the proper use of PPE and wore PPE inside the contact isolation precaution room (Resident 145) and 2) signage for Enhanced Barrier Precaution (EBP) was posted for a resident with a draining wound, personal protective equipment (PPE) was available, and staff used gowns when providing direct care to residents on precautions (Resident 146). The deficient practice could have the potential to increase cross-contamination and transmission of multidrug-resistant organisms (MDROs) and the spread of infectious agents, including multidrug-resistant organisms (MDROs), increasing the risk of healthcare-associated infections (HAIs) among residents, staff, and visitors. Findings include: Resident 145 (R145) R145 was admitted on [DATE], with diagnoses including surgical care aftercare following surgery on the digestive system and sepsis. A physician order dated 11/07/2024, documented R145 was on…

  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 · Dcited before2024-03-21 · 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 interview, record review, and document review, the facility failed to transcribe and implemented a wound treatment per physician order for 1 of 4 sampled residents (Resident 1). The deficient practice resulted in no follow up treatment and could potentially have led to a concern of an infection. Findings include: Resident 1 (R1) R1 was admitted on [DATE] with diagnosis including dementia. A discharge Minimum Data Set (MDS) dated [DATE] documented resident assessed with Brief Interview for Mental Status of 05, indicating severe cognitive impairment. A progress note dated 01/27/2024 documented a CNA notified nursing staff the resident had a skin tear to right lateral shin. Measurements were obtained and found skin tear to be 1 cm x 1.5 cm with scant amount of sanguineous drainage. Provider made aware and orders were obtained for new wound. Weekly skin assessments conducted and documented with negative skin issues identified on the following dates: -01/07/2024 -01/14/2024 -01/21/2024 -01/28/2024 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
• Potential for harm · Dcited before2023-12-29 · 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, and document review, the facility failed to ensure a medication dosage was specified or clarified for 1 of 15 sampled residents (Resident 16). The deficient practice could potentially lead to medication errors, improper administration, and adverse effects. Findings include: Resident 16 (R16) was admitted on [DATE], with diagnoses including a pressure ulcer. On 12/28/2023 at 8:44 AM, during medication pass, a Licensed Practical Nurse (LPN) prepared R16's medications. The Liquacel liquid protein order had no dosage specified. The LPN explained normally, the Liquacel dosage would be 30 milliliters (ml) and the LPN proceeded to administer the medications. On 12/28/2023, at 9:10 AM, the LPN explained the Liquacel liquid protein order was incomplete due to the lack of dosage specification. The LPN indicated the order should have been clarified before administering the medication. On 12/29/2023 at 2:32 PM, the Director of Nursing (DON) confirmed Liquacel had no indicated dosage, and it…

  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

$4,194 in federal fines across 1 penalty.

• $4,194 — penalty dated 2023-12-18

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

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 10 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 $1.8M paid to related parties — landlords or management companies under common ownership — equal to about 20% 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