Silver Hills Health Care Center
A nursing home in Las Vegas, Nevada 89129
3450 N Buffalo Dr, Las Vegas, Nevada 89129. (702) 952-2273.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 14 health citations at the latest inspection cycle Nevada average: 9.4
- 3.81 nurse hours per resident per day Nevada average: 4.33
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
14 health citations at the latest inspection cycle
The Nevada average is 9.4.
Last standard inspection Aug 20, 2025.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
29 citations in 6 months of the last 36. Last cited Aug 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 29 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 15 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 6, 2026: complaint inspection4 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Respond appropriately to all alleged violations.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Ensure services provided by the nursing facility meet professional standards of quality.
Nov 20, 2025: complaint inspection2 citations
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Aug 20, 2025: standard inspection8 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Have a plan that describes the process for conducting QAPI and QAA activities.
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Provide and implement an infection prevention and control program.
Feb 6, 2025: complaint inspection4 citations
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Allow residents to self-administer drugs if determined clinically appropriate.
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Respond appropriately to all alleged violations.
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Prepare residents for a safe transfer or discharge from the nursing home.
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Sep 6, 2024: standard inspection6 citations
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide safe, appropriate pain management for a resident who requires such services.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Have a policy regarding use and storage of foods brought to residents by family and other visitors.
-
Provide and implement an infection prevention and control program.
Jun 14, 2024: complaint inspection5 citations
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Oct 21, 1998.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 155 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 15 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
3.81 nurse hours per resident per day
The Nevada average is 4.33.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Nevada average |
|---|---|---|
| Nurse hours per resident per day | 3.81 | 4.33 |
| Of which registered nurses | 0.57 | 1.13 |
| At weekends | 3.36 | 3.80 |
| Nursing staff turnover | 58.9% | 43% |
| Registered nurse turnover | 60.6% | 39.3% |
| Administrators who left | 0 | Not given |
Who owns it?
- Covenant Care California, LLC owns 100% directly since Jul 17, 2008.
- 15 owners or officers are people: Lance A Hassell (runs it (operational or managerial control), 100%); Robert A Levin (owns 5% or more through other companies, 13.1%); Christine M Sims (owns 5% or more through other companies, 11.3%); Mary A Evans (owns 5% or more through other companies, 11.3%); Andrew F Torok (owns 5% or more through other companies, 11.3%); Christine M Sims (corporate officer); Christine M Sims (corporate director); Robert A Levin (corporate officer); Robert A Levin (corporate director); Lance A Hassell (corporate officer); Mary A Evans (corporate officer); Dava A Ashley (corporate officer); Carol A Sparks (runs it (operational or managerial control)); Andrew F Torok (corporate officer); Kevin P Carney (corporate officer).
- Part of Covenant Care (7 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Covenant Holdco, LLC | Owns 5% or more through other companies | 100% | Jul 17, 2008 |
| Covenant Care, LLC | Owns 5% or more through other companies | 100% | Jul 17, 2008 |
| Covenant Subco, LLC | Owns 5% or more through other companies | 100% | Jul 17, 2008 |
| Covenant Care California, LLC | Owns 5% or more directly | 100% | Jul 17, 2008 |
| Midcap Funding IV Trust | Holds 5% or more security interest | 25% | Feb 20, 2014 |
| Centre Covenant Purchaser (B), LLC | Owns 5% or more through other companies | 24.4% | Jul 17, 2008 |
| Centre V Secondary Fund, L.P. | Owns 5% or more through other companies | 24.4% | Jul 17, 2008 |
| Centre Covenant Purchaser (Q), LLC | Owns 5% or more through other companies | 11.7% | Jul 17, 2008 |
| Centre Capital Investors V, LP | Owns 5% or more through other companies | 11.7% | Jul 17, 2008 |
| Stockwell Fund II LP | Owns 5% or more through other companies | 11.7% | Dec 19, 2008 |
| Centre Covenant Purchaser (S), LLC | Owns 5% or more through other companies | 11.7% | Dec 19, 2008 |
| State Treasurer of Mich Custodian of Public School Empl Rtmnt Systems | Owns 5% or more through other companies | 11.5% | Dec 19, 2008 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Nevada average 4.1).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 3 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 4.8 miles, this one had the 1st most health citations at the latest inspection cycle (14; the middle value was 4.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Silver Hills Health Care Center This nursing home | 14 | |
| Neurorestorative | 0.1 | 0 |
| Advanced Health Care of Summerlin | 1.0 | 3 |
| Royal Springs Healthcare and Rehab | 1.4 | 11 |
| Marquis Plaza Regency Post Acute Rehab | 1.7 | 7 |
| Willow Haven Health and Rehab, LLC | 2.3 | 13 |
| Neurorestorative | 2.7 | 5 |
| Life Care Center of Las Vegas | 2.9 | 6 |
| Skye Canyon Post Acute | 4.2 | 1 |
| Marquis Care at Centennial Hills | 4.3 | 4 |
| Trellis Centennial | 4.3 | 3 |
| Silver Ridge Healthcare Center | 4.8 | 4 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.