Above average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Boulder City Hospital Snf during CMS and state inspections, most recent first.
The facility failed to ensure timely transmission of MDS 3.0 assessments for five residents, with data being more than 120 days late. The MDS Coordinator, working remotely, faced technical issues and lacked a designated backup, leading to delays. The Director of LTC confirmed no other staff could transmit MDS data, resulting in potential delays in resident care plans.
The facility failed to submit the quarterly PBJ data to CMS for Q1 2024 due to the MDS Coordinator's inability to access information remotely and the lack of a backup system. The Director and Chief Nursing Officer were aware of the issue.
The facility failed to complete a PASARR level two referral for a resident diagnosed with schizophrenia after admission. The social worker did not believe the referral was necessary as the resident was stable on antipsychotic medication. The medical record lacked evidence of the required referral, and the resident exhibited inappropriate behavior.
A facility failed to follow or clarify a physician's order for a resident's suprapubic catheter size, leading to the insertion of an incorrect catheter. The treatment administration record and electronic medical record contained conflicting orders, and the charge nurse confirmed the discrepancy. The facility's policy required staff to follow physician orders and not perform interventions without the required order.
The facility failed to label and date stored foods and discard expired items. An open bag of chicken tenders was found in the freezer without a label or date, and an expired container of cottage cheese was found in the refrigerator. The Dietary Manager confirmed these items should have been labeled, dated, and discarded accordingly. The facility lacked specific policies on these practices.
Failure to Transmit MDS Assessments Timely
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) 3.0 assessments were transmitted timely for five residents. The MDS Coordinator, who worked remotely and only visited the facility when there were technical issues, was responsible for notifying the interdisciplinary team of assessment timeframes and developing a calendar for assessment completion. However, the MDS data for the residents were more than 120 days late, and the State MDS Coordinator documented a 20% late submission rate for residents at the facility. The MDS Coordinator acknowledged that the process of completing resident assessments without direct contact and relying on notes could lead to inaccurate or outdated information. Additionally, there was no designated backup for the MDS Coordinator in case of unavailability, further contributing to the delays in transmitting MDS data. The Director of Long Term Care confirmed that no other staff member, including themselves, had access to transmit MDS data as required. The Director had to contact the MDS Coordinator on several occasions to correct inaccurate data on resident assessments. The facility's policy indicated that periodic assessments were conducted by the MDS Coordinator, and the results were used to create resident care plans and calculate resource utilization grouping categories. The lack of timely transmission of MDS data had the potential to impact resident care by delaying the resident care plan.
Failure to Submit PBJ Data for Q1 2024
Penalty
Summary
The facility failed to ensure the quarterly payroll-based journal (PBJ) data was submitted to the Centers for Medicare and Medicaid Services (CMS) for the first quarter of 2024. This deficiency was identified through interviews and document reviews. The Minimum Data Set (MDS) Coordinator, who was responsible for submitting the PBJ data, acknowledged that the data was not submitted. The MDS Coordinator explained that they were only at the facility once a week and were unable to access the necessary information from their remote workstation. The Coordinator planned to complete the submission the next day but became ill. Additionally, the MDS Coordinator was the only staff member with access to the reporting system, and the Chief Nursing Officer was aware of the failure to submit the data. The Director of Long-Term Care (Director), who started their position in March 2024, was also aware that the PBJ data was not submitted for the first quarter of 2024. The Director indicated that there was no backup system in place if the MDS Coordinator was unable to complete the submission. The MDS Coordinator had been working remotely since December 2023 and only came to the facility when technical difficulties arose at their remote workstation. This lack of a backup system and reliance on a single individual for the submission process led to the failure to submit the required PBJ data to CMS.
Failure to Complete PASARR Level Two Referral for Resident with Schizophrenia
Penalty
Summary
The facility failed to ensure a Preadmission Screening and Resident Review (PASARR) level two referral was completed for one resident diagnosed with schizophrenia. The resident was admitted with a PASARR level one document indicating no mental illness, intellectual disability, or related condition. However, after admission, the resident was diagnosed with schizophrenia and placed on antipsychotic medication. Despite this, the social worker did not complete a PASARR level two referral, believing it was unnecessary because the resident was stable on medication and not receiving psychiatric services. The deficiency was identified through observation, interview, record review, and document review. The social worker confirmed the PASARR level one was completed before the schizophrenia diagnosis and acknowledged the responsibility for completing PASARR requests. Additionally, the medical record lacked evidence of a PASARR level two referral, and the resident exhibited inappropriate behavior, such as masturbating while staff provided care. The facility's policy mandates a PASARR level two screening for residents with mental illness or related conditions, which was not followed in this case.
Failure to Follow Physician Order for Suprapubic Catheter Size
Penalty
Summary
The facility failed to follow or clarify the physician's order regarding the size of a suprapubic catheter for a resident with obstructive uropathy and severe neurocognitive deficit. The resident was observed with a suprapubic catheter that did not match the physician's order, which specified an 18 French catheter with a 5 mL balloon to be changed every two weeks. Instead, the resident had a 16 French catheter with a 10 mL balloon inserted. The discrepancy was confirmed by the charge nurse, who indicated that the nurse responsible for the catheter change should have followed the physician's order or clarified it if the correct size was not available. The treatment administration record and the electronic medical record contained conflicting orders for the catheter size and change frequency. The facility's policy required staff to follow physician orders and not perform any intervention without the required order. The charge nurse confirmed that the correct catheter supplies were available in the clean utility or could be obtained from the hospital central supply. The failure to follow the physician's order or clarify it led to the insertion of an incorrect catheter size, which was against the facility's policies and procedures for catheter care and physician order execution.
Failure to Label and Date Stored Foods
Penalty
Summary
The facility failed to ensure stored foods were labeled and dated and food items were discarded prior to the expiration date. During an observation, an open bag of chicken tenders was found in the walk-in freezer without a label or date. The Dietary Manager confirmed that the bag should have been labeled and dated before being placed back in the freezer. Additionally, a container of cottage cheese with an expired date was found in the walk-in refrigerator. The Dietary Manager acknowledged that the item should have been discarded and explained that staff are supposed to check expiration dates when new shipments are received. The facility did not have specific policies on labeling, dating, or handling expired foods.
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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 Boulder City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mountain View Care Center | 0.6 mi | ★★★★★ | 22 | 0 |
| Nevada State Veterans Home - Boulder City | 1.7 mi | ★★★★★ | 13 | 0 |
| Henderson Health And Rehabilitation | 9.3 mi | ★★★★★ | 2 | 0 |
| Tlc Care Center | 13.2 mi | ★★★★★ | 6 | 0 |
| Oasis Nursing & Rehab Of Green Valley | 15.2 mi | ★★★★★ | 20 | 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.