Home / Nevada / North Las Vegas
College Park Rehabilitation Center
2856 E. Cheyenne Ave., North Las Vegas, NV 89030 · Clark County · (702) 644-1888
188 certified beds, about 86 residents a day · For profit - Corporation · Medicare and Medicaid since 1994
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 295055 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 24, 2025, inspectors cited 9 health deficiencies (the Nevada average is 9.7, the national average 9.2).
None of its 20 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.63 hours per resident per day, against 4.34 across Nevada and 3.86 nationally. Registered nurses accounted for 1.54 of those hours.
28.1% of nursing staff left within the year CMS measured (Nevada average 45.1%).
CMS links it to Fundamental Healthcare, an affiliated group of 66 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
707/23
109/24
303/25
911/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 20 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
20D
0E
0F
Potential for minimal harm
0A
0B
0C
November 24, 2025Standard inspection · 9 citations
- D Ensure residents have reasonable access to and privacy in their use of communication methods.
Inspectors wroteBased on document review and interview, the facility failed to ensure residents mail were delivered on Saturdays for 1 of 23 sampled residents (Resident 12) and 2 unsampled residents (Residents 54 and 57). The deficient practice had the potential for residents' mail not to be delivered on the weekend.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that mattresses and equipment used in resident rooms were maintained in a clean and sanitary condition for 2 resident rooms observed (rooms [ROOM NUMBERS]). The deficient practice had the potential to contribute to an environment that was not homelike and posed a risk for cross-contamination and infection for residents.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on interview, record review, and document review, the facility failed to ensure a copy of the discharge notice was sent to a representative of the Office of the State Long-Term Care Ombudsman for 1 of 23 sampled residents (Resident 11). The deficient practice had the potential for resident rights not being advocated for improper discharges.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, interview, and document review, the facility failed to ensure the accuracy of the Minimum Data Set (MDS) assessment for 1 of 20 sampled residents (Resident 4), by inaccurately coding a psychiatric diagnosis. This deficient practice had the potential to have a negative impact on the residents' care planning, and the coordination and delivery of services.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on interview, record review, and document review, the facility failed to ensure a baseline care plan was initiated after a resident was admitted for 1 of 23 sampled residents (Resident 104). The deficient practice had the potential to place residents at risk for inappropriate care, supervision, and other incidents.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, record review and document review, the facility failed to ensure that 1 of 20 sampled residents (Resident 1) had an updated comprehensive person-centered care plan. The deficient practice had the potential to place residents at risk of not receiving the appropriate care.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, staff interview, record review, and document review, the facility failed to ensure heel protective devices were implemented for 1 of 20 sampled residents (Resident 22). This deficient practice had the potential to contribute to the development or worsening of pressure injuries, pain, and impaired skin integrity.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were free from medication errors exceeding 5 percent during observed medication administration passes. Three errors were identified out of 25 medication administration opportunities, resulting in a medication error rate of 12 percent. This deficient practice had the potential to result in reduced therapeutic effectiveness, adverse drug reactions, and compromised resident safety.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure that raw food, residents and staff food was stored by guidelines and facility policies. This deficient practice had the potential to contaminate and spread bacterial growth.
March 13, 2025Complaint inspection · 3 citations
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview, record review, and document review, the facility failed to ensure medications were administered timely to 1 of 4 sampled residents (Resident #1). The deficient practice had a potential for the intended use of the medication to be insufficient or ineffective with a possible cause of harm to the resident.
- D Provide or get specialized rehabilitative services as required for a resident.
Inspectors wroteBased on interview, record review and documentation review, the facility failed to ensure 1 of 4 sampled residents (Resident #1) received a physical therapy evaluation in accordance with a physician's orders. This deficient practice could lead to the resident's continued decline in function and/or mobility.
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on interview and document review, the facility failed to maintain a safe and functional environment for 1 of 4 residents sampled (Resident #1). This deficient practice led to unusable devices and could have caused harm to the resident.
September 27, 2024Standard inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, record review and document review, the facility failed to ensure physician orders were followed for administration of the medication Docusate Sodium (a stool a stool softener), and to notify the physician for a possible alternative when the medication became unavailable for one unsampled resident (Resident 27). Failure to administer medication as prescribed had the potential to effect the therapeutic treatment and bowel regulation for the resident.
July 13, 2023Standard inspection · 7 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on observation, interview, record review and document review, the facility failed to notify the representative of a cognitively impaired resident of the resident's urinary tract infection (UTI) for 1 of 23 sampled residents (Resident 68). The deficient practice deprived the resident's representative of the right to be informed of the resident's health status.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on interview, record review and document review, the facility failed to ensure a discharge summary was completed for 1 of 3 sampled close records reviewed (Resident 89). The deficient practice had the potential for the facility failing to provide the necessary information to continuing care providers pertaining to the course of treatment while the resident was still at the facility and the resident's plan of care after discharge.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, record review and document review, the facility failed to ensure a medication was administered per the physician's order for one unsampled resident (Resident 73). Failure to administer medication as prescribed had the potential for adverse medication reaction and might have delayed the therapeutic treatment for the resident.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview, record review and document review, the facility failed to ensure weekly skin assessments were performed on a resident who was at risk for skin breakdown for 1 of 23 residents (Resident 90). The deficient practice placed the resident and other residents at risk for a delay in identification of new skin impairments along with appropriate interventions.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the gastrostomy tube (G-tube) feeding and water flush bag were labeled with the name of the resident, room number, infusion rate, and date and time the feeding and water flushes started for 1 of 10 sampled residents (Resident 45). The deficient practice had the potential for the resident receiving expired or incorrect G-tube feeding, and inaccurate rate of feeding and water flushes.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, record review, and document review, the facility failed to ensure a physician's order was obtained and care orders were implemented before the administration of Oxygen for 2 of 23 sampled residents (Residents 2 and 240). The deficient practice could lead to the potential risk of administering incorrect or inappropriate oxygen levels to residents, compromising their respiratory health and overall well-being.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure an insulin prefilled syringe and a multi-dose vial of medication stored in 1 of 3 medication carts inspected (A-Hall medication cart) were labeled with the open date and expiration date. The deficient practice had the potential for the residents receiving expired medications.
Fire safety inspections
55 fire safety citations on file: 21 on November 24, 2025, 15 on September 27, 2024, 19 on July 13, 2023.
Every fire safety citation55 citations
- F Address patient/client population and determine types of services needed.
- F Address subsistence needs for staff and patients.
- F Establish policies and procedures including evacuation.
- F Implement emergency and standby power systems.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Provide properly protected cooking facilities.
- F Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Have proper medical gas storage and administration areas.
- E Establish policies and procedures for sheltering.
- E List the names and contact information of those in the facility.
- E Install a fire alarm system that can be heard throughout the facility.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- D Conduct risk assessment and an All-Hazards approach.
- D Provide emergency officials' contact information.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Have properly installed electrical wiring and gas equipment.
- D Provide a written emergency evacuation plan.
- D Meet requirements for the installation and maintenance of electrical systems.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Provide family notifications of emergency plan.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Provide properly protected cooking facilities.
- E Have properly installed hallway dispensers for alcohol-based hand rub.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Have properly installed electrical wiring and gas equipment.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Install corridor and hallway doors that block smoke.
- D Have properly sized and located compartments to protect residents from smoke.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.
- F Have a properly installed medical gas master alarm panel.
- E Conduct risk assessment and an All-Hazards approach.
- E Address subsistence needs for staff and patients.
- E Implement emergency and standby power systems.
- E Meet other general requirements.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure that testing and maintenance of electrical equipment is performed.
- D Ensure gas cylinders are properly stored.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Nevada | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.63 | 4.34 | 3.86 |
| Registered nurses | 1.54 | 1.12 | 0.69 |
| All nursing staff on weekends | 4.18 | 3.86 | 3.42 |
| Nurse aides | 2.29 | ||
| Licensed practical nurses | 0.81 | ||
| Nursing staff turnover (share who left in a year) | 28.1% | 45.1% | 45.8% |
| Registered nurse turnover | 22.2% | 43.4% | 42.9% |
| Administrators who left | 0 |
CMS expects 5.43 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.82 on weekdays and 4.18 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.29 in April to June 2025 to 4.63 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.63 | 1.54 | 4.82 | 4.18 | 0.3% | 0 of 90 | 86 |
| Oct to Dec 2025 | 4.49 | 1.51 | 4.66 | 4.07 | 0.3% | 0 of 92 | 88 |
| Jul to Sep 2025 | 4.38 | 1.44 | 4.57 | 3.88 | 0.5% | 0 of 92 | 91 |
| Apr to Jun 2025 | 4.29 | 1.26 | 4.49 | 3.77 | 2.4% | 0 of 91 | 91 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Nevada, Jan to Mar 2026 | 3.88 | 0.85 | 4.05 | 3.46 | 2.7% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Nevada | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 14.4 | 12.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.9 | 2.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.3 | 13.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 12.8 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.0 | 17.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.8 | 23.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 3.2 | 9.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.4 | 1.8 |
Owners and operators
Legal business name: THI OF NEVADA AT CHEYENNE, LLC. CMS links this home to Fundamental Healthcare, a group of 66 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Thi of Nevada LLC | 5% or greater direct ownership interest | Organization | 100% | 08/30/2003 |
| Liebo, Julie | W-2 managing employee | Individual | 01/30/2018 | |
| Aufiero, Lauren | Corporate officer | Individual | 07/22/2008 | |
| Liebo, Julie | Corporate officer | Individual | 01/30/2018 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on November 24, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on November 24, 2025: "Ensure residents have reasonable access to and privacy in their use of communication methods."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on November 24, 2025: "Ensure each resident receives an accurate assessment."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on November 24, 2025: "Ensure medication error rates are not 5 percent or greater."
Other nursing homes nearby
- Mission Pines Nursing and Rehab Center North Las Vegas, 0 mi · 3 of 5 stars · 25 citations
- North Las Vegas Care Center North Las Vegas, 0.6 mi · 2 of 5 stars · 35 citations
- Horizon Health and Rehabilitation Center Las Vegas, 3.9 mi · 3 of 5 stars · 27 citations
- Saint Joseph Transitional Rehabilitation Center Las Vegas, 5.3 mi · 4 of 5 stars · 24 citations
- Silver State Pediatric Skilled Nursing Facility Las Vegas, 5.6 mi · 5 of 5 stars · 15 citations
- Premier Health & Rehabilitation Center of Lv, LP Las Vegas, 5.7 mi · 4 of 5 stars · 25 citations
- Las Vegas Post Acute & Rehabilitation Las Vegas, 5.7 mi · 4 of 5 stars · 20 citations
- Willow Haven Health and Rehab, LLC Las Vegas, 6.2 mi · 1 of 5 stars · 54 citations
Common questions
- What is College Park Rehabilitation Center's Medicare star rating?
- CMS rates College Park Rehabilitation Center 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did College Park Rehabilitation Center get at its last inspection?
- 9 health deficiencies at the standard inspection on November 24, 2025. The Nevada average is 9.7.
- Has College Park Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does College Park Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns College Park Rehabilitation Center?
- CMS lists 4 owners and managers, and links the home to Fundamental Healthcare. Legal business name: THI OF NEVADA AT CHEYENNE, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.