Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Summerlin during CMS and state inspections, most recent first.
A resident with multiple medical conditions reported being handled roughly by several nurses during repositioning, resulting in bruising. Although the complaint was documented by a nurse, no investigation was initiated, and the DON and Administrator were not notified as required by facility policy. Interviews confirmed that standard procedures for abuse allegations were not followed, and no follow-up or documentation of actions taken was found.
A facility failed to properly discuss and document discharge planning and appeal rights for a resident with Parkinson's disease and acute respiratory failure. The resident was not given a copy of the Notice of Medicare Non-Coverage or informed about the option to appeal the discharge decision. The Case Manager confirmed the oversight, and the Director of Nursing acknowledged the lapse in providing necessary documentation, resulting in the resident missing the opportunity for an expedited independent review.
A resident admitted with severe leg swelling and multiple health issues did not have a baseline care plan developed to manage their edema. Observations showed the resident's legs were not elevated, and no compression stockings were used. The Clinical Care Manager and DON confirmed the oversight, acknowledging the need for a care plan within 48 hours of admission.
A facility failed to assess and implement interventions for a resident's edema following admission. Despite a physician order to assess edema and apply interventions, documentation inconsistencies were found, and necessary interventions like elevating extremities and compression stockings were not implemented. The resident was observed with severe leg swelling and weeping edema, but the facility's records lacked evidence of proper assessment and intervention.
A resident with multiple health conditions, including heart failure, was not properly managed for fluid restriction in an LTC facility. Despite a physician's order limiting fluid intake to 1000 ml per day, discrepancies in fluid distribution were noted, with the resident receiving more fluids than prescribed. Staff interviews revealed a lack of communication and awareness regarding the fluid restriction, leading to excess fluid intake.
A facility failed to manage a resident's peripheral IV access appropriately. The IV, inserted prior to admission, was not documented or monitored, and the resident was unaware of its purpose. The site showed redness and dried blood, and no physician orders were in place. A nurse confirmed the IV should have been removed for non-use, and the Clinical Care Manager noted the lack of assessment and monitoring upon admission.
Two residents were found with unsecured medications in their rooms without proper physician orders or self-administration assessments. One resident had a bottle of bismuth subsalicylate, while another had several supplemental medications. The facility's policy requires a self-administration assessment and physician's order for all medications, which was not followed.
The facility failed to ensure proper infection control measures for two residents. A resident on contact isolation for a VRE wound had visitors not wearing PPE, and staff did not educate them on PPE use. Another resident with a draining wound lacked EBP signage and PPE availability, and staff provided care without gowns. The Infection Preventionist confirmed that protocols were not followed, increasing the risk of cross-contamination.
Failure to Investigate Resident Abuse Allegation
Penalty
Summary
The facility failed to thoroughly investigate an allegation of abuse for one resident who reported that several nurses had been rough while repositioning, resulting in bruising on the left arm and inner elbow. The resident, who had diagnoses including intervertebral disc degeneration, morbid obesity, and long-term opiate use, could not recall the exact date of the incident but reported the event to a nurse, who documented the complaint in the progress notes. Despite this documentation, there was no evidence that an investigation was initiated or that the required notifications to the Director of Nursing (DON) or Administrator were made at the time of the allegation. Interviews with nursing staff revealed that the standard procedure for abuse allegations included immediate reporting to the Administrator and DON, conducting interviews with involved staff and residents, performing a head-to-toe skin assessment, and documenting all actions taken. However, the nurse who received the complaint did not initiate an investigation, citing uncertainty about which staff were involved due to the resident's inability to specify the date. The DON and Administrator both confirmed they were not informed of the allegation and that no investigation or follow-up was conducted as required by facility policy. The facility's abuse policy required immediate notification of the DON and Administrator for any suspected or reported abuse, initiation of an investigation, and completion of a written summary of findings. In this case, the lack of communication and failure to follow established procedures resulted in the absence of an investigation into the resident's allegation of physical abuse, as well as a lack of documentation regarding any follow-up or actions taken to ensure the resident's safety.
Failure to Provide Discharge Planning and Appeal Rights
Penalty
Summary
The facility failed to properly discuss and document the discharge planning and appeal rights for a resident, identified as Resident 95, who was admitted with diagnoses including Parkinson's disease and acute respiratory failure. The resident expressed concerns about the proposed continuation of care and the quality of care to be received from the Home Health Agency. The resident was informed of the discharge but was not provided with a copy of the Notice of Medicare Non-Coverage (NOMNC) or informed about the option to appeal the discharge decision. The Case Manager confirmed that the resident signed the NOMNC, but a copy was not provided, which would have included the necessary contact information for an appeal. The Director of Nursing and interim DON confirmed that the discharge planning department was under nursing services and acknowledged that a copy of all signed documents should be provided to the resident. The facility's policy requires that all necessary information be documented to ensure a safe and effective transition of care. However, the documentation for Resident 95 lacked details of discharge planning and discussion of appeal rights. As a result, the resident missed the opportunity for an expedited independent review from the Quality Improvement Organization due to the lack of documentation and information provided.
Failure to Develop Baseline Care Plan for Resident with Edema
Penalty
Summary
The facility failed to ensure a baseline person-centered care plan was completed for a resident with edema following their admission. The resident, who was admitted with multiple diagnoses including cardiogenic shock, chronic obstructive pulmonary disease, and heart failure, presented with severe leg swelling and was unable to ambulate. Despite these conditions, the medical records lacked evidence of a baseline care plan to manage the resident's edema, which was present upon admission. Observations and interviews revealed that the resident's legs were not elevated, and no compression stockings were in place. The wound dressing on the resident's leg was wet due to severe weeping edema. The Clinical Care Manager and the Director of Nursing confirmed that the edema was not identified upon admission, and a baseline care plan should have been completed within 48 hours to guide care. The facility's policy indicated that the admitting nurse was responsible for completing the baseline care plan during the admission process.
Failure to Assess and Implement Interventions for Edema
Penalty
Summary
The facility failed to appropriately assess and implement interventions for a resident's edema following their admission. The resident, who was admitted with multiple diagnoses including cardiogenic shock, heart failure, and edema, had a physician order to assess edema every shift and apply specific interventions. However, inconsistencies were found in the documentation of the resident's edema, with alternating entries indicating both the presence and absence of edema. The resident was observed with severe leg swelling and weeping edema, yet the necessary interventions such as elevating extremities and applying compression stockings were not implemented. The facility's records lacked evidence of proper assessment and intervention for the resident's edema upon admission. The Clinical Care Manager confirmed that the edema was present on admission based on the hospital transfer summary, but it was not identified or addressed appropriately. The Director of Nursing acknowledged that the process to assess the resident upon admission was not followed, leading to inconsistent documentation and failure to implement the prescribed interventions. This deficiency had the potential to result in delayed treatment and worsening of the resident's condition.
Failure to Adhere to Fluid Restriction for Resident
Penalty
Summary
The facility failed to adhere to a fluid restriction order for a resident with multiple health conditions, including cardiogenic shock, chronic obstructive pulmonary disease, and congestive heart failure. The resident was on a fluid restriction of 1000 ml per day, as documented in physician orders. However, discrepancies were noted between the physician orders and the actual fluid distribution by the kitchen and nursing staff. The resident received more fluids than prescribed, with meal tickets indicating higher fluid amounts than allowed, and additional water was provided at the bedside without proper documentation or communication of the fluid restriction. Staff interviews revealed a lack of communication and awareness regarding the resident's fluid restriction. The Wound Care Treatment Nurse was unaware of the restriction and provided additional water upon the resident's request. The dietary manager and Registered Dietitian confirmed that the fluid restriction orders were not properly communicated or followed, leading to an excess fluid intake. The Director of Nursing acknowledged the failure to communicate the fluid restriction order to the kitchen and ensure proper documentation of fluid intake, contributing to the deficiency.
Failure to Manage Peripheral IV Access
Penalty
Summary
The facility failed to ensure the safe and appropriate management of a peripheral intravenous (IV) access for a resident, identified as Resident 144. Upon admission, the resident had a peripheral IV access in the right arm, which was not documented in the admission skin assessment. The IV site showed signs of redness and dried blood-like residue, and the resident was unaware of its purpose or insertion date. The resident's family indicated that the IV was inserted in the hospital prior to admission and was informed by the facility staff that it would be removed due to non-use. However, the medical records lacked evidence of any monitoring, flushing, or physician orders regarding the IV access. A Registered Nurse confirmed that the IV should have been removed for non-use and acknowledged the absence of an order for its management. The Clinical Care Manager stated that the resident should have been assessed upon admission, and the IV should have been monitored for infection or discontinued if not in use. The facility's policies on admission skin assessment and intravenous access were not followed, as the IV access was neither identified nor appropriately managed, leading to a potential risk of complications for the resident.
Failure to Secure Medications and Obtain Physician Orders for Self-Medication
Penalty
Summary
The facility failed to ensure that residents had physician orders and assessments for self-medicating, and that medications were properly secured in residents' rooms. Resident 98, who was admitted with a fracture of the left lower leg and end-stage renal disease on hemodialysis, was found with a bottle of bismuth subsalicylate at their bedside. The resident had brought the medication from home and had been keeping it at the bedside without any staff questioning its presence. The nurse caring for Resident 98 was unaware of the medication and confirmed that a self-administration assessment should have been completed, which was not done. Resident 102, admitted with malignant neoplasm of the bronchus and an open wound of the left lower leg, had several bottles of supplemental medications at their bedside. The resident had brought these medications from home and had been taking them regularly. Although a self-medication administration assessment was completed, there was no physician's order for these medications. The nurse was aware of the medications but confirmed that they should have been secured. The facility's policy requires a self-administration assessment and a physician's order for all medications, which was not adhered to in these cases.
Infection Control Deficiencies in PPE Use and Signage
Penalty
Summary
The facility failed to ensure proper infection prevention and control measures were in place for two residents, leading to potential cross-contamination and transmission of multidrug-resistant organisms (MDROs). For Resident 145, who was on strict contact isolation for a Vancomycin-Resistant Enterococci (VRE) wound, the facility did not educate visitors on the proper use of personal protective equipment (PPE). Observations revealed that the resident's family was present in the room without wearing PPE, and staff did not inform them of the requirement to wear PPE. The Infection Preventionist confirmed that PPE should have been worn by both staff and visitors to prevent cross-contamination. For Resident 146, who had severe weeping edema and a draining wound, the facility failed to post Enhanced Barrier Precaution (EBP) signage and provide PPE at the entrance of the resident's room. Staff, including a Clinical Care Manager, Wound Nurse Practitioner, and Wound Care Treatment Nurse, provided direct care without wearing gowns, despite the resident's open and draining wound. The Infection Preventionist indicated that EBP protocols, including the use of gowns and gloves during high-contact care activities, should have been followed to prevent contamination. The facility's policy required signage and PPE for residents with wounds or indwelling medical devices, but these measures were not implemented for Resident 146.
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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) |
|---|---|---|---|---|
| Neurorestorative | 0.9 mi | ★★★★★ | 3 | 0 |
| Silver Hills Health Care Center | 1 mi | ★★★★★ | 42 | 0 |
| Marquis Plaza Regency Post Acute Rehab | 1.2 mi | ★★★★★ | 23 | 0 |
| Royal Springs Healthcare And Rehab | 1.7 mi | ★★★★★ | 22 | 0 |
| Life Care Center Of Las Vegas | 1.9 mi | ★★★★★ | 13 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.