Life Care Center Of Las Vegas
6151 Vegas Drive, Las Vegas, NV 89108 · For profit - Corporation · 178 certified beds · (702) 648-4900 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- lower-than-typical staff turnover (22% vs 45% nationally) — better care continuity
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has an abuse, neglect, or exploitation citation (F0600), cited May 2026
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (29) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 | 4 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 improved from 3 to 5 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 4.5% | 12.6% | 15.4% | better |
| Long-stay residents who lose too much weight | 10.2% | 5.5% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 1.0% | 1.6% | 0.9% | typical |
| Long-stay residents with a urinary tract infection | 0.6% | 1.9% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.4% | 5.1% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.6% | 0.1% | 0.1% | worse |
| Long-stay residents with falls causing major injury | 1.9% | 2.0% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 4.9% | 13.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 37.6% | 22.2% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 85.3% | 89.6% | 95.3% | worse |
| Long-stay residents with pressure ulcers | 7.4% | 5.4% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 17.5% | 15.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 35.8% | 17.1% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 0.9% | 1.8% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 83.6% | 80.7% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 19.8% | 23.2% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 10.5% | 9.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.83 | 1.85 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.09 | 1.45 | 1.80 | better |
§ 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.
38.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 151 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 70.5% 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 78 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 0.27 therapist hours per resident per day in 2026Q1 — more than 41% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 6% 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 38.9%CMS range 30.8–48.2 | 51.5% | Oct 2022–Sep 2024 | worse than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.9%CMS range 7.9–13.6 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 70.5% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 64.1% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 60.3% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 75.2% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 80.2% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this 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 discharge | not 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 stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 5.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.1%CMS range 4.8–11.7 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.88 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 178 beds and averages 170.5 residents a day — about 96% occupied, or roughly 8 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 3.56 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.47 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.93 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 3.11 hrs/resident/day on weekends vs 3.74 on weekdays — 17% thinner on weekends. RN hours go from 0.52 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 22% 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 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.
29 citations, most serious first. The 10 most serious are shown; the remaining 19 are one tap away and print in full.
- Potential for harm · E2026-05-14 · tag F0600 — failed to protect residents from abuse and neglect — patternProtect 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 interview, record review, and document review, the facility failed to protect residents from ongoing and repeated sexual and/or physical contact by a cognitively impaired resident with a history of continued repeated behaviors for 1 of 6 sampled residents (Resident 2) and 3 of 3 unsampled residents (Resident 7, 8, and 9). The deficient practice placed the residents at risk for continued nonconsensual physical contact and potential psychosocial distress.Findings include:Resident 2 (R2) was admitted [DATE], with diagnosis including dementia unspecified severity with anxiety/psychotic disturbance, depression, and adult failure to thrive.On 05/13/2026 at 1:17 PM, R2 was observed in the hallway seated in a wheelchair holding a stuffed animal. R2 looked toward the surveyor, immediately looked away, and did not acknowledge the surveyor's greeting. R2 did not interact with the surveyor and did not respond to questions. R2 was observed calm.A Minimum Data Set assessment dated [DATE], documented R2's cognitive…
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.
- Potential for harm · Dcited before2026-05-14 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 interview, record review, and document review, the facility failed to reassess, revise, or reevaluate the effectiveness of care plan interventions, despite continued sexual and/or physical behaviors for 1 of 6 sampled residents (Resident 1). The deficient practice had potential to result in ineffective management of continued sexual and physical intrusive behaviors.Findings include:Resident 1 (R1) was admitted [DATE], with diagnosis including metabolic encephalopathy, and other specified anxiety disorders.On 05/13/2026 at 9:29 AM, R1 was observed in bed lying in bed. R1 opened their eyes, lifted their head, and nodded yes to their name being called. R1 did not engage in conversation, looked away and closed eyes.On 05/14/2026 at 3:33 PM, R1 was lying in bed with blanket covering their face. R1 responded to greeting by sitting up in bed and repeatedly said thank you. R1 did not answer any questions, laid back down in bed and covered their head with a blanket.A Minimum Data Set assessment dated [DATE]…
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.
- Potential for harm · D2026-05-14 · tag F0742 — isolatedProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
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 implement, and accurately complete physician ordered behavior monitoring for agitation, sexual behavior, interventions, and outcomes for 1 of 6 sampled residents (Resident 1). The deficient practice had the potential to result in failure to identify, monitor, and manage continued sexual and physical behaviors.Findings include:Resident 1 (R1) was admitted [DATE], with diagnosis including metabolic encephalopathy, and other specified anxiety disorders.On 05/13/2026 at 9:29 AM, R1 was observed in bed lying in bed. R1 opened their eyes, lifted their head, and nodded yes to their name being called. R1 did not engage in conversation, looked away and closed eyes.On 05/14/2026 at 3:33 PM, R1 was lying in bed with blanket covering their face. R1 responded to greeting by sitting up in bed and repeatedly said thank you. R1 did not answer any questions, laid back down in bed and covered their head with a blanket.A Minimum Data Set assessment…
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.
- Potential for harm · Dcited before2026-01-09 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 care plan intervention to provide one-on-one (1:1) feeding assistance for a resident who was assessed to be at risk for malnutrition was implemented for 1 of 40 sampled residents (Resident 19). The deficient practice had the potential to place the resident at an increased risk for malnutrition.Findings include:Resident 19 (R19) was admitted on [DATE] with diagnoses including hepatic encephalopathy, protein calorie malnutrition and altered mental status. On 01/07/2026 at 8:07 AM, R19 was seated in a chair by the bedside eating slowly and independently. R19's breakfast meal included scrambled eggs, bacon strips and milk. There were no staff members nearby or inside R19's room.A physician order dated 10/16/2025, documented to provide 1:1 feeding assistance. On 01/07/2026 at 8:24 AM, the Registered Nurse (RN) confirmed R19 had a care plan intervention to provide 1:1 feeding assistance as determined by 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.
- Potential for harm · D2026-01-09 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide 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 orders were followed to provide one-on-one (1:1) feeding assistance for a resident assessed to be at risk for malnutrition for 1 of 40 sampled residents (Resident 19). The deficient practice had the potential to place the resident at an increased risk for malnutrition.Findings include: Resident 19 (R19) was admitted on [DATE] with diagnoses including hepatic encephalopathy, protein calorie malnutrition and altered mental status. On 01/06/2026 in the morning, R19 responded with nonsensical speech (used words, phrases with no meaning). R19 had a gaunt face (appearing thin, bony and hollow with sunken cheeks).On 01/07/2026 at 8:07 AM, R19 was seated in a chair by their bedside eating breakfast slowly and independently. The breakfast meal included scrambled eggs, bacon strips and milk. There were no staff members nearby or inside R19's room one-on-one (1:1) feeding assistance with the meal.R19's meal ticket…
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.
- Potential for harm · D2026-01-09 · tag F0849 — isolatedArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice 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, document review, the facility failed to ensure information gathered by hospice staff related to the resident's hospice recertification reflected the improving nutritional status for a resident with a primary hospice diagnosis of protein-calorie malnutrition for 1 of 40 sampled residents (Resident 177). The deficient practice had the potential to deprive the resident of a higher level of medical care outside hospice services. Findings include:Resident 177 (R177) was admitted on [DATE] and readmitted on [DATE], with diagnoses including protein-calorie malnutrition and hospice status.The Hospice-Nursing Facility Agreement signed 10/01/2025, documented hospice and facility shall communicate with one another regularly and as needed for each hospice resident. Each party was responsible for documenting such communications in its respective clinical record. On 01/07/2026 at 8:02 AM, a certified nursing assistant (CNA) was observed providing feeding assistance to R177. 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.
- Potential for harm · Ecited before2024-11-22 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 stored foods were stored properly and ice machines were properly cleaned for 3 of 5 ice makers in the facility. This deficient practice posed a potential risk to safety and health standards which could lead to contamination and place residents at risk of foodborne illness. Findings include: On 11/19/2024 in the morning, there was an open bottle containing blackberry sauce in the dry food storage area with an expiration date of June 10, 2024. The Dietary Director explained the blackberry sauce should have been discarded. On 09/04/2024 in the morning, there was an ice machine in the kitchen with brownish spots on the inner ice shield, debris buildup on the metal lip between the lid and the opening of the ice chamber, and debris buildup of the front grill covering the filter of the ice machine. There was an ice machine in the 300-hall nourishment room with a debris buildup on the ice spout of the machine. There was another ice machine in the 400-hall nourishment room with a debris buildup on the ice…
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.
- Potential for harm · D2024-11-22 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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 clinical record review, document review and interview, the facility failed to ensure residents were provided information about the right to formulate an advanced directive for 2 of 31 sampled residents (Resident #74 and Resident #5). The deficient practice has the potential to deprive residents of their right for self-determination. Findings Include: Resident #74 (R74) R74 was admitted to the facility on [DATE], with diagnoses including Guillain-Barre Syndrome, multiple sclerosis, systemic lupus erythematosus, and unspecified dementia. R74's social services progress note dated 07/29/2024 documented the resident was alert and oriented times three and scored a 15/15 on the Brief Interview for Mental Status (BIMS) exam, meaning the resident is cognitively intact. The note also states the resident can make their own decisions. A resident document titled Physician Order for Life-Sustaining Treatment (POLST) dated 08/06/2018 was filled out by R74's ex-spouse as Do Not Attempt Resuscitation and was signed by…
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.
- Potential for harm · D2024-11-22 · tag F0646 — isolatedNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.
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 the appropriate state mental health authority was notified promptly following a change in condition for 1 of 31 sampled residents (Resident #81). The deficient practice had the potential to deprive the resident of concern and other residents of necessary behavioral health services. Findings include: Resident 81 (R81) R81 was re-admitted on [DATE], with diagnoses including schizoaffective disorder, unspecified dementia with behavioral disturbance, major depressive disorder, and bipolar disorder. On 11/19/2024 in the afternoon, R81 stated the pureed food was horrible and they rarely eat it. R81 stated had been back to the hospital a couple times since admitted to the facility. The resident had no issues with laundry and housekeeping, was receiving and happy with physical therapy, occupational therapy, and the nursing care. The resident indicated liked participating in the Activities Department events to get out of their room. R81…
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.
- Potential for harm · Dcited before2024-11-22 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 care plan was revised after a resident elopement for 1 of 31 sampled residents (Resident 167). The deficient practice placed the resident at risk for inappropriate care, supervision, and accidents. Findings include: Resident 137 (R137) R137 was originally admitted to the facility on [DATE] with diagnoses including seizures, epilepsy, autistic disorder, schizophrenia, and anxiety disorder. A Nursing Progress Event Note dated 11/03/2024 at 7:10 PM, revealed the nurse was giving medications when R137 approached the nurse to call their mother around 8:00 PM. The note revealed the following information: At around 8:10 PM the CNA opened the front door remotely for a resident family member and the family member advised there was a resident outside wearing a red shirt. The CNA went outside to check and found R137 in the street in front of the building to the right. The CNA called for help and three CNAs brought R137 back to 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.
Show the remaining 19 citations
- Potential for harm · D2024-11-22 · tag F0836 — isolatedEnsure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and document review, the facility failed to ensure employee records contained evidence of current Nevada Automated Background System (NABS) clearance per Nevada Revised Statutes (NRS) 449.124, for 4 of 19 employee records reviewed (Employees 4, 5, 6 and 7). The deficient practice had the potential to allow unqualified employees to provide care for residents. Findings include: NABS Clearance regulatory language at NRS 449.123 documented the Administrator, or the person licensed to operate a facility, shall ensure information concerning the background and personal history of each employee, or contractor who worked at the facility was completed as soon as practicable and at least once every five years after the date of the initial investigation. NRS 449.124 documented each facility shall maintain records of the information concerning its employees which included, 1) a copy of the fingerprints submitted to the Central Repository for Nevada Records of Criminal History or proof of electronic fingerprint submission and a copy of the written authorizations provided by 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.
- Potential for harm · D2024-10-08 · tag F0624 — isolatedPrepare residents for a safe transfer or discharge from the nursing home.
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 the resident who had functional impairments was evaluated and appropriately discharged for 1 of 4 sampled residents (Resident 1). This failure could potentially lead to medical complications or adverse events which could result in hospitalization, prolonged illness, or even death. Findings included: Resident #1 (R1) Resident #1 (R1) was admitted on [DATE], with diagnoses including fracture of right pubis, urinary tract infection, protein-calorie malnutrition, abnormal posture, generalized weakness, and spondylolysis. R1 was admitted with a history of falling with injuries. R1 was alert and oriented and had a Brief Interview for Mental Status (BIMS) of 15/15 suggesting the patient was cognitively intact. An Occupational Therapy (OT) evaluation dated 10/16/2023, documented R1 had diagnoses of fracture of right pubis and generalized muscle weakness. The evaluation indicated R1 could perform toileting with maximum assistance,…
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.
- Potential for harm · Dcited before2024-10-08 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 care plan was revised after a resident-to-resident incident for 1 of 4 sampled residents (Resident 3). The deficient practice had the potential to place the resident at risk for inappropriate care, supervision, and accidents. Findings include: Resident 2 (R2) and Resident 3 (R3) R2 was admitted to the facility on [DATE] with diagnoses including Alzheimer's Disease, dementia with psychotic disturbances, dementia with anxiety, depression, and schizophrenia. R3 was admitted to the facility on [DATE] with diagnoses including hepatic encephalopathy, cognitive communication deficit, altered mental status, alcohol abuse, depression, and anxiety disorder. A Nursing Event Note dated 09/11/2024 at 12:56 PM, documented a communication note which revealed R3 walked into the dining room in the unit. When R3 approached the doorway, there was another resident, R2 passing through at the same time. Resident 3 put up their hand to stop R2 and…
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.
- Potential for harm · D2023-12-01 · tag F0604 — failed to not use physical restraints improperly — isolatedEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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 with mitten restraints was assessed for the use of restraints and the physician order contained parameters for release of the restraint for 1 of 35 sampled residents (Resident 139). The deficient practice had the potential to cause physical and psychosocial harm to the resident. Findings include: Resident 139 (R139) was admitted on [DATE] with diagnoses including depression and bipolar disorder. A brief interview for mental status (BIMS) documented a score of 99 which indicated the resident was not able to complete the assessment. On 11/28/2023 in the morning R139 was lying in bed with mitten restraints on both hands. On 11/28/2023 in the afternoon R139 was lying in bed with mitten restraints on both hands. A physician order dated 11/29/2023 documented mitten to hand to protect finger from breakdown. The medication administration record indicated mitten restraint was being used initially on 10/10/2023.…
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.
- Potential for harm · D2023-12-01 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 interview and document the facility failed to refer a resident for a Pre-admission Screening and Resident Review (PASRR) level II evaluation for 1 of 35 sampled residents (Resident 101). The deficient practice had the potential to deprive a resident of appropriate behavioral health services. Findings Include: Resident 101 (R101) was admitted on [DATE] with diagnoses including bipolar disorder, and pressure ulcer of the right plantar foot distal site. A review of the Nevada PASRR level I identification determination dated 06/30/2020 documented no mental illness, no intellectual disability, dementia, or related condition. The resident was appropriate for nursing facility placement. A review of the medical record revealed a diagnosis of bipolar disorder with an onset of 09/05/2022. A review of the medical record revealed a diagnosis of paranoid schizophrenia with an onset date of 11/15/2022. A Physician Order dated 11/16/2023 for Quetiapine Fumarate (Seroquel an antipsychotic) tablet 25 milligram (mg),…
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.
- Potential for harm · Dcited before2023-12-01 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 person centered comprehensive care plans were developed for 3 of 35 sampled residents (Resident 330, 96 and 107), The deficient practice had a potential for staff not to provide a personalized care for residents. Findings include: 1) Resident 330 (R330) was admitted on [DATE], with diagnoses including chronic kidney disease, stage 3b and encounter for surgical aftercare following surgery on the skin and subcutaneous tissue. On 11/28/2023 at 2:53 PM, observed at R330's bedside was a medical device which had a suction type of device and a collection container. The device had tubing that was currently not connected to anything. R330 verbalized using an incontinent device called PureWick System. R330 indicated using the device for a while now and used it to control urinary incontinence and avoid urine contamination of the sacral wound. The History and Physical dated 11/20/2023, lacked documented evidence the primary…
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.
- Potential for harm · D2023-12-01 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide 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 a shower or bed bath was provided at least twice a week for 1 of 35 sampled residents (Resident 26). The deficient practice had the potential to pose the risk of compromised hygiene and potential adverse effects on the resident's skin or skin breakdown. Findings include: Resident 26 (R26) was admitted on [DATE], with diagnoses including quadriplegia (paralysis affecting all limbs and the body from the neck down) and contracture. The Minimum Data Set - Brief Interview of Mental Status dated 09/07/2023, documented a score of 15/15, which indicated R26's cognitive status was intact. The Minimum Data Set functional status dated 09/07/2023, documented R26's personal hygiene required extensive assistance and total dependence with bathing. The Activity Daily Living (ADL) - bathing record dated 09/18/2021, documented R26 preferred Monday and Thursday day shift showers. The Admission/readmission Collection Tool dated…
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.
- Potential for harm · D2023-12-01 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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 1) implement interventions for edema for 1 of 35 sampled residents (Resident 96); 2) ensure a resident received follow-up oncology services for a lesion on the left arm as recommended for 1 of 35 residents (Resident 103). The deficient practice had the potential to affect a resident's overall health, treatment, and care. Findings include: 1) Resident 96 (R96) was admitted on 08/0112023 with diagnoses including chronic peripheral venous insufficiency and chronic systolic congestive heart failure (CHF). On 11/28/2023 at 10:16 AM, R96 was observed with +4 bilateral lower leg edema. R96 was noted to have bilateral lower extremity wounds with a dressing. R96 was observed lying in bed with both lower extremities dangling on the side of the bed. On 11/29/2023 at 11:25 AM, R96 was observed lying in bed with no lower extremity elevation. R96's Physician's Order dated 08/21/2023, documented Furosemide tablet 40 milligrams (water…
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.
- Potential for harm · D2023-12-01 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide 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 resident was assessed and interventions were put into place for hand contractures for 1 of 35 sampled residents (Resident 107). The deficient practice failed to implement interventions needed to avoid progression of a resident's contractures. Findings include: Resident 107 (R107) R107 was initially admitted on [DATE] and re-admitted on [DATE], with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting right dominant side and chronic obstructive pulmonary disease, unspecified. On 11/28/2023 at 3:21 PM, observed R107 lying in bed with both hands curled towards the palm and bilateral wrists pulling towards the body. There were no hand rolls applied to the residents' hands and no support was provided to keep the wrist properly aligned. On 11/30/2023 at 10:08 AM, the Director of Rehabilitation indicated R107 was recently screened upon re-admission from the hospital. Any resident needing…
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.
- Potential for harm · D2023-12-01 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide 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 staff had training and a physician's order for a urinary collection device utilized within the facility for 1 of 35 sampled residents (Resident 330), The deficient practice had a potential for staff not to be aware and properly care for a resident with a specialized medical device. Findings include: Resident 330 (R330) was admitted on [DATE], with diagnoses including chronic kidney disease, stage 3b and encounter for surgical aftercare following surgery on the skin and subcutaneous tissue. On 11/28/2023 at 2:53 PM, observed at R330's bedside was a medical device which had a suction type of device and a collection container. The device had tubing that was currently not connected to anything. R330 verbalized using an incontinent device called PureWick System. R330 indicated some staff were not aware of how to use the device and had to instruct them in how to apply the device. R330 had been using the device for a while…
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.
- Potential for harm · D2023-12-01 · tag F0694 — isolatedProvide 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 intravenous (IV) accesses were changed according to physician's order and IV dressings, tubing and bags were labeled for 2 of 35 sampled residents (resident 46 and 88), and two unsampled Residents (resident 106 and 329). The deficient practice failed to implement infection control practices for residents' IV accesses. Findings include: 1) Resident 46 (R46) was admitted on [DATE] and readmitted on [DATE], with diagnoses including dysphagia, oral phase, and cognitive communication deficit. On 11/28/2023 at 10:45 AM, R46 was observed with an IV running through a peripheral IV line. The IV solution was a one-liter bag of normal saline, and the IV solution was running through a dial-a-flow meter tubing. The IV solution, tubing and the peripheral IV dressing had no label and date indicating when the IV set up was initiated. R46's Physician's Order dated 11/27/2023, documented Sodium Chloride IV Solution, 70…
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.
- Potential for harm · D2023-12-01 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide 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 observation, interview, record review and document review, the facility failed to ensure Oxygen (O2) was administered as ordered for 2 of 35 sampled residents (Residents 16 and 22). The deficient practice could potentially lead to inadequate oxygen administration. Findings include: 1) Resident 16 (R16) was admitted on [DATE], with diagnosis including chronic obstructive pulmonary disease (COPD) and gastrostomy status. The Brief Interview of Mental Status dated 10/09/2023, documented a score of 12/15, which indicated R16's cognitive status was intact. The Minimum Data Set, dated [DATE], documented R16 was on O2 therapy. The Admission/readmission Collection Tool dated 10/06/2023, documented R22 had O2 at 3 LPM. A Physician Order dated 10/05/2023, documented Oxygen at 3 liters per minute (LPM) continuously via nasal cannula. Document every shift. A Care Plan dated 10/11/2023, documented R22 had emphysema/COPD: had the potential risk of shortness of breath. The interventions included administering O2 at 3…
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.
- Potential for harm · D2023-12-01 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 medications were available and administered timely during the medication pass for 1 of 35 sampled residents (R216). The deficient practice could have led to a significant risk to the residents' health and well-being due to potential delays or missed doses of essential medications. Findings include: Resident 216 (R216) was admitted on [DATE], with diagnoses including sciatica, polyneuropathy (peripheral nerve damage) and radiculopathy (pinching of a nerve root in the spinal column). A Care Plan documented pain/discomfort related to radiculopathy and surgical wound to left buttocks. The interventions included to anticipate R216's need for pain and respond immediately to any complaint of pain. Administer pain medications as ordered. A Physician Order dated 11/24/2023 documented Lidoderm patch 5% (percent) to be applied topically to left ankle at 8:00 AM daily. A Physician Order dated 11/24/2023 documented Lidoderm…
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.
- Potential for harm · D2023-12-01 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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 pharmacist recommendations for monitoring of targeted behaviors for a resident taking psychotropic medication was completed for 1 of 35 of sampled residents (Resident 84). The deficient practice could potentially result in the unnecessary use of the medication or lack an appropriate assessment for monitoring the medication dosage and effectiveness for a resident. Findings include: Resident 84 (R84) was admitted on [DATE] with a diagnosis of anxiety. The consultant pharmacist performed monthly medication regimen review and made the following recommendations: - no behavior monitoring for targeted behaviors in August. - no behavior monitoring for targeted behaviors in September. - no behavior monitoring for targeted behaviors in October. The medical record lacked documented evidence R84's behavior was currently being monitored as recommended by the consultant pharmacist. The medical record indicated R84 had a care plan reflecting…
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.
- Potential for harm · D2023-12-01 · tag F0759 — failed to keep medication error rate low — isolatedEnsure 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, interview, record review, and document review, the facility failed to ensure their medication error rate was not five percent (%) or greater when three errors were identified with 25 opportunities observed, resulting in an error rate of 12%. Failure to reduce the medication error rate to less than 5% could lead to an adverse drug reaction which can cause harm or injury to the resident. Findings include: Resident 216 (R216) was admitted on [DATE], with diagnoses including sciatica, polyneuropathy (peripheral nerve damage) and radiculopathy (pinching of a nerve root in the spinal column). A Physician Order dated 11/24/2023 documented Lidoderm patch 5% (percent) to be applied topically to left ankle at 8:00 AM daily. A Physician Order dated 11/24/2023 documented Lidoderm patch 5% (percent) to be applied topically to left thigh at 8:00 AM daily. A Physician Order dated 11/24/2023 documented Flomax capsule 0.4 mg to give 1 capsule by mouth daily for benign prostatic hyperplasia. On 11/30/2023 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.
- Potential for harm · D2023-12-01 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 — the official record, unedited, may be distressing
Based on observation, interview and document review, the facility failed to ensure a multidose vial was discarded past the used by date. The deficient practice had the potential of an unviable medication to be administered to a resident or a staff member. Findings include: On 11/30/2023 at 3:26 PM, observed in the 100 Hall medication room refrigerator was a multi-dose vial of Tubersol, 5 tuberculin units per test, lot #2CA92Q2; Expiration date of 09/2026. The vial was labeled with an open date of: 08/30/2023. A Licensed Practical Nurse confirmed the finding and indicated the open multi-dose vial should have been discarded 28 days after the marked open date. The facility policy titled Storage and Expiration dating of medication, Biologicals revised 08/07/2023, documented if a multi-dose vial of an injectable medication has been opened or accessed, the vial should be dated and discarded within 28 days unless the manufacturer a shorter or longer date for the opened vial.
- Potential for harm · Dcited before2023-12-01 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to ensure 1) two food items past the use by date were discarded, 2) a food item in one of four nourishment rooms was labeled and dated, and 3) two kitchen sink drains and a hood vent were maintained. The deficient practice had the potential to serve food to residents at an increased risk of food-borne illness and cause the potential contamination of clean and sanitized ware. Findings include: On 11/28/2023 at 7:52 AM, an initial inspection of the kitchen was conducted with the Dietary Director. The inspection revealed the following: 1) Food items past the use by date: - 46 fluid ounces carton of thickened apple juice with a manufactured stamp used by date of 11/16/2023. - 5-pound tub of low-fat cottage cheese with a manufactured stamp used by date of 11/25/2023. On 11/28/2023 at 7:58 AM, the Dietary Director confirmed the food items were labeled past the used by dates and should have been discarded. The facility document titled Use by Date…
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.
- Potential for harm · D2023-12-01 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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 documentation was accurate in the Medication Administration Record (MAR) when Oxygen (O2) was not administered for 1 of 35 sampled residents (Resident 16) and Oxygen tubing was not changed as scheduled for 1 of 35 sampled residents (Resident 22). The deficient practice had the potential to compromise the health and well-being of residents, leading to inadequate oxygen therapy. Findings include: 1) Resident 16 (R16) was admitted on [DATE], with diagnosis including chronic obstructive pulmonary disease and gastrostomy status. The Minimum Data Set, dated [DATE], documented R16 was on O2 therapy. The Admission/readmission Collection Tool dated 10/06/2023, documented R16 had O2 at 3 LPM. A Physician Order dated 10/05/2023, documented Oxygen at 3 liters per minute (LPM) continuously via nasal cannula. Document every shift. A Care Plan dated 10/11/2023, documented R22 had emphysema/COPD: had the potential risk 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.
- Potential for harm · D2023-12-01 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
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 1.) an employee wore an N95 respirator when entering a resident's room who was positive for COVID-19 and 2.) an employee properly wore an N95 respirator while providing services for COVID-19 positive residents on droplet-based precautions. The deficient practice had the potential to place other staff and residents at risk for contracting COVID-19. Findings include: On 12/01/2023 at 8:24 AM, a Licensed Practical Nurse (LPN) revealed an N95 respirator was required to be worn when entering a COVID-19 positive resident room. On 12/01/2023 at 8:26 AM, a Certified Nursing Assistant (CNA) entered a COVID-19 positive resident room while wearing a surgical mask. The CNA revealed an N95 respirator should have been worn when entering the resident's room. The CNA indicated there was a risk of becoming infected by not wearing a respirator. On 12/01/2023 at 9:20 AM, an LPN administering medication entered a COVID-19 positive room while wearing an N95 respirator without the bottom strap secured. The LPN indicated…
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.
“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.
- 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.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to LIFE CARE CENTERS OF AMERICA — 194 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 3.4 | -0.4 vs chain |
| Health inspection | 3 of 5 | 2.8 | +0.2 vs chain |
| Staffing | 4 of 5 | 3.3 | +0.7 vs chain |
| Quality measures | 4 of 5 | 4.5 | -0.5 vs chain |
The other 193 homes this chain runs (chain average 3.4★, per CMS)
Showing 40 of 193; lowest-rated first.
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
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| DEVELOPERS INVESTMENT COMPANY INC | Organization | DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL | since 05/15/1995 |
| PRESTON, FORREST | Individual | DIRECT OWNERSHIP INTEREST; INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | since 01/10/1992 |
| BUTNER, NANCY | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL | since 09/16/2018 |
| DEWESE, CLARISSA | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 03/05/2026 |
| MORENO, REBECCA | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL | since 07/14/2019 |
| LAY, LISA | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | since 02/09/2018 |
| SWANKER, RICHARD | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | since 01/01/2022 |
| CROSS, CINDY | Individual | CORPORATE OFFICER | since 04/21/1994 |
| HENRY, TERRY | Individual | CORPORATE OFFICER | since 08/16/1999 |
| THURMOND, JOAN | Individual | CORPORATE OFFICER | since 09/22/2000 |
| LAS VEGAS OPERATIONS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 02/22/1993 |
| LIFE CARE CENTERS OF AMERICA, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 02/20/1992 |
| FLETCHER, TODD | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2025 |
| JANAPATI, PAVAN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 03/05/2026 |
| PRESTON, AUBREY | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2025 |
| ZIEGLER, JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2025 |
CMS files one row per role, so the 28 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
3 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.
About 70% 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 $2.6M paid to related parties — landlords or management companies under common ownership — equal to about 13% 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
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.
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 295052. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-09, 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.