Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Advanced Health Care Of Las Vegas during CMS and state inspections, most recent first.
The facility failed to obtain daily weights for residents with CHF, as required by physician's orders, leading to missed opportunities to monitor fluid status. Three residents with CHF had multiple days where weights were not documented, with no reasons provided for these omissions. The LPN, RD, and interim DON confirmed the importance of daily weights for identifying fluid imbalances, yet the facility did not consistently fulfill this responsibility.
A resident with osteoarthritis and chronic hip pain was not administered the correct dosage of Hydrocodone-Acetaminophen according to physician's orders. Despite having two active orders for different pain levels, the resident received a lower dose even when experiencing severe pain. This failure to adhere to pain management parameters was confirmed by the Clinical Nurse Manager and interim DON.
A resident with osteoarthritis and hip pain was administered Hydrocodone-Acetaminophen earlier than the prescribed four-hour interval on multiple occasions. The facility's policies required strict adherence to the timing of PRN medications, which was not followed, leading to the resident receiving the medication too early.
The facility failed to properly implement its Antibiotic Stewardship Program, leading to deficiencies in monitoring antibiotic use and adherence to the McGeer criteria. Infection event tracking forms were not consistently completed for residents receiving antibiotics, and there was a lack of documented discussions with prescribers or justifications for antibiotic orders. Additionally, the facility did not provide required education to prescribers regarding the ASP, contributing to inappropriate antibiotic use.
Failure to Obtain Daily Weights for CHF Residents
Penalty
Summary
The facility failed to adhere to physician's orders to obtain daily weights for residents diagnosed with congestive heart failure (CHF), which is crucial for monitoring fluid status and preventing fluid overload. This deficiency was observed in three residents, who were supposed to be weighed daily as per their care plans and physician's orders. The absence of documented weights on specific dates for these residents indicates a lapse in following the prescribed care protocols. Resident 2, who was admitted with conditions including hypertensive heart disease with heart failure and pneumonia, had several days where weights were not recorded, with no documented reasons for these omissions. Similarly, Resident 6, with a diagnosis of chronic diastolic CHF, also had multiple days where weights were not documented. Resident 140, suffering from hypertensive heart disease with heart failure and chronic kidney disease, had missing weight records on several occasions as well. The Licensed Practical Nurse (LPN) and the Registered Dietitian (RD) confirmed the importance of daily weights for these residents to monitor for fluid imbalances. The interim Director of Nursing (DON) acknowledged the facility's standard practice of obtaining daily weights for residents with CHF and confirmed the missed weights. The facility's policy required weights to be obtained as per physician's orders, yet the responsibility for obtaining these weights was not consistently fulfilled, leading to the deficiency.
Failure to Follow Pain Management Orders
Penalty
Summary
The facility failed to ensure that physician's orders for pain medications were followed for a resident diagnosed with osteoarthritis and experiencing chronic pain in the left hip. The resident, who had been admitted after a mechanical fall at home, had two active physician's orders for Hydrocodone-Acetaminophen: one for moderate pain (4-6 on the pain scale) and another for severe pain (7-10 on the pain scale). However, the medication administration record (MAR) showed that the resident was given the lower dose of Hydrocodone-Acetaminophen 5 mg/325 mg even when the resident's pain level was recorded as 7 or higher on multiple occasions, indicating severe pain. The Clinical Nurse Manager and interim Director of Nursing confirmed that the pain management parameters were not followed on several dates when the resident expressed severe pain. The facility's Pain Management policy required that prescribed medications follow parameters based on pain intensity, with higher doses for higher pain levels. The failure to administer the correct dosage as per the physician's orders placed the resident at risk for inadequate pain control.
Failure to Adhere to PRN Medication Timing
Penalty
Summary
The facility failed to ensure a resident was free from unnecessary medications, specifically regarding the administration of a PRN pain medication. A resident, who was admitted with osteoarthritis and pain in the left hip, was prescribed Hydrocodone-Acetaminophen 7 mg/325 mg to be taken as needed every four hours for severe pain. However, the medication administration record revealed that the medication was administered earlier than the prescribed four-hour interval on multiple occasions, including three times on one day and once on two other separate days. The Clinical Nurse Manager and the interim Director of Nursing confirmed that the PRN controlled medication must adhere to the set frequency per the physician's order, which was not followed in this case. The facility's policies on unnecessary medications and pain management indicated that routine medications could have a one-hour variance, but PRN medications required strict adherence to the prescribed timing. The failure to follow these guidelines resulted in the resident receiving the narcotic pain medication too early, which was confirmed upon review of the resident's medical record.
Deficiencies in Antibiotic Stewardship Program Implementation
Penalty
Summary
The facility failed to ensure proper implementation of its Antibiotic Stewardship Program (ASP), which led to deficiencies in monitoring antibiotic use and adherence to the McGeer criteria. The Infection Preventionist (IP) and Clinical Nurse Manager (CNM) confirmed that infection event tracking forms were not consistently initiated or completed for residents receiving antibiotics. This was evident in the cases of four residents who were receiving antibiotics without proper documentation or justification according to the McGeer criteria. For instance, Resident 87 was prescribed Amoxicillin-pot clavulanate for ear pain, which did not meet the criteria for an infection requiring antibiotics, and there was no documented discussion with the prescriber or justification for the order. Resident 146 was receiving Cefazolin and Metronidazole for a septic joint, but the Admit Infection Tracker was not completed, lacking essential information such as infection type and diagnostic tests. Similarly, Resident 149 was prescribed antibiotics for a suspected urinary tract infection (UTI) without meeting the McGeer criteria, and there was no infection tracker initiated or documented discussion with the prescriber. Resident 5 was given Doxycycline for a possible wound infection without meeting the criteria for cellulitis or wound infection, and again, there was no infection tracker or documented justification for the antibiotic order. Additionally, the facility did not provide annual or as-needed education to prescribers regarding the ASP and the use of the McGeer criteria, as required by the facility's policy. The Infection Preventionist confirmed that no documentation existed to show that education was provided to any of the physicians with rounding privileges. This lack of education and documentation contributed to the facility's failure to ensure appropriate antibiotic use, placing residents at risk for antimicrobial resistance and adverse effects of antibiotics.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 318 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
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) |
|---|---|---|---|---|
| Sandstone Spring Valley | 1.5 mi | — | 1 | 0 |
| Spanish Hills Wellness Suites | 1.8 mi | — | 26 | 0 |
| Canyon Vista Post Acute | 3.9 mi | — | 2 | 0 |
| Sage Creek Post-acute | 5.1 mi | — | 0 | 0 |
| Torrey Pines Post Acute And Rehabilitation | 5.6 mi | — | 7 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Advanced Health Care Of Las Vegas.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.