Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 Silver State Pediatric Skilled Nursing Facility during CMS and state inspections, most recent first.
Food storage and sanitization deficiencies were identified when the Dietary Manager could not verify sanitizer ppm for the 3-compartment sink because test strips were unavailable, yet the sanitation log incorrectly showed verification had been completed. Staff also found expired food items in the refrigerator and nourishment room, and dented cans were not discarded as required. The Cook and Dietary Manager acknowledged that expired and damaged food items must be removed to prevent contamination and illness.
A resident with plagiocephaly and other complex diagnoses was observed wearing a cranial helmet, but the physician order for 23-hour wear with a daily one-hour removal and cleaning was not properly carried out or documented. The e-MAR remained blank, daily nursing assessments did not show the required removal and cleaning tasks, and the DON confirmed nursing was responsible for following the order while the POC record only reflected helmet cleaning.
Incomplete and Inaccurate Tube Feeding Bag Labeling: A resident with a G-tube and diagnoses including Trisomy nine mosaic syndrome had a TF bag observed with an inaccurate and incomplete label. The label listed the wrong preparer and time, and left blank the formula contents, hang time, and expiration information. An LPN explained the formula was actually poured into the bag that morning, and the DON confirmed the label was not completed correctly.
Undated Inhalation Bag Used With BIPAP Equipment: A resident with chronic respiratory failure, tracheostomy status, and BIPAP orders had a half-empty 2,000 ml inhalation solution bag hanging by a ventilator machine used for nighttime BIPAP. Surveyors observed the bag was not labeled or dated, and the RT, RT Director, and DON all confirmed it was undated.
Ice machine cleaning and maintenance were not properly performed. Kitchen staff said they only wiped the exterior and did not clean the interior components, while the Dietary Manager said staff cleaned only the bottom portion and an outside vendor was responsible for the upper section. The Dietary Manager could not provide documentation for the last deep cleaning or the schedule for internal cleanings, and brown buildup was observed inside the machine.
The facility failed to maintain cleanliness and proper labeling in the kitchen. Opened food items lacked open date labels, and the kitchen area had dried cooking oil and grime accumulation. The Kitchen Manager confirmed these issues, which violated the facility's policies on cleanliness and food storage.
The facility's outdated policies failed to provide appropriate guidance for pediatric care, particularly in the use of psychotropic medications, as confirmed by the DON. A resident with muscle spasms was prescribed Diazepam, but the policy was geared towards adults. Additionally, the facility's supervision policy did not reflect current practices, such as line-of-sight supervision and the use of walkie-talkies, which were acknowledged by the DON and Administrator as not being updated since an incident with injury.
Food Storage and Sanitization Deficiencies
Penalty
Summary
The facility failed to ensure sanitizer test strips were available to verify the concentration of the sanitizing solution in the three-compartment sink. On 02/24/2026 at 8:30 AM, the Dietary Manager was unable to complete the test strip verification because the facility had run out of test strips, and the manager stated the concentration in parts per million could not be verified without them. Although the sanitation log for that date documented that the test strip verification had been completed that morning, the Dietary Manager acknowledged the entry was incorrect and said it should have been dated 02/23/2026. The facility policy titled SSP SNF Sanitization, revised September 2025, stated that when chemical sanitizing solutions are used in the three-compartment sink, the sanitizer concentration shall be verified using manufacturer-appropriate test strips. The facility also failed to ensure expired food items were removed from the refrigerator and nourishment room, and failed to discard dented cans. On 02/25/2026, the Cook stated expired food could lead to cross-contamination and may cause harm, and said the expired food had been missed. The Dietary Manager stated any expired food must be thrown away upon discovery and that they did not want to risk making the children sick. On the same date, staff stated dented canned food may have been compromised or partially opened and must be removed from use and discarded to prevent illness. The Dietary Manager stated dented cans must be removed from the kitchen because they were considered damaged and could cause illness, and the facility policy titled SSP SNF food receiving and storage, revised September 2025, documented that food items must be inspected prior to acceptance and that dented cans and expired products must be rejected.
Helmet Order Not Followed or Documented
Penalty
Summary
The facility failed to follow a physician order for a resident with plagiocephaly who had diagnoses including respiratory failure of a newborn, laryngomalacia, chromosomal abnormality, and agenesis corpus callosum. The resident was observed asleep in a crib wearing a blue helmet device and later observed wearing the helmet while strapped in a bouncy chair. The RN explained the helmet was being used as a supportive device because the resident's skull did not form well, and that the helmet was removed for one hour each day so staff could assess the skin underneath. A physician order dated 01/08/2026 directed that the plagiocephaly helmet be worn 23 hours a day with a one-hour break daily, during shower time if applicable, and that if there was no shower the helmet still had to be removed and cleaned during the one-hour break. The order also directed that the helmet and hair be dried before reapplying the helmet, and that the helmet and head be cleaned every shift with CeraVe baby shampoo, with alcohol wipes permitted only for the helmet. The order was transcribed into the e-MAR, but the signature boxes were blank from 01/08/2026 through 02/26/2026, and the RN confirmed the order was entered under therapy orders and could not be seen by nursing who were responsible for carrying out the task. Review of the daily nursing assessments for three days showed no documentation that the helmet was removed for one hour or that the specific cleaning instructions were followed. The OT stated therapy initially applied the helmet and increased wear time until the resident tolerated 23 hours, after which therapy or nursing would obtain an order from the orthotist, and that therapy staff do not document services in the e-MAR. The NAC stated CNAs removed the helmet and documented cleaning in POC, but the POC report only showed the helmet was cleaned daily and did not show that the one-hour removal order was followed. The DON confirmed the e-MAR was blank or unsigned, that nursing was responsible for ensuring the helmet was removed and cleaned as ordered, and that the daily nursing assessments lacked evidence the physician order had been performed on the reviewed days.
Incomplete and Inaccurate Tube Feeding Bag Labeling
Penalty
Summary
The facility failed to ensure that Resident 3’s tube feeding bag was labeled with complete and accurate information. Resident 3 was admitted with diagnoses including Trisomy nine mosaic syndrome, tracheostomy status, and gastrostomy status, and received nutrition through a G-tube. A physician order dated 12/11/2025 directed Complete pediatric formula original 1.0, 250 milliliters at 250 milliliters per hour four times a day. During observation on 02/24/2026, the resident’s tube feeding bag was connected to tubing threaded through a pump and had a sticker label with the resident’s name, room number, and the name of a staff member listed as the preparer, but the label stated the bag was prepared at 12:00 AM and left blank the formula contents, the date and time the formula was hung, and the expiration date and time. The LPN explained that the night shift nurse had hung an empty bag and that the LPN had actually poured the formula into the bag at 7:30 AM that morning. The DON confirmed the label was inaccurate and incomplete and stated the LPN should have completed the label with the resident’s name, room number, formula contents, staff who prepared it, and the date and time it was initiated.
Undated Inhalation Bag Used With BIPAP Equipment
Penalty
Summary
Provide safe and appropriate respiratory care for a resident when needed was not met for Resident 3, who was admitted with diagnoses including Trisomy nine mosaic syndrome, chronic respiratory failure, tracheostomy status, and gastrostomy status. The resident had a physician order for BIPAP/Bilevel 23/+14 with a back-up rate of 14 every night shift by respiratory therapy. On the morning of the observation, the resident was in the dining area on a stander with a white gauze observed on the neck area. Later that morning, surveyors observed a ventilator machine labeled RT management only on the left side of the resident's crib. The machine was off, and a 2,000 ml bag of inhalation solution that was half empty was hanging by the ventilator machine. The bag was not labeled or dated. The RT stated the resident had been decannulated and used the ventilator machine for BIPAP treatment at night, and confirmed the inhalation bag was not dated. The RT Director stated the bag should have been dated with initials and that the bags were good for 30 days once opened per manufacturer. The DON also confirmed the inhalation bag was not labeled and dated.
Ice Machine Not Properly Cleaned or Maintained
Penalty
Summary
The facility failed to ensure the ice machine was kept clean and maintained safely. During observation and interview, kitchen staff stated they only cleaned and wiped the exterior surfaces of the ice machine and did not clean the interior components, and the Dietary Manager stated staff cleaned only the bottom portion of the machine while an outside service provider was responsible for cleaning the upper section. The Dietary Manager could not provide documentation showing when the last deep cleaning of the interior components was completed and was unaware of the schedule or frequency of internal cleanings. A sticker on the machine showed a date of 09/16/2025, and the Dietary Manager acknowledged the brown buildup observed inside the machine appeared to come from the upper internal section. The facility policy for cleaning fixed equipment required removable parts to be washed and sanitized and non-removable parts to be cleaned with detergent and hot water, rinsed, air-dried, and sanitized.
Kitchen Cleanliness and Food Labeling Deficiency
Penalty
Summary
The facility failed to maintain cleanliness and proper labeling in the kitchen area, as observed during a kitchen tour. Several food items, including Truvani plant-based protein powder and a jar of sundried tomatoes, were found opened and partially consumed without an open date label. Additionally, the four drawer-base refrigerators used as the base for cook top stoves had splatters of dried cooking oil, and the handles were tacky to touch. The gap between the cook top base, the oven rack, and the backsplash down to the floor had dried residues of cooking oil and gray materials settled on the floor. The Kitchen Manager confirmed these findings and acknowledged the need for further cleaning and proper labeling. The facility's policies on cleanliness and food storage require all equipment and surfaces to be kept clean and all food items to be labeled and dated, which were not adhered to in this instance.
Outdated Policies and Inadequate Supervision Practices
Penalty
Summary
The facility failed to ensure that its policies were reviewed, updated, and suited to the resident population, which led to a deficiency in care. The policy for the use of psychotropic medications was outdated and did not provide guidance for pediatric usage, which was confirmed by the Director of Nursing (DON). This was particularly relevant for a resident admitted with muscle spasms and congenital hypertonia, who was prescribed Diazepam for muscle spasms. The facility's policy was geared towards an adult population, which could potentially lead to inappropriate care for pediatric residents. Additionally, the facility's policy on resident supervision was not updated to reflect current practices. Although staff were observed to maintain line-of-sight supervision and use walkie-talkies for communication, the written policy did not include these practices. The DON acknowledged that the policy had not been amended to reflect changes implemented after an incident with injury. The Administrator admitted that a systematic review of facility policies had not been conducted, and many policies were outdated and not reflective of actual practices, which could impede staff training and care delivery.
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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) |
|---|---|---|---|---|
| Saint Joseph Transitional Rehabilitation Center | 0.6 mi | ★★★★★ | 28 | 0 |
| Horizon Health And Rehabilitation Center | 1.7 mi | ★★★★★ | 1 | 0 |
| Las Vegas Post Acute & Rehabilitation | 2.7 mi | ★★★★★ | 2 | 0 |
| Silver Ridge Healthcare Center | 2.8 mi | ★★★★★ | 14 | 0 |
| Torrey Pines Post Acute And Rehabilitation | 2.8 mi | ★★★★★ | 7 | 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.