The short version. We score an agency’s record with Nevada HCQC: how many times the state has inspected it, what was cited and how serious it was, whether it has been sanctioned, and how long it has held a license. That is a compliance record, not a measure of care quality. We say so on every page that shows a score.
Why we rate on this and not on reviews
The obvious thing to do would be to show Google or Yelp stars. We do not, for two reasons. Their terms do not permit a directory to store their ratings or feed them into a score of its own. And more importantly, a handful of reviews written by whoever felt strongly enough to write one tells you less about an agency than the state’s own inspection record does — and far less than most people assume.
What the state publishes is genuinely useful and almost nobody uses it, because it is buried behind a search form that returns one agency at a time. We did the lookups.
What the state publishes, and what it does not
The state record for this county lists 695 inspections and 6 sanctions across the agencies we rate. An inspection report (the Statement of Deficiency) is posted online for 0 of those 695 inspections. So for nearly every agency we can tell you when the state inspected and whether it ever sanctioned, and we cannot tell you what the inspectors wrote down. Every agency page says which of its inspections have a report posted. The deficiency weights below apply only where a report exists.
What goes into the score
Every agency starts at 78. A license on its own is a floor, not a good record — points above the base have to be earned by evidence.
1. Cited deficiencies (up to −45)
Nevada Statements of Deficiency use the same scope and severity grid as federal health inspections. The letter combines how widespread a problem was with whether anyone was actually harmed. We weight accordingly:
| Letter | Meaning | Points |
|---|---|---|
| A | minimal | 1 |
| B | minimal | 1 |
| C | minimal | 2 |
| D | potential for harm, isolated | 3 |
| E | potential for harm, pattern | 6 |
| F | potential for harm, widespread | 10 |
| G | actual harm, isolated | 25 |
| H | actual harm, pattern | 30 |
| I | actual harm, widespread | 35 |
| J | immediate jeopardy, isolated | 50 |
| K | immediate jeopardy, pattern | 55 |
| L | immediate jeopardy, widespread | 60 |
2. State sanctions
Sanctions are the state acting, not merely observing, so they carry the most weight and they set a ceiling the rest of the score cannot lift an agency past.
| Sanction | Points | Ceiling |
|---|---|---|
| License revocation | 60 | caps the rating at 1 stars |
| License denial | 50 | caps the rating at 1 stars |
| License suspension | 45 | caps the rating at 2 stars |
| Ban on admissions | 30 | caps the rating at 3 stars |
| Directed plan of correction | 25 | caps the rating at 3 stars |
| Monetary penalty | 20 | caps the rating at 3 stars |
A repeat sanction of the same kind counts 1.5×. A sanction the state has recorded as closed is discounted by 25% — remediation should count for something. And any sanction, however old, keeps an agency out of the top band (4 stars maximum), because a twelve-year-old fine should stop counting for much without letting us call the record clean.
3. Clean surveys on record (up to +14)
Positive evidence, not merely the absence of bad news. Nothing cited across four surveys in twelve years means more than nothing cited in a single survey last year. This bonus is withheld entirely if anything was cited in the last 3 years — an agency is never penalized for findings and credited for cleanliness in the same breath.
3b. Inspected, never sanctioned (up to +11)
Most inspections in the state record are a date and a number with no report attached. For those we add 2 points per inspection that led to no sanction, up to 8, plus 3 if the most recent one was in the last 3 years. It is a smaller credit than a report we can read with nothing cited, because it is weaker evidence: it shows the state looked and did not sanction, not that nothing was cited. For the same reason, an agency with no readable report is capped at 4.5 stars: five stars requires a report we could read with nothing cited.
4. Years continuously licensed (up to +8)
Diminishing returns, and deliberately small. Long tenure means an operation survived staff turnover, ownership changes and regulatory cycles. It is survival, not quality, and we have seen long-established operators decline after an administrator left.
5. Capability markers (up to +6)
Small credit for things that widen who an agency can serve: certification as an Intermediary Service Organization (so it can take self-directed Medicaid clients), affiliation with a national brand that imposes its own training standards, registration in the national NPI registry, and operating more than one licensed location.
6. License standing
An agency whose license is past its renewal date loses points and gets a warning on its page. An agency the state no longer lists as active is removed from this site entirely.
How age is handled
A finding counts in full for two years, then decays smoothly to a floor of 10% at ten years. Old problems fade. They do not vanish, and we will not pretend a record is clean when it is only old.
Score to stars
Absolute thresholds, never a curve. If every agency in the county had a spotless record, every agency would score five stars — we are describing each one’s record, not ranking them against each other.
| Rating | Score | Band |
|---|---|---|
| 5 stars | score 95 and above | Clean record, well evidenced |
| 4.5 stars | score 88 and above | Clean record |
| 4 stars | score 80 and above | Minor findings, or an old sanction |
| 3.5 stars | score 70 and above | Minor findings |
| 3 stars | score 60 and above | Repeated or widespread findings |
| 2.5 stars | score 48 and above | Repeated or widespread findings |
| 2 stars | score 36 and above | Serious findings or a sanction |
| 1.5 stars | score 24 and above | Serious findings or a sanction |
| 1 stars | score 0 and above | Major enforcement history |
“Not yet surveyed”
An agency with no inspection on file gets no score. That is usually just a new license, and treating an absence of data as a finding would be dishonest. It is also worth knowing, so we say it rather than leaving a blank.
How the agencies in this county actually scored
Published because a rating whose distribution is hidden is not auditable.
| Rating | Agencies | Share |
|---|---|---|
| 4.5 stars | 189 | 48.5% |
| 4 stars | 195 | 50.0% |
| 3 stars | 3 | 0.8% |
| 2 stars | 3 | 0.8% |
15 more agencies have no state survey on file and are shown as “not yet surveyed” rather than scored.
What we deliberately do not use
The state’s own “disciplinary action” column
The results grid in the state license search has a Disciplinary Action column. It reads “N” for every agency in this county — including ones with suspensions and fines recorded on their own detail page. It carries no information, and using it would let us claim a clean record for agencies that do not have one. We ignore it and read the detail record instead.
Google, Yelp and BBB ratings
Google’s and Yelp’s terms bar a directory from storing their ratings or using them to build a score. BBB’s terms bar republication and aggregation outright, and a BBB grade is partly a function of whether a business pays for accreditation. None of them are in our score.
Employer review sites
Caregiver turnover is the single best predictor of how home care actually goes. Every source for it — Glassdoor, Indeed, Care.com — blocks automated access and prohibits republication. Scraping it anyway would make this methodology indefensible, which rather defeats the point. So the strongest signal in the industry is missing from our score, and you should ask every agency for its twelve-month retention rate yourself.
Anything an agency tells us about itself
Self-reported claims are not inputs.
Money and ratings
We are a paid referral service. Care providers pay us when a referral results in service. No agency can pay to raise its score, lower a competitor’s, or be left out of this directory. The score is computed from the state record by the code described on this page and nothing else. Agencies we work with are labelled as partners on their own page, so you can see the relationship rather than guess at it. If you ever find a discrepancy between what this page describes and what the site shows, tell us and we will publish the correction.
Corrections
If you run an agency and something here is wrong, call (725) 465-8617. We correct factual errors within one business day and note the correction on the page. We will not remove an accurate record, and we will not adjust a score as a commercial matter — but we will show your response alongside it if you want us to.
Refresh and versioning
Model version 1.1, dated 2026-11-11. Version 1.1 added the “inspected, never sanctioned” credit and rewrote the band labels, after a full pull of the state record showed that almost no inspection reports are posted online. We re-pull the state record periodically, and every agency page reflects the most recent pull. When the model changes we bump the version and say what changed.
Common questions
What does your star rating measure?
An agency's regulatory record with the state: inspections on file, deficiencies cited and how serious they were, state sanctions, and license standing and continuity. It does not measure care quality, which no public data source captures.
Can an agency pay you to improve its rating?
No. The score is computed from the state's public record. We are paid by care providers when a referral results in service, and that has no effect on any score. Agencies we work with are labelled as partners on their own page.
Why don't you use Google reviews?
Google's Maps Platform terms bar a directory from storing ratings or using them to create derived content, and Yelp's and BBB's terms are similar. Beyond the licensing question, a handful of self-selected reviews tells you less than the state's inspection record does.
What does 'not yet surveyed' mean?
The state has no inspection on file for that agency, usually because the license is recent. We do not score an agency without a record to score, and we do not treat the absence of one as a mark against it.
An old sanction still shows on our record. Will it ever come off?
Its weight decays to a floor of 10% by ten years, so its effect on the score becomes small. It continues to keep an agency out of the top band, because we would otherwise be describing a record as clean when it is only old. If the state removes it, so do we.
Sources for this page
- Nevada public license search — health facilities — Nevada HCQC, 2026.
- Find a Health Facility — Nevada HCQC, 2026.
- Health Facility Complaints — Nevada HCQC, 2026.
- Agency to Provide Personal Care Services in the Home — Nevada Bureau of Health Care Quality and Compliance, 2026.
- NAC Chapter 449 — including NAC 449.396 to 449.3982 — Nevada Legislature, 2026.
- NRS Chapter 449B — Agencies to Provide Personal Care Services and Related Entities — Nevada Legislature, 2025.
Reviewed by the Vegas Senior Advisor care team. Last updated November 11, 2026. Spot something wrong? Call (725) 465-8617 and we will correct it within one business day.
