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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Spanish Hills Wellness Suites operates a 144-bed nursing facility in Las Vegas, positioned on Montessouri Street in a location with limited walkability (Walk Score 39). The neighborhood requires personal transportation for most daily errands, though some services can be reached on foot. The facility currently houses 133 residents at 92% occupancy, with residents staying an average of 74 days. The facility accepts Medicare, Medicaid, and private pay.
Registered nurses deliver 43 minutes of care per resident daily, while nurse aides contribute 1 hour 45 minutes and LPNs or LVNs add another 43 minutes, totaling approximately 4 hours of nursing care per resident per day. Physical therapy, occupational therapy, and speech therapy are available on-site. Respite care accommodates temporary stays, and a physician is available on staff alongside visits from independent board-certified providers.
Residents eat from made-to-order menus tailored to health-focused or cultural preferences, served in a restaurant-style environment, and can request room service. Accommodations include private suites equipped with flat-screen televisions and complimentary Wi-Fi. The calendar offers community events, religious services, and periodic shopping outings.
State oversight has documented recurring deficiencies in the fundamentals of care operations. Documentation and reporting of serious allegations have been incomplete; care plans have lacked required baseline information; medication administration has not always followed protocol; resident supervision has fallen short in specific instances; and emergency preparedness processes have shown gaps.
Spanish Hills is a large-capacity facility with substantial nursing hours per resident and therapy services on-site. Families evaluating this community will want to weigh the solid staffing presence against the documented pattern of regulatory concerns.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 8th out of 43 homes in Nevada for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 42m per day | ▼ 34% State avg: 1h 4m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 11m per day | ▲ 28% State avg: 55m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 44m per day | ▼ 27% State avg: 2h 22m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 19m per day | ▼ 14% State avg: 3h 51m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 37% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 41m per day | ▼ 19% State avg: 51m per day · National avg: 28m per day |
Higher than the Nevada average: 81.5%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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | NV Average | vs. NV Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 286 | 62 | This facility has 361% more total deficiencies than a typical Nevada nursing home (286 vs. NV avg 62).↑ 361% worse |
|
Deficiencies per year
Average deficiencies per year since 2015.
| 26 | 5.6 | This facility has 364% more deficiencies per year than a typical Nevada nursing home (26 vs. NV avg 5.6).↑ 364% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Nevada average 5.1
Last Health inspection on Mar 2025
Nevada average 36.2
Nevada average 7.08
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
30 of 43 citations resulted from standard inspections; 12 of 43 resulted from complaint investigations; and 1 of 43 came from combined inspections (standard and complaint).
100% better than Nevada averageNevada average: 0.1
100% better than Nevada averageNevada average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
14% fewer staff per resident than Nevada average
0% compared with Nevada average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
25 total: 24 full-time employees and 1 contractor.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursAssists with medical care and medications.
All 28 LPN Staff are full-time employees. No contractors work on this role.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursHelps with daily care and mobility.
All 61 CNA Staff are full-time employees. No contractors work on this role.
61
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,868 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 61 | 0 | 61 | 20,821 | 92 | 100% | 9.3 |
| Licensed Practical Nurse | 28 | 0 | 28 | 11,619 | 92 | 100% | 9.6 |
| Registered Nurse | 24 | 1 | 25 | 7,059 | 92 | 100% | 9.8 |
| RN Director of Nursing | 7 | 0 | 7 | 2,495 | 77 | 84% | 8.2 |
| Speech Language Pathologist | 0 | 9 | 9 | 2,025 | 85 | 92% | 7.9 |
| Physical Therapy Aide | 0 | 5 | 5 | 1,655 | 89 | 97% | 7.6 |
| Physical Therapy Assistant | 0 | 4 | 4 | 1,023 | 77 | 84% | 7.3 |
| Dental Services Staff | 2 | 0 | 2 | 966 | 66 | 72% | 7.7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 907 | 56 | 61% | 8.6 |
| Other Dietary Services Staff | 2 | 0 | 2 | 776 | 84 | 91% | 7.7 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 631 | 78 | 85% | 6.3 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 487 | 70 | 76% | 7 |
| Occupational Therapy Aide | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 428 | 59 | 64% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 408 | 51 | 55% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 65 | 14 | 15% | 4.6 |
| Medical Director | 0 | 1 | 1 | 36 | 3 | 3% | 12 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.1
27% better than Nevada averageNevada average: 9.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.3
30% better than Nevada averageNevada average: 17.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
8.8%
44% better than Nevada averageNevada average: 15.6%
Percent of long-stay residents whose ability to move independently worsened
14.2%
32% better than Nevada averageNevada average: 20.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.8%
18% better than Nevada averageNevada average: 16.9%
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
45% better than Nevada averageNevada average: 2.5%
Percent of long-stay high risk residents with pressure ulcers
7.5%
37% worse than Nevada averageNevada average: 5.5%
Percent of long-stay residents with a urinary tract infection
0.6%
60% better than Nevada averageNevada average: 1.4%
Percent of long-stay residents who lose too much weight
3.6%
33% better than Nevada averageNevada average: 5.4%
Percent of long-stay residents who have depressive symptoms
1.9%
55% better than Nevada averageNevada average: 4.2%
Percent of long-stay residents who received an antipsychotic medication
7.4%
47% better than Nevada averageNevada average: 14.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.0%
In line with Nevada averageNevada average: 91.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
11% better than Nevada averageNevada average: 89.6%
Number of hospitalizations per 1,000 long-stay resident days.
2.05
13% worse than Nevada averageNevada average: 1.82
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.70
53% better than Nevada averageNevada average: 1.50
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
62.0%
26% worse than Nevada averageNevada average: 83.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
16% better than Nevada averageNevada average: 2.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
77.2%
In line with Nevada averageNevada average: 80.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.2%
8% worse than Nevada averageNevada average: 23.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.1%
38% better than Nevada averageNevada average: 9.8%
Percentage of SNF residents who experience falls with major injury during their stay.
1.5%
100% worse than Nevada averageNevada average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
68.4%
27% better than Nevada averageNevada average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
42.2%
17% worse than Nevada averageNevada average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
8% of new residents, usually for short-term rehab.
85% of new residents, often for short stays.
7% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
121Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Spanish Hills Wellness Suites based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #18 / 44Payroll — State benchmarkedThis home is ranked 18th out of 44 homes in Nevada. Shows total annual staff payroll benchmarked to the Nevada average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
8.2 miles from city center
Estimated distance in miles from Las Vegas's city center to Spanish Hills Wellness Suites's address, calculated via Google Maps.
Add your location
Spanish Hills Wellness Suites is located in LAS VEGAS, Nevada.
Here are the financial assistance programs available to residents in Nevada.
The information below is reported by the Nevada Department of Health and Human Services, Bureau of Health Care Quality and Compliance.
| Advanced Health Care of Las Vegas |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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 | 38
Facility
38
NV AVG
42
Rank
#98 / 321 |
89.5%
Facility
89.5%
NV AVG
81.5%
Rank
#98 / 264 | +10% | 3.63
Facility
3.63
NV AVG
4.03
Rank
#17 / 43 | +13% | -10% | $0
Facility
$0
NV AVG
$34.1k
Rank
#1 / 45 | 11
Facility
11
NV AVG
36.2
Rank
#2 / 45 | 3.7
Facility
3.7
NV AVG
7.1
Rank
#4 / 45 | - | 38 | A+ |
23
Facility
23
NV AVG
45
Rank
#329 / 414 | Joseph Walker | $12.0M
Facility
$12.0M
NV AVG
$18.7M
Rank
#36 / 44 | $4.8M
Facility
$4.8M
NV AVG
$6.3M
Rank
#37 / 44 | 40%
Facility
40%
NV AVG
34.9%
Rank
#29 / 44 | 295090 | ||||
| Life Care Center of Las Vegas |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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.
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 Vegas (Twin Lakes) | 178
Facility
178
NV AVG
42
Rank
#13 / 321 |
93.8%
Facility
93.8%
NV AVG
81.5%
Rank
#69 / 264 | +15% | 3.74
Facility
3.74
NV AVG
4.03
Rank
#14 / 43 | -43% | -7% | $0
Facility
$0
NV AVG
$34.1k
Rank
#1 / 45 | 34
Facility
34
NV AVG
36.2
Rank
#24 / 45 | 8.5
Facility
8.5
NV AVG
7.1
Rank
#34 / 45 | - | 169 | - |
63
Facility
63
NV AVG
45
Rank
#85 / 414 | Clarissa Dewese | $28.1M
Facility
$28.1M
NV AVG
$18.7M
Rank
#9 / 44 | $12.3M
Facility
$12.3M
NV AVG
$6.3M
Rank
#9 / 44 | 43.9%
Facility
43.9%
NV AVG
34.9%
Rank
#21 / 44 | 295052 | ||||
| Marquis Centennial Hills |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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 (La Madre Foothills) | 115
Facility
115
NV AVG
42
Rank
#51 / 321 |
100.0%
Facility
100.0%
NV AVG
81.5%
Rank
#146 / 264 | +23% | 3.52
Facility
3.52
NV AVG
4.03
Rank
#22 / 43 | -11% | -13% | $0
Facility
$0
NV AVG
$34.1k
Rank
#1 / 45 | 29
Facility
29
NV AVG
36.2
Rank
#17 / 45 | 4.8
Facility
4.8
NV AVG
7.1
Rank
#10 / 45 | - | 182 | - |
31
Facility
31
NV AVG
45
Rank
#298 / 414 | Jacob Atwood | $20.8M
Facility
$20.8M
NV AVG
$18.7M
Rank
#24 / 44 | $9.2M
Facility
$9.2M
NV AVG
$6.3M
Rank
#21 / 44 | 44.1%
Facility
44.1%
NV AVG
34.9%
Rank
#20 / 44 | 295089 | ||||
| Welbrook Centennial Hills, Llc |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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 (Centennial Hills) | 45
Facility
45
NV AVG
42
Rank
#93 / 321 |
100.0%
Facility
100.0%
NV AVG
81.5%
Rank
#202 / 264 | +23% | 3.30
Facility
3.30
NV AVG
4.03
Rank
#30 / 43 | +49% | -18% | $0
Facility
$0
NV AVG
$34.1k
Rank
#1 / 45 | 30
Facility
30
NV AVG
36.2
Rank
#21 / 45 | 7.5
Facility
7.5
NV AVG
7.1
Rank
#32 / 45 | - | 60 | B- |
48
Facility
48
NV AVG
45
Rank
#199 / 414 | Mphs Operating Holding LLC | $17.9M
Facility
$17.9M
NV AVG
$18.7M
Rank
#29 / 44 | $4.9M
Facility
$4.9M
NV AVG
$6.3M
Rank
#36 / 44 | 27.3%
Facility
27.3%
NV AVG
34.9%
Rank
#42 / 44 | 295097 | ||||
| Spanish Hills Wellness Suites |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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 | 144
Facility
144
NV AVG
42
Rank
#27 / 321 |
92.4%
Facility
92.4%
NV AVG
81.5%
Rank
#72 / 264 | +13% | 3.98
Facility
3.98
NV AVG
4.03
Rank
#8 / 43 | +4% | -1% | $0
Facility
$0
NV AVG
$34.1k
Rank
#1 / 45 | 43
Facility
43
NV AVG
36.2
Rank
#33 / 45 | 6.1
Facility
6.1
NV AVG
7.1
Rank
#18 / 45 | - | 130 | - |
39
Facility
39
NV AVG
45
Rank
#262 / 414 | Michael Leinweber | $28.4M
Facility
$28.4M
NV AVG
$18.7M
Rank
#8 / 44 | $10.0M
Facility
$10.0M
NV AVG
$6.3M
Rank
#18 / 44 | 35.3%
Facility
35.3%
NV AVG
34.9%
Rank
#36 / 44 | 295094 |
Spanish Hills Wellness Suites has a walk score of 39. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to NV state health department records, Spanish Hills Wellness Suites's license number is 7901-SNF-12.
Spanish Hills Wellness Suites's occupancy is 92%.
Spanish Hills Wellness Suites has 144 beds.
Yes — there are 3 photos of Spanish Hills Wellness Suites in the photo gallery on this page.
Spanish Hills Wellness Suites is located at 5351 MONTESSOURI STREET, LAS VEGAS, NV 89113.
(702) 251-2200 will put you in contact with the team at Spanish Hills Wellness Suites.
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