Advanced Health Care of Paradise
3455 Pecos-McLeod Interconnect, Las Vegas, NV 89121 · Clark County · 38 certified beds · avg 38 residents/day · certified since Oct 4, 2019
Part of chain: ADVANCED HEALTH CARE (26 facilities, chain avg rating 4.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (21)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 17, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jul 23, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 23, 2024 | E · Potential for harm, repeated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| May 23, 2024 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| May 23, 2024 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| May 23, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| May 23, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| May 23, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| May 23, 2024 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 23, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 23, 2024 | C · Minimal risk, facility-wide | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 9 | 0 | E |
| 2025 | 11 | 0 | D |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Nevada avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.28 | 4.05 | 3.95 | top 30% in Nevada; top 30% in the U.S. |
| Registered Nurse hours | 1.49 | 0.98 | 0.69 | top 16% in Nevada; top 5% in the U.S. |
| Weekend total nurse staffing | 3.51 | 3.61 | 3.50 | top 35% in Nevada; top 42% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.78 | 0.87 | 0.48 | top 10% in Nevada; top 1% in the U.S. |
| Total nursing staff turnover (%) | 29.2 | 45.1 | 45.8 | top 8% in Nevada; top 13% in the U.S. |
| RN turnover (%) | 30.0 | 43.4 | 42.9 | top 28% in Nevada; top 29% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 6.11, RN 2.13, weekend 5.00. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| New Ahc Holdings, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2021 |
| The Bryan Miller Utah Dynasty Trust Dated April 22, 2014 | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2024 |
| The G&H Miller Utah Trust Dated February 26, 2019 | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2024 |
| The Gail Miller GST Trust | Organization | 5% or Greater Indirect Ownership Interest | 72% | 01/01/2024 |
| Gubler, Jason | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| LHMSH LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Matangi, Lupeni | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| New Ahc Holdings, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Oxnam, Nathan | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Harmon Hospital - SNF | 2.8 mi | Las Vegas, NV | ★★★★★ | 5/5 | |
| Life Care Center of South Las Vegas | 2.8 mi | Las Vegas, NV | ★★☆☆☆ | 1/5 | SFF |
| Trellis Paradise | 2.8 mi | Las Vegas, NV | ★★★★★ | 4/5 | |
| TLC Care Center | 3.5 mi | Henderson, NV | ★☆☆☆☆ | 1/5 | SFF |
| Premier Health & Rehabilitation Center of LV, LP | 4.0 mi | Las Vegas, NV | ★★★★☆ | 4/5 | |
| Las Vegas Post Acute & Rehabilitation | 4.5 mi | Las Vegas, NV | ★★★★☆ | 4/5 | |
| Oasis Nursing & Rehab of Green Valley | 5.2 mi | Henderson, NV | ★★★☆☆ | 3/5 | |
| Green Valley Health and Wellness Suites | 5.5 mi | Henderson, NV | ★★★☆☆ | 3/5 | |
| Saint Joseph Transitional Rehabilitation Center | 6.7 mi | Las Vegas, NV | ★★★★☆ | 3/5 | |
| Henderson Health and Rehabilitation | 6.8 mi | Henderson, NV | ★★★☆☆ | 2/5 | |
| Horizon Health and Rehabilitation Center | 7.1 mi | Las Vegas, NV | ★★☆☆☆ | 2/5 | |
| Sage Creek Post-Acute | 7.2 mi | Las Vegas, NV | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 295107.