Lilisity

Assisted Living

Asi Spencer

4148 Spencer Street, Las Vegas, NV 89119 · Map
Licensed for 40 residents

State license active
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Asi Spencer is a state-licensed assisted living community in Las Vegas, Nevada. It is licensed for 40 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.

Assisted LivingCare offered
40 residentsLicensed capacity
State licensedResidential facility for groups, since 2021
$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

10Deficiencies cited
2Substantiated complaints

Last state inspection: Oct 13, 2026. See the record

License

Active, 40 residents

RESIDENTIAL FACILITY FOR GROUPS 9825-AGC-4, licensed since Nov 5, 2021.

Nearest emergency room

1.3 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
Asi Spencer this community40Not publishedActive10 deficiencies, 2 substantiated complaints
Sterling Ridge Senior Living0.1 mi127Not publishedActiveNo record
Mindful Caring0.4 mi10Not publishedActive6 deficiencies, 1 substantiated complaint
Spencer Luxury Care0.4 mi10Not publishedActiveNo record
The Bridge at Paradise Valley Assisted Living0.5 mi91Not publishedActiveNo record
State inspection record10 deficiencies, 2 substantiated complaints
Last state inspection
October 13, 2026 Annual licensure survey
State inspections
11
Deficiencies cited
10
Most recent grade from the state
A October 13, 2026
Complaints investigated
9: 2 substantiated, 7 not substantiated
State sanctions
0
  • No deficiencies cited at the last 2 inspections (July 2026 to October 2026)
  • License active since 2021

Most recent inspections with deficiencies

  • October 7, 2025, complaint investigation, annual licensure survey: 2 deficiencies, grade A
    • Medication - Resident Refusal (NAC 449.2742): Based on record review and interview, the facility failed to ensure physicians were notified within 12 hours regarding residents' refusal of medications for 2 of 10 sampled residents (Residents #8 and #10) . Resident #8 (R8) R8 was admitted on 02/28/24 with diagnoses including cerebrovascular accident with right side deficits, cancer left breast, and hyperlipidemia. severity 2 (potential for harm), scope 2 (pattern); correction date October 20, 2025
    • Administration of Medication Maintenance (NAC 449.2744): Based on record review, observation, and interview, the facility failed to ensure the Medication Administration Record was accurate for 1 of 10 sampled residents (Resident #7). severity 2 (potential for harm), scope 1 (isolated); correction date October 20, 2025
  • October 15, 2024, complaint investigation, annual licensure survey: 2 deficiencies, grade A
    • Permits-Comply with NAC 446 on Food Service (NAC 449.217): Based on observation on 10/15/2024, the facility failed to ensure the kitchen and supportive dining services complied with the standards of NAC 446. severity 2 (potential for harm), scope 3 (widespread); correction date October 24, 2024
    • Medication/OTCS, Supplements, Change Order (NAC 449.2742): Based on interview and record review, the facility failed to ensure a medication was onsite, and given in accordance with physicians orders, for 1 of 10 residents (Resident #6). severity 2 (potential for harm), scope 1 (isolated); correction date November 7, 2024
  • October 5, 2023, annual licensure survey: 3 deficiencies, 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 10, 2023
    • Permits-Comply with NAC 446 on Food Service (NAC 449.217): Based on observation on 10/05/2023, the facility failed to ensure the kitchen and supportive dining services complied with the standards of NAC 446. severity 2 (potential for harm), scope 2 (pattern); correction date October 31, 2023
    • Residents Requiring Use of Oxygen (NAC 449.2712): Based on observation and interview, the facility failed to ensure oxygen tanks were secured in a container. severity 2 (potential for harm), scope 1 (isolated); correction date October 6, 2023
  • October 12, 2022, complaint investigation, annual licensure survey: 2 deficiencies, grade A
    • Supervision and Treatment of Residents (NAC 449.259): Based on observation, interview, document review, and record review, the facility failed to ensure one resident received protective supervision during transport assistance for one of 11 sampled residents (Resident #11). severity 2 (potential for harm), scope 1 (isolated); correction date September 1, 2022
    • Medication/OTCS, Supplements, Change Order (NAC 449.2742): Based on interview, record review, and document review, the facility failed to ensure medications were administered per physician's orders for 3 of 11 sampled residents (Resident #4, #7, and #11). severity 2 (potential for harm), scope 1 (isolated); correction date November 1, 2022

Complaints with substantiated allegations

  • October 12, 2022: 1 complaint substantiated (some allegations)
  • August 8, 2022: 1 complaint substantiated (some allegations)

Read every report on the state’s site → Search license 9825-AGC-4, 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 40 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
9825-AGC-4
License status
Active
Licensed since
2021-11-05
Licensed capacity
40
Administrator
Shelle Sponseller

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.

Staff pay and workplace safety1 OSHA inspection, no violations cited

Federal records about how the employer here treats its staff.

OSHA workplace safety inspections

OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.

  • Dec 7, 2021: programmed (planned) inspection, partial (health). Case closed Dec 14, 2021. No violations cited. OSHA record. OSHA recorded the employer as Nevada Community Enrichment Program - Spencer Campus. Matched by street address; the name OSHA recorded differs from the community's.

Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.

Location and nearby careNearest hospital 1.3 mi, nursing home 0.6 mi, pharmacy 0.6 mi
Nearest hospital with an emergency room
Sunrise Hospital And Medical Center, Las Vegas. 1.3 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
Nearest Medicare nursing home
Trellis Paradise, Las Vegas. 0.6 miles away, straight line.
Nearest home health agency office
Carepro Home Healthcare Services, Las Vegas. 0.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Walgreens. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 89119 as metropolitan (metropolitan core).
Dialysis within 15 miles
Davita Desert Springs Dialysis, Las Vegas, 0.3 miles away, straight line (CMS rating 2 of 5 stars)
Davita Las Vegas Renal Center, Las Vegas, 0.8 miles away, straight line (CMS rating 1 of 5 stars)
Davita East Sunrise Dialysis, Las Vegas, 1.1 miles away, straight line (CMS rating 1 of 5 stars)
Hospice
88 Medicare hospices tell CMS they serve ZIP code 89119.
Carepro Hospice, LLC, office in Las Vegas, 0.1 miles away, straight line
Silver State Hospice Care, LLC, office in Las Vegas, 0.1 miles away, straight line
Galaxy Hospice, Inc, office in Las Vegas, 0.1 miles away, straight line
Nearest geriatric medicine practice
Unlv Medicine, Las Vegas. 3.7 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, tornado very low, heat wave relatively high, earthquake relatively moderate. 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 October 2025. 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, 2026See above
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: no FEMA wildfire rating of moderate or higher here
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 Asi Spencer provide?

Asi Spencer is licensed by the state of Nevada for assisted living in Las Vegas, Nevada. Its licensed capacity is 40 residents.

Does Lilisity rate Asi Spencer?

No. We publish state licensing details for Asi Spencer 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 Asi Spencer 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. Asi Spencer does not publish its prices.

How do I contact Asi Spencer?

Visit Asi Spencer at 4148 Spencer Street, Las Vegas, NV 89119.

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