Please note: This is a Sole Source Notification. The SNSVH in Boulder City is currently the only State of Nevada owned and operated skilled nursing facility; is not comparable to any other State facility; and has special needs and requirements that do not always align with the State procurement process and therefore necessitate distinctive consideration. Dr. Jorgenson has served as the SNSVH Medical Director since October 2004. The Medical Director for SNSVH is a CMS required position uniquely involved and intertwined in the day-to-day treatment of the veteran residents and the development of staff. The only times a medical director is replaced in the skilled nursing facility industry is by termination, resignation, or retirement. Medical Director Jorgenson has become intimately involved with the veteran residents and their day-to-day care.