2/5
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.
2/5
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.
Transitional Care of Las Vegas operates a 160-bed skilled nursing facility at 400 Shadow Ln #110 in the Rancho Manor neighborhood of Las Vegas, Nevada. A for-profit, privately-owned operation, it accepts Medicare, Medicaid, and private-pay residents, holding a 1-star CMS overall rating.
The 1-star rating reflects a health inspection performance running 66.8% below the Nevada average. Staffing hours measure 3 hours 5 minutes of adjusted nursing care per resident per day, slightly below Nevada’s 4 hours 2 minutes average and placing the facility 38th of 44 in the state. The facility’s quality measures sub-rating came in 10.3% above Nevada benchmarks.
High-risk clinical events score 13.3 at this facility, 37% worse than Nevada’s 9.7 average. Walking ability declined in nearly a quarter of long-stay residents (24.3%), significantly above the state rate of 20.8%. Pressure ulcer incidence in high-risk residents stands at 13.7%, approaching triple the Nevada average of 5.5%.
On the preventive-care front: influenza vaccination reached only 36.8% versus a statewide 89.6% benchmark, and pneumococcal vaccination fell to 64.2% against 91.0% statewide. The facility did achieve zero major falls with injury; exceeding state performance by 2.5 percentage points.
The facility maintains 94% occupancy, well above Nevada’s 81.5% average.
Annual revenue totaled $38.5 million, the largest among Nevada SNFs, though operating expenses consumed revenue, producing a $1.3 million loss in 2023.
Staffing levels show 269 employees across multiple disciplines: 48 registered nurses, 34 licensed practical nurses, 87 certified nursing assistants, 27 activities professionals, 16 speech-language pathologists, and respiratory, physical therapy, and occupational therapy personnel.
The resident census runs predominantly private-pay (89% of new admissions). Medicare admissions account for 7%, with an average stay of 25 days. Medicaid admissions represent 4%, typical stay 8–9 months.
Average length of stay across all payers is 31 days, confirming the short-term rehabilitative mission.
Services emphasize post-hospital transition: physical rehabilitation, occupational therapy, speech therapy, respiratory care, post-stroke rehabilitation, diabetes management, and advanced wound care.
No federal penalties have been assessed in the past three years.
The facility lies 0.3 miles from Valley Hospital Medical Center and occupies a moderately walkable neighborhood with a Walk Score of 58.
Transitional Care of Las Vegas is oriented toward short-term post-hospital rehabilitation and transitional care in the private-pay and Medicare-funded segments, supported by high occupancy and private-pay revenue streams that have not yet achieved operational profitability.
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 39th out of 46 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.
| 1h 11m per day | ▲ 13% State avg: 1h 3m 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.
| 57m per day | ▲ 9% State avg: 52m 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.
| 2h 7m per day | ▼ 12% State avg: 2h 23m 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 57m per day | ■ Avg State avg: 3h 54m per day · National avg: 3h 27m 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.
| 8m per day | ▲ 17% State avg: 7m 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.
| 1h 10m per day | ▲ 38% State avg: 51m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
35% more staff per resident than Nevada average
5% better than Nevada average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 48 RN Staff are full-time employees. No contractors work on this role.
48
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 34 LPN Staff are full-time employees. No contractors work on this role.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursHelps with daily care and mobility.
All 87 CNA Staff are full-time employees. No contractors work on this role.
87
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 87 | 0 | 87 | 29,347 | 92 | 100% | 9.8 |
| Registered Nurse | 48 | 0 | 48 | 15,363 | 92 | 100% | 9.8 |
| Licensed Practical Nurse | 34 | 0 | 34 | 11,712 | 92 | 100% | 9.9 |
| Qualified Activities Professional | 27 | 0 | 27 | 7,677 | 92 | 100% | 9.1 |
| Physical Therapy Aide | 7 | 0 | 7 | 2,697 | 91 | 99% | 8 |
| Speech Language Pathologist | 16 | 0 | 16 | 2,613 | 88 | 96% | 6.9 |
| Respiratory Therapy Technician | 12 | 0 | 12 | 1,859 | 87 | 95% | 7.2 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,499 | 92 | 100% | 7.5 |
| RN Director of Nursing | 4 | 0 | 4 | 1,456 | 64 | 70% | 8.1 |
| Physical Therapy Assistant | 7 | 0 | 7 | 1,262 | 86 | 93% | 7.1 |
| Occupational Therapy Aide | 3 | 0 | 3 | 782 | 65 | 71% | 8.1 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 696 | 64 | 70% | 8 |
| Dental Services Staff | 2 | 0 | 2 | 638 | 62 | 67% | 8 |
| Qualified Social Worker | 4 | 0 | 4 | 615 | 68 | 74% | 6.9 |
| Dietitian | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 480 | 60 | 65% | 8 |
| Administrator | 2 | 0 | 2 | 472 | 59 | 64% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 376 | 47 | 51% | 8 |
| Nurse Aide in Training | 1 | 0 | 1 | 138 | 14 | 15% | 9.9 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 107 | 14 | 15% | 7.6 |
| Other Activities Staff | 1 | 0 | 1 | 31 | 4 | 4% | 7.7 |
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.
13.3
37% worse than Nevada averageNevada average: 9.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.9
14% worse than Nevada averageNevada average: 17.5
Percent of long-stay residents whose need for help with daily activities has increased
18.0%
15% worse than Nevada averageNevada average: 15.6%
Percent of long-stay residents whose ability to move independently worsened
24.3%
17% worse than Nevada averageNevada average: 20.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.3%
In line with Nevada averageNevada average: 16.9%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Nevada averageNevada average: 2.5%
Percent of long-stay high risk residents with pressure ulcers
13.7%
149% worse than Nevada averageNevada average: 5.5%
Percent of long-stay residents with a urinary tract infection
0.4%
72% better than Nevada averageNevada average: 1.4%
Percent of long-stay residents who lose too much weight
10.6%
95% worse than Nevada averageNevada average: 5.4%
Percent of long-stay residents who have depressive symptoms
3.2%
24% better than Nevada averageNevada average: 4.2%
Percent of long-stay residents who received an antipsychotic medication
14.9%
6% worse than Nevada averageNevada average: 14.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
64.2%
29% worse than Nevada averageNevada average: 91.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
36.8%
59% worse than Nevada averageNevada average: 89.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
44.4%
47% worse than Nevada averageNevada average: 83.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
22% better than Nevada averageNevada average: 2.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
36.7%
55% worse than Nevada averageNevada average: 80.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
7% of new residents, usually for short-term rehab.
89% of new residents, often for short stays.
4% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
129Residents 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 Transitional Care Of Las Vegas from 2016–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #2 / 47Payroll — State benchmarkedThis home is ranked 2nd out of 47 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.Rankings are based only on facilities in Nevada that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #27 / 47Payroll % — State benchmarkedThis home is ranked 27th out of 47 homes in Nevada. Shows payroll as a percentage of revenue versus the Nevada average. Well-run Nevada facilities typically land around 47–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Nevada that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (89% of admissions), and a typical private pay stay runs around 22 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
5.0 miles from city center
Estimated distance in miles from Las Vegas's city center to Transitional Care Of Las Vegas's address, calculated via Google Maps.
— 0.3 miles to nearest hospital (Valley Hospital Medical Center)
Add your location
Transitional Care Of Las Vegas is located in Las Vegas, Nevada.
Here are the financial assistance programs available to residents in Nevada.
Transitional Care Of Las Vegas is in the Rancho Manor neighborhood.
Transitional Care Of Las Vegas has a walk score of 58. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Transitional Care Of Las Vegas's occupancy is 94.0%.
Yes — there is 1 photo of Transitional Care Of Las Vegas in the photo gallery on this page.
Transitional Care Of Las Vegas is located at 400 Shadow Ln #110, Las Vegas, NV 89106.
(702) 834-4000 will put you in contact with the team at Transitional Care Of Las Vegas.
Yes — Transitional Care Of Las Vegas is a CMS-certified provider of Medicare and Medicaid.
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