Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around September 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 Marquis Care At Centennial Hills during CMS and state inspections, most recent first.
A facility failed to update discharge instructions and notify the physician of changes in a resident's discharge plan, potentially affecting the continuation of care. The resident, with multiple diagnoses including a pressure ulcer, was discharged with instructions for home health services. However, the family canceled these services, opting to manage care themselves, which was not communicated to the physician. Staff confirmed the oversight, noting the discharge instructions were not updated as required by facility policy.
A facility failed to document wound care treatments for a resident with an unstageable pressure ulcer, as required by physician's orders. The TAR lacked evidence of treatments on two occasions, and interviews with the wound care nurse and DON confirmed the absence of documentation. Facility policy mandates recording wound care details, but the lack of documentation left the treatments unverified.
A facility failed to document the removal of a midline catheter and perform a site assessment for a resident upon discharge. The resident had a physician's order to discontinue the midline after completing an IV medication regimen, but the medical record lacked evidence of the removal and assessment. A nurse stated that such documentation should have been included in the progress notes, and the DON confirmed it should have been recorded on the MAR.
A facility failed to accurately assess and obtain proper consent for the use of bilateral mitten restraints on a resident with cognitive impairments. The resident, who was nonverbal and confused, was observed with mitts to prevent dislodgment of medical devices. Conflicting information was documented regarding the resident's understanding and consent, and consent was obtained from a significant other instead of the next of kin, contrary to facility policy.
A resident with multiple mental health diagnoses, including PTSD and major depressive disorder, did not receive a required PASARR level two referral. The facility's social services department failed to identify and refer the resident for further screening, despite the diagnoses indicating a need for such action.
The facility failed to accurately document and administer medications and treatments, leading to deficiencies. A resident did not receive scheduled wound care, and the ACE wrap for edema was not applied as ordered, despite being documented as completed. Oxygen therapy was administered at an incorrect flow rate, and a diuretic medication was borrowed from another resident's supply, violating policy.
A resident did not receive wound care treatment as ordered, with inaccurate documentation of treatment refusal. ACE wraps for edema were inconsistently applied, despite being documented as in place. Oxygen therapy was administered at an incorrect flow rate, exceeding the physician's order, with inaccurate documentation of the flow rate.
A resident at moderate risk for pressure sores was not provided with heel protectors or floating heels as required by their care plan and physician's order. Observations revealed the resident's heels were in direct contact with the mattress, contrary to the facility's policy on pressure injury prevention. The RN and DON confirmed the oversight in implementing the necessary nursing intervention.
A resident at risk for falls due to medical conditions reported a fall that was not immediately assessed by the facility. Despite experiencing hip pain, the necessary post-fall assessment and neurological checks were not conducted, as the fall was reported two days later. Staff acknowledged the oversight, which was contrary to the facility's policy requiring assessments regardless of the timing of the report.
A facility failed to provide adequate hydration to a resident dependent on tube feeding due to malfunctioning equipment and lack of communication among staff. The resident did not receive necessary water flushes or hydration for almost 24 hours, despite requests and a speech therapist's assessment allowing small sips of water. Additionally, another resident experienced significant weight loss due to missed weight monitoring, which was not identified in a timely manner.
A resident dependent on tube feeding did not receive the prescribed Diabetisource formula due to malfunctioning pumps and was instead given Glucerna, which caused discomfort. The facility staff failed to notify the physician or RD for new orders, resulting in inadequate nutrition for nearly 24 hours. The TF was only administered once the following day and again the next morning, contrary to the physician's order.
The facility failed to label open food containers with dates and did not dispose of spoiled fruits in the kitchen, potentially exposing residents to health risks. An inspection revealed several open containers without dates and spoiled cantaloupes and watermelon. The Kitchen Manager confirmed these issues, acknowledging that the facility's policy requires proper labeling and disposal.
Failure to Update Discharge Instructions and Notify Physician
Penalty
Summary
The facility failed to update discharge instructions and notify the physician of changes in the discharge plan for a resident, leading to a potential gap in the continuation of care. The resident was admitted with diagnoses including a urinary tract infection, atrial fibrillation, and an unstageable pressure ulcer. The physician's discharge summary indicated that the resident was to be discharged with home health services, including nursing, physical therapy, occupational therapy, and wound care. However, the resident's family canceled the home health consult, opting to manage wound care themselves, which was not communicated to the physician. The Director of Nursing and other staff confirmed that the change in the discharge plan was known prior to discharge, but the discharge instructions were not updated to reflect this change. The facility's policy required that discharge instructions communicate the resident's needs for a safe transition, which was not adhered to in this case. Staff interviews revealed that the physician should have been notified of the change, and there was a suggestion that Adult Protective Services could have been contacted to ensure the resident's safety post-discharge.
Failure to Document Wound Care Treatments
Penalty
Summary
The facility failed to provide documented evidence that wound care treatments were administered according to the physician's orders for one resident. This resident, who had been diagnosed with an unstageable pressure ulcer, was supposed to receive specific wound care treatments involving the application of Silvadene External Cream and other procedures to the sacrum. However, the Treatment Administration Record (TAR) lacked documentation of these treatments being completed on two specific dates. Interviews with the wound care nurse and the Director of Nursing (DON) confirmed the absence of documentation for the treatments on the specified dates. The facility's policy required that wound care be documented in the resident's medical record, including the date, time, and the name of the individual performing the care. The lack of documentation meant there was no way to verify whether the treatments were performed, potentially placing the resident at risk for delayed healing of the wound.
Failure to Document Midline Removal and Site Assessment
Penalty
Summary
The facility failed to provide documented evidence of the removal of a midline catheter and a site assessment for a resident upon discharge. The resident was admitted with diagnoses including a urinary tract infection, atrial fibrillation, and an unstageable pressure ulcer. A physician's order was issued to discontinue the midline after the completion of an IV medication regimen. However, the resident's medical record lacked documentation confirming the midline's removal and the performance of a site assessment. A Registered Nurse indicated that such documentation should have been included in the progress notes, detailing the condition of the site and any concerns. The Director of Nursing confirmed that the removal should have been recorded on the Medication Administration Record and accompanied by a progress note reflecting the site assessment and the resident's tolerance of the process.
Failure to Obtain Proper Consent for Restraint Use
Penalty
Summary
The facility failed to ensure an accurate assessment and obtain proper consent for the use of bilateral mitten restraints on a resident. The resident, who was admitted with multiple diagnoses including acute respiratory failure, dementia, and was ventilator-dependent, was observed wearing bilateral hand mitts to prevent the dislodgment of medical devices. The care plan indicated the use of mitts to prevent pulling on tubing, and a physician's order supported their use for preventing dislodgment of lifesaving devices. However, the assessment conducted documented conflicting information regarding the resident's understanding and consent for the use of these restraints. The assessment noted the resident's cognitive status as confused and nonverbal, and it was unclear if the resident understood the implications of removing the tracheostomy tube. Despite this, the nurse completing the assessment checked boxes indicating both that the resident requested the devices and understood the risks and benefits, which was inconsistent with the resident's cognitive abilities. Additionally, verbal consent was obtained from the resident's significant other rather than the next of kin, contrary to the facility's policy requiring consent from the resident or their representative. The Resident Care Manager and charge nurse confirmed the resident's inability to request or understand the use of the devices, highlighting a failure in the facility's consent process.
Failure to Complete PASARR Level Two Referral
Penalty
Summary
The facility failed to complete a Preadmission Screening and Resident Review (PASARR) level two referral for one of the sampled residents, identified as Resident #36. This resident was readmitted with multiple diagnoses, including pulmonary edema, acute respiratory failure with hypoxia, anxiety disorder, mood disorder, generalized anxiety disorder, post-traumatic stress disorder (PTSD), and major depressive disorder. Despite these diagnoses, which are indicative of mental illness, there was no documented evidence of a PASARR level two screening being conducted. The resident had been at the facility for about eight years and expressed satisfaction with the care received. The deficiency was identified through interviews and document reviews, revealing a lack of awareness and action by the facility's social services department. The Social Services Director and Social Worker were responsible for completing PASARR requests but were not aware of their role in identifying and referring residents for PASARR level two screenings unless the mental disorder significantly interfered with daily living or resulted in hospitalization for psychiatric issues. The facility's policy required social services to track each resident's PASARR screening status and make necessary referrals, which was not adhered to in this case.
Deficiencies in Medication and Treatment Documentation
Penalty
Summary
The facility failed to ensure accurate documentation and administration of medications and treatments for residents, leading to several deficiencies. For Resident 48, the wound care treatment was not provided as scheduled, and the Treatment Administration Record (TAR) was inaccurately documented to reflect that the treatment was completed. The wound dressing was observed to be old and peeling, and the wound care nurse admitted to not providing the treatment and failing to notify the physician about the missed treatment. Additionally, the ACE wrap for edema was not applied as ordered, despite being documented as applied in the Medication Administration Record (MAR). The nursing staff failed to ensure the ACE wrap was in place before signing off on the documentation. Resident 48 also experienced issues with oxygen therapy. The oxygen was administered at a higher flow rate than prescribed, and the MAR inaccurately documented the flow rate. The LPN confirmed the discrepancy and admitted to not verifying the oxygen flow meter before documenting. This failure to administer and document oxygen therapy accurately could have significant implications for the resident's respiratory condition. For Resident 56, the facility failed to administer the prescribed diuretic medication, Lasix, as the medication was not available in the medication cart. The nurse documented that the medication was administered, but it was later revealed that the Lasix was borrowed from another resident's supply, which is against the facility's medication administration policy. The Director of Nursing confirmed that the medication was not obtained from the Pyxis or the pharmacy, highlighting a significant lapse in medication management and documentation practices.
Deficiencies in Wound Care, Edema Treatment, and Oxygen Administration
Penalty
Summary
The facility failed to provide wound care treatment as ordered for a resident with a skin tear on the right forearm. The treatment was supposed to be administered every three days, but it was not provided on the scheduled date. The Treatment Administration Record (TAR) was inaccurately documented as completed, and the physician was not notified of the missed treatment. The wound care nurse later admitted to editing the record to indicate the resident refused treatment, which was not the case, as the resident was asleep at the time. The facility also failed to apply ACE wraps as ordered for the resident's bilateral lower extremity edema. Although the Medication Administration Record (MAR) documented that the ACE wraps were applied, they were observed lying on the resident's bedside table. The nursing staff, including Licensed Practical Nurses (LPNs) and Certified Nursing Assistants (CNAs), were unclear about their responsibilities regarding the application of ACE wraps, leading to inconsistent treatment. Additionally, the facility did not administer oxygen therapy as ordered for the resident with chronic obstructive pulmonary disease (COPD). The oxygen flow rate was set at 5 liters per minute (LPM), exceeding the physician's order of 2-4 LPM. The MAR inaccurately documented the oxygen flow rate as 3 LPM. The nursing staff failed to verify and document the correct oxygen flow rate, which could potentially suppress the resident's respiratory drive.
Failure to Implement Pressure Ulcer Prevention Measures
Penalty
Summary
The facility failed to implement the necessary preventive measures for pressure ulcers for one resident, who was at moderate risk for developing pressure sores. The resident, who had a history of hypertension, diabetes, epilepsy, CVA, and chronic hypoxia, was observed on two separate occasions without heel protectors, and their heels were not floating as required. A physician's order and the resident's care plan both specified the need for floating heels to maintain skin integrity and prevent pressure ulcers. However, during observations, the resident's bed was in a flat position, allowing the heels to come into direct contact with the mattress, contrary to the care plan's instructions. The registered nurse confirmed the observations and acknowledged that the resident's heels should have been floating. The Director of Nursing also confirmed that the floating heels procedure was a necessary nursing intervention that should have been implemented according to the care plan. The facility's policy on the prevention of pressure injuries emphasized the importance of keeping heels off the bed using pillows or a Keen Heel Float device, which was not adhered to in this case.
Failure to Conduct Post-Fall Assessment and Neurological Checks
Penalty
Summary
The facility failed to complete a post-fall assessment and neurological checks for a resident after an unwitnessed fall. The resident, who was admitted with diagnoses including polyneuropathy, unilateral primary osteoarthritis of the right hip, and dizziness, was identified as being at risk for falls due to muscle weakness and a history of falls. Despite this, when the resident reported a fall that occurred while sitting on the bed, the necessary post-fall protocols were not followed. The resident experienced right hip pain following the fall, which was not immediately assessed due to the delay in reporting. The Director of Nursing and other staff acknowledged that the fall protocol was not followed because the fall was reported two days after it occurred. However, the facility's policy required that post-fall assessments and neurological checks be completed regardless of when the fall was reported or whether it was witnessed. The lack of documentation in the resident's medical record for the post-fall assessment and neurological checks highlights the deficiency in adhering to the facility's policies on fall management and accident reporting.
Failure to Provide Adequate Hydration and Timely Weight Monitoring
Penalty
Summary
The facility failed to provide adequate hydration to a resident who was dependent on tube feeding. Upon admission, the resident's tube feeding equipment was malfunctioning, leading to a delay in administering both the tube feeding and necessary water flushes. Despite the resident's requests for water due to a dry mouth and discomfort, the LPN did not provide hydration, and the water flushes were not administered as ordered. The resident's medical records lacked documentation of the water flushes, and the attending physician was not notified of the hydration issue. The resident, who had a history of dysphagia and cancer affecting saliva production, was assessed by a speech therapist who determined it was safe for the resident to sip water. However, this information was not communicated effectively to the nursing staff, resulting in the resident not receiving hydration for almost 24 hours. The registered dietitian confirmed that the resident's hydration needs were not met, and the water bag prepared upon admission remained full and unused. Additionally, the facility failed to obtain timely weight measurements for another resident, who experienced significant weight loss over a period of months. The resident's weight was not tracked in April, and the dietitian noted that the weight loss was not identified sooner due to the lack of documentation. The facility's policy required regular weight monitoring, but the restorative nursing assistants did not document why the weight was missed, and the dietitian could not confirm the reason for the oversight.
Failure to Administer Tube Feeding as Ordered
Penalty
Summary
The facility failed to provide adequate tube feeding (TF) formula to a resident, identified as Resident 188, who was dependent on tube feeding. Upon admission, the resident was supposed to receive a specific TF formula, Diabetisource, but instead, Glucerna was provided, which caused stomach discomfort. The TF was not administered immediately due to malfunctioning pumps, and there was no documented physician order for the Glucerna formula. The resident's medical records lacked evidence of a physician order for the TF, and the resident expressed discomfort and refusal of the Glucerna formula. The facility's staff did not notify the physician or registered dietitian (RD) when the TF could not be administered as ordered. The resident's family reported concerns about the inadequacy of the resident's nutrition for almost 24 hours following admission. The TF was only administered once on the day following admission and again the next morning, which was not in accordance with the physician's order. The attending physician and registered nurse confirmed that the TF was not administered timely, and there was no notification to the physician or RD for new orders. The facility's policy on enteral nutrition required that adequate nutritional support be provided as ordered, and any interruptions should be addressed by obtaining new orders. However, the staff failed to adhere to this policy, resulting in the resident not receiving the necessary nutritional support in a timely manner. The registered dietitian and director of nursing confirmed that the resident's nutritional needs were not met, and the staff did not follow the expected protocol of notifying the physician or RD when the TF was not administered as ordered.
Food Labeling and Spoilage Issues in Kitchen
Penalty
Summary
The facility failed to ensure proper labeling and disposal of food products in the kitchen, which could have exposed residents to potential health risks. During an inspection, it was observed that several open containers of food, including beef base, coleslaw dressing, low-fat cottage cheese, mild chunky salsa, and golden Italian dressing, were not labeled with the date they were opened. Additionally, 11 cantaloupes and one watermelon in the walk-in refrigerator showed signs of spoilage, with black spots, white patches, softness, and mushiness. The Kitchen Manager confirmed these observations and acknowledged that the open containers should have been dated and the spoiled fruits discarded. The facility's policy on the storage of frozen and refrigerated foods requires food to be labeled with the product name and expiration or discard date.
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 293 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) |
|---|---|---|---|---|
| Trellis Centennial | 0.6 mi | — | 0 | 0 |
| Skye Canyon Post Acute | 1.2 mi | — | 0 | 0 |
| Silver Hills Health Care Center | 4.3 mi | — | 2 | 0 |
| Neurorestorative | 4.4 mi | — | 3 | 0 |
| Royal Springs Healthcare And Rehab | 4.7 mi | — | 22 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Marquis Care At Centennial Hills.
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.