All 30 Medicare-certified nursing homes in Las Vegas,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Trellis Centennial runs about 4.34 nurse hours per resident per day, roughly 12% above the national average, real coverage on paper. But weekends dip about 14% below its own weekday staffing, and turnover sits at 52.2% against a national 45.8%, so the people delivering that care keep changing. The inspection record shows 20 deficiencies, including one at the harm level and one tied to abuse, with a single fine of $8,278. The most recent inspection was May 2026, so the picture is current. Strong quality measures and a four-star inspection rating sit alongside those findings and the churn, worth asking about weekend coverage and how they've addressed the abuse-related deficiency specifically.
Marquis Plaza Regency runs 4.12 nurse hours per resident day, roughly 7% above the national average, and its staff turnover of 39.5% actually beats the national 45.8%. That matters, because consistent caregivers tend to know residents and catch problems earlier. But weekends run about 12% thinner than weekdays, so coverage isn't even across the week. The inspection record shows 18 deficiencies, including one at the harm level and one tied to abuse, plus a $13,065 fine, a serious finding inside an otherwise recent, four-star inspection history from September 2025. Corporate-owned, 188 beds: solid staffing, real blemishes. Ask about weekend coverage and how that abuse deficiency was corrected.
Royal Springs runs 225 beds on the east side of Las Vegas, and its numbers pull in two directions. The nurse staffing sits at 3.69 hours per resident day, a bit under the national average, and weekends drop roughly 12% below the home's own weekday coverage, which is where shortfalls tend to show up. Turnover at 40.5% is actually better than the 45.8% national figure, so leadership isn't churning through aides the way many for-profits do. The problem is the inspection record: 39 deficiencies, one serious enough to cause harm, a $40,359 fine, and a March 2026 inspection that produced a two-star health rating and a one-star quality measure score. Ask to see the plan of correction for that harm-level citation.
Skye Canyon Post Acute runs a high staffing number, 5.11 nurse hours per resident day, roughly a third more than the national average, and its last inspection came back clean at the harm level, with 14 deficiencies on record and none involving actual injury. Two things pull against that. Weekend coverage drops about 14% below its own weekday level, so the strong average doesn't hold every day of the week. And turnover sits at 68.4% against a national 45.8%, meaning most of the aides and nurses you'd meet are relatively new. The state inspection history looks solid; the question is whether the staff caring for your family member sticks around long enough to know them.
Silver Ridge is a 148-bed for-profit home in Las Vegas where the direct-care staffing comes in around 3.47 hours per resident day, roughly 10% under the national average of 3.86, and it thins out further on weekends, dropping about 11% below its own weekday levels. Annual turnover sits at 55.6% against a national 45.8%, so CNAs and nurses are cycling through faster than average. The inspection record shows 32 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $69,343 in fines across two penalties and a survey dated April 2026. The five-star quality measure score reflects charted outcomes, not the hands available to deliver care.
Silver Hills runs on thin staffing. At 3.69 nurse hours per resident day, it sits about 4% under the national average, and weekends dip roughly 9% below what the home itself manages Monday through Friday, so the thinnest coverage lands when families tend to visit. The bigger number is turnover: 71.6% of nursing staff leaving annually, against a national average near 46%. State inspectors cited 27 deficiencies on the current record, four tied to abuse, with none rising to harm or jeopardy. Its last inspection was August 2025. This is a for-profit corporate home whose quality scores look strong on paper while its staffing scores and inspection history tell a harder story.
Torrey Pines runs 95 beds on the east side of the valley, and the staffing numbers are the strongest part of the picture: 4.16 nurse hours per resident day, roughly 8% above the national average, which earns a 4-out-of-5 staffing rating. Turnover sits at 45.6%, essentially matching the national rate, so this isn't a home bleeding caregivers faster than everyone else. Where it slips is inspections, a 2-out-of-5 health inspection rating, 36 deficiencies on the current record including six tied to abuse, though none rose to the level of actual harm or jeopardy. The most recent survey was in June 2025, so the record is current. Good daily coverage, a thinner compliance history.
Sandstone Spring Valley runs 160 beds under for-profit LLC ownership, and its nurse staffing sits at 4.50 hours per resident day, about 16% above the national average of 3.86. That sounds good until you notice weekends drop roughly 11% below the home's own weekday levels, and annual turnover hits 50.6% against a national 45.8%, meaning the people at the bedside keep changing. The inspection record shows 47 deficiencies, four of them abuse-related, though none rose to harm or jeopardy. Inspectors last visited in August 2025. High raw staffing hours and a two-star inspection history can coexist; here they do.
El Jen Skilled Care runs 144 beds in Las Vegas under a for-profit limited liability company, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.01 hours per resident day against a national average of 3.86, roughly a fifth less hands-on time than typical, and weekends drop about 9% below what the home already provides on weekdays. Its inspection history carries 50 deficiencies, including two at the harm or jeopardy level and eight tied to abuse, with $51,839 in fines across two penalties. The most recent inspection was August 2025. When staffing runs light, weekends run lighter, and the deficiency list runs that long, the pattern is consistent rather than unlucky.
Life Care Center of South Las Vegas is a 120-bed for-profit home that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The inspection history backs that up: 41 deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse. Staffing sits roughly at the national average, and weekend coverage runs about 10% thinner than weekdays. Turnover is 31.4%, well below the national rate, so the same caregivers tend to stay. The catch is that stable staff haven't translated into clean surveys. Strong quality-measure scores don't offset a record this troubled.