I've been here twice in the past two weeks, both times on the advice/demand of my primary Dr. who wanted some kidney tests run immediately, instead of waiting for the insurance approval cycles involved in outpatient testing. He had me come in through the ER. It took fifteen hours to get admitted the first time, and nine hours the second.
The anesthesia and surgery provided was competent. The rooms have not been updated since the 80's. The food is poor institutional - I was able to lose ten pounds with a five day stay. There are some horrible hierarchical issues: I was NPO (nothing to eat or drink) for two days due to test/surgery, and the NPO order was not removed when I returned to my room, even though, in one case, the test technician needed for me to consume some food so that a differential test could be run. Nurses cannot lift an NPO order, only a Dr. can. It took multiple pages and an offer to escalate the issue to the director before the Dr. deemed responsible for me while I was in the hospital bothered to lift the NPO order.
The hospital clams to be a "teaching hospital." I have no idea what they teach, but I do find that information is not shared with specialists who might provide some insight into a patients condition.
Bottom line: if you get sick in Vegas, get out of town. There are real hospitals in Los Angeles and Phoenix. Vegas services are for those who can't go anywhere else.