Abuse citation flag

Overview

Address
5538 W DUNCAN DR, LAS VEGAS, NV 89130
Phone
7026452606
Certified beds
144
Avg daily residents
139 (97% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1969-10-01
Setting
Urban
1 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
2/5
Quality Measures breakdown
Long-Stay Quality Measures 4/5
Short-Stay Quality Measures 1/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.77 3.40 4.29 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.50 0.59 0.57 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.04 0.75 1.19
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.23 2.05 2.53
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.55
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.04

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.38
hrs / resident / day
RN (weekend)
0.34
hrs / resident / day
Total nurse (adjusted, weekend)
3.84
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
46.5%
annual
RN turnover
58.6%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.20
higher acuity than avg
Case-Mix Index Ratio
0.87
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-08-01 8 6 4 60 1 60
Cycle 2/3 (prior) 2023-08-31 28 16 13 156 1 156
Total weighted health score
84.0
lower is better

Deficiencies (55)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

52 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2025-12-11 2026-01-02
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F 2025-12-11 2026-01-02
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-08-01 2025-08-22
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2025-08-01 2025-08-22
0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. D 2025-08-01 2025-08-23
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2025-08-01 2025-08-23
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-08-01 2025-07-28
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-08-01 2025-07-28
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-02-13 2025-02-13
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-12-18 2024-12-31
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-12-18 2024-12-31
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2024-05-16 2024-07-01
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-05-16 2024-07-01
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2024-01-18 2024-02-08
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-08-31 2023-09-28
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2023-08-31 2023-09-28
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2023-08-31 2023-09-28
0585 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. D 2023-08-31 2023-09-28
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2023-08-31 2023-09-28
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-08-31 2023-09-28
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2023-08-31 2023-09-28
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2023-08-31 2023-09-28
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. D 2023-08-31 2023-09-28
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2023-08-31 2023-09-28
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2023-08-31 2023-09-28
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2023-08-31 2023-09-28
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2023-08-31 2023-09-28
0759 Ensure medication error rates are not 5 percent or greater. D 2023-08-31 2023-09-28
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. D 2023-08-31 2023-09-28
0603 Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). D 2023-08-31 2023-09-28
0610 Respond appropriately to all alleged violations. D 2023-06-07 2023-06-23
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2023-06-07 2023-06-23
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. E 2023-03-31 2023-06-26
0658 Ensure services provided by the nursing facility meet professional standards of quality. G 2023-03-31 2023-05-26
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2023-03-31 2023-05-26
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-03-31 2023-05-26
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2022-06-21 2022-07-27
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2022-06-21 2022-07-27
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2022-06-21 2022-07-27
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2022-06-21 2022-07-27
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2022-06-21 2022-07-27
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2022-06-21 2022-07-27
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2022-06-21 2022-07-27
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. D 2022-06-21 2022-07-27
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2022-06-21 2022-07-27
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2022-06-21 2022-07-27
0692 Provide enough food/fluids to maintain a resident's health. D 2022-06-21 2022-07-27
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. D 2022-06-21 2022-07-27
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2022-06-21 2022-07-27
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2022-06-21 2022-07-27

Showing 50 most recent of 55. See the All Data CSV for the full list.

Penalties (1)

Fines issued
1
last 3 years
Total fines
$53,360
Date Type Fine amount
2025-12-11 Fine $53,360

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 12.0% Medicaid 79.3% Other 8.7%

Operating performance

Operating Margin
-7.9%
Total Margin
-5.8%
Occupancy Rate
95.2%
Cost per Resident Day
$21

Revenue & costs

Net Patient Revenue
$18.0M
Total Costs
$1.0M
Net Income
-$1.1M

Balance sheet

Total Assets
$16.0M
Total Liabilities
$16.2M
Fund Balance
-$157K
Current Ratio
0.94

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: EVERGREEN HEALTHCARE GROUP

Chain ID
846
Facilities in chain
41
Legal business name
EL JEN SNF OPERATIONS LLC
Chain-average star ratings (for peer context)
Overall
2.3
Health
2.3
Staffing
3.1
QM
3.1

Owner / manager organizations (12)

Organization Role Association
EL JEN SNF OPERATIONS HOLDINGS LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/16/2022
EL JEN SNF OPERATIONS LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/16/2022
CH EL JEN HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/16/2022
CW EL JEN HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/16/2022
LIONHEART SNF LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/16/2022
WITZCORP LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/16/2022
COUVE HEALTHCARE CONSULTING LLC OPERATIONAL/MANAGERIAL CONTROL since 08/31/2023
EL JEN SNF CONSULTING LLC OPERATIONAL/MANAGERIAL CONTROL since 03/16/2022
EL JEN SNF OPCO MANAGER LLC OPERATIONAL/MANAGERIAL CONTROL since 03/16/2022
EL JEN SNF OPERATIONS LLC OPERATIONAL/MANAGERIAL CONTROL since 03/16/2022
VERITAS HEALTH SOLUTIONS LLC OPERATIONAL/MANAGERIAL CONTROL since 03/16/2022
EL JEN SNF REALTY LLC 5% OR GREATER SECURITY INTEREST since 05/05/2022

Owner / manager individuals (11)

Name Role Association
HERZKA, YISROEL 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/16/2022
WOLOFSKY, CHAVA 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/16/2022
YENOWITZ, YITZCHOK 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/16/2022
BELZA-VINUYA, JENNIFER OPERATIONAL/MANAGERIAL CONTROL since 03/16/2022
EARL, STEVEN OPERATIONAL/MANAGERIAL CONTROL since 08/31/2023
LE, KHOA OPERATIONAL/MANAGERIAL CONTROL since 08/31/2023
PERLMAN, HAROLD OPERATIONAL/MANAGERIAL CONTROL since 08/31/2023
RANCE, AARON OPERATIONAL/MANAGERIAL CONTROL since 03/10/2025
RIKER, MICHELLE OPERATIONAL/MANAGERIAL CONTROL since 08/31/2023
SPIELMAN, SHIMON OPERATIONAL/MANAGERIAL CONTROL since 08/31/2023
YENOWITZ, YITZCHOK OPERATIONAL/MANAGERIAL CONTROL since 08/31/2023

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
Yes — last 2 cycles
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $21 metrics.cost_per_resident_day
Cost Report Current Ratio 0.94 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 79.3% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 12.0% metrics.medicare_day_share
Cost Report Net Income ($) $-1,062,574 metrics.net_income
Cost Report Net Patient Revenue ($) $18,000,557 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 95.2% metrics.occupancy_rate
Cost Report Operating Margin (%) -7.9% metrics.operating_margin
Cost Report Total Assets ($) $16,044,766 metrics.total_assets
Cost Report Total Costs ($) $1,033,469 metrics.total_costs
Cost Report Total Fund Balances ($) $-156,751 metrics.fund_balance
Cost Report Total Liabilities ($) $16,201,517 metrics.total_liabilities
Cost Report Total Margin (%) -5.8% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.18797 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.53481 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.56907 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.29185 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.84022 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 139.0 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.75348 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.04778 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.59390 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.39515 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.99247 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.3 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.3 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.1 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.1 Chain Average Staffing Rating
Provider Information Chain ID 846 Chain ID
Provider Information Chain Name EVERGREEN HEALTHCARE GROUP Chain Name
Provider Information City/Town LAS VEGAS City/Town
Provider Information CMS Certification Number (CCN) 295008 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Clark County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1969-10-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 36.2289 Latitude
Provider Information Legal Business Name EL JEN SNF OPERATIONS LLC Legal Business Name
Provider Information Location 5538 W DUNCAN DR,LAS VEGAS,NV,89130 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -115.22 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 144 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 41 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.20275 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.87305 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 5538 W DUNCAN DR Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name EL JEN SKILLED CARE Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 010 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 2 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 60 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 4 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 6 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-08-01 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 60 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 8 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 16 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-08-31 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 156 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 13 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 156 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 28 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.34411 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 58.6 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.54507 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.04465 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.22902 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.04247 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.50042 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.77409 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 3 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State NV State
Provider Information Telephone Number 7026452606 Telephone Number
Provider Information Total Amount of Fines in Dollars 53360.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.37694 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 46.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 84.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 89130 ZIP Code