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Complaint Investigation

Silver Hills Health Care Center

Inspection Date: November 20, 2025
Total Violations 2
Facility ID 295066
Location LAS VEGAS, NV
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Inspection Findings

F-Tag F0607

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Board of Nursing but was not at the time of termination. On 11/20/2025 at 3:30 PM, the Director of Staff Development (DSD) explained having been involved in human resource duties when CNA1 employment was terminated and indicated CNA1 was suspended on 07/28/2025 while investigation was conducted. The DSD verbalized, ultimately CNA1 was terminated for misappropriation of resident property, financial abuse.The investigation file provided by facility lacked documented evidence of interviews with CNA1, identification of CNA1 as the resident's friend, or determination by facility of outcome of in-house investigation.The investigation file provided by the facility lacked documented evidence that CNA1 was reported to the State Board of Nursing.The facility policy titled Abuse, Neglect, Exploitation or Misappropriation Reporting and Investigating (2001) documented all abuse, neglect, exploitation or misappropriation of resident property allegations would be thoroughly investigated, and all relevant professional and licensing boards would be notified when an employee was found to have committed abuse.Incident 2575106

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/20/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Silver Hills Health Care Center

3450 N Buffalo Dr Las Vegas, NV 89129

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

interview and record review, the facility failed to ensure an allegation of misappropriation involving a certified nursing assistant was reported to the State Agency within the required timeframe for 1 of 1 allegation reviewed. The deficient practice had the potential to place all residents at risk for unreported financial exploitation.Findings include:Resident 12 (Resident R12) was admitted on [DATE REDACTED] with diagnoses including Alzheimer's disease and dementia.A Nursing Progress Note dated 07/27/2025 documented an allegation of misappropriation of resident property/funds.The facility reported the allegation of misappropriation of resident property to the State Survey Agency on 07/29/2025.On 11/20/2025 at 2:20 PM, a Licensed Practical Nurse (LPN) indicated being familiar with the abuse reporting policy and indicated the administrator was the abuse coordinator. The LPN verbalized abuse allegations including allegations of misappropriation were to be reported immediately by phone or in person. The LPN indicated abuse allegations were to be reported immediately and the facility had two to 24 hours to report to the state agency depending on the specific allegation. The LPN explained it would not be appropriate to consider an allegation of misappropriation to have been reported through electronic health record documentation.On 11/20/2025 at 2:58 PM, the Director of Nursing (DON) verified the timeline for reporting abuse to the state agency was within two hours if the allegation of abuse involved physical harm or within 24 hours for all other allegations, including allegations of misappropriation.On 11/20/2025 at 2:58 PM, the Administrator confirmed being the abuse coordinator and indicated all allegations of abuse were to be reported to the abuse coordinator immediately. The Administrator explained that the nurse notified the abuse coordinator by entering information into the electronic health record causing an alert for the next time a user logged into

the system. The Abuse Coordinator confirmed the Social Services Director initiated an investigation the following day and acknowledged the initial report was sent on 07/29/2025.The facility policy titled Abuse, Neglect, Exploitation or Misappropriation Reporting and Investigating (2001) documented the administrator or individual making the allegation immediately reports suspicion to the state licensing/certification agency, local/state ombudsman, resident representative, adult protective services, law enforcement officials, attending physician, and the medical director. Immediately was defined as within two hours of an allegation involving abuse or result in serious bodily injury or within 24 hours of an allegation which does not involve abuse or result in serious bodily injury.Incident 2575106

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📋 Inspection Summary

SILVER HILLS HEALTH CARE CENTER in LAS VEGAS, NV inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LAS VEGAS, NV, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SILVER HILLS HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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