Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Advanced Health Care Of Las Vegas during CMS and state inspections, most recent first.
A resident with dementia and other diagnoses had a physician order for 1:1 meal assistance with aspiration precautions, but staff did not consistently provide or document the ordered feeding support. The resident was observed with meal trays left at the bedside, stated no one helped with feeding, and staff gave conflicting descriptions of the resident’s level of assistance, with the RN confirming the order was not followed.
Unlabeled food items, an expired marinara sauce, a dented can mixed with stock, and an unlabeled spray bottle of chemical solution were found during a kitchen tour. The RD and Dietary Manager stated food removed from original packaging needed labels and dates, chemicals in spray bottles had to be identified, and stored food needed acceptable use-by dates.
The facility failed to obtain daily weights for residents with CHF, as required by physician's orders, leading to missed opportunities to monitor fluid status. Three residents with CHF had multiple days where weights were not documented, with no reasons provided for these omissions. The LPN, RD, and interim DON confirmed the importance of daily weights for identifying fluid imbalances, yet the facility did not consistently fulfill this responsibility.
A resident with osteoarthritis and chronic hip pain was not administered the correct dosage of Hydrocodone-Acetaminophen according to physician's orders. Despite having two active orders for different pain levels, the resident received a lower dose even when experiencing severe pain. This failure to adhere to pain management parameters was confirmed by the Clinical Nurse Manager and interim DON.
A resident with osteoarthritis and hip pain was administered Hydrocodone-Acetaminophen earlier than the prescribed four-hour interval on multiple occasions. The facility's policies required strict adherence to the timing of PRN medications, which was not followed, leading to the resident receiving the medication too early.
The facility failed to properly implement its Antibiotic Stewardship Program, leading to deficiencies in monitoring antibiotic use and adherence to the McGeer criteria. Infection event tracking forms were not consistently completed for residents receiving antibiotics, and there was a lack of documented discussions with prescribers or justifications for antibiotic orders. Additionally, the facility did not provide required education to prescribers regarding the ASP, contributing to inappropriate antibiotic use.
Failure to Follow Ordered 1:1 Meal Assistance
Penalty
Summary
The facility failed to follow a physician’s order for 1:1 meal assistance for a resident admitted with encephalopathy, dementia, sepsis, and a urinary tract infection. The resident had a diet order dated 01/09/2026 for 1:1 assist with meals, with special instructions for aspiration precautions including one-to-one assist, small bites/sips, slow eating, remaining upright during and after meals, and oral care after feeding. The resident’s meal tray tickets also documented 1:1 assist for breakfast, lunch, and dinner, but the Point of Care ADL charting did not document staff support for eating from 01/09/2026 through 01/13/2026. During observations, the resident was seen with a 1:1 assist with feeding sign posted above the bed, yet was later observed lying in bed with meal trays on the bedside table and little of the meals consumed. The resident stated no one helped with feeding and that the resident was able to feed self. Staff interviews showed conflicting understanding of the order, with some staff describing the resident as set-up only and others stating 1:1 meant physically feeding the resident. The RN confirmed the diet order required 1:1 feeding assistance, acknowledged staff had not followed the order, and stated there were no documented refusals or physician notifications in the record.
Unlabeled Food and Chemicals Stored Improperly
Penalty
Summary
The facility failed to ensure food items were labeled and dated after removal from original packaging, failed to use acceptable discard dates for stored food, failed to keep damaged items separated from stock, and failed to label spray bottles containing chemicals. During a kitchen tour with the Registered Dietitian, two clear plastic bags in the walk-in freezer contained unknown food items with no labels identifying the contents or the date they were placed in the bags. In the refrigerator, a container of marinara sauce was labeled with an open date of 01/06/2026 and a use-by date of 06/26/2026. In the cleaning supply room, an unlabeled spray bottle contained blue-colored liquid. In the dry storage room, a dented can of cranberry sauce was stored with undamaged cans. The Registered Dietitian stated the food items should have been labeled and dated once removed from the original container, confirmed the marinara sauce had a use-by date well past the accepted use date, and confirmed chemicals used in spray bottles should have been labeled. The Dietary Manager later stated food items needed a label with a received or open date so staff would know when to discard them, and indicated staff should have discarded the unlabeled food items and identified any liquids in spray bottles. The facility policy stated food was to be dated as it was placed on shelves, food removed from original packaging was to be marked with a use-by date, and chemicals were to be clearly labeled and stored away from food.
Failure to Obtain Daily Weights for CHF Residents
Penalty
Summary
The facility failed to adhere to physician's orders to obtain daily weights for residents diagnosed with congestive heart failure (CHF), which is crucial for monitoring fluid status and preventing fluid overload. This deficiency was observed in three residents, who were supposed to be weighed daily as per their care plans and physician's orders. The absence of documented weights on specific dates for these residents indicates a lapse in following the prescribed care protocols. Resident 2, who was admitted with conditions including hypertensive heart disease with heart failure and pneumonia, had several days where weights were not recorded, with no documented reasons for these omissions. Similarly, Resident 6, with a diagnosis of chronic diastolic CHF, also had multiple days where weights were not documented. Resident 140, suffering from hypertensive heart disease with heart failure and chronic kidney disease, had missing weight records on several occasions as well. The Licensed Practical Nurse (LPN) and the Registered Dietitian (RD) confirmed the importance of daily weights for these residents to monitor for fluid imbalances. The interim Director of Nursing (DON) acknowledged the facility's standard practice of obtaining daily weights for residents with CHF and confirmed the missed weights. The facility's policy required weights to be obtained as per physician's orders, yet the responsibility for obtaining these weights was not consistently fulfilled, leading to the deficiency.
Failure to Follow Pain Management Orders
Penalty
Summary
The facility failed to ensure that physician's orders for pain medications were followed for a resident diagnosed with osteoarthritis and experiencing chronic pain in the left hip. The resident, who had been admitted after a mechanical fall at home, had two active physician's orders for Hydrocodone-Acetaminophen: one for moderate pain (4-6 on the pain scale) and another for severe pain (7-10 on the pain scale). However, the medication administration record (MAR) showed that the resident was given the lower dose of Hydrocodone-Acetaminophen 5 mg/325 mg even when the resident's pain level was recorded as 7 or higher on multiple occasions, indicating severe pain. The Clinical Nurse Manager and interim Director of Nursing confirmed that the pain management parameters were not followed on several dates when the resident expressed severe pain. The facility's Pain Management policy required that prescribed medications follow parameters based on pain intensity, with higher doses for higher pain levels. The failure to administer the correct dosage as per the physician's orders placed the resident at risk for inadequate pain control.
Failure to Adhere to PRN Medication Timing
Penalty
Summary
The facility failed to ensure a resident was free from unnecessary medications, specifically regarding the administration of a PRN pain medication. A resident, who was admitted with osteoarthritis and pain in the left hip, was prescribed Hydrocodone-Acetaminophen 7 mg/325 mg to be taken as needed every four hours for severe pain. However, the medication administration record revealed that the medication was administered earlier than the prescribed four-hour interval on multiple occasions, including three times on one day and once on two other separate days. The Clinical Nurse Manager and the interim Director of Nursing confirmed that the PRN controlled medication must adhere to the set frequency per the physician's order, which was not followed in this case. The facility's policies on unnecessary medications and pain management indicated that routine medications could have a one-hour variance, but PRN medications required strict adherence to the prescribed timing. The failure to follow these guidelines resulted in the resident receiving the narcotic pain medication too early, which was confirmed upon review of the resident's medical record.
Deficiencies in Antibiotic Stewardship Program Implementation
Penalty
Summary
The facility failed to ensure proper implementation of its Antibiotic Stewardship Program (ASP), which led to deficiencies in monitoring antibiotic use and adherence to the McGeer criteria. The Infection Preventionist (IP) and Clinical Nurse Manager (CNM) confirmed that infection event tracking forms were not consistently initiated or completed for residents receiving antibiotics. This was evident in the cases of four residents who were receiving antibiotics without proper documentation or justification according to the McGeer criteria. For instance, Resident 87 was prescribed Amoxicillin-pot clavulanate for ear pain, which did not meet the criteria for an infection requiring antibiotics, and there was no documented discussion with the prescriber or justification for the order. Resident 146 was receiving Cefazolin and Metronidazole for a septic joint, but the Admit Infection Tracker was not completed, lacking essential information such as infection type and diagnostic tests. Similarly, Resident 149 was prescribed antibiotics for a suspected urinary tract infection (UTI) without meeting the McGeer criteria, and there was no infection tracker initiated or documented discussion with the prescriber. Resident 5 was given Doxycycline for a possible wound infection without meeting the criteria for cellulitis or wound infection, and again, there was no infection tracker or documented justification for the antibiotic order. Additionally, the facility did not provide annual or as-needed education to prescribers regarding the ASP and the use of the McGeer criteria, as required by the facility's policy. The Infection Preventionist confirmed that no documentation existed to show that education was provided to any of the physicians with rounding privileges. This lack of education and documentation contributed to the facility's failure to ensure appropriate antibiotic use, placing residents at risk for antimicrobial resistance and adverse effects of antibiotics.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Las Vegas
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sandstone Spring Valley | 1.5 mi | ★★★★★ | 42 | 0 |
| Spanish Hills Wellness Suites | 1.8 mi | ★★★★★ | 26 | 0 |
| Canyon Vista Post Acute | 3.9 mi | ★★★★★ | 16 | 0 |
| Sage Creek Post-acute | 5.1 mi | ★★★★★ | 9 | 0 |
| Torrey Pines Post Acute And Rehabilitation | 5.6 mi | ★★★★★ | 7 | 0 |
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