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Assisted Living

Mesa Valley Estates

1328 Bertha Howe Ave, Mesquite, NV 89027 · Map
Licensed for 103 residents

State license active
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Mesa Valley Estates is a state-licensed assisted living community in Mesquite, Nevada. It is licensed for 103 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.

Assisted LivingCare offered
103 residentsLicensed capacity
State licensedResidential facility for groups, since 2019
$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

18Deficiencies cited
0Substantiated complaints

Last state inspection: Jan 28, 2026. See the record

License

Active, 103 residents

RESIDENTIAL FACILITY FOR GROUPS 9735-AGC-6, licensed since Oct 31, 2019.

State inspection record18 deficiencies, 0 substantiated complaints
Last state inspection
January 28, 2026 Annual licensure survey
State inspections
7
Deficiencies cited
18
Most recent grade from the state
A January 28, 2026
Complaints investigated
0
State sanctions
0
  • License active since 2019

Most recent inspections with deficiencies

  • January 28, 2026, annual licensure survey: 2 deficiencies, grade A
    • Permits-Comply with NAC 446 on Food Service (NAC 449.217): Based on observation on 01/28/2026, the facility failed to ensure the kitchen and supportive dining services complied with the standards of NAC 446. severity 2 (potential for harm), scope 1 (isolated); correction date January 28, 2026
    • Designation/Training persons for IC Program (NAC 449.0109): Based on record review and interviews, the facility failed to ensure 5 of 10 sampled employees completed the annual required infection control training for unlicensed caregivers (Employee # 5, # 7, # 8, # 9, and #10). severity 2 (potential for harm), scope 2 (pattern); correction date February 2, 2026
  • January 14, 2025, annual licensure survey: 3 deficiencies, grade A
    • Administrator's Responsibilities-Complete Rec (NAC 449.194): Based on interview and record review, the facility failed to ensure resident's physical exams were complete and accurate for 5 of 15 residents (Resident #1, Resident #2, Resident #4, Resident #5 and Resident #6). severity 2 (potential for harm), scope 2 (pattern); correction date February 10, 2025
    • Permits-Comply with NAC 446 on Food Service (NAC 449.217): Based on observation on 01/14/2025, 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 January 14, 2025
    • Preferred Name/Pronoun P& P (NAC 449.011943): Based on record review and interview, the facility lacked updated policies and procedures addressing the resident's preferred pronoun, gender expression and sexual orientation for 8 of 15 residents. (Residents #2, #4, #5, #6, #8, #10, #11 and #12). severity 2 (potential for harm), scope 3 (widespread); correction date February 10, 2025
  • January 11, 2024, infection control survey, annual licensure survey: 4 deficiencies, grade A
    • Administrator's Responsibilities - Oversight (NAC 449.194): Based on observation, interview, and document review, the facility failed to implement infection control interventions for the safety and protection of residents in response to COVID-19 within the facility. severity 2 (potential for harm), scope 3 (widespread); correction date January 26, 2024
    • Elder Abuse Training (NRS 449.093): Based on interview and document review, the facility failed to ensure training in the identification and prevention of elder abuse was completed for 1 of 18 sampled employees (Employee #1). severity 2 (potential for harm), scope 1 (isolated); correction date January 18, 2024
    • Medication Administration (NRS 449.0302): Based on record review and interview, the facility failed to ensure 1 of 18 sampled residents signed an ultimate user agreement (Resident #1). severity 2 (potential for harm), scope 1 (isolated); correction date January 11, 2024
    • Medication/OTCS, Supplements, Change Order (NAC 449.2742): Based on observation, interview and record review, the facility failed to ensure medications were onsite and available for 2 of 18 residents (Resident #17 and #18). severity 2 (potential for harm), scope 1 (isolated); correction date January 15, 2024
  • January 12, 2023, infection control survey, annual licensure survey: 6 deficiencies, grade B
    • Elder Abuse Training (NRS 449.093): Based on record review and interview, the facility failed to ensure 1 of 14 sampled employees completed annual training to recognize and prevent the abuse of older persons (Employee #7). severity 2 (potential for harm), scope 1 (isolated); correction date February 9, 2023
    • Limitation on Number of Residents (NAC 449.199): Based on observation, document review and interview, the facility failed to ensure the number of residents at the time of inspection did not exceed the specified number on the facility's license. severity 2 (potential for harm), scope 3 (widespread); correction date February 9, 2023
    • Permits-Comply with NAC 446 on Food Service (NAC 449.217): Based on observation on 01/11/2023, the facility failed to ensure the kitchen and supportive dining services complied with the standards of NAC 446. severity 2 (potential for harm), scope 3 (widespread); correction date January 13, 2023
    • Medication Administration (NRS 449.0302): Based on interview and record review, the facility failed to ensure an Ultimate User Agreement for the administration of medication was obtained for 1 of 20 residents (Resident #5). severity 2 (potential for harm), scope 1 (isolated); correction date January 12, 2023
    • Maintenance and Contents of Separate File (NAC 449.2749): Based on interview and document review, the facility failed to ensure an Activities of Daily Living (ADL) assessment was completed upon admission for 1 of 20 sampled residents (Resident #1). severity 2 (potential for harm), scope 1 (isolated); correction date December 21, 2022
    • Annual Assessment of History of Each Resident (NRS 449.1845): Based on record review and interview, the facility failed to obtain a Standard Physician Assessment and Placement Determination, per the requirement for 9 of 20 residents (Resident #1, #2, #3, #4, #5, #6, #7, #8, and #9). severity 2 (potential for harm), scope 2 (pattern); correction date March 31, 2023

Read every report on the state’s site → Search license 9735-AGC-6, 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 103 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
9735-AGC-6
License status
Active
Licensed since
2019-10-31
Licensed capacity
103
Administrator
Dan Altamirano

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, 7 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.

  • Apr 25, 2024: programmed (planned) inspection, complete (health). Case closed May 6, 2025. 7 violations cited (4 serious, 3 other). Penalties: $47,750 proposed, $28,650 now. OSHA record. OSHA recorded the employer as Mesa Assisted Living, LLC. Matched by street address; the name OSHA recorded differs from the community's.
    Details
    • Serious: Cited rule LCB. Penalty $11,292 proposed, $6,775 now. To be fixed by Sep 17, 2024.
    • Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(c)(1)(i)). Penalty $11,292 proposed, $6,775 now. To be fixed by Sep 17, 2024.
    • Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(g)(2)(i)). Penalty $11,292 proposed, $6,775 now. To be fixed by Sep 17, 2024.
    • Serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(h)(3)). Penalty $11,292 proposed, $6,775 now. To be fixed by Sep 17, 2024.
    • Other than serious: Electrical equipment and installation (1910.303(b)(2)). Penalty $906 proposed, $544 now. To be fixed by Sep 17, 2024.
    • Other than serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(f)(2)(iv)). Penalty $906 proposed, $544 now. To be fixed by Sep 17, 2024.
    • Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(e)(1)). Penalty $770 proposed, $462 now. To be fixed by Sep 17, 2024.

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.

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 January 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 checked8 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
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
The community’s own websiteCould not read the site
Common questionsAnswers to 4 questions families ask
What type of care does Mesa Valley Estates provide?

Mesa Valley Estates is licensed by the state of Nevada for assisted living in Mesquite, Nevada. Its licensed capacity is 103 residents.

Does Lilisity rate Mesa Valley Estates?

No. We publish state licensing details for Mesa Valley Estates 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 Mesa Valley Estates 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. Mesa Valley Estates does not publish its prices.

How do I contact Mesa Valley Estates?

Use Mesa Valley Estates's website, mesavalleyestates.net, or visit at 1328 Bertha Howe Ave, Mesquite, NV 89027.

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

Report a wrong fact

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