Find a nursing home

Home / Nevada / Las Vegas

Willow Haven Health and Rehab, LLC

5538 W Duncan Dr, Las Vegas, NV 89130 · Clark County · (702) 645-2606

144 certified beds, about 137 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1969

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 295008 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 1, 2025, inspectors cited 6 health deficiencies (the Nevada average is 9.7, the national average 9.2).

Of 54 health citations since June 2022, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 2 fines totaling $46,462 in the last three years; the largest was $35,311, and the latest is dated March 24, 2026.

Nurses and nurse aides worked 3.01 hours per resident per day, against 4.34 across Nevada and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.

CMS links it to The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers, an affiliated group of 20 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.

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 54 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
47D
3E
2F
Potential for minimal harm
0A
0B
0C
July 31, 2026Complaint inspection · 2 citations
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Not yet corrected
    Inspectors wroteBased on observation, interview, record review, and document review, the facility failed to ensure a resident was free from abuse. A thorough investigation of a resident-to-resident sexual abuse allegation was not conducted, and the resident was not promptly protected or monitored following the allegation for 1 of 52 sampled residents (Resident 45). This deficient practice had the potential to place the resident at risk for continued abuse, emotional distress, fear, anxiety, a diminished sense of safety, and delayed implementation of interventions necessary to protect the resident from further abuse.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Not yet corrected
    Inspectors wroteBased on interview, the facility failed to submit a final investigative report to the state agency following an alleged abuse incident for 2 of 37 residents (Resident 84 and resident 85). This deficient practice had the potential to delay state agency review, impede regulatory oversight, and result in noncompliance with mandated abuse reporting requirements.
May 26, 2026Complaint inspection · 2 citations
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · no revisit needed July 22, 2026
    Inspectors wroteBased on interview, record review and document review the facility failed to ensure a comprehensive care plan was completed for 1 of 6 sampled residents (Resident 1). The deficient practice had the potential for a resident not to have a person-centered intervention to assist with health care needs.
  2. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · no revisit needed July 22, 2026
    Inspectors wroteBased on interview, record review and document review, the facility failed to ensure common side effects monitoring for psychotropic medications were initiated for 1 of 6 sampled residents (Resident 1). The deficient practice had the potential for a resident not to be monitored for serious adverse reactions of medication preventing the prompt implementation of interventions.
March 24, 2026Complaint inspection · 1 citation
  1. G
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    F627 · Resident Rights · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 14, 2026
    Inspectors wroteBased on observation, interview, record review, and document review, the facility failed to ensure:1) a resident was readmitted to the facility following hospitalization for 1 of 8 sampled residents (R1), and2) written criteria addressing residents hospitalized under a legal hold (L2K) was formulated and implemented. The deficient practice resulted in R1, who required medication management, assistance with activities of daily living, and nursing supervision, being left without housing, care, and access to prescribed medications, placing the resident at risk for serious harm, including deterioration in condition, hospitalization, or death. The deficient practice had the potential to affect other residents in the facility who required similar services if the practice continued.
December 11, 2025Complaint inspection · 2 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 2, 2026
    Inspectors wroteBased on observation, interview, record review and document review the facility failed to ensure 1) staff re-assessed the smoking status and updated the care plan after a significant change of condition was completed regarding a decline in cognition and accurately assess the tobacco use section of the Minimum Data Set (MDS); 2) complete a safe smoking assessment and update the plan of care for a resident was found smoking inside room; and 3) ensure a resident lighter and cigarettes were secured for 1 of 38 sampled residents (Resident 1). The deficient practice resulted in a resident smoking in the room causing a fire, and hospitalization for burns and smoke inhalation.
  2. F
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) January 2, 2026
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure the fire alarm system, portable fire extinguishers and fire safety plan were maintained in accordance with the following National Fire Protection Association (NFPA) standards:NFPA 72 National Fire Alarm and Signaling Code, the 10 Standard for Portable Fire Extinguishers, and the 101 Life Safety Code. The deficient practice affected 36 residents in one of six smoke compartments. The facility was licensed for 144 nursing beds with a census of 137 the day of survey.
August 1, 2025Standard inspection, Complaint inspection · 6 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on interview, record review and document review, the facility failed to ensure staff requested permission from a resident prior to removing the battery of the motorized wheelchair for 1 of 37 sampled residents (Resident (R) 31). The deficient practice had the potential for inhibiting a resident from utilizing a motorized wheelchair for independent movement in the facility.
  2. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on interview, record review and document review the facility failed to ensure informed consent was obtained prior to administration of psychotropic medications for 1 of 37 sampled residents (Resident 8). The deficient practice potentially deprived residents of the right to be informed of the medications' risks, benefits and potential side effects.
  3. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2025
    Inspectors wroteBased on interview, record review and document review, the facility failed to ensure an advance directive and/or public guardianship was initiated and obtained for 1 of 37 sampled residents (Resident (R)12). The deficient practice had the potential for the resident, who was evaluated as not having the capacity to manage medical and financial decisions, to have a proper representation in health care decision-making.
  4. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview, record review, and document review, the facility failed to ensure residents were kept safe from physical abuse for 4 of 37 sampled residents (Resident (R) 3, 53, 113, and 151). The deficient practice had the potential for the residents to experience emotional and physical harm.
  5. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interviews, record review and document review, the facility failed to ensure a resident with moderate cognitive impairment was adequately supervised and was not able to elope from the facility for 1 of 37 sampled residents (Resident 113). The deficient practice had the potential for physical and psychosocial harm to a resident.
  6. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2025
    Inspectors wroteBased on interviews, record review, and document review, the facility failed to ensure education regarding the risks and benefits of the pneumococcal, influenza, and covid-19 vaccines, and failed to ensure administration or obtain documented declinations for 2 of 5 residents sampled for infection control (Residents 95 and 155). The deficient practice compromised the facility infection prevention and control program and placed residents at increased risk for vaccine-preventable disease outbreaks, including respiratory illnesses with serious health consequences in vulnerable populations.
February 13, 2025Complaint inspection · 1 citation
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview, record review and document review, the facility failed to ensure a resident was kept safe from physical abuse for 1 of 12 sampled residents (Resident 10). The deficient practice had the potential for the resident to experience emotional and physical harm.
December 18, 2024Complaint inspection · 2 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 31, 2024
    Inspectors wroteBased on interview, record review and document review, the facility failed to ensure an alleged incident of verbal abuse was reported to the State Agency (SA) within the required timeframes for 1 of 12 sampled residents (Resident #11). The deficient practice had the potential to place residents at risk for incidents of verbal abuse to not be adequately protected.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 31, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure physician's orders for the application of heel protectors were followed for 1 of 12 sampled residents (Resident 5). The deficient practice had the potential to lead to the development of skin breakdown.
May 16, 2024Complaint inspection · 2 citations
  1. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on interviews, record review, and document review the facility failed to ensure abuse policies and procedures were implemented for 1 of 5 sampled residents. The deficient practice had the potential to put residents at risk of negative physical or psychosocial outcomes.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 1, 2024
    Inspectors wroteBased on observation, interviews, record reviews, and document reviews, the facility failed to ensure an incident in which an elderly resident with dementia and Alzheimer's disease was forced to take medications was promptly reported to the abuse coordinator and the agency within the mandated timeframes for 1 of 5 sampled residents (Resident 5). This deficient practice had the potential to lead to unaddressed abuse and compromise the resident's health and well-being.
January 18, 2024Complaint inspection · 1 citation
  1. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 8, 2024
    Inspectors wroteBased on interview, record review and document review, the facility failed to follow its abuse protocol, specifically, staff members who witnessed, or were aware of a resident-to-resident altercation did not report the allegation of physical abuse to the Abuse Coordinator or designee for 2 of 2 sampled residents (Residents 1 and 2). The deficient practice placed the residents of concern and other residents at risk for abuse and maltreatment.
August 31, 2023Standard inspection · 16 citations
  1. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure the views and recommendations of the resident group were acted upon, and the response and rationale communicated back to the resident group. The failed practice had the potential to affect the quality of life and health status of some residents.
  2. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, interview and document review, the facility failed to safely secure hazardous items and medications. The deficient practice had the potential to increase concerns about resident safety within the facility and potential harm.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, interview and document review, the facility failed to 1) knock on resident room doors for 2 of 28 sampled residents (Resident 55 and 109), 2) ensure staff were not standing during feeding assistance for 1 unsampled resident (Resident 69) and 3) appropriately transport a resident from the shower room for 1 of 28 sampled residents (Resident 2). The deficient practices had the potential to compromise dignity, impact the residents' sense of well-being and feelings of self-worth and self-esteem.
  4. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, interview, record review and document review, the facility failed to ensure a resident was assessed for self-administration of medication for 1 of 28 sampled residents (Resident 114). The deficient practice had the potential to lead to medication errors impacting the well-being of the resident.
  5. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure residents were notified through postings in prominent locations throughout the facility, of the right to file a grievance with, and contact information for the pertinent state agency. The deficient practice had the potential to result in a resident having an unresolved grievance. The facility policy and procedure titled Grievance/Complaint Reporting, dated 06/01/2023, indicated the facility would provide the name, address and telephone number of state advocacy groups and information on how to file a grievance. On 08/30/23 at 2:31 PM, five out of five residents in a group interview stated they did not know they could file a grievance with the state agency. [...]
  6. D
    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
    F603 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, interviews, record review, and document review, the facility failed to ensure a physician order was obtained or transcribed, and consent for the resident's transitioning to a secured unit was granted for 1 of 28 sampled residents (Resident 104). This deficient practice could potentially have led to resident's frustration, isolation, depression, emotional distress, a reduced quality of life, and a decline in their overall well-being.
  7. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, interview, record review and document review, the facility failed to ensure a baseline care plan was initiated for a resident who was admitted with an indwelling catheter for 1 of 28 sampled residents (Resident 132). The deficient practice placed the resident at risk for receiving inappropriate catheter care.
  8. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, interview, record review, and document review, the facility failed to ensure a compression stocking was applied to treat edema as ordered for 1 of 28 sampled residents (Resident 104). This deficient practice placed the resident at risk of exacerbation of the resident's condition and could have compromised their overall health management.
  9. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, interview, record review and document review, the facility failed to ensure appropriate indwelling catheter care was provided and physician's orders were followed for 2 of 28 sampled residents (Resident 132 and 116). The deficient practice potentially resulted in a urinary tract infection (UTI) for Resident 132 and placed Resident 116 at risk for urethral trauma.
  10. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, interview, record review and document review, the facility failed to ensure a resident's midline intravenous dressing change was performed in accordance with facility policy and physician's orders for 1 of 28 sampled residents (Resident 130). The deficient practice placed the resident at risk for phlebitis (site infection).
  11. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, interview, record review, and document review, the facility failed to ensure the Oxygen (O2) order was followed for 1 of 28 sampled residents (Resident 91). This deficient practice could lead to serious health complications, incorrect dosages, or adverse reactions.
  12. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, interview, record review, and document review, the facility failed to ensure a pain medication was not administered late for 1 of 28 sampled residents (Resident 101). This deficient practice placed the resident at risk for inadequate pain relief, potential discomfort and compromised quality of life. Resident 101 (R101) R101 was admitted on [DATE] with diagnoses including muscle spasm and fibromyalgia. The Brief Interview of Mental Status dated 06/13/2023, documented a score of 15/15, which meant R101's cognitive status was intact. On 08/29/2023 at 8:58 AM, R101 indicated they endured pain due to having fibromyalgia and their scheduled muscle relaxer medication was sometimes administered late which made them feel frustrated. R101's medical record revealed a physician had an order on dated 03/13/2023 for Tizanidine HCL tablet, four milligrams (mg); [...]
  13. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, interview, record review and document review, the facility failed to ensure 1) dialysis communication records were completed for 1 of 28 sampled residents (Resident 130) and 2) an agreement was obtained with the dialysis provider for 1 of 28 sampled residents (Resident 130) and one unsampled resident (Resident 343). The deficient practice potentially placed the residents at risk for improper coordination of care between the facility and the dialysis provider.
  14. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, interview, record review and document review, the facility failed to ensure a sufficient supply of a prescribed medication for 1 of 28 sampled residents (Resident 124). The deficient practice resulted in an omitted dose and placed the resident at risk for hypertension.
  15. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, interview, record review and document review the facility failed to ensure it was free from a medication error rate of five percent (%) or greater for three unsampled residents (Residents 32, 3 and 124). The deficient practice placed residents at risk for medication errors.
  16. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure food was palatable, attractive, and served at an appetizing temperature when hot cereal was prepared and served with a solid consistency rather than the customary semi-liquid consistency; and not served at an appetizing temperature (too cold), for one sampled resident (Resident 89) and two unsampled residents. The deficient practice had the potential to decrease the amount of nutrients consumed by residents, and also the resident's perception of their quality of life.
June 21, 2022Standard inspection · 19 citations
  1. F
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on observation, interview, record review, and document review, the facility failed to ensure expired medications were removed from the active medications and discarded for 4 of 4 medication rooms.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure 1) expired items were discarded, 2) opened food items were labeled and dated, 3) cleanliness of the kitchen, 4) Ice build-up in the freezers, 5) kitchen logs were completed, 6) dishwasher was at correct temperature, 7) food items were covered during meal delivery, and 8) food temperatures were taken prior to meal service.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on observation, interview, record review, and document review, the facility failed to ensure a resident's dignity and privacy by not covering a urinary catheter drainage bag for 1 of 33 sampled residents (Resident 116).
  4. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on interview, record review and document review the facility failed to 1) report a resident's COVID positive status, 2) room change and 3) change in condition to the family for 1 of 33 sampled residents (Resident 275).
  5. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on interview, record review and document review, the facility failed to ensure employees contracted through an internet-based app that links healthcare workers with available shifts in healthcare facilities were screened for criminal background and job references and received abuse and neglect training prior being allowed to work alone with residents for 5 of 12 reviewed personnel files (Employee 8, 9, 10, 11 and 12).
  6. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on interview, record review, and document review, the facility failed to develop a person-centered comprehensive care plan for a nutritional concern for 2 of 33 sampled residents (Resident 59 and Resident 106).
  7. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on observation, interview, record review, and document review, the facility failed to ensure a shower or bed bath was provided as scheduled for 2 of 33 sampled residents (Resident 422 and Resident 428).
  8. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on observation, interview, record review, and document review, the facility failed to ensure the intravenous (IV) antibiotic medication to treat a leg infection was administered as ordered for 1 of 33 sampled residents (Resident 116).
  9. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on observation, interview, record review and document review, the facility failed to ensure heel protection devices were applied to prevent pressure ulcer for 1 of 33 sampled residents (Resident 172).
  10. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on interview, record review, and document review, the facility failed to provide restorative services for 1 of 33 sampled residents (Resident 93).
  11. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on observation, interview, record review, and document review, the facility failed to ensure a power cord was safely plugged-in to prevent a tripping hazard for 1 of 33 sampled residents (Resident 10).
  12. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on observation, interview, record review, and document review, the facility failed to ensure a resident was appropriately assessed for the use of a Foley catheter, a physician order was obtained, and urine output was monitored for 1 of 33 sampled residents (Resident 116).
  13. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on interview, record review, and document review, the facility failed to 1) provide nutritional assessments for 2 of 33 sampled residents (Residents 106 and 422), and 2) Registered Dietitian (RD) recommendations were communicated to the physician and processed for 2 of 33 sampled residents (Residents 59 and Resident 106).
  14. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on observation, interview, record review, and document review, the facility failed to ensure an intravenous (IV) midline dressing was changed within 24 hours upon insertion and weekly thereafter per policy for 2 of 33 sampled residents (Residents 116 and 422).
  15. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on observation, interview, record review, and document review, the facility failed to monitor the resident's pain level for 1 of 33 sampled residents (Resident 422).
  16. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on observation, interview, record review and document review, the facility 1) failed to complete necessary dialysis communication records and 2) ensure dialysis related medication was administered per physician orders for 1 of 33 sampled residents (Resident 53).
  17. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on observation, interview, record review and document review, the facility failed to ensure medications were available during medication pass to ensure timely administration per policy for 2 of 33 sampled residents (Residents 116 and 43).
  18. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on observation, interview, record review, and document review, the facility failed to ensure their medication error rate was not five percent or greater when four errors were identified with 29 opportunities observed calculating an error rate of 13.79%.
  19. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2022
    Inspectors wroteBased on observation, interview, record review and document review, the facility failed to ensure a residents food allergy was honored and not served for 1 of 33 sampled residents (Resident 422).

Fire safety inspections

36 fire safety citations on file: 16 on August 31, 2023, 12 on June 21, 2022, 8 on November 1, 2019.

Every fire safety citation36 citations
  1. F
    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.
    K 222 · August 31, 2023 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 31, 2023 · Corrected (the home has a date of correction)
  3. E
    Conduct risk assessment and an All-Hazards approach.
    E 6 · August 31, 2023 · Corrected (the home has a date of correction)
  4. E
    Address subsistence needs for staff and patients.
    E 15 · August 31, 2023 · Corrected (the home has a date of correction)
  5. E
    Establish policies and procedures including evacuation.
    E 20 · August 31, 2023 · Corrected (the home has a date of correction)
  6. E
    Establish policies and procedures for volunteers.
    E 24 · August 31, 2023 · Corrected (the home has a date of correction)
  7. E
    Develop a communication plan.
    E 29 · August 31, 2023 · Corrected (the home has a date of correction)
  8. E
    Establish staff and initial training requirements.
    E 37 · August 31, 2023 · Corrected (the home has a date of correction)
  9. E
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · August 31, 2023 · Corrected (the home has a date of correction)
  10. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · August 31, 2023 · Corrected (the home has a date of correction)
  11. E
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · August 31, 2023 · Corrected (the home has a date of correction)
  12. E
    Provide a written emergency evacuation plan.
    K 711 · August 31, 2023 · Corrected (the home has a date of correction)
  13. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · August 31, 2023 · Corrected (the home has a date of correction)
  14. E
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · August 31, 2023 · Corrected (the home has a date of correction)
  15. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 31, 2023 · Corrected (the home has a date of correction)
  16. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 31, 2023 · Corrected (the home has a date of correction)
  17. E
    Conduct testing and exercise requirements.
    E 39 · June 21, 2022 · Corrected (the home has a date of correction)
  18. E
    Implement emergency and standby power systems.
    E 41 · June 21, 2022 · Corrected (the home has a date of correction)
  19. 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.
    K 222 · June 21, 2022 · Corrected (the home has a date of correction)
  20. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 21, 2022 · Corrected (the home has a date of correction)
  21. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · June 21, 2022 · Corrected (the home has a date of correction)
  22. E
    Have power receptacles that are properly grounded.
    K 912 · June 21, 2022 · Corrected (the home has a date of correction)
  23. D
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · June 21, 2022 · Corrected (the home has a date of correction)
  24. D
    Establish emergency prep training and testing.
    E 36 · June 21, 2022 · Corrected (the home has a date of correction)
  25. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · June 21, 2022 · Corrected (the home has a date of correction)
  26. D
    Install corridor and hallway doors that block smoke.
    K 363 · June 21, 2022 · Corrected (the home has a date of correction)
  27. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 21, 2022 · Corrected (the home has a date of correction)
  28. D
    Ensure proper usage of power strips and extension cords.
    K 920 · June 21, 2022 · Corrected (the home has a date of correction)
  29. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 1, 2019 · Corrected (the home has a date of correction)
  30. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · November 1, 2019 · Corrected (the home has a date of correction)
  31. E
    Establish roles under a Waiver declared by secretary.
    E 26 · November 1, 2019 · Corrected (the home has a date of correction)
  32. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · November 1, 2019 · Corrected (the home has a date of correction)
  33. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · November 1, 2019 · Corrected (the home has a date of correction)
  34. E
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · November 1, 2019 · Corrected (the home has a date of correction)
  35. E
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · November 1, 2019 · Corrected (the home has a date of correction)
  36. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · November 1, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
March 24, 2026Fine $11,151
December 11, 2025Fine $35,311

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNevadaUnited States
All nursing staff (RN, LPN and aides)3.014.343.86
Registered nurses0.591.120.69
All nursing staff on weekends2.753.863.42
Nurse aides1.83
Licensed practical nurses0.59
Nursing staff turnover (share who left in a year)not reported45.1%45.8%
Registered nurse turnovernot reported43.4%42.9%
Administrators who leftnot reported

CMS expects 3.31 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 3.12 on weekdays and 2.75 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.79 in April to June 2025 to 3.01 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.010.593.122.75 0.0%0 of 90137
Jul to Sep 20253.770.503.933.38 0.0%0 of 92139
Apr to Jun 20253.790.653.933.42 0.0%0 of 91138
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Nevada, Jan to Mar 20263.880.854.053.462.7%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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Nevada

JobMedianMiddle halfEmployed
Nevada, all employers
CNAs (nursing assistants)$21.87$18.80 to $23.078,100
LPNs and LVNs$36.62$31.70 to $38.263,350
Registered nurses$49.84$41.76 to $57.8227,070
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Willow Haven Health and Rehab, LLC. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNevadaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
16.912.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.61.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.51.91.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.92.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
4.21.81.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.713.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.15.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
30.917.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.323.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.69.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.41.91.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.31.41.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Willow Haven Health and Rehab, LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (32.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

32.0% this home

Worse than the national rate

US median of homes 51.5% · Nevada: 9 better, 7 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 84 eligible stays.

Potentially preventable readmissions

13.6% this home

No different from the national rate

US median of homes 10.7% · Nevada: 0 better, 5 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 182 eligible stays.

Infections that led to a hospital stay

8.1% this home

No different from the national rate

US median of homes 7.1% · Nevada: 1 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 87 eligible stays.

Self-care and mobility at discharge

45.3% this home

Median of homes: Nevada60.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 64 residents counted.

Falls with major injury

1.0% this home

Median of homes: Nevada0.4% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 103 residents counted.

New or worsened pressure ulcers

4.3% this home

Median of homes: Nevada1.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 103 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Nevada91.8% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 19 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: WILLOW HAVEN HEALTH AND REHAB LLC. CMS links this home to The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers, a group of 20 nursing homes averaging 1.7 stars overall.

NameRoleTypeShareSince
Get Smart Family Limited Partnership5% or greater direct ownership interestOrganization25%09/23/2025
Sellers, Randy5% or greater indirect ownership interestIndividual24%09/23/2025
Myers, WalterCorporate officerIndividual09/23/2025
Cottonwood Healthcare LLCOperational/managerial controlOrganization01/02/2026
Professional Business Advisors LLCOperational/managerial controlOrganization01/02/2026
Slattery & Holman P.C.Operational/managerial controlOrganization01/02/2026
Abbott, IanOperational/managerial controlIndividual01/02/2026
Le, KhoaOperational/managerial controlIndividual01/02/2026
Myers, WalterOperational/managerial controlIndividual01/02/2026
Spiker, DamonieshaOperational/managerial controlIndividual01/02/2026
Cottonwood Healthcare LLCAdp of the SNFOrganization04/02/2026
Professional Business Advisors LLCAdp of the SNFOrganization04/02/2026
Slattery & Holman P.C.Adp of the SNFOrganization04/02/2026
Willow Haven Holdings LLCAdp of the SNFOrganization01/02/2026
Abbott, IanAdp of the SNFIndividual01/02/2026
Le, KhoaAdp of the SNFIndividual01/02/2026
Myers, WalterAdp of the SNFIndividual01/02/2026
Spiker, DamonieshaAdp of the SNFIndividual01/02/2026

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 20 problems in this area, most recently on December 11, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 10 problems in this area, most recently on July 31, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 10 problems in this area, most recently on March 24, 2026: "Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on May 26, 2026: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.75 hours per resident per day, below the Nevada average of 3.86.

Other nursing homes nearby

Common questions

What is Willow Haven Health and Rehab, LLC's Medicare star rating?
CMS rates Willow Haven Health and Rehab, LLC 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Willow Haven Health and Rehab, LLC get at its last inspection?
6 health deficiencies at the standard inspection on August 1, 2025. The Nevada average is 9.7.
Has Willow Haven Health and Rehab, LLC been fined?
Yes. CMS lists 2 fines totaling $46,462 in the last three years.
Does Willow Haven Health and Rehab, LLC 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 Willow Haven Health and Rehab, LLC?
CMS lists 18 owners and managers, and links the home to The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers. Legal business name: WILLOW HAVEN HEALTH AND REHAB LLC.

Sources

Find a nursing home Read an inspection