Please note: This is a Sole Source Notification. The Medical Director and physician assistant provide services and care to the residents and staff to the Southern Nevada State Veterans Home (SNSVH) in Boulder City, NV to include: Direct and coordinate medical care in the facility; Participating in review and recommendations of new policies and procedures in review and revision of existing P&P's related to resident care to ensure adequate comprehensive services; review pertinent incident/event report and recommend corrective or preventative actions and identify hazards to health and safety; Recommend in-service training programs for staff as necessary to promote high quality of care; Make rounds on each of the three neighborhoods at least once a month with Director of Nursing Services and/or Neighborhood Manager, observing resident care and making recommendations for optimal operations of the facility.