ROYAL SPRINGS HEALTHCARE AND REHAB in Las Vegas has a 1-star overall rating, with low quality measures and only 2 stars for health inspections, despite a 4-star staffing rating. It also had $40,359 in fines in the last 24 months and a recent federal penalty, and reported nurse staffing was 3.69 hours per resident per day versus the 4.1 federal benchmark.
Last inspection: March 13, 2026Penalties, last 24 months: $40,359recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6896.
Staffing detail
Registered nurses
0.87
Licensed practical nurses
0.77
Nurse aides
2.05
Weekend nursing
3.25
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 46%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
35.4%37.7%Worsening
Residents with a fall causing major injury
1.4%1%No change
Residents with pressure ulcers (bedsores)
6.5%6.2%No change
Residents with a urinary tract infection
0.5%1.5%Worsening
Residents who lost too much weight
6.4%2.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12%15.3%Worsening
Residents whose ability to walk got worse
5.6%11.1%Worsening
Long-stay residents on antianxiety or sleep medication
18.4%20.2%Worsening
Short-stay residents newly given an antipsychotic
9.5%3.4%Improving
Residents with a long-term catheter
2.4%2.2%No change
Residents with new or worsening incontinence
19%22.5%Worsening
Residents with depressive symptoms
0.5%1.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—83.3%—
Long-stay residents given the pneumonia vaccine
76.3%59.3%Worsening
Short-stay residents given the seasonal flu vaccine
—69%—
Short-stay residents given the pneumonia vaccine
58.3%52.3%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure staff got the needed behavior health training based on the facility’s own needs. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 949 — 42 CFR §483.95 — S/S: E
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $40,359 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $40,359 in total fines.
Federal fine
Oct 29, 2024
$40,359
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of IL & JOAN LEE · 4 homes · 2 stars avg
Occupancy
213.8 residents on an average day (95% of 225 beds)
Resident voice
Resident council
Medicare history
Certified for 26 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.