Inspection History

In Nevada, the Department of Health and Human Services, Bureau of Health Care Quality and Compliance performs unannounced onsite surveys to evaluate resident safety and care quality.

41 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Nevada average: 21 inspections

Latest inspection

Date November 6, 2024

213 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Nevada average: 62 deficiencies

5.2 deficiencies per inspection

Nevada average: 3.0 deficiencies per inspection

Inspection Report Summary for Billman House

The most recent inspection on November 6, 2024, found deficiencies related to meal nutrition and variety, person-centered service plans, improper use of full bed rails as restraints, and missing medical exemption requests for residents with Foley catheters. Earlier inspections showed a pattern of issues including personnel file documentation, medication administration inaccuracies, facility maintenance, and training deficiencies, with some complaints substantiated regarding nutrition and odor. Prior complaint investigations substantiated concerns about meal quality, laundry access, and protective supervision for residents with Alzheimer’s disease, while fines and sanctions were imposed in earlier years for repeat deficiencies and over census. Enforcement actions included monetary penalties ranging from $300 to $800, with no license suspensions or revocations listed in the available reports. The facility’s inspection history shows ongoing challenges with regulatory compliance, particularly in resident care documentation, nutrition, and staff training, with some recent findings indicating persistent issues rather than clear improvement.

Financial Assistance for
Assisted Living in Nevada

Billman House is located in Las Vegas, Nevada.
Here are the financial assistance programs available to residents in Nevada.

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Home and Community Based Waiver

Nevada Medicaid HCBW

Age 65+ or disabled
General Nevada resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
NV

High urban demand (e.g., Las Vegas); rural challenges.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Home modifications ($1,500 avg.) Meals ($6/meal)

Nevada Senior Services Program

NV SSP

Age 60+
General Nevada resident, at risk of decline.
Income Limits ~$1,800/month individual, varies
Asset Limits $5,000 individual
NV

Limited funding; rural focus.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Personal Care Services (PCS)

Nevada Personal Care Services

Age 19+ (65+ for seniors focus)
General Nevada resident, Medicaid-eligible, needs help with 1+ ADL.
Income Limits (2025) ~$967/month (individual); spenddown allowed.
Asset Limits $2,000 (individual), $3,000 (couple).
NV

Self-directed (family can be paid); statewide via DHHS.

Benefits
Personal care (4-6 hours/day) Limited homemaker services Respite (~200 hours/year)

Senior Rx Program

Nevada Senior Rx Program

Age 65+
General Nevada resident, enrolled in Medicare Part D, income below limit.
Income Limits (2025) ~$2,510/month (individual), ~$3,380/month (couple).
Asset Limits Not assessed.
NV

Covers up to $38.75/month premium; funded by tobacco settlement.

Benefits
Prescription drug premium assistance (~$465/year) Reducing out-of-pocket costs

Medicare Savings Program (MSP)

Nevada Medicare Savings Program

Age 65+ or disabled
General Nevada resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NV

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Nevada Caregiver Support Program (via NFCSP)

Nevada Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; Nevada resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
NV

5 AAAs; prioritizes rural, low-income caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Nevada VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Nevada resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NV

High veteran demand in urban/rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Places of interest near Billman House

Address 8.3 miles from city center Info Estimated distance in miles from Las Vegas's city center to Billman House's address, calculated via Google Maps.

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Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Compare Assisted Living around Las Vegas The information below is reported by the Nevada Department of Health and Human Services, Bureau of Health Care Quality and Compliance.

Filter by care type
Atria Seville
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Las Vegas (Summerlin North)144Yes 75 Independent Living (84), Assisted Living Beds (Low Income), Assisted Living (60)29 81.9% --421062.5Markie Hamlin
Brookdale Las Vegas
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Las Vegas105No 45 Independent Living (89), Assisted Living Beds (Low Income), Alzheimer's Care (16)48 65.7% A+161113212.9Christopher Mirando
Silverado Red Rock Memory Care Community
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Las Vegas (Twin Lakes)72Yes 56 Independent Living, Assisted Living Beds (Low Income), Alzheimer's Care (72)4 65.3% -729394.3Penny Munn
Acacia Springs
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Las Vegas50Yes 71 Independent Living, Assisted Living Beds (Low Income), Assisted Living (50)1 80.0% --200.0Jessica Cobb
Billman House
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Las Vegas6No 43 Independent Living (6), Assisted Living Beds (Low Income)25 66.7% --412135.2Rosalie Bacal

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

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