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Assisted Living

Alternative Home Care

4504 la Roca Circle, Las Vegas, NV 89121 · Map
Licensed for 10 residents

State license active
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Alternative Home Care is a state-licensed assisted living community in Las Vegas, Nevada. It is licensed for 10 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.

Assisted LivingCare offered
10 residentsLicensed capacity
State licensedResidential facility for groups, since 2018
$3,400 to $5,200/moTypical assisted living start in Clark County, from 20 communities that publish prices

Prices

This community does not publish its prices.

Area costs

Assisted Living in Clark County typically starts at $3,400 to $5,200 a month. Based on 20 communities that publish prices. These are area figures, not this community's price.

Lilisity’s independent report

What the public record shows

Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.

State inspections

20Deficiencies cited
3Substantiated complaints

Last state inspection: Aug 5, 2026. See the record

License

Active, 10 residents

RESIDENTIAL FACILITY FOR GROUPS 9278-AGC-7, licensed since Nov 16, 2018.

Nearest emergency room

3.7 miles

Sunrise Hospital And Medical Center, rated 2 of 5 stars by CMS.

Side by side with nearby communities

The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.

CommunityDistanceLicensed capacityPublished starting priceLicenseInspection citations
Alternative Home Care this community10Not publishedActive20 deficiencies, 3 substantiated complaints
Chutney Residential Home0.5 mi7Not publishedActive37 deficiencies, 1 substantiated complaint
Monthill Palms0.6 mi10Not publishedActive12 deficiencies, 1 substantiated complaint
Hui Ohana Care Home0.7 mi10Not publishedActive0 deficiencies, 0 substantiated complaints
Golden Meadows Residential0.8 mi10Not publishedActive20 deficiencies, 1 substantiated complaint
State inspection record20 deficiencies, 3 substantiated complaints
Last state inspection
August 5, 2026 Complaint investigation, Annual licensure survey
State inspections
7
Deficiencies cited
20
Most recent grade from the state
C August 5, 2026
Complaints investigated
5: 3 substantiated, 2 not substantiated
State sanctions
0
  • License active since 2018

Most recent inspections with deficiencies

  • August 5, 2026, complaint investigation, annual licensure survey: 7 deficiencies, grade C
    • Health And Sanitation-Garbage (NAC 449.209): Based on observation and interview, the facility failed to ensure water temperatures were within the acceptable range of 100 degrees Fahrenheit (F) to 110 degrees Fahrenheit (F) for 2 of 2 resident bathrooms and failed to ensure the facility premises were well maintained. severity 2 (potential for harm), scope 3 (widespread); correction date August 6, 2026
    • Supervision and Treatment of Residents (NAC 449.259): Based on interview and record review, the facility failed to ensure a Person-Centered Care plan was completed initially and/or annually for 6 of 10 sampled residents. (Resident #4, #5, #6, #7, #8 and #9) severity 2 (potential for harm), scope 3 (widespread); correction date August 6, 2026
    • Written Policy on Admissions (NAC 449.2702): Based on observation, interview and record review, the facility failed to ensure bed rails were not used as a restraint (Resident #2) and failed to obtain a medical exemption to maintain one resident who was bedfast (Resident #4). severity 2 (potential for harm), scope 1 (isolated); correction date August 20, 2026
    • Medical Care of Resident After Illness (NAC 449.274): Based on interview, document review and record review, the facility failed to ensure an incident report was completed for a resident who had a change of condition for 1 of 5 residents (Resident #1). severity 2 (potential for harm), scope 1 (isolated); correction date August 6, 2026
    • Maintenance and Contents of Separate File (NAC 449.2749): Based on interview and document review, the facility 1) failed to ensure an annual tuberculosis (TB) test was completed for 2 residents (Resident #6 and #8) and 2) failed to ensure an initial and/or annual Activities of Daily Living (ADL) Assessment was completed for 6 of 10 sampled residents (Resident #4, #5, #6, #7, #8, and #9). severity 2 (potential for harm), scope 3 (widespread); correction date August 6, 2026
    • Care for Persons with Mental Illnesses (NAC 449.2764): Based on record review and interview, the facility failed to ensure 1 of 4 sampled employees completed 8 hours of Mental Illness training within 60 days of hire (Employee #4). severity 2 (potential for harm), scope 1 (isolated); correction date August 6, 2026
    • and 1 more in the report
  • July 1, 2025, complaint investigation, annual licensure survey: 6 deficiencies, grade B
    • Supervision and Treatment of Residents (NAC 449.259): Based on interview and record review, the facility failed to ensure a Person Centered Care plan was reviewed annually for 3 of 8 residents (Resident #5, Resident #6 and Resident #8) severity 2 (potential for harm), scope 2 (pattern); correction date July 2, 2025
    • Provision of Dental, Optical and Hearing Care (NAC 449.262): Based on observation and interview, the facility failed to ensure bed rails were not used to keep a resident in bed, for 1 of 10 residents (Resident #6). severity 2 (potential for harm), scope 1 (isolated); correction date July 1, 2025
    • Medication Administration-Accuracy & Report (NAC 449.2742): Based on interview and record review, the facility failed to ensure six month medication reviews were signed off and reviewed, by the Administrator, for 5 of 10 residents (Resident #1, Resident #3, Resident #4, Resident #6 and Resident #8) severity 2 (potential for harm), scope 3 (widespread); correction date July 16, 2025
    • Medication/OTCS, Supplements, Change Order (NAC 449.2742): Based on observation, interview and record review, the facility failed to ensure medications onsite and available and were given in accordance with physicians orders for 2 of 8 residents (Resident #5 and #7). severity 2 (potential for harm), scope 1 (isolated); correction date July 2, 2025
    • Maintenance and Contents of Separate File (NAC 449.2749): Based on interview and record review, the facility failed to ensure Activities of Daily Living (ADLs) were assessed annually for 3 of 8 residents. (Resident #5, Resident #6 and Resident #8). severity 2 (potential for harm), scope 2 (pattern); correction date July 2, 2025
    • Requirements relating to personal protective equipment; exception for nursing pool (NAC 449.01065): Based on observation and interview, the facility failed to maintain a 30 day supply of personal protective equipment (PPE) onsite and available for use. severity 2 (potential for harm), scope 1 (isolated); correction date July 1, 2025
  • August 3, 2023, complaint investigation, annual licensure survey: 6 deficiencies, grade B
    • Qualifications of Caregiver - Med Training (NAC 449.196): Based on record review and interview, the facility failed to ensure 1 of 5 employees received an initial 16 hours of medication management training. severity 2 (potential for harm), scope 1 (isolated); correction date August 18, 2023
    • Elder Abuse Training (NRS 449.093): Based on record review and interview, the facility failed to ensure annual elder abuse training was completed for 1 of 5 employees. (Employee #4) severity 2 (potential for harm), scope 1 (isolated)
    • Medical Care of Resident After Illness (NAC 449.274): Based on record review and interview, the facility failed to ensure an annual physical examination was completed for 1 of 8 residents (Resident #3). severity 2 (potential for harm), scope 1 (isolated); correction date August 18, 2023
    • Maintenance and Contents of Separate File (NAC 449.2749): Based on interview and record review, the facility failed to ensure 1 of 8 residents met the requirements for tuberculosis (TB) testing in accordance with Nevada Administrative Code (NAC) 441A (Resident #4). severity 2 (potential for harm), scope 1 (isolated); correction date August 18, 2023
    • Cultural Competency Training (R016-20 Section 14): Based on record review and interview, the facility failed to ensure 2 of 5 employees were in compliance with Nevada Revised Statutes (NRS) 449.103, regarding initial cultural competency training. (Employee #2 and #3) severity 2 (potential for harm), scope 2 (pattern); correction date August 18, 2023
    • Annual Assessment of History of Each Resident (NRS 449.1845): Based on record review and interview, the facility failed to obtain a placement assessment at the time of admission per the requirement for 8 of 8 residents (Residents #1, #2, #3, #4, #5, #6, #7, and #8). severity 2 (potential for harm), scope 3 (widespread); correction date August 18, 2023
  • October 21, 2021, infection control survey, annual licensure survey: 1 deficiency, grade A
    • Health & Sanitation - Maintain Int/ext (NAC 449.209): Based on observation and interview, the facility failed to ensure the exterior of the facility was well maintained. severity 2 (potential for harm), scope 3 (widespread); correction date October 25, 2021

Complaints with substantiated allegations

  • August 5, 2026: 1 complaint substantiated
  • December 17, 2025: 1 complaint substantiated
  • July 1, 2025: 1 complaint substantiated

Read every report on the state’s site → Search license 9278-AGC-7, then choose View Detail and SOD/POC for each inspection.

What these terms mean

Nevada grades each residential facility for groups after a survey: the Bureau adds the severity and scope scores of all deficiencies found. 0 to 15 points is an A; 16 to 24 a B; 25 to 34 a C; 35 or more a D. A single very serious deficiency can also set a lower grade (NAC 449.27702). The facility must post its grade where the public can see it.

Severity levels (NAC 449.99861): level 1 concerns administrative requirements and no harm is likely; level 2 is a potential for harm not yet realized; level 3 means a negative impact has occurred or is likely; level 4 has resulted in, or is likely to result in, death or serious harm.

Scope levels (NAC 449.9986): level 1 is isolated (20 percent or less of residents sampled); level 2 is a pattern (more than 20 and up to 50 percent); level 3 is widespread (more than 50 percent).

HCQC investigates each complaint and finds each allegation substantiated (resulting in a citation) or unsubstantiated (no citation). Some reports say an allegation was substantiated with no deficient practice cited.

When deficiencies are cited, the facility must return an approved plan of correction within 10 days. The completion date is the date the facility gave for the correction.

Deficiency names and findings are quoted from the state’s Statements of Deficiencies. Fine amounts are read from the state’s scanned sanction notices. This community is licensed for 10 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Nevada Health Authority, Health Care Quality and Compliance (formerly DPBH, Bureau of Health Care Quality and Compliance), data as of October 15, 2026, showing the last five years. The state’s search shows active licenses only. Always visit in person and ask the community about anything listed here.

License and ownershipActive license
License type
RESIDENTIAL FACILITY FOR GROUPS
License number
9278-AGC-7
License status
Active
Licensed since
2018-11-16
Licensed capacity
10
Administrator
Prescila Barcelon

Source: Nevada state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.

Administrator name from the Nevada licensing record, as of Sep 9, 2026.

Paying with Medicaid and other programsHow Medicaid pays for care in Nevada, and other programs

How Medicaid pays for care in Nevada

  • Waiver for the Frail Elderly (FE). Yes, for some people. Nevada Medicaid's Waiver for the Frail Elderly offers Augmented Personal Care in residential facilities for groups or assisted living settings, for people 65 and older who need nursing home level care. (state page)
  • Waitlist. Nevada's December 2024 caseload report counts people waiting for the Frail Elderly waiver (1,684 that month). (source)

Ask the community whether it accepts Medicaid.

Location and nearby careNearest hospital 3.7 mi, nursing home 0.7 mi, pharmacy 1.2 mi
Nearest hospital with an emergency room
Sunrise Hospital And Medical Center, Las Vegas. 3.7 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
Nearest Medicare nursing home
Advanced Health Care of Paradise, Las Vegas. 0.7 miles away, straight line.
Nearest home health agency office
Golden Home Care LLC, Las Vegas. 1.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Walgreens. 1.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 89121 as metropolitan (metropolitan core).
Dialysis within 15 miles
Davita Las Vegas Renal Center, Las Vegas, 2.6 miles away, straight line (CMS rating 1 of 5 stars)
Davita Desert Springs Dialysis, Las Vegas, 2.7 miles away, straight line (CMS rating 2 of 5 stars)
292513 South Pecos (Fmc), Las Vegas, 3.0 miles away, straight line (CMS rating 2 of 5 stars)
Hospice
99 Medicare hospices tell CMS they serve ZIP code 89121.
Genesis Hospice Care, office in Las Vegas, 2.0 miles away, straight line
Community Hospice Inc, office in Las Vegas, 2.0 miles away, straight line
Angels Hospice, Inc, office in Las Vegas, 2.0 miles away, straight line
Nearest geriatric medicine practice
Unlv Medicine, Las Vegas. 5.9 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard riskFEMA overall risk relatively low; outside FEMA's high-risk flood areas

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: relatively low. By hazard: inland flooding relatively low, wildfire very low, tornado very low, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

Questions to ask on a tour10 questions picked for this community from its record

Picked for this community from its record. Ask them in person and write down the answers.

  1. The state recorded a finding in August 2026. What was it, and how was it fixed?
  2. What does the base rate include, and when did rates last go up?
  3. How many caregivers are on duty during the day and at night?
  4. What happens if care needs increase? When would someone need to move?
  5. What fees are charged at move-in?
  6. How do you tell families about falls, illness or changes?
  7. How long have the executive director and the head of care been here?
  8. Who gives medications, and what training do they have?
  9. For what reasons can a resident be asked to leave?
  10. Is the apartment held during a hospital stay, and at what cost?
What we checked11 public sources we searched, with dates

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
Nevada Health Authority, Health Care Quality and Compliance (formerly DPBH, Bureau of Health Care Quality and Compliance) inspection recordsOct 15, 2026See above
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
Common questionsAnswers to 4 questions families ask
What type of care does Alternative Home Care provide?

Alternative Home Care is licensed by the state of Nevada for assisted living in Las Vegas, Nevada. Its licensed capacity is 10 residents.

Does Lilisity rate Alternative Home Care?

No. We publish state licensing details for Alternative Home Care but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.

How much does Alternative Home Care cost?

Assisted Living in Clark County typically starts at $3,400 to $5,200 a month. Based on 20 communities that publish prices. These are area figures, not this community's price. Alternative Home Care does not publish its prices.

How do I contact Alternative Home Care?

Visit Alternative Home Care at 4504 la Roca Circle, Las Vegas, NV 89121.

Choosing assisted livingOur care guide: what to look for, what it costs, how families pay, and more questions to ask (PDF)

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How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid