Nevada State Veterans Home - Boulder City
100 Veterans Memorial Dr, Boulder City, NV 89005 · Clark County · 180 certified beds · avg 168 residents/day · certified since Sep 24, 2002
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Dec 6, 2024 · F-0692 · triggered by a complaint
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 20, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (24)
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 |
|---|---|---|
| Feb 13, 2026 | 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. |
| Feb 13, 2026 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Feb 13, 2026 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. |
| May 1, 2025 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint |
| Dec 6, 2024 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Dec 6, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Dec 6, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Dec 6, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Dec 6, 2024 | 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 |
| Dec 6, 2024 | 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. |
| Dec 6, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Dec 6, 2024 | D · Potential for harm, one-off | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| Dec 6, 2024 | D · Potential for harm, one-off | The facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location. |
| Dec 6, 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. |
| Jan 30, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jan 30, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jan 30, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Jan 30, 2024 | 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. |
| Jan 30, 2024 | 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. |
| Jan 30, 2024 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Jan 30, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 30, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jan 30, 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. |
| Oct 20, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 19 | 1 | G ▲ |
| 2025 | 1 | 0 | D |
| 2026 | 3 | 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)
1 fine totaling $10,358.
| Date | Type | Amount / length |
|---|---|---|
| Dec 6, 2024 | Fine | $10,358 |
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) | 4.95 | 4.05 | 3.95 | top 16% in Nevada; top 14% in the U.S. |
| Registered Nurse hours | 1.04 | 0.98 | 0.69 | top 37% in Nevada; top 14% in the U.S. |
| Weekend total nurse staffing | 4.48 | 3.61 | 3.50 | top 14% in Nevada; top 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.63 | 0.87 | 0.48 | bottom 41% in Nevada; top 21% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 45.1 | 45.8 | — |
| RN turnover (%) | 0.0 | 43.4 | 42.9 | — |
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 3.99, RN 0.84, weekend 3.61. Staffing rating: 3/5.
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: 5/5 · short-stay residents: —/5
Who owns this facility
Government - State
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| State of Nevada | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/24/2002 |
| Baltazar-Dodge, Kate | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/11/2024 |
| Baltazar-Dodge, Kate | Individual | ADP of the SNF | NOT APPLICABLE | 03/11/2024 |
| Doran, Susan | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/08/2012 |
| Doran, Susan | Individual | ADP of the SNF | NOT APPLICABLE | 05/08/2012 |
| Fuller, Jennifer | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/13/2024 |
| Fuller, Jennifer | Individual | ADP of the SNF | NOT APPLICABLE | 05/13/2024 |
| Jorgenson, Craig | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2004 |
| Jorgenson, Craig | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2004 |
| State of Nevada | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/24/2002 |
| State of Nevada | Organization | ADP of the SNF | NOT APPLICABLE | 09/24/2002 |
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 monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "When a doctor orders lab work, how quickly is it done and how are results communicated back?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "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 |
|---|---|---|---|---|---|
| Boulder City Hospital SNF | 1.7 mi | Boulder City, NV | ★★★★★ | 5/5 | |
| Mountain View Care Center | 2.2 mi | Boulder City, NV | ★★★★☆ | 4/5 | |
| Henderson Health and Rehabilitation | 8.1 mi | Henderson, NV | ★★★☆☆ | 2/5 | |
| TLC Care Center | 11.7 mi | Henderson, NV | ★☆☆☆☆ | 1/5 | SFF |
| Coronado Ridge Skilled Nursing & Rehabilitation Ce | 13.6 mi | Henderson, NV | ★★★★☆ | 4/5 | |
| Oasis Nursing & Rehab of Green Valley | 13.6 mi | Henderson, NV | ★★★☆☆ | 3/5 | |
| Advanced Health Care of Paradise | 14.5 mi | Las Vegas, NV | ★★★★★ | 5/5 | |
| Advanced Health Care of Henderson | 14.7 mi | Las Vegas, NV | ★★★★★ | 5/5 | |
| Green Valley Health and Wellness Suites | 14.7 mi | Henderson, NV | ★★★☆☆ | 3/5 | |
| Sage Creek Post-Acute | 16.1 mi | Las Vegas, NV | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 295081.