Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 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 North Las Vegas Care Center during CMS and state inspections, most recent first.
Two residents, one with bipolar disorder and fall history and another with post-stroke hemiplegia, intellectual disabilities, and contractures, were found barricaded in their beds when an Activities Director observed mattresses placed against the beds and held in place by locked Geri-chairs, blocking the only open side. The assigned nurse stated this was done for safety, but the investigation determined the residents were deliberately confined to bed without consent, constituting involuntary seclusion in violation of the facility’s abuse and neglect policy. One resident later reported feeling that this confinement was not appropriate.
A resident with multiple medical and psychiatric diagnoses was subjected to rough handling by a CNA during personal care, including being tugged on while having their brief changed. The incident was reported, investigated, and substantiated as abuse, indicating the facility failed to ensure the resident was protected from abuse as required by policy.
A resident with Parkinson's Disease and a history of transient ischemic attack did not receive timely doses of prescribed antibiotics for cellulitis due to a delay in pharmacy delivery. Despite the medications being available in the facility's Omnicell system, they were not administered, and the physician was not informed of the delay, contrary to facility policy.
A resident with severe pain was not provided with the appropriate pain medication due to a failure to use the available Omnicell system. Despite the resident's request for Norco, the LPN administered Tylenol, which was ineffective, and failed to document the pain level accurately. The Director of Nursing confirmed that the facility's policy required using the Omnicell for immediate medication needs, which was not followed, leading to inadequate pain control.
The facility failed to conduct PASARR Level 2 evaluations for four residents who exhibited new behavioral changes or diagnoses, including anxiety, depression, and aggressive behaviors. Despite documented psychiatric evaluations and nursing progress notes indicating significant mental health issues, the necessary evaluations were not completed, as confirmed by the Director of Nursing.
A resident receiving Vancomycin for bacterial pneumonia experienced a lapse in care when a night nurse failed to notify the physician of a high trough level before administering a dose. The following morning, an LPN held the next dose without verifying the trough level or obtaining a physician's order. This deficiency in communication and documentation placed the resident at risk for ineffective therapy and side effects.
A facility failed to ensure proper colostomy care for a resident, as there were no documented physician orders for the care and management of the colostomy. The CNA provided basic cleaning, but specific orders were absent, and the LPN generally changed the appliance if needed. Interviews with staff confirmed the lack of care orders, which contradicted the facility's policy requiring physician orders to clarify care type and frequency. This deficiency had the potential to introduce infection and negatively impact the resident's health.
A facility failed to ensure proper G-tube care for a resident, leading to a deficiency. The resident was found with a tube feeding pump off but still attached, and a reddish-brown stain on the gown and gauze dressing. The LPN did not assess the G-tube site, relying on a night nurse's report. Further examination revealed hyper granulation and bleeding, with no care orders in place since admission. This lack of proper assessment and monitoring placed the resident at risk for complications.
A facility reported a medication error rate of 9.38%, exceeding the acceptable threshold. Two residents received Metformin outside the prescribed timeframe, as it was administered more than an hour after meals. Additionally, a missed dose of Risperdal occurred due to unavailability, and the LPN failed to notify the physician or check the medication dispensing system for alternatives.
The facility failed to document influenza and pneumococcal vaccinations for two residents, one with chronic pancreatitis and blindness, and another with diabetes and neurocognitive disorder. The Infection Preventionist confirmed the absence of vaccination records in the EHR, despite facility policy requiring such documentation.
The facility failed to document the COVID-19 vaccination status for two residents, one with chronic pancreatitis and blindness, and another with diabetes and a neurocognitive disorder. Their EHRs lacked data on vaccinations, and the Infection Preventionist confirmed the absence of records in the physician's orders and MAR. Facility policy mandates documentation of vaccination status upon admission and annually.
Involuntary Seclusion of Two Residents by Barricading Beds
Penalty
Summary
The deficiency involves the involuntary seclusion and confinement of two residents to their beds by staff using physical barriers. One resident had bipolar disorder and a history of falling, and the other had hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, intellectual disabilities, and contractures. Facility reports documented that during early-morning rounds, the Activities Director observed that both residents’ beds, which were permitted to be placed against a wall with one open side, had the open side blocked by a mattress propped up and held in place by a locked Geri-chair, effectively barricading the residents in bed. When questioned, the nurse assigned to the hallway stated this was done for safety. The investigation determined that the residents were deliberately barricaded in bed, resulting in their confinement without consent. One of the residents later recalled the incident and stated that being confined to bed in this manner felt inappropriate at the time. Staff interviews confirmed awareness of the facility’s abuse policy and protocols for reporting allegations, and staff acknowledged that the incident involved involuntary seclusion of the two residents. The facility’s written policy on abuse, neglect, exploitation, mistreatment, and involuntary seclusion prohibited such practices and required thorough investigation of all allegations, including identification and removal of alleged perpetrators, identification of victims, and documentation of where and when the incident occurred and interview summaries.
Failure to Protect Resident from Abuse by CNA
Penalty
Summary
The facility failed to protect a resident from abuse when a certified nursing assistant (CNA) was reported to have been rough while changing the resident's brief, including tugging on the resident. The incident involved a resident with a history of cervical spine fusion, cocaine abuse with cocaine-induced psychotic disorder with hallucinations, depression, and pain. The resident reported the incident, and the CNA was removed from the resident's care for the remainder of the shift due to incompatibility between the resident and the CNA. The CNA resigned from the facility after the allegation was reported. An investigation was conducted, and the facility substantiated the allegation of abuse. The facility's policy prohibits all forms of abuse, neglect, and mistreatment, and requires immediate reporting and investigation of such incidents. The deficiency was identified through interviews, record review, and document review, which confirmed that the resident was not kept safe from abuse as required.
Failure to Administer Medications Timely
Penalty
Summary
The facility failed to administer medications timely to a resident, which could potentially render the treatment ineffective. The resident, who was admitted with diagnoses including Parkinson's Disease and a history of transient ischemic attack, had physician orders for Doxycycline Hyclate and Amoxicillin-Pot Clavulate to be administered twice daily for cellulitis. However, the medication administration record (MAR) indicated that the resident missed multiple doses over two days due to the facility awaiting delivery from the pharmacy. Despite the medications being available in the facility's Omnicell automated dispensing system, they were not administered as required. The Licensed Practical Nurse Unit Manager confirmed the availability of the medications in the Omnicell, and the Director of Nursing verified that the facility's policy was to use the Omnicell for unavailable medications. Additionally, the physician was not notified about the delay in starting the medications, which was against the facility's policy for medication procurement and administration.
Failure to Provide Timely Pain Management
Penalty
Summary
The facility failed to provide appropriate pain management for a resident, identified as Resident 4, who was admitted with multiple diagnoses including pain and required specific pain management. On the morning of January 30, 2025, the resident requested Norco, a narcotic pain medication, during the morning medication pass but was informed that the facility had run out of the medication. Instead, the resident was given Tylenol, which was ineffective in managing the pain. The resident expressed a pain level of 9, indicating severe pain, but the Licensed Practical Nurse (LPN3) did not administer the Norco from the Omnicell, an onsite medication dispensing machine, despite its availability. The LPN also failed to document the administration of Tylenol and incorrectly recorded a pain level of 0 in the Medication Administration Review (MAR). The Director of Nursing (DON) confirmed that the facility's policy required the use of the Omnicell for immediate medication needs and emphasized that the nursing staff should have administered Norco from the Omnicell when the resident reported a high pain level. The failure to assess and document the resident's pain level accurately and to administer the appropriate medication as per the physician's order led to inadequate pain control for the resident. The facility's policies on medication procurement and pain management were not followed, resulting in the resident experiencing unmanaged pain until the Norco was eventually administered later in the morning.
Failure to Conduct PASARR Level 2 Evaluations for Residents with Behavioral Changes
Penalty
Summary
The facility failed to complete a Preadmission Screening and Resident Review (PASARR) Level 2 evaluation for four residents who exhibited new behavioral changes or diagnoses. This deficiency was identified through observations, interviews, and record reviews. The residents involved were found to have significant behavioral health issues that were not addressed with the necessary PASARR Level 2 evaluations, which are required for residents with newly evident or possible serious mental disorders. Resident 115 was admitted with chronic pancreatitis and blindness, and later exhibited behaviors such as talking to self, refusing medications, and being confrontational with staff. Despite these behaviors and a psychiatric diagnosis of anxiety and major depressive disorder with psychotic symptoms, the facility did not complete a PASARR Level 2 evaluation. Similarly, Resident 81, with a history of schizoaffective disorder and neurocognitive disorders, displayed aggressive and non-compliant behaviors, yet no PASARR Level 2 evaluation was conducted. Resident 139, who had a history of dementia and cerebral infarction, showed aggressive behaviors and required close monitoring, but was not referred for a PASARR Level 2 evaluation. Lastly, Resident 119, with new diagnoses of anxiety and depressive disorders, was also not referred for the necessary evaluation. The Director of Nursing confirmed the oversight and acknowledged the need for PASARR Level 2 evaluations for these residents, as per the facility's policy.
Failure to Communicate High Vancomycin Trough Level
Penalty
Summary
The facility failed to ensure proper communication and documentation regarding a high Vancomycin trough level for a resident being treated for bacterial pneumonia. The resident, who had been admitted with diagnoses including intracranial injury and bacterial pneumonia, was prescribed Vancomycin intravenously every eight hours. On one occasion, the night nurse administered a dose of Vancomycin without notifying the physician of a high trough level that was available prior to the administration. This oversight was due to the nurse's unfamiliarity with the laboratory book and electronic health record (EHR) system. The following morning, an LPN decided to hold the resident's scheduled Vancomycin dose based on a verbal report from the night nurse, without verifying the trough levels in the EHR or contacting the physician for guidance. The medical record lacked evidence of communication with the physician regarding the high trough level, and there was no physician order to hold the medication. The LPN acknowledged the error in not verifying the results or obtaining a physician's order before holding the dose. The Director of Nursing confirmed that Vancomycin requires close monitoring due to its narrow therapeutic index and potential toxicities. The pharmacy guidelines emphasized the importance of laboratory monitoring and timely administration of doses. The failure to communicate the high trough level and the decision to hold the medication without a physician's order placed the resident at risk for ineffective antibiotic therapy and serious side effects.
Deficient Colostomy Care Management
Penalty
Summary
The facility failed to ensure proper care and management of a colostomy for one resident, identified as Resident 69. The resident was unsure when the colostomy barrier wafer was last changed, and the medical record lacked documented evidence of physician orders for colostomy care. Observations and interviews revealed that the Certified Nursing Assistant (CNA) provided basic cleaning care but did not have specific orders to follow. The CNA was responsible for cleaning around the colostomy site and changing the collection bag if needed, while the Licensed Practical Nurse (LPN) would generally change the appliance if necessary. However, there were no documented physician orders specifying the type of care, frequency of cleaning, or appliance changes for the resident. Interviews with facility staff, including the Unit Manager and Director of Nursing (DON), confirmed the absence of care and management orders for the resident's colostomy. The DON stated that a physician order should be obtained upon admission to clarify the type of care needed and the frequency of changing the colostomy appliance. The facility's policy on ostomy care indicated that appliances should stay on for five to seven days unless there is leakage, burning, or pain, in which case they should be changed immediately. The lack of documented orders and adherence to the facility's policy had the potential to introduce infection and negatively impact the resident's health.
Failure in G-tube Care and Monitoring
Penalty
Summary
The facility failed to ensure proper gastrostomy (G-tube) care for Resident 79, who was admitted with diagnoses including metabolic encephalopathy, gastroparesis, and gastrostomy malfunction. The deficiency was identified when the facility did not enter or carry out G-tube care orders in accordance with protocol. On observation, the resident was found with a tube feeding pump off but still attached, and a reddish-brown stain was noted on the gown and gauze dressing. The Licensed Practical Nurse (LPN) did not assess the G-tube site during the termination of feeding, relying instead on a report from the night nurse, which led to a lack of proper assessment and monitoring of the site. Further examination by the Wound Registered Nurse and the Director of Nursing (DON) revealed hyper granulation and bleeding at the G-tube site, which had not been reported or addressed. The DON confirmed that no care orders were in place for the G-tube site care since the resident's admission, which should have included regular assessment and monitoring. The failure to have care orders and proper assessment placed the resident at risk for complications. The facility's protocol, as per the Lippincott Nursing Procedures, was not followed, which required inspection for signs of infection and other issues.
Medication Administration Errors and Missed Dose
Penalty
Summary
The facility failed to maintain a medication error rate below five percent, with a reported rate of 9.38% during a medication administration pass. This deficiency involved two residents, one of whom was unsampled. The errors were primarily related to the administration of Metformin, an antidiabetic medication, which was not given in accordance with the physician's orders. The orders specified that Metformin should be administered with meals to ensure proper absorption and efficacy. However, the medication was given more than an hour after breakfast, which was outside the prescribed timeframe. For Resident 58, the LPN administered Metformin at 8:21 AM, despite the breakfast being finished about an hour earlier. Similarly, for Resident 61, Metformin was administered at 8:37 AM, also more than an hour after breakfast. The LPN admitted to combining the 7:00 AM and 8:00 AM medication passes to save time, which led to the late administration of Metformin. The Unit Manager and DON confirmed that the medication was not administered as per the physician's orders, and the facility's policy required medications to be given within one hour of the scheduled time. Additionally, there was a missed dose of Risperdal for Resident 61 due to the medication being unavailable. The LPN did not reorder the medication in time and failed to notify the physician about the missed dose. The Unit Manager indicated that the LPN should have checked the medication dispensing system for an alternative supply or contacted the physician for guidance. The DON confirmed that the missed dose was not handled properly, as the facility's policy required immediate action to obtain unavailable medications and to report missed doses to the physician.
Failure to Document Vaccinations for Residents
Penalty
Summary
The facility failed to provide documented evidence of influenza and pneumococcal vaccinations for two of five sampled residents, which could potentially prevent ensuring residents have had the necessary vaccines to fight off diseases. Resident 115, who was admitted with chronic pancreatitis and blindness, had no data available in their Electronic Healthcare Records (EHR) under Preventive Health Care; Vaccinations, Tests & Results. Similarly, Resident 81, admitted with diagnoses including diabetes and neurocognitive disorder, also had no vaccination data available in their EHR. On September 11, 2024, the Infection Preventionist (IP) confirmed that the vaccine records section for these residents was blank after reviewing the EHR, physician's orders, and medication administration record (MAR). The facility's policy, dated May 15, 2023, requires documentation of all vaccines given, historical, or offered but refused, in the residents' EHR.
Failure to Document COVID-19 Vaccination for Residents
Penalty
Summary
The facility failed to provide documented evidence that the COVID-19 vaccine was offered or administered to two of the five sampled residents, identified as Resident 115 and Resident 81. Resident 115 was admitted with diagnoses including chronic pancreatitis and blindness, while Resident 81 had diagnoses significant for diabetes and a neurocognitive disorder. Upon review of their Electronic Healthcare Records (EHR), it was found that there was no data available under the Preventive Health Care section for vaccinations, tests, and results for both residents. On September 11, 2024, the Infection Preventionist (IP) confirmed that the vaccine records section for these residents was blank. The IP checked the physician's orders and the medication administration record (MAR) for any documentation of the COVID-19 vaccine but found no results. The IP indicated that all vaccines, whether given, historical, or offered but refused, should be documented in the residents' EHR. The facility's policy on Standing Orders for Immunizations requires the evaluation of residents' vaccination status upon admission and annually, with documentation of the date, time, and injection site or declination in the medical record.
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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 North Las Vegas
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| College Park Rehabilitation Center | 0.6 mi | — | 30 | 0 |
| Mission Pines Nursing And Rehab Center | 0.6 mi | — | 15 | 0 |
| Gaye Haven Intermediate Care Facility | 2.8 mi | — | 0 | 0 |
| Horizon Health And Rehabilitation Center | 4.3 mi | — | 0 | 0 |
| Saint Joseph Transitional Rehabilitation Center | 5.6 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 August 2026) and official state health department websites.