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Premier Health & Rehabilitation Center Of Lv, LP

2945 Casa Vegas Street, Las Vegas, NV 89169 · For profit - Limited Liability company · 100 certified beds · (702) 735-7179 Medicare & Medicaid certified

Call the home — (702) 735-7179 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Sep 20231 actual-harm citation CMS recorded as corrected before the inspection ended (past non-compliance)$29,395 in federal fines
Insights

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

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • a high payroll-based staffing rating (4/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Sep 2023
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (25) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $29,395 in federal fines (most recent 2024-10-25)

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

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

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

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
3131 La Canada St Ste 140 · (702) 933-9400 · Call to confirm hours
Pharmacy
3006 S Maryland Pkwy · (702) 732-2334 · Call to confirm hours
Grocery
2540 S Maryland Pkwy · (702) 735-8928 · Call to confirm hours
Park
East Twain Avenue · Typically dawn to dusk
Place of worship
1725 Palora Ave

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 4 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 4 stars. From monthly CMS archive snapshots.

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

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased4.8%12.6%15.4%better
Long-stay residents who lose too much weight1.8%5.5%5.4%better
Long-stay residents with a catheter left in their bladder1.3%1.6%0.9%worse
Long-stay residents with a urinary tract infection0.0%1.9%2.0%better
Long-stay residents with depressive symptoms0.0%5.1%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.1%2.0%3.3%better
Long-stay residents whose ability to walk worsened2.7%13.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication14.5%22.2%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%89.6%95.3%typical
Long-stay residents with pressure ulcers2.9%5.4%4.7%better
Long-stay residents with worsening bladder/bowel control9.4%15.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table14.3%17.1%17.1%better
Short-stay residents who newly got an antipsychotic medication0.3%1.8%1.4%better
Short-stay residents given the seasonal flu vaccine99.6%80.7%79.4%better
Short-stay residents rehospitalized after admission18.1%23.2%22.6%better
Short-stay residents with an outpatient ER visit15.5%9.6%12.0%worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

§ 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.

61.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 35 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

61.8%U.S. median 51.5%
Got home and stayed home
10.7%U.S. median 10.7%
Went back to hospital
0.56U.S. median 0.31
Therapy hours / resident / day
0.33hours / resident / day
Physical therapy
0.20hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.56 therapist hours per resident per day in 2026Q1 — more than 86% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 35% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF61.8%CMS range 46.2–77.851.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.7%CMS range 7.1–15.710.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.921.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.52
RN hours/ resident / day
1.22
LPN hours/ resident / day
2.01
Aide hours/ resident / day
3.75
Total nurse hours/ resident / day
0.36
RN hoursweekends
48.9%
Total nursing turnover
36.4%
RN turnover

How full it usually is: this home is certified for 100 beds and averages 92.8 residents a day — about 93% occupied, or roughly 7 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.75 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.01 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 3.30 hrs/resident/day on weekends vs 3.93 on weekdays — 16% thinner on weekends. RN hours go from 0.59 to 0.36 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 49% is about the same as the national median of 45%.

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

Inspection trend

3
deficiencies at the latest standard inspection (2025-08-29)
5
at the previous standard inspection (2024-09-17)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

25 citations, most serious first. The 11 most serious are shown; the remaining 14 are one tap away and print in full.

  • Actual harm · Gcited before2023-11-07 · 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 record review, interview and policy review, the facility failed to ensure quality of care delivery for 1 of 11 residents (Resident #1) by failing to document and notify a provider of significant changes in real time, failing to document facility required charting, and failing to demonstrate monitoring and documentation of the resident's status. Findings include: Resident 1 Resident 1 was admitted on [DATE], with metabolic encephalopathy, chronic hypoxemic respiratory failure, and schizoaffective disorder. On 9/11/2020, a provider ordered oxygen 3 liters per nasal cannula for shortness of breath each shift. On 9/12-13/2020, nursing notes documented the resident was on 3 liters per nasal cannula. On 9/14/2020, a C-reactive protein test and sedimentation rate showed abnormally high results, revealing a possible inflammatory process. These results were documented as entered for review before 2:30 PM. On 9/14/2020 at 2:48 PM, the ordering provider documented the initial history and physical, including 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 · Past Non-Compliance
  • Potential for harm · D2025-12-19 · tag F0627 — isolated
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    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 nursing staff completed required steps when a resident was discharged against medical advice (AMA). Specifically, there was no documentation of: (1) a discussion of the risks associated with leaving; (2) a signed AMA form; and (3) notification of the physician and the administrator or director of nursing for 1 of 8 sampled residents (R1). The deficient practice placed the resident at risk for an unsafe or uncoordinated discharge, which could have resulted in unmet care needs or rehospitalization.Findings include:Resident 1 (R1) was admitted on [DATE] with diagnoses including narcolepsy without cataplexy (excessive daytime sleepiness without sudden loss of muscle tone), edema, type 2 diabetes mellitus and morbid obesity. R1 was admitted for physical and occupational therapies and continuation of medical management. R1 discharged AMA on 10/19/2025. A case management note dated 10/17/2025 documented the family wanted…

    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 · Dcited before2025-08-29 · 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, record review, and interview, the facility failed to obtain a physician order, instructions for use, and monitoring for a soft neck collar for 1 of 17 sampled residents (Resident 95). The deficient practice had the potential to place residents at risk of potential injury from improper use of a soft neck collar.Findings include:Resident 95 (R95) was admitted [DATE], with diagnosis including encounter for surgical aftercare following surgery on the nervous system, complete lesion at thoracic (T) vertebrae T2-T6 level of thoracic spinal cord, and spinal stenosis cervical region.On 08/26/2025 at 10:27 AM, R95 was observed seated in bed wearing a soft neck collar. R95 was manipulating the collar with both hands, freely rotating it around the neck continuously. R95 stated had sustained a fall at home resulting in neck injury and subsequent neck surgery. R95 reported no staff at the facility were checking the placement or use of the neck collar.A Provider Encounter Progress Note dated 08/20/2025,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-29 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, document review, and interview, the facility failed to ensure a resident who experienced and reported pain received pharmacological interventions for pain management for 1 of 17 sampled residents (Resident 23). The deficient practice had the potential for residents not to receive pain relief.Findings include:Resident 23 (R23) was admitted [DATE], with diagnosis including multiple fractures of ribs right side, acute pain due to trauma, primary ortho arthritis right shoulder, and anterior displaced fracture of sternal end of right clavicle. The Minimum Data Set, dated [DATE], listed R23's primary medical conditions including acute pain due to trauma. The Minimum Data Set, dated [DATE], documented a Brief Interview for Mental Status score of 15, R23 was cognitively intact. On 08/26/2025 at 9:58 AM, R23 was lying in bed awake. R23 reported was in pain at a level of 8 on a 0/10 pain scale (0= no pain, 10 = worst pain). R23 explained the right shoulder was very painful and the pain…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-29 · 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 interview and record review, the facility did not follow the Legionella Water Management Plan. Findings include:On 8/26/2025, the Maintenance Director stated the facility's Water Management Plan (WMP) was a work in progress that was in bits and pieces and provided the Legionella Water Management Plan.The Control Measures and Monitoring portion of the WMP stated No complaints about water taste or odor. No complaints about ice taste or odor. Water heaters are drained/flushed monthly. The taste and odor of water and ice was an inaccurate test of the presence of Legionella in water. The Maintenance Director explained there was no documentation of monthly flushes of the water tanks. The Maintenance Director provided logs of monthly water temperature testing. The water temperature logs did not specify an acceptable temperature range. The Ways to Intervene When Control Limits Are Not Met section of the WMP indicated a water specialized company would retest water and provide an assessment to determine if…

    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 · Ecited before2024-09-17 · tag F0692 — failed to prevent malnutrition and dehydration — pattern
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to ensure the free water flushes (FWF) via Percutaneous Endoscopic Gastrostomy (PEG) tube (a feeding tube inserted through the abdominal wall into the stomach and used to provide nutritional support and feed patients who are unable to eat or drink) were provided as prescribed for 3 of 4 sampled residents (Residents 53, 48, and 45). The deficient practice could have led to an increased risk of inadequate hydration, delayed wound healing, electrolyte imbalance and adverse health outcomes. Findings include: Resident 53 (R53) R53 was admitted on [DATE], with diagnoses including severe protein-calorie malnutrition, dysphagia (difficulty swallowing) and gastrostomy. A physician's order dated 08/22/2024, documented a water flush via PEG tube at 125 milliliter (ml) every 4 hours. A Care Plan dated 09/09/2024, documented R53 was at risk for dehydration related to nothing by mouth status. The PEG tube provided all fluids 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-09-17 · tag F0693 — failed to provide proper feeding-tube care — pattern
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to ensure the head of the bed was elevated to 30-45 degrees while the tube feeding (TF) was infusing and TF formula was delivered as prescribed for 4 of 4 sampled residents (Residents 53, 45, 48, and, 1) The deficient practice could have led to an increased risk of inadequate nutrition, weight loss, aspiration, and potential respiratory complications for the affected residents. Findings include: Resident 53 (R53) R53 was admitted on [DATE], with diagnoses including severe protein-calorie malnutrition, dysphagia (difficulty swallowing), and gastrostomy. The History and Physical dated 08/16/2024, documented R53 had severe dysphagia and the plan to continue Percutaneous Endoscopic Gastrostomy (PEG) tube (a feeding tube inserted through the abdominal wall into the stomach and used to provide nutritional support and feed patients who are unable to eat or drink) feeding for severe malnutrition and continue current feeding 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-09-17 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and document review, the facility failed to ensure the kitchen vent hood, filters and dish machine were cleaned and maintained per policy. On 09/10/24 at 7:43AM, the initial kitchen observation revealed the following: -The kitchen vent exhaust hood filter with a copious amount of buildup. The Kitchen Manager indicated maintenance took care of the cleaning. -The dish machine had a copious amount of white and lime green build up on the exterior. The Dish Machine cleaning schedule was reviewed with the Kitchen Manager. The schedule documented the dish machine had been cleaned on 09/09/2024. The Kitchen Manager indicated the cleaning did not include the exterior. The Kitchen Manager verbalized; the dish machine appeared to be neglected. On 9/12/2024 at 11:14 AM, the Kitchen Manager showed that the oven, hood and dishwasher were cleaned. The Kitchen Manager explained the hood was cleaned quarterly by an outside company but then cleaned it themselves. On 9/13/2024 at 2:55 PM, the Maintenance Director indicated vent hood was cleaned every three months. 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-17 · 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 IV (intravenous) heplock was monitored, or discontinued when not in use for 1 of 16 sampled residents (Resident 171). This deficient practice could have resulted in potential risks, including infection, infiltration and phlebitis. Findings include: Resident 171 (R171) R171 was admitted on [DATE], with diagnoses including acute kidney failure, hypertension and dehydration. The Activities Progress Notes dated 09/05/2024, documented R171 was alert, oriented and able to verbalize needs. The Wound/weekly Monitoring assessment dated [DATE], documented R171 had an IV implanted port on left hand back and present on admission. On 09/10/2024, at 1:41 PM, R171 was in bed and verbally responsive. R171 had an IV heplock on left hand back, which was covered with a transparent and undated dressing. R171 verbalized a nurse had placed the IV access 5 or more days ago but was not on IV medications. R171 did not understand 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 before2024-09-17 · 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 the transmission-based precautions (TBP) and enhanced barrier precautions (EBP) were followed upon entering the rooms, and a garbage bin was available for 2 of 16 sampled residents (Residents 33 and 69). The deficient practice could potentially lead to the spread of infectious diseases, an increased risk of cross-contamination, and compromised health and safety for both residents and staff. Findings include: Resident 33 (R33) R33 was admitted on [DATE], with diagnoses including pressure ulcer of sacral region, malignant neoplasm, breakdown of nephrostomy catheter, and osteomyelitis. A Physician order dated 09/10/2024, documented R33 was on contact isolation precaution. A care Plan dated 09/10/2024, documented R33 had signs and symptoms of gastroenteritis manifested by frequent diarrhea or loose stools, vomiting, and other symptoms. On 09/10/2024 at 11:25 AM, R33's room had signage for contact precautions, PPEs were…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-07 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Interviews with three Certified Nurse Assistants, one Registered Nurse, one Licensed Practical Nurse, the Director of Staff Development, the Director of Nursing, the Medical Director, and the Administrator evidenced an understanding of the policies and procedures related to oxygen therapy and change in resident condition. A review of the employee files of three Certified Nurse Assistants and one Licensed Practical Nurse indicated orientation training had included information on how to manage resident changes in condition including who and when to notify. A review of the medical records of Residents #8 and #11 with hypoxia in the setting of an emergency transfer to the hospital within the last six months, indicated the residents were assessed and managed in a manner synonymous with the facility policies and procedures. The deficient practice occurred in 2020. Findings from the investigation revealed the facility had been in compliance since the prior recertification survey exit date of 09/14/2023 until…

    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 · Past Non-Compliance
Show the remaining 14 citations
  • Potential for harm · D2023-11-07 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Interviews with three Certified Nurse Assistants, one Registered Nurse, one Licensed Practical Nurse, the Director of Staff Development, the Director of Nursing, the Medical Director, and the Administrator evidenced an understanding of the policies and procedures related to oxygen therapy and change in resident condition. A review of the employee files of three Certified Nurse Assistants and one Licensed Practical Nurse indicated orientation training had included information on how to manage resident changes in condition including who and when to notify. A review of the medical records for Residents #8 and #11 with hypoxia in the setting of an emergency transfer to the hospital within the last six months indicated the residents were assessed and managed in a manner synonymous with the facility policies and procedures. The deficient practice occurred in 2020. Findings from the investigation revealed the facility had been in compliance since the prior recertification survey exit date of 09/14/2023 until…

    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 · Past Non-Compliance
  • Potential for harm · D2023-11-07 · tag F0773 — isolated
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Interviews with one Registered Nurse, one Licensed Practical Nurse, the Director of Staff Development, the Director of Nursing, the Medical Director, and the Administrator evidenced an understanding of the policy and procedure related to laboratory tests. A review of the employee files of one Licensed Practical Nurse indicated orientation training had included information how, when, and to whom to inform of laboratory test results. A review of the records of Residents #7, #8 and #11 with laboratory test results in the setting of an emergency transfer to the hospital within the last six months indicated the laboratory tests were reported in a manner synonymous with the facility policy and procedure. The deficient practice occurred in 2020. Findings from the investigation revealed the facility had been in compliance since the prior recertification survey exit date of 09/14/2023 until 11/07/2023. Based on record review and interview, the facility failed to demonstrate a physician was informed of abnormal results in…

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

    Administration Deficiencies · Past Non-Compliance
  • Potential for harm · D2023-09-14 · tag F0582 — isolated
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review and document review, the facility failed to ensure a timely notification of a Notice of Medicare Non-Coverage (NOMNC) for 1 of 3 sampled (Resident 10). The failure of a timely notification of a discharge could prevent a resident from filling an appeal to ensure the notice was within the criteria for discharge under Medicare skilled services. Findings Include: The Center for Medicare/Medicaid Services - CMS Form 10123 - NOMNC, documented you must make your request to the Quality Improvement Organization (QIO). A QIO is the independent reviewer authorized by Medicare to review the decision to end skilled services. Your request for an immediate appeal should be made as soon as possible , but no later than noon of the day before the effective date indicated on the form. Resident 10 (R10) R10 was readmitted on [DATE] with diagnoses including acute respiratory failure and pneumonia. Review of the NOMNC issued for R10 had a last cover date (LCD) dated for 04/14/2023 for skilled…

    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 · D2023-09-14 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    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 resident belongings were inventoried prior to discharge from the facility for 1 of 21 sampled resident (Resident 273). The deficient practice had the potential of preventing misappropriation of property for a resident. Findings include: Resident 273 (R273) R273 was admitted on [DATE] and was discharged on 05/13/2023 with diagnoses including fracture of the right arm shaft of the humerus and hypertensive heart disease. Review of R273's medical record revealed an Inventory of Personal Effect dated 04/14/2023. The items listed were for shirts, a watch, and a handbag. The form documented the resident refused to sign. Two employees provided the signature. The section for the: On Discharge/Move Out was left blank and was not competed to verify an exit inventory was completed. On 09/13/2023 at 1:00 PM, the director of nursing (DON) and the Administrator confirmed the finding. The DON indicated the chart was actually audited for 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-14 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and document review the facility failed to ensure a resident was free from physical and verbal abuse for 1 of 21 sampled residents (Resident 2). The deficient practice had the potential to cause physical or psychosocial harm to the resident. Findings include: Resident 2 (R2) R2 was admitted on [DATE] with diagnoses including cerebral palsy, chronic kidney disease stage 3, and major depressive disorder. The facility reported incident (FRI) dated 09/08/2023, documented an incident from 9/04/2023 when a Certified Nursing Assistant (CNA) directed profanity towards a resident, pinned the resident's arms down and slammed the resident into the siderails. Law enforcement was notified, and the CNA was suspended during the investigation and eventually terminated. The CNA was reported to the Nevada State Board of Nursing. On 09/14/2023 at 12:29 PM, A Certified Nursing Assistant (CNA) indicated abuse training was completed upon hire and as needed. If the CNA witnessed staff abusing a resident the CNA…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · D2023-09-14 · tag F0607 — failed to have anti-abuse policies — isolated
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    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 provide documented evidence the investigation of an allegation of a resident-to-resident altercation was completed for 1 of 21 sampled residents (Resident 4); and an allegation of abuse was reported in a timely manner for 2 of 21 sampled residents (Resident 36 and 58). The deficient practice had the potential for the delay in the identification and prevention of similar incidents involving the same residents. Resident 4 (R4) R4 was admitted on [DATE], with diagnoses including unspecified psychosis not due to a substance or known physiological condition and obesity. The Situation Background Assessment/Appearance Recommendation (SBAR) form dated 03/19/2023 at 6:53 AM, documented the following: - Situation: R4 was found in another resident's room, verbally aggressive, looking for a cream colored clothing (blouse). Altercation with another resident. Another resident accused R4 of pushing the resident. There was no documented evidence 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-14 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review and document review, the facility failed to ensure a comprehensive assessment was completed in a timely manner for 1 of 21 sampled residents (Resident 4). The deficient practice had the potential for the delay in the identification and provision of the specific interventions for the resident's care and needs. Findings include: Resident 4 (R4) R4 was admitted on [DATE], with diagnoses including unspecified psychosis not due to a substance or known physiological condition and obesity. Review of R4's medical record revealed an annual Minimum Data Set (MDS) assessment had not been completed for 2023. On 09/13/2023 at 12:09 PM, the MDS Director confirmed the findings and acknowledged R4's annual MDS should have been completed on 08/13/2023. The MDS Director explained the annual MDS was a comprehensive assessment and should have been completed to develop the care plan and identify the specific interventions for the resident. The Centers for Medicare and Medicaid Services Long-Term…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-14 · tag F0644 — isolated
    Coordinate 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 Resident 3 (R3) R3 was admitted on [DATE] with diagnoses including dementia without behavioral disturbances in psychotic feature, bipolar disorder, and major depressive disorder. Review of R3's clinical record documented the resident's PASARR level 1 was completed on 09/07/2021. The PASARR determination indicated R3 did not have mental illness, developmental delay, dementia, or related condition. Review of R3's clinical record documented an active diagnosis of bipolar disorder. A physician order for Depakote tablet delayed release 500 milligrams (mg), give one tablet by mouth every 8 hours for stabilizing related to bipolar disorder. The facility lacked documented evidence the resident was referred for a PASARR level 2. Resident 22 (R22) R22 was admitted on [DATE] with diagnoses including bipolar disorder current episode manic, anxiety, and hypertension. Review of R22's clinical record documented the resident's PASARR level 1 was completed on 08/18/2020. The PASARR determination indicated R22 did not have mental…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-14 · 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 record review and document review, the facility failed to ensure a baseline care plan was developed in a manner that included interventions to prevent injuries related to falls for 1 of 21 sampled residents (Resident #62). The deficient practice had the potential to place the resident in a risk for fall-induced injuries. Findings include: Resident #62 (R62) R62 was admitted on [DATE], with diagnoses including recurrent falls, acute cerebrovascular accident (CVA), and diabetes. The Minimum Data Set (MDS) admission assessment dated [DATE], revealed R62 had severely impaired cognitions. Fall risk assessment dated [DATE], indicated R62 was at high risk for falls. The assessment documented a prevention protocol should be initiated immediately and documented on the care plan. The baseline care plan dated 06/24/2023, indicated R62 was at risk for falls related to gait and balance problems, incontinence, paralysis, and poor communication and comprehension. The approaches documented in the plan included…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-14 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and document review, the facility failed to ensure splints were applied to a resident following physical therapy recommendations for 1 of 21 sample residents (Resident #48). The deficient practice had the potential risk for the resident's further decline in mobility. Findings included: Resident #48 (R48) R48 was admitted on [DATE], with diagnoses including left side hemiplegia, debility, and hemorrhagic stroke. R48 was observed using the right arm and leg. A contracture was noted on the left arm. The resident was not wearing a splint or a sling to provide support to the arm. The resident indicated a splint was supposed to have been ordered, but was still waiting. On 09/12/2023 at 9:30 AM, R48 was seen self-propelling on a wheelchair by utilizing the right arm and leg. On the left arm, there was seen to be a contracture. The arm was not supported in any way, since neither a sling nor a splint was seen in place. R48 indicated a splint was supposed to have been ordered…

    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 before2023-09-14 · 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 interview, record review and document review, the facility failed to provide documented evidence the physician was notified about a resident's refusal to have weights taken for 1 of 21 sampled residents (Resident 4). The deficient practice had the potential for the facility failing to provide the resident's nutritional needs and prevent the resident from significant weight change. Findings include: Resident 4 (R4) R4 was admitted on [DATE], with diagnoses including unspecified psychosis not due to a substance or known physiological condition and obesity. Review of R4's medical record revealed the last weight obtained for the resident was on 03/23/2022. The Quarterly Nutritional Risk assessment dated [DATE], documented R4's weight was 219.6 pounds (lbs.) on 03/23/2022. The resident's ideal body weight was 140 lbs. R4 was at nutritional risk related to psychosis, history of COVID-19, hypertension, overweight for older adults, and dementia. No nutrition diagnosis at this time. The Quarterly Nutritional…

    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 before2023-09-14 · 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 interview, record review and document review, the facility failed to ensure peripherally inserted central catheter (PICC) line dressing was completed during the specified intervals for 1 of 21 sampled residents (Resident 274). The deficient practice had the potential of a resident developing a catheter related infection. Resident 274 (R274) R274 was admitted on [DATE] with diagnoses including psoas muscle abscess and infection of the intervertebral discs. On 09/12/2023 at 7:59 AM, R279 was observed with a double lumen PICC (a type of catheter used to access the large veins in the chest) at the left upper arm. The dressing on the PICC was dated 09/02/2023. R279 indicated receiving intravenous (IV) antibiotic, but no noted IV pump at the bedside. On 09/12/2023 at 9:03 AM, the licensed practical nurse (LPN) confirmed the date on the PICC line was more than a week old. The LPN indicated dressings should have been done every Sunday on the evening shift. The LPN confirmed R279 was currently receiving two…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-14 · 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 — the official record, unedited, may be distressing

    Based on observation, interview, and document review, the facility failed to ensure a mineral oil enema stored in one of the two medication rooms, was discarded after the printed safety seal of the carton was broken. The deficient practice had the potential to cause cross contamination and infection to a recipient resident. Findings include: 09/12/2023 at 10:30 AM, in the medication room in 100 Hall, observed a mineral oil enema with a carton box flap open. The observation was verified by a Registered Nurse (RN), who verbalized the box housing the enema, should have been properly sealed; otherwise, the enema should have been disposed of. The label of the carton containing the enema documented the carton should be sealed for safety and if the printed seal on the bottom or top flap of the carton was broken or missing, the enema could not be used. The facility policy titled Medication Storage dated January 2023, indicated medications and biologicals would be stored properly following manufacturers or provider pharmacy recommendations to support safe effective drug administration.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-09-14 · 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

    Based on observation, interview, and document review, the facility failed to ensure glucometers were cleaned and disinfected following the facility infection control policy for 2 of 6 glucometers. The deficient practices had the potential to cause cross contamination and exposure to blood borne pathogens. Findings include: On 09/12/2023 at 9:30 AM, an inspection of a medication cart located in 100 Hall was conducted in the presence of a Licensed Practical Nurse (LPN #1). The glucometer was found to exhibit blood-like red spots. A disinfectant wipe was used to remove the stains, resulting in the transfer of red pigment onto the wipe. LPN #1 verified that the spots exhibited characteristics like blood. LPN #1 admitted the glucometer should have been cleaned before and after being used to prevent exposure to blood in accordance with the facility's protocol. On 09/12/2023 at 9:50 AM, an inspection of a medication cart located in 200 Hall was conducted with an LPN (LPN #2). A glucometer device was found having blood-like red spots. A wipe was used over the spots and colored the wipe with…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

$29,395 in federal fines across 1 penalty.

  • $29,395 — penalty dated 2024-10-25

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 PURSUE HEALTH — 7 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 →

RatingThis homeChain avg
Overall 4 of 52.1+1.9 vs chain
Health inspection 4 of 52.1+1.9 vs chain
Staffing 4 of 53.4+0.6 vs chain
Quality measures 4 of 53.9+0.1 vs chain
The other 6 homes this chain runs (chain average 2.1★, per CMS)

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 / managerTypeRoleSince
JANAPATI, PAVANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2024
LYNCH, JOSEIndividualOPERATIONAL/MANAGERIAL CONTROL; LIMITED PARTNERSHIP INTERESTsince 07/01/2015
ZHAO, LANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/02/2025
PREMIER HEALTH AND REHABILITATION CENTER OF LAS VEGAS GP LLCOrganizationGENERAL PARTNERSHIP INTERESTsince 07/01/2015
RECHNITZ, SHLOMOIndividualLIMITED PARTNERSHIP INTERESTsince 07/01/2015
ERETZ LAS VEGAS PROPERTIES LLCOrganizationADP OF THE SNFsince 07/13/2015
PURSUE HEALTH LLCOrganizationADP OF THE SNFsince 01/01/2021

CMS files one row per role, so the 10 rows in the source record cover these 7 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.

$10.1M
Net patient revenuemost recent cost report
+5.2%
Operating marginrevenue minus expenses
$1.2M
Related-party expense12% of expenses
Who pays — share of resident-days
Medicaid 61%Medicare 5%Other / private 34%

This home reported $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 12% 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

$372per resident / day
operating cost
$11,294per month
≈ monthly operating cost
$392per day
avg. revenue, all payers

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

What families pay in NV

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 295021. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-29, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

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

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

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