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Santa Fe Care Home
Nursing Home, Palliative Care, Respite Care & Skilled Nursing · Las Vegas, NV
Santa Fe Care Center, Nursing Home in Santa Fe, NM — Grandfather playing on a swing with a child in a park

Santa Fe Care Home

Nursing Home, Palliative Care, Respite Care & Skilled Nursing · Las Vegas, NV
4621 Exposition Ave, Las Vegas, NV 89102 View map Calculator: See prices in your area
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Overview of Santa Fe Care Home

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In Las Vegas’s Charleston neighborhood, the 10-bed Santa Fe Care Home operates at 4621 Exposition Ave under the administration of Romeo Balgan, with an 11-year operational history and active licensure. The facility provides assisted living and independent living services with 24-hour staffing and rehabilitation programs on-site. The American Health Care Association recognized Santa Fe with a 2018 Bronze National Quality Award.

Thirteen inspections spanning 2014 to November 2024 have documented 52 total deficiencies without fines, immediate jeopardy findings, or license actions. Although deficiencies per inspection average 4, compared to Nevada’s average of 3, the facility’s total deficiency count runs 16% below state average and 17% fewer per year.

The November 2024 inspection cited one substantiated pest control deficiency involving roach traps improperly placed on kitchen countertops. Across the facility’s inspection history, recurring issues center on medication administration accuracy and documentation completeness, coupled with gaps in staff training for medication management, cultural competency, first aid and CPR, background clearance, and tuberculosis screening. Prior surveys also noted facility maintenance concerns such as unsecured oxygen canisters and exterior clutter.

Monthly Chef’s Selection Dinners showcasing gourmet international cuisine headline the community’s amenities, alongside social outings, family gathering rooms, and on-site beauty and barber services. Housekeeping, laundry, medication oversight, transportation, and recreational activities complete the service offerings. The facility accommodates pets and offers complimentary Wi-Fi throughout.

Santa Fe serves residents in an intimate setting where assisted living needs align with the small-scale community environment; current occupancy at 70% remains below Nevada’s 81.5% state average.

Facility Direct Line (702) 685-8133
Facility Direct Line (702) 685-8133
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Capacity and availability

Residents per day
7
Bed community size
10-bed community Rank #103 / 319Bed count — State benchmarkedThis home is ranked 103rd out of 319 homes we track in Nevada for bed count. Shows this facility's certified or reported bed count compared to other Nevada facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nevada that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Years in operation
11 years in operation Rank #136 / 278Years in operation — State benchmarkedThis home is ranked 136th out of 278 homes we track in Nevada for years in operation. Shows how long this facility has been in operation compared to other Nevada facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nevada that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A community with a solid operating history and experience delivering ongoing care.
Walk Score
Walk Score: 54 / 100 Rank #155 / 403Walk Score — State benchmarkedThis home is ranked 155th out of 403 homes we track in Nevada for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Nevada facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nevada that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
70%
Rank #190 / 259Occupancy rate — State benchmarkedThis home is ranked 190th out of 259 homes we track in Nevada for occupancy. Shows this facility's occupancy rate versus the Nevada average, with its Statewide rank out of 259. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nevada that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Nevada average: 81.5%
Occupied beds
7 / 10
Average occupied beds in Nevada homes 92 beds

Awards

American Health Care Association’s 2018 Bronze National Quality Award

License Details

Facility TypeResidential Facility For Groups
StatusActive
IssuanceDecember 3, 2014
ExpirationDecember 31, 2026

Ownership & Operating Entity

Santa Fe Care Home is administered by Romeo Balgan.

Type Of Units

Independent Living
5 units
Assisted Living Beds (Low Income) Units designated for residents who qualify for low-income assistance programs.
0 units
Assisted Living
5 units
Total beds
10 units

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Additional Policies & Features

HousekeepingYes
Linen ServiceYes

Amenities & Lifestyle

Activities
Outings
Salon
Wi-Fi
Laundry
Pet Friendly
Chef’s Selection Dinner

Contact Santa Fe Care Home

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.

Since 2014 · 12 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 52 deficiencies 11 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Nevada state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2014 vs. Nevada state average
Overall vs. NV average 2 Worse Metrics worse than Nevada average:
• Total deficiencies (4% above)
• Deficiencies per inspection (96% above) 0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNV Averagevs. NV Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 5250 This facility has 4% more total deficiencies than a typical Nevada nursing home (52 vs. NV avg 50).↑ 4% worse
Deficiencies per inspection Info Average deficiencies per inspection. 4.72.4 This facility has 96% more deficiencies per inspection than a typical Nevada nursing home (4.7 vs. NV avg 2.4).↑ 96% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNV Averagevs. NV Avg
Total inspections Info Combined count of all inspections conducted at this facility. 1121 This facility has had 48% fewer total inspections than the Nevada average (11 vs. NV avg 21). More inspections can mean more regulatory scrutiny rather than worse care.↓ 48% fewer
Show Inspection Reports

This home is administered by Romeo Balgan.

What does this home offer?

Pets allowed icon
Pets allowed icon

No pets allowed

Building type icon
Building type icon

Building Type: Single-story

Housekeeping icon
Housekeeping icon

Housekeeping Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

Places of interest near Santa Fe Care Home

Address 3.8 miles from city center Info Estimated distance in miles from Las Vegas's city center to Santa Fe Care Home's address, calculated via Google Maps.

Calculate Travel Distance to Santa Fe Care Home

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Address

Compare Nursing Homes around Las Vegas

Info below is compiled from CMS reports & the NV Dept. of Health & Human Services, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Nevada average is: 52.4% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Las Ventanas at Summerlin ★ ★ ★ ★ ★
NH
IL
MC
SNF
Las Vegas (Summerlin)
60
Facility 60
NV AVG 41
Rank #82 / 319
93.7%
Facility 93.7%
NV AVG 80.2
Rank #68 / 259
+17%
5.01
Facility 5.01
NV AVG 4.03
Rank #2 / 41
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ +49%+24%
$0
Facility $0
NV AVG $34.1k
Rank #1 / 42
19
Facility 19
NV AVG 36.2
Rank #2 / 42
4.8
Facility 4.8
NV AVG 7.1
Rank #7 / 42
-56-
62
Facility 62
NV AVG 46
Rank #96 / 403
Humangood Nevada
$30.5MFiscal year ending 12/2023
Facility $30.5MFiscal year ending 12/2023
NV AVG $17.4M
Rank #2 / 36
$12.4MFiscal year ending 12/2023
Facility $12.4MFiscal year ending 12/2023
NV AVG $8.9M
Rank #5 / 36
40.6%Fiscal year ending 12/2023
Facility 40.6%Fiscal year ending 12/2023
NV AVG 52.4%
Rank #36 / 36
295086
Advanced Health Care of Las Vegas ★ ★ ★ ★ ★
NH
SNF
Las Vegas
38
Facility 38
NV AVG 41
Rank #96 / 319
89.5%
Facility 89.5%
NV AVG 80.2
Rank #94 / 259
+12%
4.18
Facility 4.18
NV AVG 4.03
Rank #7 / 41
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +13%+4%
$0
Facility $0
NV AVG $34.1k
Rank #1 / 42
11
Facility 11
NV AVG 36.2
Rank #1 / 42
3.7
Facility 3.7
NV AVG 7.1
Rank #2 / 42
-34A+
23
Facility 23
NV AVG 46
Rank #328 / 403
Joseph Walker
$10.3MFiscal year ending 12/2023
Facility $10.3MFiscal year ending 12/2023
NV AVG $17.4M
Rank #32 / 36
$4.8MFiscal year ending 12/2023
Facility $4.8MFiscal year ending 12/2023
NV AVG $8.9M
Rank #31 / 36
46.6%Fiscal year ending 12/2023
Facility 46.6%Fiscal year ending 12/2023
NV AVG 52.4%
Rank #29 / 36
295090
Marquis Centennial Hills ★ ★ ★ ★ ★
NH
HOS
RC
SNF
Las Vegas (La Madre Foothills)
115
Facility 115
NV AVG 41
Rank #49 / 319
--
3.58
Facility 3.58
NV AVG 4.03
Rank #20 / 41
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ -11%-11%
$0
Facility $0
NV AVG $34.1k
Rank #1 / 42
29
Facility 29
NV AVG 36.2
Rank #11 / 42
4.8
Facility 4.8
NV AVG 7.1
Rank #7 / 42
-182-
31
Facility 31
NV AVG 46
Rank #297 / 403
Jacob Atwood
$14.9MFiscal year ending 12/2023
Facility $14.9MFiscal year ending 12/2023
NV AVG $17.4M
Rank #23 / 36
$8.8MFiscal year ending 12/2023
Facility $8.8MFiscal year ending 12/2023
NV AVG $8.9M
Rank #20 / 36
59.3%Fiscal year ending 12/2023
Facility 59.3%Fiscal year ending 12/2023
NV AVG 52.4%
Rank #6 / 36
295089
Trellis Centennial ★ ★ ★ ★ ★
NH
HOS
SNF
Las Vegas (Paradise)
72
Facility 72
NV AVG 41
Rank #75 / 319
93.8%
Facility 93.8%
NV AVG 80.2
Rank #66 / 259
+17%
3.12
Facility 3.12
NV AVG 4.03
Rank #35 / 41
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ +71%-23%
$8.3k
Facility $8.3k
NV AVG $34.1k
Rank #28 / 42
25
Facility 25
NV AVG 36.2
Rank #6 / 42
5.0
Facility 5.0
NV AVG 7.1
Rank #9 / 42
268-
53
Facility 53
NV AVG 46
Rank #163 / 403
Shivani Chopra
$17.7MFiscal year ending 12/2023
Facility $17.7MFiscal year ending 12/2023
NV AVG $17.4M
Rank #18 / 36
$9.3MFiscal year ending 12/2023
Facility $9.3MFiscal year ending 12/2023
NV AVG $8.9M
Rank #18 / 36
52.3%Fiscal year ending 12/2023
Facility 52.3%Fiscal year ending 12/2023
NV AVG 52.4%
Rank #17 / 36
295106
Nursing Home Explorer

Financial Assistance for
Nursing Home in Nevada

Santa Fe Care Home is located in Las Vegas, Nevada.
Here are the financial assistance programs available to residents in Nevada.

Get Financial aid guidance

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)

Frequently Asked Questions about Santa Fe Care Home

What neighborhood is Santa Fe Care Home in?

Santa Fe Care Home is in the Charleston neighborhood of Las Vegas.

Is Santa Fe Care Home in a walkable area?

Santa Fe Care Home has a walk score of 54. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

When does Santa Fe Care Home's license expire?

According to NV state health department records, Santa Fe Care Home's license expires on December 31, 2026.

What is the occupancy rate at Santa Fe Care Home?

Santa Fe Care Home's occupancy is 70%.

How long has Santa Fe Care Home been in business?

Santa Fe Care Home has been operating for approximately 11 years, based on available licensing and registration records.

Are pets allowed at Santa Fe Care Home?

No, Santa Fe Care Home has a no-pet policy.

Who is the administrator of Santa Fe Care Home?

Romeo Balgan is the administrator of Santa Fe Care Home.

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