Silver Hills Health Care Center

Name: Silver Hills Health Care Center
Address: 3450 N BUFFALO DR, Las Vegas, NV, 89129, US
Telephone: 7029522273

3450 N Buffalo Dr, Las Vegas, NV 89129 · Clark County · 155 certified beds · avg 147 residents/day · certified since Oct 21, 1998

Part of chain: COVENANT CARE (12 facilities, chain avg rating 2.8★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.62

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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 (27)

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
Nov 20, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Nov 20, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Aug 20, 2025	F · Potential for harm, facility-wide	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.
Aug 20, 2025	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Aug 20, 2025	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.
Aug 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.
Aug 20, 2025	D · Potential for harm, one-off	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Aug 20, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Aug 20, 2025	D · Potential for harm, one-off	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Aug 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.
Feb 6, 2025	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint
Feb 6, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Feb 6, 2025	D · Potential for harm, one-off	The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. · from a complaint
Feb 6, 2025	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · from a complaint
Sep 6, 2024	E · Potential for harm, repeated	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.
Sep 6, 2024	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.
Sep 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.
Sep 6, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Sep 6, 2024	D · Potential for harm, one-off	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Sep 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.
Jun 14, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jun 14, 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. · from a complaint
Jun 14, 2024	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. · from a complaint
Jun 14, 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
Jun 14, 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. · from a complaint
Sep 29, 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.
Sep 29, 2023	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 8).

Year	Citations	Worst severity that year
2023	2	D
2024	11	E
2025	14	F

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)	3.62	4.05	3.95	bottom 37% in Nevada; bottom 42% in the U.S.
Registered Nurse hours	0.51	0.98	0.69	bottom 16% in Nevada; bottom 39% in the U.S.
Weekend total nurse staffing	3.29	3.61	3.50	bottom 38% in Nevada; bottom 47% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.38	0.87	0.48	bottom 22% in Nevada; bottom 49% in the U.S.
Total nursing staff turnover (%)	71.6	45.1	45.8	bottom 3% in Nevada; bottom 5% in the U.S.
RN turnover (%)	73.3	43.4	42.9	bottom 8% in Nevada; bottom 9% 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 3.69, RN 0.52, weekend 3.36. Staffing rating: 1/5.

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: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Centre Capital Investors V, LP	Organization	5% or Greater Indirect Ownership Interest	—	07/17/2008
Centre Covenant Purchaser (b), LLC	Organization	5% or Greater Indirect Ownership Interest	—	07/17/2008
Centre Covenant Purchaser (q), LLC	Organization	5% or Greater Indirect Ownership Interest	—	07/17/2008
Centre Covenant Purchaser (s), LLC	Organization	5% or Greater Indirect Ownership Interest	—	12/19/2008
Centre V Secondary Fund, L.P.	Organization	5% or Greater Indirect Ownership Interest	—	07/17/2008
Covenant Care California, LLC	Organization	5% or Greater Direct Ownership Interest	100%	07/17/2008
Covenant Care, LLC	Organization	5% or Greater Indirect Ownership Interest	—	07/17/2008
Covenant Holdco, LLC	Organization	5% or Greater Indirect Ownership Interest	—	07/17/2008
Covenant Subco, LLC	Organization	5% or Greater Indirect Ownership Interest	—	07/17/2008
Evans, Mary	Individual	5% or Greater Indirect Ownership Interest	—	07/17/2008
Levin, Robert	Individual	5% or Greater Indirect Ownership Interest	—	07/17/2008
Sims, Christine	Individual	5% or Greater Indirect Ownership Interest	—	07/17/2008
State Treasurer of Mich Custodian of Public School Empl RTMNT Systems	Organization	5% or Greater Indirect Ownership Interest	—	12/19/2008
Stockwell Fund II LP	Organization	5% or Greater Indirect Ownership Interest	—	12/19/2008
Torok, Andrew	Individual	5% or Greater Indirect Ownership Interest	—	07/17/2008
Ashley, Dava	Individual	Corporate Officer	NOT APPLICABLE	11/01/2013
Carney, Kevin	Individual	Corporate Officer	NOT APPLICABLE	11/01/2013
Evans, Mary	Individual	Corporate Officer	NOT APPLICABLE	11/01/2013
Hassell, Lance	Individual	Corporate Officer	NOT APPLICABLE	05/17/2018
Hassell, Lance	Individual	Operational/Managerial Control	NOT APPLICABLE	05/17/2018

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you explain health changes and treatment options to residents and their families?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What are your rules for bringing in my family member's favorite foods, and how are they stored?"
"How do you keep residents' medical records accurate, complete, and secure?"
"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
Neurorestorative	0.1 mi	Las Vegas, NV	★★★★★	5/5
Advanced Health Care of Summerlin	1.0 mi	Las Vegas, NV	★★★★☆	3/5
Royal Springs Healthcare and Rehab	1.4 mi	Las Vegas, NV	★☆☆☆☆	2/5
Marquis Plaza Regency Post Acute Rehab	1.7 mi	Las Vegas, NV	★★★★☆	4/5
El Jen Skilled Care	2.3 mi	Las Vegas, NV	★☆☆☆☆	1/5	abuse
Neurorestorative	2.7 mi	Las Vegas, NV	★★★★★	5/5
Life Care Center of Las Vegas	2.9 mi	Las Vegas, NV	★★★☆☆	3/5
Skye Canyon Post Acute	4.2 mi	Las Vegas, NV	★★★★★	5/5
Marquis Care at Centennial Hills	4.3 mi	Las Vegas, NV	★★★★☆	3/5
Trellis Centennial	4.3 mi	Las Vegas, NV	★★★★★	4/5
Silver Ridge Healthcare Center	4.8 mi	Las Vegas, NV	★★★★☆	3/5
Torrey Pines Post Acute and Rehabilitation	5.2 mi	Las Vegas, NV	★★☆☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Las Vegas →

Facility data as of CMS processing date 2026-08-01. CCN 295066.

The Care File

Visit checklist — Silver Hills Health Care Center

3450 N Buffalo Dr, Las Vegas, NV 89129 · 7029522273

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 295066 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)