Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Neurorestorative during CMS and state inspections, most recent first.
Enteral Feeding Care Plan Not Updated After Aspiration Pneumonia: A resident with a gastrostomy and brain cancer had vomiting, poor O2 saturation, suctioned secretions, and was transferred to the hospital for nausea, vomiting, and confusion. The hospital treated the resident for septic shock and aspiration pneumonia, but the tube feeding care plan was not reviewed or updated after the resident returned, and an LPN, two RNs, and the DON all confirmed there was no evidence of an updated care plan.
A resident with severe neurologic and sensory diagnoses was observed asleep in a crib with multiple cords hanging into the crib area, including cords for the light switch and call system and cords from plugged-in equipment. Surveyors observed the resident moving in the crib and grabbing an oxygen saturation cord, and the Administrator confirmed the cords were mainly for staff use while inspectors noted they were long enough to create a ligature risk and could loop around the resident's neck.
A resident receiving Diazepam for seizures did not have seizure monitoring documented in the medical record, despite a pharmacist recommendation to add it. The resident had diagnoses including chronic respiratory failure with hypoxia, tracheostomy status, and ventilator dependence, and the DON confirmed the recommendation was not implemented and the resident was not monitored for seizures.
Incomplete behavior monitoring for a resident receiving Trazadone was documented in the MAR and behavior monitoring records. The resident, who required a 2:1 sitter for self-harm behaviors and impulsiveness, had no recorded behavior, intervention, or outcome codes, and the Observation/Monitoring tool was not maintained. The DON confirmed the MAR entries were inaccurate and that the missing documentation prevented informed decisions about the medication’s effectiveness.
A portable oxygen tank was found unsecured and standing upright in the room of a resident with severe hypoxic ischemic encephalopathy and chronic respiratory failure. An LPN and a Respiratory Therapist confirmed that all portable oxygen tanks should be secured, and the DON stated that checking for hazards is a shared staff responsibility. Facility policy requires oxygen tanks to be in approved stands or holders, but this was not followed in this instance.
The facility failed to remove expired medications from the active supply, as observed during an inspection. An expired Lorazepam 2mg/1ml oral medication was found in the Narcotic Box in the medication refrigerator. The Pod 3 nurse, responsible for checking expiration dates, was confused about the expiration date and the delivery date based on the medication sheet.
Enteral Feeding Care Plan Not Updated After Aspiration Pneumonia
Penalty
Summary
The facility failed to ensure a care plan for enteral feeding was reviewed and updated after a resident returned from the hospital following an aspiration pneumonia episode. The resident had diagnoses including malignant neoplasm of the brain and gastrostomy status, and the record showed a respiratory event on 01/07/2026 in which the resident had been vomiting, appeared pale, had poor oxygen saturation readings, and then vomited through the tracheostomy and nose before being elevated, suctioned, and placed on a ventilator. A change of condition form documented a physician order to transfer the resident to the hospital for nausea, vomiting, and increased confusion and disorientation. The hospital discharge summary showed the resident was treated for septic shock and aspiration pneumonia, with significant mucous plugging and CT findings of bilateral lower lobe consolidation and additional lung opacities. The resident’s tube feeding care plan, originally initiated in 2018, included interventions to reduce aspiration and monitor tube feeding complications, but the medical record lacked evidence that the care plan was reviewed and updated after the resident returned from the hospital. An LPN, two RNs, and the DON all stated the care plan should have been reviewed and updated after the change in condition and confirmed there was no evidence that this occurred.
Crib Environment Contained Hanging Cords
Penalty
Summary
A resident with diagnoses including extreme immaturity of a newborn at 26 weeks, cortical blindness, and anoxic brain injury was observed asleep inside a crib with cords hanging into the crib environment. The annual MDS indicated the resident had no impairment of the upper or lower extremities and was nonverbal and hard of hearing. On observation, two cords for the light switch and call system hung from the left side of the crib, and a red electrical outlet on the right side had three pieces of equipment plugged into it: an enteral feeding pump, oxygen saturation device, and suction equipment. During the survey, a life safety code inspector stated the crib was cluttered with too many cords and demonstrated that the cords were long enough to become a ligature risk. Later, the resident was awake and moving inside the crib, sitting up and lying back down, and at one point the resident's left hand grabbed the electrical cord attached to the oxygen saturation device that was clamped to the crib. The Administrator later held the cords dangling from the light switch and call system and confirmed they were mainly for staff use, while two life safety inspectors observed that the cords were long enough to loop around the resident's neck causing entanglement and that the crib position was a safety concern. The resident's care plan included an intervention to ensure and provide a safe environment, and the facility Safety and Security Management Plan stated it was designed to provide a safe and secure environment and intervene whenever safety conditions posed a threat or danger to life.
Failure to Implement Pharmacist Recommendation for Seizure Monitoring
Penalty
Summary
The facility failed to act on a consultant pharmacist’s recommendation to add seizure monitoring for one sampled resident who was receiving Diazepam for seizures. The resident was admitted with diagnoses including chronic respiratory failure with hypoxia, tracheostomy status, and dependence on respirator ventilator status. A Psychotropic Medication Informed Consent documented seizures as the resident’s specific condition/diagnosis, and a physician order directed Diazepam 1 mg via G-tube every 8 hours for seizures. A Pharmacist Consultation Report documented that the resident received Diazepam but did not have seizure monitoring documented in the medical record, and the pharmacist recommended adding seizure monitoring. The medical record lacked evidence that seizure monitoring was implemented after that recommendation. The DON confirmed that the recommendation was not implemented and that the resident was not monitored for seizures, and acknowledged the recommendation should have been implemented.
Incomplete behavior monitoring for psychotropic medication
Penalty
Summary
The facility failed to ensure behavior monitoring was accurately completed for a resident receiving Trazadone 150 mg via gastrostomy tube at bedtime for insomnia. The resident was admitted with diagnoses including unspecified lack of expected normal physiological development in childhood, gastrostomy status, and insomnia. On observation, the resident was awake in bed while tube feeding was infusing, had a mitten on the left hand, and was being supervised under a 2:1 sitter arrangement due to behaviors including self-harm such as scratching self and pulling lines. The medical record did not contain documented behavior codes, intervention codes, or outcome codes for the resident’s Trazadone monitoring, and the MAR for April 2026 showed zero behaviors, zero interventions, and zero outcomes from 04/01/2026 through 04/15/2026. The quarterly behavior support plan stated the resident required a 2:1 sitter and that staff were to use an Observation and Monitoring tool every 30 minutes, but the record lacked evidence that the tool was completed. During observation, the resident had a verbal outburst and shook the wheelchair, while the RN stated the MAR was inaccurate and that the order lacked behavior, intervention, and outcome codes. The DON confirmed the missing codes, the lack of the Observation/Monitoring Tool, and that the MAR entries were inaccurate, and stated that failing to record behaviors accurately prevented informed medication decisions.
Unsecured Portable Oxygen Tank Found in Resident Room
Penalty
Summary
A portable oxygen tank was found standing upright and unsecured in the room of a resident with severe hypoxic ischemic encephalopathy and chronic respiratory failure. The tank was not attached to the wall, placed in a portable carrying device, or secured in any way, and lacked a regulator to determine the remaining oxygen. This was observed during a facility visit, and both a Licensed Practical Nurse and a Respiratory Therapist confirmed that all portable oxygen tanks, regardless of whether they are full or empty, should be secured at all times to prevent potential injury. Interviews with facility staff, including the Director of Nursing, revealed that checking for potential hazards in resident rooms is a shared responsibility among leadership and staff. The facility's policy on oxygen therapy requires that oxygen tanks be placed in approved stands to prevent rolling or accidental falls, and that empty tanks be stored separately from full tanks in designated storage areas. The unsecured tank in the resident's room was not in compliance with these established safety protocols.
Expired Medications Not Removed from Active Supply
Penalty
Summary
The facility failed to ensure expired medications were removed from the active supply and discarded, as observed during an inspection of the medication room. Specifically, an expired Lorazepam 2mg/1ml oral medication with an expiration date of 03/2024 was found in the Narcotic Box in the medication refrigerator. The Assistant Director of Nursing (ADON) confirmed the expired medication should have been removed to prevent administration and placed in the designated area for disposal. The Director of Nursing (DON) explained that the Pod 3 nurse, who holds the Refrigerator Narc Box key, was responsible for checking expiration dates daily upon shift change and discarding expired medications appropriately. However, the Pod 3 Nurse was confused about the expiration date and the delivery date based on the medication sheet. The facility's policy on the storage and expiration dating of medications indicated that expired medications should be stored separately until destroyed or returned to the pharmacy or supplier.
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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) |
|---|---|---|---|---|
| Royal Springs Healthcare And Rehab | 1.8 mi | ★★★★★ | 22 | 0 |
| Advanced Health Care Of Summerlin | 2.1 mi | ★★★★★ | 1 | 0 |
| Life Care Center Of Las Vegas | 2.2 mi | ★★★★★ | 13 | 0 |
| Neurorestorative | 2.6 mi | ★★★★★ | 3 | 0 |
| Silver Hills Health Care Center | 2.7 mi | ★★★★★ | 42 | 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.