Above average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Premier Health & Rehabilitation Center Of Lv, Lp during CMS and state inspections, most recent first.
A resident with multiple medical conditions was discharged against medical advice without documentation of risk discussion, a signed AMA form, or notification of the physician and administrative staff. Staff interviews confirmed that required AMA protocols were not followed, and the medical record lacked evidence of these actions.
Missing Order and Monitoring for Soft Neck Collar: A resident with a history of neck surgery and spinal conditions was observed wearing a soft neck collar, but the chart lacked a physician order, instructions for use, and monitoring. The resident stated staff were not checking the collar, and later said they independently put it on and took it off and would not wear it while lying in bed. The Wound Nurse, Rehab Assistant, Medical Records Director, and DON acknowledged the missing order and that the collar required a physician order.
A resident with multiple fractures, acute trauma pain, shoulder arthritis, and a painful hernia reported severe pain, including pain rated 8/10, and said staff delayed pain treatment after admission. The record showed no MD order for pain medication until several days after admission and no documented administration of pain medication until the first dose was given later; the DON, NP, and Administrator acknowledged a standing acetaminophen order was available but not used at admission.
Legionella Water Management Plan not followed. The Maintenance Director stated the WMP was still a work in progress and provided the plan, but there was no documentation of monthly water tank flushes. Monthly water temp logs were provided, but they did not list an acceptable temp range. The plan also relied on water taste/odor complaints as a control measure, and one Legionella culture from the furthest room from the water source was negative.
A facility failed to administer prescribed free water flushes (FWF) via PEG tube for three residents, leading to potential health risks. One resident received 100 ml instead of 125 ml every 4 hours, another received 100 ml instead of 150 ml, and a third received 60 ml instead of 75 ml. The discrepancies were confirmed by the DON, RD, and CRN, indicating a failure to adhere to physician's orders.
The facility failed to properly administer tube feeding for four residents, leading to discrepancies in prescribed nutritional intake. Residents received less nutrition than prescribed due to late initiation, incorrect infusion rates, and failure to elevate the head of the bed as required. Despite these issues, no significant weight loss was documented for some residents.
The facility failed to maintain cleanliness of the kitchen vent hood, filters, and dish machine as per policy. Observations revealed significant buildup on the vent hood filter and dish machine exterior, with the Kitchen Manager and Maintenance Director providing conflicting information on cleaning responsibilities. The facility's policies required more frequent cleaning than was performed, leading to the deficiency.
A resident admitted with acute kidney failure, hypertension, and dehydration had an IV heplock left in place for over five days without being on IV medications. The heplock was not monitored or discontinued, lacking an order, admission assessment, or care plan. The resident was alert but unaware of the heplock's purpose. Staff confirmed the oversight, noting the risk of infection and the facility's policy requiring a prescriber's order for IV management.
The facility failed to follow TBP and EBP for two residents, leading to potential cross-contamination. A resident on contact isolation for norovirus lacked a proper disposal bin for PPE, and staff entered without PPE or hand hygiene. Another resident with a PICC line had linens changed without a gown, risking contamination.
Failure to Complete Required AMA Discharge Procedures
Penalty
Summary
The facility failed to follow required procedures when a resident was discharged against medical advice (AMA). Specifically, there was no documentation that nursing staff discussed the risks associated with leaving AMA, no signed AMA form was present, and there was no evidence that the physician, administrator, or director of nursing were notified as required by facility policy. The incident involved a resident with multiple medical conditions, including narcolepsy, edema, type 2 diabetes mellitus, and morbid obesity, who had been admitted for therapies and ongoing medical management. Prior to the discharge, the resident's family expressed a desire to take the resident home, and caregiver training was scheduled for a later date. On the day of discharge, the family demanded an in-person visit from a provider, which was not accommodated as providers did not come in on weekends unless it was an emergency. The family then called 911, and EMS arrived to transfer the resident. The family informed staff they were leaving, and EMS removed the resident without speaking to facility staff about the discharge. Interviews with facility staff confirmed that the expected protocol for AMA discharges was not followed. Staff acknowledged that the AMA form should have been explained and signed, or refusal documented, and that the physician and administrative staff should have been notified. However, there was no documentation of these actions in the resident's medical record. The facility's policy required these steps, but the record lacked evidence that they were completed in this case.
Missing Order and Monitoring for Soft Neck Collar
Penalty
Summary
The facility failed to obtain a physician order, instructions for use, and monitoring for a soft neck collar for one resident. The resident was admitted with diagnoses including encounter for surgical aftercare following surgery on the nervous system, complete lesion at T2-T6 of the thoracic spinal cord, and spinal stenosis of the cervical region. On 08/26/2025, the resident was observed seated in bed wearing a soft neck collar and was manipulating it with both hands, freely rotating it around the neck continuously. The resident stated the collar was related to a fall at home that caused a neck injury and subsequent neck surgery, and reported that no staff at the facility were checking the placement or use of the collar. The medical record included a Provider Encounter Progress Note stating the patient may need a soft neck collar for support due to neck pain and a Case Management Note stating the patient would benefit from continued therapy and was offered a soft neck brace ordered by rehabilitation. However, the record lacked documented evidence of a physician order, instructions for use, and monitoring for the soft neck collar. Later observations found the collar on the bedside table, and the resident stated they independently put on and took off the collar and would not wear it while lying in bed. The Wound Nurse, Rehabilitation Assistant, Medical Records Director, and DON all acknowledged that the record lacked the required order and that a neck collar required a physician order.
Failure to Provide Timely Pain Medication for a Resident with Multiple Painful Conditions
Penalty
Summary
The facility failed to ensure safe, appropriate pain management for a resident with multiple painful conditions, including multiple right rib fractures, acute pain due to trauma, right shoulder arthritis, and an anterior displaced fracture of the right clavicle. The resident’s Minimum Data Set documented acute pain due to trauma and cognitive intactness, and the resident reported significant pain during interviews, including right shoulder pain rated 8/10 and a painful hernia. The care plan identified the resident as at risk for pain related to fractures, soft tissue swelling/hematoma, pneumothorax, hemothorax, clavicle fracture, diabetic foot ulcer, acute pain due to trauma, and suspected non-reducible right inguinal hernia. Record review showed the resident complained of pain in the right groin area, with swelling and discomfort when straining, and later reported ongoing right groin/lower quadrant pain for over 2 weeks. The medical record lacked documented evidence of a physician order for pain medication from admission until 08/16/2025, and lacked documented evidence that pain medication was administered from admission until the first dose on 08/17/2025. The resident stated that after admission there were several days without pain medication and that staff would say they would check on pain medication but would not return with it. The LPN confirmed the record lacked a pain medication order until 08/16/2025, and the DON, NP, and Administrator acknowledged the expectation that the resident’s pain would be treated and that a standing acetaminophen order was available but not used at admission.
Legionella Water Management Plan Not Followed
Penalty
Summary
Provide and implement an infection prevention and control program was deficient because the facility did not follow its Legionella Water Management Plan. The Maintenance Director stated on 8/26/2025 that the facility's Water Management Plan was still a work in progress and was in bits and pieces, and provided the Legionella Water Management Plan. The Control Measures and Monitoring section stated there were no complaints about water taste or odor, no complaints about ice taste or odor, and that water heaters were drained/flushed monthly; however, the Maintenance Director said there was no documentation of monthly flushes of the water tanks. The Maintenance Director also provided logs of monthly water temperature testing, but the logs did not specify an acceptable temperature range. The Ways to Intervene When Control Limits Are Not Met section stated a water specialized company would retest water and provide an assessment to determine whether changes were needed. The facility also provided a Final Report dated 7/10/2025 for one environmental culture test for Legionella for room [ROOM NUMBER] that was negative, and the Maintenance Director stated that room [ROOM NUMBER] was the furthest room from the water source.
Failure to Administer Prescribed Water Flushes via PEG Tube
Penalty
Summary
The facility failed to provide free water flushes (FWF) via Percutaneous Endoscopic Gastrostomy (PEG) tube as prescribed for three residents, leading to potential health risks. Resident 53, diagnosed with severe protein-calorie malnutrition and dysphagia, was prescribed 125 ml of water every 4 hours via PEG tube. However, observations revealed that the resident was receiving only 100 ml every 4 hours, and the infusions were often delayed. The Director of Nursing (DON) and Registered Dietitian (RD) confirmed that the prescribed FWF was not fully delivered, putting the resident at risk for dehydration and delayed wound healing. Resident 45, with a diagnosis of dysphagia, was prescribed 150 ml of FWF every 4 hours. Observations showed that the resident was receiving only 100 ml every 4 hours, and the infusions were not timely. The DON and RD verified that the resident received significantly less FWF than prescribed, which could lead to dehydration. The Charge Registered Nurse (CRN) confirmed the discrepancy in the FWF delivery. Resident 48, also diagnosed with dysphagia, was prescribed 75 ml of FWF every 4 hours. However, the resident was receiving only 60 ml every 4 hours. The CRN and RD confirmed the insufficient infusion, resulting in a shortage of 825 ml over 72 hours. The facility's policies required adherence to physician's orders for tube feeding and hydration, which were not followed in these cases.
Deficient Tube Feeding Administration in LTC Facility
Penalty
Summary
The facility failed to ensure proper administration of tube feeding for four residents, leading to discrepancies in the prescribed nutritional intake. Resident 53, who was diagnosed with severe protein-calorie malnutrition and dysphagia, did not receive the prescribed amount of tube feeding due to late initiation and incorrect infusion rates. The resident's head of the bed was not elevated as required, increasing the risk of aspiration. The Director of Nursing confirmed that the resident received significantly less nutrition than prescribed over a 72-hour period. Resident 45 also experienced issues with tube feeding administration. The resident's feeding was started late, and the head of the bed was not elevated to the required degree during feeding. The total volume of nutrition delivered was less than prescribed, resulting in a deficit in calories and protein. Similarly, Resident 48 received a different formula than prescribed, and the total volume delivered was below the required amount, although no weight loss was documented. Resident 1 faced similar issues with tube feeding administration, receiving less than the prescribed volume over a 72-hour period. Despite the discrepancies, the resident did not experience weight loss. The facility's policies on tube feeding and enteral feeding safety precautions were not adhered to, as staff failed to verify tube feeding orders and did not maintain the required head-of-bed elevation to prevent aspiration.
Failure to Maintain Kitchen Equipment Cleanliness
Penalty
Summary
The facility failed to maintain cleanliness and proper maintenance of the kitchen vent hood, filters, and dish machine as per their policy. During an initial kitchen observation, a significant buildup was noted on the kitchen vent exhaust hood filter. The Kitchen Manager indicated that maintenance was responsible for cleaning, but the Maintenance Director later stated that the dietary department should inform maintenance if cleaning was needed between scheduled cleanings. The facility's policy required the hood and filter system to be cleaned at least weekly, but the last cleaning was done several months prior, indicating a lapse in adherence to the policy. Additionally, the dish machine was observed to have a substantial amount of white and lime green buildup on its exterior. The cleaning schedule reviewed with the Kitchen Manager showed that the dish machine had been cleaned the day before the observation, but this cleaning did not include the exterior. The Kitchen Manager acknowledged that the dish machine appeared neglected. The facility's policy required the dish machine exterior to be cleaned weekly with a deliming solution, which was not followed, leading to the observed deficiency.
Failure to Monitor and Discontinue Unused IV Heplock
Penalty
Summary
The facility failed to ensure proper monitoring and discontinuation of an IV heplock for a resident, leading to a deficiency in care. The resident, who was admitted with acute kidney failure, hypertension, and dehydration, had an IV heplock on the back of their left hand. This heplock was covered with an undated dressing and had been in place for over five days without any IV medications being administered. The resident was alert and oriented but did not understand the purpose of the IV heplock. A Licensed Practical Nurse confirmed the heplock was old, with peeling tape and blood residue, and acknowledged that an order was required for any IV line access. The Charge Registered Nurse and the Director of Nursing confirmed that there was no order, admission assessment, or care plan completed for the IV heplock. The heplock was identified during a skin assessment, but no order was obtained to discontinue it, as the resident was not on IV medications. The Nurse Practitioner stated that all IV line access should have been assessed, monitored, and removed if not in use, emphasizing the risk of infection. The facility's policy required a prescriber's order for IV management, which was not followed in this case.
Failure to Follow Infection Control Precautions
Penalty
Summary
The facility failed to adhere to transmission-based precautions (TBP) and enhanced barrier precautions (EBP) for two residents, potentially leading to the spread of infectious diseases. Resident 33, who was on contact isolation due to norovirus, did not have a designated garbage bin for disposing of personal protective equipment (PPE) after use. An LPN removed used PPE without a proper disposal bin available, and an Activities Assistant entered the room without wearing PPE or performing hand hygiene, despite signage indicating the need for these precautions. The Infection Preventionist (IP) confirmed that hand hygiene and PPE were required to prevent cross-contamination, especially given the increasing number of norovirus cases. Resident 69, who had a peripherally inserted central catheter (PICC) line and was on EBP, also experienced a lapse in precautionary measures. A CNA changed the resident's linens without wearing a gown, mistakenly assuming that only the other resident in the room was on precautions. The CNA later acknowledged the oversight, realizing the risk of contamination due to the resident's intravenous line. The IP indicated that a gown was necessary when handling soiled linens to prevent cross-contamination, as outlined in the facility's policy on transmission-based precautions.
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What surveyors actually found near you
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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) |
|---|---|---|---|---|
| Las Vegas Post Acute & Rehabilitation | 0.6 mi | ★★★★★ | 2 | 0 |
| Trellis Paradise | 2 mi | ★★★★★ | 2 | 0 |
| Harmon Hospital - Snf | 2.1 mi | ★★★★★ | 14 | 0 |
| Life Care Center Of South Las Vegas | 2.1 mi | ★★★★★ | 6 | 2 |
| Saint Joseph Transitional Rehabilitation Center | 2.7 mi | ★★★★★ | 28 | 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.