SNF
ADVANCED HEALTH CARE OF HENDERSON
CCN: 295102 · LAS VEGAS, NV 89183 · Clark County
Overview
- Address
- 1285 E CACTUS AVENUE, LAS VEGAS, NV 89183
- Phone
- 7027906300
- Certified beds
- 38
- Avg daily residents
- 36 (95% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare
- Medicare/Medicaid since
- 2019-01-22
- Setting
- Urban
5 /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.
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 | 6.06 | 5.46 | 4.28 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 2.44 | 0.96 | 1.73 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.40 | 1.21 | 0.28 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 3.22 | 3.30 | 2.28 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 2.84 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.34 | — | — | — |
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)
5.00
hrs / resident / day
RN (weekend)
1.80
hrs / resident / day
Total nurse (adjusted, weekend)
3.54
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
39.3%
annual
RN turnover
23.5%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.94
higher acuity than avg
Case-Mix Index Ratio
1.40
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) | 2025-07-18 | 1 | 1 | 0 | 0 | 0 | 0 |
| Cycle 2/3 (prior) | 2024-07-23 | 1 | 1 | 0 | 4 | 1 | 4 |
Total weighted health score
1.0
lower is better
Deficiencies (9)
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).
1 A/B/C No actual harm — minor
7 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0880 | Provide and implement an infection prevention and control program. | C | 2025-07-18 | — |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-07-23 | 2024-08-28 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-07-23 | 2024-08-28 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-07-21 | 2023-08-21 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-07-21 | 2023-08-21 |
| 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 | 2023-07-21 | 2023-08-21 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-07-21 | 2023-08-21 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2023-07-21 | 2023-08-21 |
| 0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | 2023-07-21 | 2023-08-21 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$8,018
| Date | Type | Fine amount |
|---|---|---|
| 2024-07-23 | Fine | $8,018 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Operating performance
Operating Margin
15.6%
Total Margin
16.4%
Occupancy Rate
93.6%
Cost per Resident Day
$154
Revenue & costs
Net Patient Revenue
$10.1M
Total Costs
$2.0M
Net Income
$1.7M
Balance sheet
Total Assets
$4.2M
Total Liabilities
$688K
Fund Balance
$3.5M
Current Ratio
7.60
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: ADVANCED HEALTH CARE
- Chain ID
11- Facilities in chain
- 26
- Legal business name
- AHC OF HENDERSON, LLC
Chain-average star ratings (for peer context)
Overall
4.7
Health
4.1
Staffing
4.3
QM
4.8
Owner / manager organizations (9)
| Organization | Role | Association |
|---|---|---|
| NEW AHC HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/01/2021 |
| ADVANCED HEALTH CARE - LARRY H MILLER CORPORATION | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2021 |
| KAREN GAIL MILLER IRREV TR FBO ZANE MILLER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/01/2023 |
| THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2023 |
| THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2023 |
| THE GAIL MILLER GST TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/01/2023 |
| THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF KAREN R. WI | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2023 |
| THE MILLER UTAH TRUST, DATED AUGUST 22, 2019 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2023 |
| THE RNC OPPORTUNITY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2023 |
Owner / manager individuals (3)
| Name | Role | Association |
|---|---|---|
| OXNAM, NATHAN | CORPORATE OFFICER | since 01/01/2024 |
| GONZALEZ SANCHEZ, MIGUEL | CONTRACTED MANAGING EMPLOYEE | since 01/01/2024 |
| TUCK, MICHAEL | W-2 MANAGING EMPLOYEE | since 02/05/2024 |
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
- None
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
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.
Show 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $154 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 7.60 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicare Day Share (%) | 65.3% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $1,682,060 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $10,145,990 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 93.6% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 15.6% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $4,169,616 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,998,146 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $3,481,753 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $687,863 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 16.4% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.27989 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.27679 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.72697 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.28365 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.53597 | 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 | 36.2 | 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 | 1.21255 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 3.29544 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.95576 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 5.46375 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 4.81572 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 4.1 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 4.7 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.8 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 4.3 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 11 | Chain ID |
| Provider Information | Chain Name | ADVANCED HEALTH CARE | Chain Name |
| Provider Information | City/Town | LAS VEGAS | City/Town |
| Provider Information | CMS Certification Number (CCN) | 295102 | 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 | 2019-01-22 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 5 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 35.9992 | Latitude |
| Provider Information | Legal Business Name | AHC OF HENDERSON, LLC | Legal Business Name |
| Provider Information | Location | 1285 E CACTUS AVENUE,LAS VEGAS,NV,89183 | Location |
| Provider Information | Long-Stay QM Rating | — | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | 2 | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -115.13 | 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 | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 38 | 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 | 26 | 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 | 1.93556 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.40498 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | 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 | 1285 E CACTUS AVENUE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | ADVANCED HEALTH CARE OF HENDERSON | 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 | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 0 | 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 | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 0 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 1 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-07-18 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 0 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 1 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 1 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-07-23 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 4 | 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 | 0 | 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 | 4 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 1 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 1.79956 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 23.5 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 2.83998 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.39608 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 3.22198 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.34494 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 2.44391 | 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 | 6.06196 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | 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 | 5 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | NV | State |
| Provider Information | Telephone Number | 7027906300 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 8018.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 5.00389 | 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 | 39.3 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 1.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | None | With a Resident and Family Council |
| Provider Information | ZIP Code | 89183 | ZIP Code |