Assisted Living
Paradise Crest Home Care
4462 Farmcrest Drive, Las Vegas, NV 89121 · Map
Licensed for 10 residents
Paradise Crest 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.
Prices
This community does not publish its prices.
Area costs
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
Last state inspection: Mar 10, 2026. See the record
License
Active, 10 residents
RESIDENTIAL FACILITY FOR GROUPS 297-AGC-41, licensed since Jan 1, 1998.
Nearest emergency room
2.9 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.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Paradise Crest Home Care this community | 10 | Not published | Active | 10 deficiencies, 3 substantiated complaints | |
| The Royal Place | 0.1 mi | 10 | Not published | Active | No record |
| Billman House | 0.3 mi | 6 | Not published | Active | 30 deficiencies, 4 substantiated complaints |
| Mayhill Manor | 0.3 mi | 6 | Not published | Active | 20 deficiencies, 1 substantiated complaint |
| Jewel of the Desert | 0.3 mi | 10 | $7,000/mo | Active | 2 deficiencies, 0 substantiated complaints |
State inspection record10 deficiencies, 3 substantiated complaints
- Last state inspection
- March 10, 2026 State inspection
- State inspections
- 8
- Deficiencies cited
- 10
- Most recent grade from the state
- A March 3, 2026
- Complaints investigated
- 7: 3 substantiated, 4 not substantiated
- State sanctions
- 0
- License active since 1998
Most recent inspections with deficiencies
- March 3, 2026, complaint investigation, annual licensure survey: 2 deficiencies, grade A
- Medication/OTCS, Supplements, Change Order (NAC 449.2742): Based on observation, document review, record review and interview, the facility failed to ensure medications were administered per physician orders for 1 of 9 residents (Resident #3). severity 2 (potential for harm), scope 1 (isolated); correction date March 4, 2026
- Administration of Medication Maintenance (NAC 449.2744): Based on observation, interview and record review, the facility failed to ensure the Medication Administration Record (MAR) accurately documented all medications for 2 of 9 residents (Resident #1 and #7). severity 2 (potential for harm), scope 1 (isolated); correction date March 1, 2026
- February 20, 2025, annual licensure survey: 2 deficiencies, grade A
- Rights of Residents; Procedure for Filing (NAC 449.268): Based on observation and interview, the facility failed to ensure 1 of 10 resident's were well groomed (Resident #1). severity 2 (potential for harm), scope 1 (isolated); correction date February 20, 2025
- Medication: Storage (NAC 449.2748): Based on observation and interview, the facility failed to ensure medications were secured. severity 2 (potential for harm), scope 3 (widespread); correction date February 20, 2025
- September 17, 2024, complaint investigation: 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 September 25, 2024
- February 2, 2023, infection control survey, annual licensure survey: 5 deficiencies, grade B
- Health & Sanitation - Maintain Int/ext (NAC 449.209): Based on observation and interview, the facility failed to ensure the interior and exterior of the premises was clean and maintained. severity 2 (potential for harm), scope 3 (widespread); correction date March 20, 2023
- Health & Sanitation-Temperature (NAC 449.209): Based on observation and interview the facility failed to ensure temperatures in a resident's room was maintained between 68 degrees Fahrenheit (*F) and 82 *F. severity 2 (potential for harm), scope 1 (isolated); correction date March 20, 2023
- Laundry & Linen Services Provided (NAC 449.213): Based on observation and interview, the facility failed to ensure the dryer in the laundry room was free of heavy lint build-up. severity 2 (potential for harm), scope 3 (widespread); correction date March 20, 2023
- Storage of Food-Perishable Foods Refrigerated (NAC 449.217): Based on observation and interview, the facility failed to ensure eggs were refrigerated. severity 2 (potential for harm), scope 3 (widespread); correction date March 20, 2023
- Medication/OTCS, Supplements, Change Order (NAC 449.2742): Based on observation, interview, and record review the facility failed to ensure physician orders were followed for a medication for 1 of 8 residents (Resident # 1). severity 2 (potential for harm), scope 1 (isolated); correction date March 20, 2023
Complaints with substantiated allegations
- April 28, 2025: 1 complaint substantiated
- September 17, 2024: 1 complaint substantiated
- May 17, 2023: 1 complaint substantiated
Read every report on the state’s site → Search license 297-AGC-41, 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
- 297-AGC-41
- License status
- Active
- Licensed since
- 1998-01-01
- Licensed capacity
- 10
- County
- Clark County
- Administrator
- Iredila Bynum
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 2.9 mi, nursing home 1.3 mi, pharmacy 0.6 mi
- Nearest hospital with an emergency room
- Sunrise Hospital And Medical Center, Las Vegas. 2.9 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Advanced Health Care of Paradise, Las Vegas. 1.3 miles away, straight line.
- Nearest home health agency office
- Golden Home Care LLC, Las Vegas. 0.5 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 89121 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Las Vegas Renal Center, Las Vegas, 1.6 miles away, straight line (CMS rating 1 of 5 stars)
Davita Desert Springs Dialysis, Las Vegas, 1.8 miles away, straight line (CMS rating 2 of 5 stars)
292513 South Pecos (Fmc), Las Vegas, 2.4 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, 1.1 miles away, straight line
Community Hospice Inc, office in Las Vegas, 1.1 miles away, straight line
Angels Hospice, Inc, office in Las Vegas, 1.1 miles away, straight line - Nearest geriatric medicine practice
- Unlv Medicine, Las Vegas. 5.3 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.
- The state recorded a finding in March 2026. What was it, and how was it fixed?
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
- 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.
| Source | Data as of | What we found |
|---|---|---|
| Nevada Health Authority, Health Care Quality and Compliance (formerly DPBH, Bureau of Health Care Quality and Compliance) inspection records | Oct 15, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Common questionsAnswers to 4 questions families ask
What type of care does Paradise Crest Home Care provide?
Paradise Crest 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 Paradise Crest Home Care?
No. We publish state licensing details for Paradise Crest 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 Paradise Crest 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. Paradise Crest Home Care does not publish its prices.
How do I contact Paradise Crest Home Care?
Visit Paradise Crest Home Care at 4462 Farmcrest Drive, Las Vegas, NV 89121.
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