Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
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 Spanish Hills Wellness Suites during CMS and state inspections, most recent first.
A facility failed to thoroughly complete a report to the state agency regarding a sexual abuse allegation by a resident with multiple diagnoses. The resident alleged inappropriate touching by a staff member fitting a specific description. Although an RNA matching the description was suspended during the investigation, this was not documented in the final report. The facility's policy required comprehensive investigations, but the report contained inaccuracies and omissions.
The facility's kitchen was found in unsanitary conditions with aged oil, greasy surfaces, and expired food products during an inspection. The fryer, stove, toaster, and mixer were coated with grease and food debris, while the floor was greasy and dusty. Expired food items, including apple juice, sour cream, peanut butter, and hot dogs, were discovered, along with dented cans in storage. The kitchen manager acknowledged these issues, which violated the facility's policies on food safety and cleaning.
A resident was unable to use a urinal bottle independently at night due to the lack of a working over-the-bed light, as the remote control was sent for repair without a replacement. The Maintenance Director and ADON acknowledged the oversight, which contradicted the facility's policy on promoting resident independence.
The facility failed to maintain a clean and sanitary environment in 16 residents' rooms, as dust and debris were found at the edges between the wall and the floor, despite daily cleaning. A resident raised concerns about the cleanliness, and both housekeeping staff and the supervisor confirmed the oversight. The facility's cleaning policy required thorough cleaning, including dusting and moving furniture weekly.
A resident with schizoaffective disorder, anxiety disorder, depression, and PTSD was readmitted to the facility without a completed PASARR Level II referral, despite these diagnoses indicating the need for such a screening. The Social Services Director acknowledged the responsibility for making the referral but failed to do so, as required by the Medicaid Services Manual for Nursing Facilities Policy.
A facility failed to create a baseline care plan for a resident with a nephrostomy tube, leading to improper management of the dressing. The resident, under palliative care, experienced issues with a peeling and soiled dressing that was not changed after becoming wet during a shower. The RN was unsure of the hospice nurse's responsibilities, and the medical records lacked a care plan. The Charge Nurse and DON confirmed the absence of a care plan, which was required by facility policy within 48 hours of admission.
The facility failed to implement and develop comprehensive care plans for several residents, including one who needed restorative hand splinting services, another using side rails, a resident with significant weight loss, and a resident with a heel wound. These deficiencies were acknowledged by the DON and other staff, highlighting lapses in care plan management.
The facility failed to provide an ongoing program of activities to meet residents' interests, as evidenced by the lack of community outings and outdoor activities. Two residents expressed a desire for more trips and improved transportation, with one resident lacking an Activity Evaluation. Activity calendars lacked documentation of outings, and previous months' calendars were unavailable. Despite having transportation resources, outings were not scheduled, and a requested shopping trip had not occurred since August.
A resident with multiple diagnoses, including hypertension, was administered expired Hydralazine HCL 10 mg tablets for elevated blood pressure. The expired medication was found in the medication cart, and both an LPN and the Assistant DON confirmed it should have been discarded. The facility's policy required checking expiration dates before administration, which was not followed in this instance.
A resident with a history of CVA and right-side weakness did not receive appropriate contracture management due to the facility's failure to obtain a new physician order for a hand splint after hospital readmission. The care plan required the use of a splint, but it was not implemented, and staff interviews confirmed the oversight.
A resident with a nephrostomy tube experienced a deficiency in care due to the facility's failure to obtain a physician's order and monitor the insertion site. The resident's dressing was soiled and peeling, and there were no documented care or monitoring orders, despite the resident being on hospice care. This lack of documentation and monitoring was confirmed by facility staff, highlighting a gap in continuity of care.
A resident experienced significant weight loss without a proper nutritional assessment due to the absence of a Registered Dietitian. Despite being at nutritional risk, the resident's nutritional needs were not evaluated or documented, leading to a lack of interventions. The facility's policy requiring comprehensive nutritional assessments was not followed.
A facility failed to provide proper dialysis care for a resident requiring hemodialysis. The Dialysis Communication Records were not consistently completed, and assessments of the shunt or dialysis access and vital signs were not consistently conducted pre- and post-dialysis. Despite the resident's intact cognitive status and a care plan requiring monitoring, vital signs were inconsistently taken upon arrival at the facility. The DON confirmed the lack of documented evidence for shunt assessments and vital signs, increasing the risk of complications.
A resident with Parkinson's disease and other conditions was observed using bed side rails without a physician order. The facility's policy required obtaining and transcribing physician orders, but the medical record lacked such documentation. Both a nurse and the DON confirmed the oversight, acknowledging that a physician order should have been obtained when the side rails were reviewed and consented.
An expired punch card of Hydralazine HCL 10 mg tablets was found in a medication cart, which was confirmed by an LPN and the Assistant DON. The facility's policy mandates the immediate removal and disposal of outdated medications.
The facility failed to implement proper infection control measures for two residents, leading to potential cross-contamination. A resident with a dialysis shunt was not provided with appropriate enhanced barrier precautions (EBP), and staff did not follow hand hygiene protocols. Another resident with a nephrostomy lacked EBP signage and PPE. Additionally, empty hand sanitizer dispensers were found near resident rooms, compromising hand hygiene compliance.
A facility failed to establish a baseline care plan for a resident requiring an Aspen collar for a cervical vertebra fracture. Despite documentation of the collar's necessity, there was no physician order or care plan in place. Staff interviews revealed that the admitting nurse should have initiated the care plan within 48 hours, but this was not done, contrary to facility policy.
A facility failed to document a physician order for a cervical (Aspen) collar for a resident with a cervical vertebra fracture. Despite recommendations for the collar to be worn at all times, there was no care plan or physician order in place. The facility's policies required documentation of such devices, but the medical record lacked evidence of compliance, as confirmed by the DON.
Incomplete Reporting of Sexual Abuse Allegation
Penalty
Summary
The facility failed to ensure a thorough completion of a report submitted to the state agency regarding an allegation of sexual abuse involving a resident. The resident, who was admitted with diagnoses including a closed fracture of the right femur, schizoaffective disorder, major depressive disorder, and an anxiety disorder, alleged being touched inappropriately by a staff member described as a white male with a ponytail. The initial report submitted to the state agency did not substantiate the allegation, stating that no staff member matched the description provided by the resident. However, it was later revealed that a Restorative Nurse Assistant (RNA) with a beard and ponytail, who had provided services to the resident, was suspended for one day due to the investigation. The Director of Nursing confirmed the suspension was related to the investigation, as the RNA was the only male staff member fitting the description. The facility's final report lacked documentation of the RNA's suspension, and the Director of Nursing acknowledged the report contained inaccurate information. The facility's policy required prompt and comprehensive investigations, but the report failed to include all relevant details, compromising the thoroughness of the investigation.
Unsanitary Kitchen Conditions and Expired Food Products
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen, as observed during an inspection with the Kitchen Manager. The fryer was found with visibly aged and contaminated oil, and food debris was prevalent, contributing to unsanitary conditions. The surfaces of the fryer, stove, toaster, and mixer were coated with grease and food debris. The floor under the stove and oven was greasy, dusty, and littered with food debris. Additionally, the potable water dispenser and ice maker machine showed white calcium buildup, and the exhaust vent of the dishwasher was heavily soiled with dust. Expired food products and dented cans were also found during the inspection. A breadcrumbs container, cartons of thickened apple juice, containers of sour cream, peanut butter, and hot dogs were all past their expiration dates. Two dented cans of cheese sauce and a can of sliced pickled beets were found in dry storage. A container of gravy was found on the food preparation table without a date. The kitchen manager acknowledged these findings as unsanitary conditions that should have been corrected timely. The facility's policies on food safety and cleaning were not adhered to, as evidenced by the presence of expired food and unsanitary equipment and surfaces.
Failure to Provide Working Over-the-Bed Light
Penalty
Summary
The facility failed to provide a working over-the-bed light for a resident, identified as Resident 125, which impacted the resident's ability to use a urinal bottle independently overnight. Resident 125, who was admitted with diagnoses including hemiplegia affecting the left nondominant side, hereditary and idiopathic neuropathy, and cerebrovascular disease, reported moving into a new room two weeks prior without being provided a remote control for the over-the-bed light. The resident explained that the lack of light prevented independent use of the urinal bottle at night, necessitating assistance from staff. The issue was confirmed by the Maintenance Director, who acknowledged that the remote control had been sent for repair without an expected completion date. The Maintenance Director also noted that a remote control could have been sourced from an empty room or the resident could have been moved to another room to avoid disruption of care. The Assistant Director of Nursing confirmed that the resident should have been provided with a light to maintain independence and self-care. The facility's policy on resident room environment emphasized promoting and preserving resident independence and self-sufficiency, which was not adhered to in this case.
Failure to Ensure Proper Floor Cleaning Procedures
Penalty
Summary
The facility failed to provide a clean and sanitary homelike environment by not ensuring proper floor cleaning procedures in 16 of 90 residents' rooms, specifically rooms 406 to 422. This deficiency was identified through observations, interviews, and document reviews. A resident expressed concerns about the cleanliness of their room, noting that dust and debris remained at the edges between the wall and the floor at the baseboard, despite daily cleaning. A housekeeping staff member confirmed that the room had been cleaned but acknowledged that the edges were not addressed. The housekeeping supervisor corroborated these observations and confirmed that all surfaces should have been cleaned according to the facility's policy. The facility's cleaning policy, dated March 2006, required routine cleaning and disinfection to ensure a clean and safe environment, including dusting areas above eye level and moving furniture weekly to clean underneath and behind.
Failure to Complete PASARR Level II Referral for Resident
Penalty
Summary
The facility failed to ensure a Preadmission Screening and Resident Review (PASARR) Level II referral was completed for one of the sampled residents, identified as Resident 69. This resident was readmitted with multiple diagnoses, including schizoaffective disorder, anxiety disorder, depression, and post-traumatic stress disorder (PTSD). Despite these diagnoses, a PASARR Level I document from 2021 indicated that the resident did not have any mental illness, intellectual disability, or related condition, and was deemed appropriate for nursing facility placement. However, the resident's medical notes revealed diagnoses of schizoaffective disorder and PTSD, which should have triggered a PASARR Level II screening. The Social Services Director (SSD) acknowledged responsibility for referring residents who meet the criteria for PASARR Level II by completing the online request. The SSD agreed that the resident's diagnoses would indicate the need for such a referral. The Medicaid Services Manual for Nursing Facilities Policy requires a PASARR Level II screening when indicators of mental illness or related conditions are present. The medical record for Resident 69 lacked documented evidence of a referral for a PASARR Level II screening, indicating a failure in the facility's process to ensure necessary behavioral health services were considered for the resident.
Failure to Formulate Baseline Care Plan for Nephrostomy Tube
Penalty
Summary
The facility failed to ensure a baseline care plan was formulated for a resident with a nephrostomy tube, which is crucial for managing the resident's care. The resident, who was admitted and readmitted with diagnoses including palliative care, dysuria, and malignant neoplasm of the prostate, experienced issues with the nephrostomy dressing. On a specific date, the resident complained to a Registered Nurse (RN) about a peeling and soiled dressing, which had become wet during a shower and was not changed, leading to itchiness on the surrounding skin. The RN was unsure if the hospice nurse was responsible for changing the dressing, and the resident's medical records lacked documented evidence of a baseline care plan for the nephrostomy management. The Charge Nurse and the Director of Nursing (DON) confirmed the absence of a baseline care plan, which should have included management instructions for the nephrostomy tube. The facility's policy, dated May 2023, required the development and implementation of a baseline care plan within 48 hours of admission to provide effective, person-centered care. However, this was not done, and the DON indicated that licensed nurses were responsible for formulating the care plan, which should have been overseen by nursing leadership. The lack of a baseline care plan could have led to an increased risk of complications related to improper management and a lack of continuity in care.
Deficiencies in Care Plan Implementation and Development
Penalty
Summary
The facility failed to implement a care plan for restorative hand splinting services for a resident who had a cerebrovascular accident and was at risk for contractures. The resident was observed without the prescribed hand splint, and the care plan indicated the need for a splint to be worn up to eight hours a day. However, after the resident's discharge and readmission, the physician's order for the splint was not renewed, and the restorative program was not performed. The Director of Nursing and the Physical Therapy Director acknowledged the oversight, noting that the resident was not reassessed upon readmission. The facility also failed to develop comprehensive care plans for three other residents. One resident, who used side rails for bed mobility, did not have a care plan addressing the use of side rails, despite a consent form being completed. Another resident experienced significant weight loss, but a care plan addressing nutritional needs was not developed until after the weight loss occurred. The Director of Nursing confirmed the absence of a timely care plan could have impacted the resident's care. Additionally, a resident with a right heel wound did not have a comprehensive care plan developed for wound care. The wound, which was positive for MRSA, was being treated according to a physician's order, but the lack of a care plan was acknowledged by the Director of Nursing. The absence of these care plans placed residents at risk for worsening health conditions related to their specific needs.
Deficiency in Resident Activity Programming
Penalty
Summary
The facility failed to provide an ongoing program of activities designed to meet the interests of its residents, as evidenced by the lack of community outings and outdoor activities for two sampled residents and seven unsampled residents. Resident 26, who had been at the facility for about six years, expressed a desire for more trips out of the facility to events and shopping places. An Activity Evaluation for this resident indicated a need for programming focused on community outings, large groups, independent activities, and outdoor activities. Resident 117, who had been at the facility for about two months, also expressed a desire for improved transportation to facilitate outings, noting that the facility had not taken residents out for shopping trips in a while. The medical record for Resident 117 lacked an Activity Evaluation to document the resident's identified needs. The activity calendars for December and January lacked documentation of any outdoor activities or outings, and previous months' activity calendars were unavailable. The Activity Director explained that outings were not scheduled due to the need to coordinate with in-house transportation, despite the facility having two buses/vans and two drivers, as well as access to outside transportation contractors. The Resident Council Minutes from December documented a request for an outing to a specific shopping center, which was agreed to be added to the January schedule, but residents acknowledged that no such trip had occurred since August. The facility's policy on Activity/Recreation Programming emphasized the importance of resident-centered activities to maintain and improve various aspects of well-being, which was not being met according to the findings.
Expired Medication Administered to Resident
Penalty
Summary
The facility failed to ensure that an expired medication was not administered to a resident, identified as Unsampled Resident 02 (UR2). UR2 was admitted with diagnoses including sequelae of cerebral infarction, anxiety disorder, chronic kidney disease stage 3, and dementia with mood disturbance. During an observation, a punch card of Hydralazine HCL 10 mg tablets, which had expired, was found in the medication cart. A Licensed Practical Nurse (LPN) and the Assistant Director of Nursing confirmed the expiration and acknowledged that the medication should have been discarded for resident safety. The expired Hydralazine HCL 10 mg tablets were documented to have been administered to UR2 for elevated blood pressure. The physician's order specified that the medication should be given as needed for systolic blood pressure greater than 160. The facility's policy on medication management required nurses to check expiration dates before administering medications. Despite this policy, the expired medication was administered, indicating a lapse in adherence to the facility's procedures for medication management.
Failure to Implement Contracture Management for Resident
Penalty
Summary
The facility failed to provide appropriate contracture management for a resident who had experienced a cerebrovascular accident (CVA) resulting in weakness on the right side of the body. The resident was observed without a hand splint, which was previously used to prevent contractures. The care plan indicated the resident should have been wearing a resting hand splint for up to eight hours a day, but this was not implemented. The physician's order for the splint was discontinued when the resident was transferred to a hospital, and no new order was obtained upon the resident's readmission to the facility. Interviews with facility staff revealed that the oversight occurred because the order for the splint was not carried over after the resident's hospital discharge and subsequent readmission. The Director of Nursing and the PT Director acknowledged the lapse in reassessment and the absence of a new physician order for the splint. The facility's policy required assessments for joint mobility upon admission, re-admission, and with significant changes, but this was not followed, leading to the deficiency in care for the resident.
Failure to Document and Monitor Nephrostomy Tube
Penalty
Summary
The facility failed to ensure proper management and documentation for a resident with a nephrostomy tube. The resident, who was receiving hospice care, had a nephrostomy tube with a soiled and peeling dressing that had not been changed after becoming wet during a shower. The resident's medical records lacked a physician's order for the nephrostomy tube, and there were no documented care or monitoring orders in place. This oversight was confirmed by a Registered Nurse and the Director of Nursing, who acknowledged the absence of necessary orders and monitoring for signs of infection. The facility's policy required a qualified licensed nurse to obtain and transcribe physician orders upon a resident's admission, including routine care orders. However, in this case, the orders were not documented in the resident's electronic records, leading to a lack of continuity in care and shared responsibility between hospice and facility staff. The Director of Nursing confirmed that the nephrostomy tube had not been monitored for signs of infection, and dressing changes were inconsistent, increasing the risk of infection and complications.
Failure to Assess Nutritional Status During Significant Weight Loss
Penalty
Summary
The facility failed to assess a resident's nutritional status during a period of substantial weight loss. A resident was admitted with diagnoses including encephalopathy, nausea with vomiting, and drug-induced subacute dyskinesia. Upon admission, the resident weighed 150 pounds, but by the following month, the weight had decreased to 120.1 pounds, indicating a significant weight loss of 19.93%. Despite a positive score for nutritional risk on a Malnutrition Screening Tool, the Nutritional Assessment at Admissions lacked critical information such as estimated nutritional needs, nutritional diagnosis, interventions, goals, monitoring, and evaluation. The medical record showed no documented evidence of a nutritional assessment or review from the time of admission until three months later, despite the resident's significant weight loss. The Director of Nursing acknowledged the absence of documented nutritional assessments during this period, attributing it to the Registered Dietitian being on medical leave. The Administrator also recognized the issue, noting that excessive weight loss needed to be addressed with dietary needs, food preferences, intake percentages, and supplements, in collaboration with the physician. The facility's policy required a comprehensive nutritional assessment upon admission, annually, and whenever a significant change in status occurred, which was not adhered to in this case.
Failure to Ensure Proper Dialysis Care for a Resident
Penalty
Summary
The facility failed to ensure proper dialysis care for a resident, identified as Resident 16, who required hemodialysis treatment. The deficiency was identified through observation, interviews, and record reviews, revealing that the Dialysis Communication Records were not consistently completed. Additionally, assessments of the shunt or dialysis access and vital signs were not consistently conducted pre- and post-dialysis. This lapse in protocol was noted from October 2024 to January 2025, during which the resident received dialysis treatments multiple times each month. The Director of Nursing confirmed the lack of documented evidence for shunt assessments and vital signs, despite staff being aware of the protocol. Resident 16 was admitted with chronic kidney disease, hypertension, and dependence on renal dialysis. The resident's cognitive status was intact, and they were receiving dialysis treatment three times a week. The care plan required monitoring the patency of the shunt and vital signs as ordered. However, the resident reported that vital signs were inconsistently taken upon arrival at the facility. The physician emphasized the importance of assessing the dialysis access for patency, signs of infection, and monitoring for bleeding post-dialysis, which was not consistently done, increasing the risk of complications.
Failure to Obtain Physician Order for Bed Side Rails
Penalty
Summary
The facility failed to obtain a physician order for the use of bed side rails for one resident, identified as Resident 62. This resident was admitted with diagnoses including Parkinson's disease, chest pain, and syncope. On a specific date, the resident was observed in a wheelchair beside their bed, with bed side rails raised on both sides. The resident indicated that the side rails were used to facilitate movement. A review and consent form dated prior to the observation documented the consideration of side rails for conditions such as syncope and hypertension to aid with repositioning and transfers. However, the medical record did not contain documented evidence of a physician order for the use of these side rails. During interviews, a nurse confirmed the use of side rails for the resident's bed mobility and acknowledged the absence of a physician order in the medical record. The Director of Nursing also confirmed the lack of a physician order and stated that such an order should have been obtained when the side rails review and consent were completed. The facility's policy on physician orders, revised earlier, required that a qualified licensed nurse obtain and transcribe orders according to facility guidelines, including confirming orders with a physician and requesting additional orders as needed.
Expired Medication Not Discarded
Penalty
Summary
The facility failed to ensure that an expired punch card of medications was discarded, which could potentially lead to the administration of non-viable medication to a resident. During an observation, a punch card of Hydralazine HCL 10 mg tablets was found expired in the 400-hall medication cart. A Licensed Practical Nurse confirmed the expiration and acknowledged that the medication should have been discarded for resident safety. The Assistant Director of Nursing also verified the expiration and the need for disposal. The facility's policy on medication storage requires that outdated, contaminated, or deteriorated medications be immediately removed from stock and disposed of according to procedures for medication destruction.
Infection Control Deficiencies in Resident Care
Penalty
Summary
The facility failed to ensure proper infection prevention and control measures were implemented for two residents, leading to potential cross-contamination and transmission of infectious diseases. Resident 16, who had a dialysis shunt access, was not provided with appropriate enhanced barrier precautions (EBP) during care. A registered nurse assisted the resident without wearing personal protective equipment (PPE), and a certified nursing assistant (CNA) failed to perform hand hygiene, wore gloves without a gown, and handled the privacy curtain with soiled gloves. The CNA admitted to not following the infection control protocol despite recent education on the matter. Resident 98, who had a nephrostomy, did not have EBP signage or PPE available at the door entry. The charge nurse and infection preventionist confirmed that EBP was required for residents with devices such as catheters or wounds. Additionally, three hand sanitizer dispensers near resident rooms were found empty, and the housekeeping supervisor acknowledged that they should have been refilled to ensure compliance with hand hygiene protocols.
Failure to Implement Baseline Care Plan for Aspen Collar
Penalty
Summary
The facility failed to establish and implement a baseline care plan for a resident who required an Aspen collar for the management of a cervical vertebra fracture. The resident was admitted with multiple fractures, including a cervical vertebra fracture, and was documented to have a neck collar in place. However, there was no physician order documented for the use of the Aspen collar, and the medical record lacked evidence of care orders or a baseline care plan regarding the collar's management. Interviews with facility staff revealed that the admitting nurse was responsible for initiating the baseline care plan, which should have included immediate care needs within 48 hours of admission. The Director of Nursing acknowledged the absence of a baseline care plan for the Aspen collar and explained that the admission assessment should identify areas for the baseline care plan, including special devices like the Aspen collar. The facility's policy required the development and implementation of a baseline care plan to provide effective and person-centered care, which was not followed in this case.
Failure to Document Physician Order for Cervical Collar
Penalty
Summary
The facility failed to ensure that a cervical (Aspen) collar was ordered as recommended for a resident who had sustained multiple fractures, including a cervical vertebra fracture, following a motor vehicle accident. The resident was admitted with a recommendation for non-operative management with an Aspen collar to be worn at all times for 8-10 weeks. However, there was no physician order documented for the resident to wear the collar, nor was there a care plan in place for its use. The facility's policies required that residents be assessed for joint mobility limitations upon admission and that necessary devices be documented in the care plan. Despite the resident wearing the collar, the medical record lacked evidence of a physician's order or a care plan detailing the collar's use, skin assessment procedures, or wearing schedule. The Director of Nursing confirmed these omissions, indicating that the special instructions should have been included in the care plan to guide nursing staff.
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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) |
|---|---|---|---|---|
| Sandstone Spring Valley | 0.7 mi | — | 1 | 0 |
| Advanced Health Care Of Las Vegas | 1.8 mi | — | 10 | 0 |
| Canyon Vista Post Acute | 2.3 mi | — | 2 | 0 |
| Torrey Pines Post Acute And Rehabilitation | 5.1 mi | — | 7 | 0 |
| Silver Ridge Healthcare Center | 5.5 mi | — | 2 | 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.