Skilled nursing facility · CMS certification number 295107

ADVANCED HEALTH CARE OF PARADISE

LAS VEGAS, Nevada · Medicare

Certified beds, as filed in Care Compare: 38

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$14,210,099	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,247,413	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,962,686	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,785,936	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,176,750	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,936	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,181,686	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,181,686 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	38	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	13,870	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	5,587	CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days	3,183	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	8,770	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	271	CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges	442	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	713	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	20.62	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	12.3	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434698, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$12,849,163	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,254,085	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,595,078	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,748,735	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$846,343	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$69,701	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$916,044	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $916,044 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	38	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,082	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	770	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	21.21	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	29.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1390982, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$12,430,549	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,240,631	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,189,918	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,895,534	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,294,384	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$76,590	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,370,974	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,370,974 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	38	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,214	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	711	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	20.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	38.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1388852, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 May 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$11,813,751	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,961,572	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,852,179	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,448,839	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$403,340	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$99,188	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$502,528	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $502,528 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	38	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,950	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	622	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	19.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	19.21	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1348085, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 30 December 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$11,696,116	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,892,635	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,803,481	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,878,171	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,074,690	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$154,006	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$920,684	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$920,684 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	38	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,903	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	591	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	21	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	20.14	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1339326, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 4 October 2019 to 31 December 2019 — a reporting period of 88 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 28 May 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$1,907,688	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$364,289	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,543,399	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,735,321	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$191,922	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$120	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$191,802	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$191,802 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	38	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	2,227	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	51	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	43.67	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1256270, read from the public cost report file SNF10FY2020.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
NEW AHC HOLDINGS, LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 01/01/2021
THE GAIL MILLER GST TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	72%	since 01/01/2024
GUBLER, JASON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2025
LHMSH LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2024
NEW AHC HOLDINGS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/01/2025
OXNAM, NATHAN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2024
THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 01/01/2024
THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 01/01/2024
MATANGI, LUPENI	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2020

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of AHC OF PARADISE VALLEY LLC (enrollment ID O20180921002046).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
NEW AHC HOLDINGS, LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	1/1/2021	Private equity company: No Real estate investment trust: No Holding company: Yes
ADVANCED HEALTH CARE - LARRY H MILLER CORPORATION	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	1/1/2021	Private equity company: No Real estate investment trust: No Holding company: Yes
KAREN GAIL MILLER IRREV TR FBO ZANE MILLER	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5.1	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
THE GAIL MILLER GST TRUST	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	72.3	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF KAREN R. WI	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5.1	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF ROGER L. MI	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5.1	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F.	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5.1	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
JASON T GUBLER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LHMSH LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
NEW AHC HOLDINGS, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: Yes
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
NATHAN C OXNAM	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014	Organization	INDIRECT OWNERSHIP INTEREST	3.8	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019	Organization	INDIRECT OWNERSHIP INTEREST	2.5	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
LUPENI MATANGI	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: LUPENI MATANGI no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LUPENI MATANGI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2025: THE RNC OPPORTUNITY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: JASON T GUBLER no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: THE MILLER UTAH TRUST, DATED AUGUST 22, 2019 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LUPENI MATANGI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: JASON T GUBLER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019 appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014 appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LHMSH LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: NEW AHC HOLDINGS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF ROGER L. MI appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LUPENI MATANGI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 September 2024: ANDREW R FRASURE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: JASON T GUBLER appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
5 January 2024: JOSEPH B WALKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: NATHAN C OXNAM appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: THE RNC OPPORTUNITY TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF KAREN R. WI appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
1 January 2023: JAMES BURT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: ADVANCED HEALTH CARE CORPORATION no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: ROBERT DALE MCINTIRE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: DAVID EDWARD NATTRESS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: DAVID EDWARD NATTRESS no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: ANDREW R FRASURE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: ANDREW R FRASURE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: DAVID WAYNE NATTRESS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: DAVID WAYNE NATTRESS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: DAVID WAYNE NATTRESS no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: CAMILLE A FRASURE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: THE MILLER UTAH TRUST, DATED AUGUST 22, 2019 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: THE GAIL MILLER GST TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: ANDREW R FRASURE appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: NEW AHC HOLDINGS, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: ADVANCED HEALTH CARE - LARRY H MILLER CORPORATION appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: JOSEPH B WALKER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: LUPENI MATANGI appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv

Recent changes on this record

1 July 2026: LUPENI MATANGI no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LUPENI MATANGI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 July 2025: THE RNC OPPORTUNITY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: JASON T GUBLER no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: THE MILLER UTAH TRUST, DATED AUGUST 22, 2019 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LUPENI MATANGI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: JASON T GUBLER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019 appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014 appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LHMSH LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: NEW AHC HOLDINGS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF ROGER L. MI appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LUPENI MATANGI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 September 2024: ANDREW R FRASURE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: JASON T GUBLER appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
2 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
19 July 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
5 January 2024: JOSEPH B WALKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: NATHAN C OXNAM appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: THE RNC OPPORTUNITY TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF KAREN R. WI appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
23 May 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
1 January 2023: JAMES BURT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: ADVANCED HEALTH CARE CORPORATION no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: ROBERT DALE MCINTIRE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: DAVID EDWARD NATTRESS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: DAVID EDWARD NATTRESS no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: ANDREW R FRASURE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: ANDREW R FRASURE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: DAVID WAYNE NATTRESS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	17 April 2026	17 April 2026	1	6
2	20 March 2025	20 March 2025	11	7
3	23 May 2024	23 May 2024	9	6

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

21 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
17 April 2026	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	1 June 2026
23 July 2025	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	Yes	Deficient, Provider has no plan of correction
20 March 2025	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	No	Deficient, Provider has date of correction	22 April 2025
20 March 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	22 April 2025
20 March 2025	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	22 April 2025
20 March 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	22 April 2025
20 March 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	22 April 2025
20 March 2025	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	22 April 2025
20 March 2025	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	22 April 2025
20 March 2025	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	22 April 2025
20 March 2025	Health	F 0694	Quality of Life and Care Deficiencies	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	D	No	Deficient, Provider has date of correction	22 April 2025
20 March 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	22 April 2025
23 May 2024	Health	F 0565	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	C	No	Deficient, Provider has date of correction	21 June 2024
23 May 2024	Health	F 0688	Quality of Life and Care Deficiencies	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.	D	No	Deficient, Provider has date of correction	21 June 2024
23 May 2024	Health	F 0694	Quality of Life and Care Deficiencies	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	D	No	Deficient, Provider has date of correction	21 June 2024
23 May 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	21 June 2024
23 May 2024	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	E	No	Deficient, Provider has date of correction	21 June 2024
23 May 2024	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	21 June 2024
23 May 2024	Health	F 0761	Pharmacy Service Deficiencies	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.	D	No	Deficient, Provider has date of correction	21 June 2024
23 May 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D	No	Deficient, Provider has date of correction	21 June 2024
23 May 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	21 June 2024

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare
Ownership Type	For profit - Limited Liability company
Legal Business Name	AHC OF PARADISE VALLEY LLC
Date First Approved to Provide Medicare and Medicaid Services	2019-10-04
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Clark
Telephone Number	7027906400
Chain Name	ADVANCED HEALTH CARE
Chain ID	11
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	38
Average Number of Residents per Day	37.6
Overall Rating	5
Health Inspection Rating	5
QM Rating	5
Short-Stay QM Rating	5
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Get an email when this record changes

One email a day naming what moved on ADVANCED HEALTH CARE OF PARADISE: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: LUPENI MATANGI no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for ADVANCED HEALTH CARE OF PARADISE

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Nevada at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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