Battle Mountain, NV

Battle Mountain General Hospital

3-star overall rating with 4-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

535 S. Humboldt Street, Battle Mountain, NV

(775) 635-2550

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

25

Certified beds

Average residents

20

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1997-12-10

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Discharge to community Not Available
50.57%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary Not Available
1.02
No data were submitted for this measure.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 135
Staff flu vaccination coverage 100%
42%
58 pts better
Numerator 28 · Denominator 28
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.7
1.8
1.1 pts better
1.9
1.2 pts better
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.5 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.4
1.5
0.1 pts better
1.8
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
91.5%
8.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
89.6%
10.4 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 4.7%
2.3%
2.4 pts worse
3.3%
1.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.5% · Q3 4.5% · Q4 4.8% · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
4.9%
4.9 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 7.1%
5.6%
1.5 pts worse
5.4%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 4.5% · Q3 4.5% · Q4 14.3% · 4Q avg 7.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.3%
22.2%
5.9 pts better
19.6%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 18.2% · Q3 13.6% · Q4 14.3% · 4Q avg 16.3%
Percentage of long-stay residents who received an antipsychotic medication 17.1%
18.5%
1.4 pts better
16.7%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 10.8%
19.1%
8.3 pts better
16.3%
5.5 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 6.9%
14.2%
7.3 pts better
14.9%
8 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 19.4%
1.8%
17.6 pts worse
1.0%
18.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q2 21.0% · Q3 16.0% · Q4 15.9% · 4Q avg 19.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 4.7%
1.8%
2.9 pts worse
1.7%
3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.5% · Q3 4.5% · Q4 9.5% · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 4.7%
16.5%
11.8 pts better
19.8%
15.1 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.7%
Percentage of long-stay residents with pressure ulcers 2.0%
5.5%
3.5 pts better
5.1%
3.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 8.1% · 4Q avg 2.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-06 · Fire 2025-02-06

9 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-01-11 · Fire 2024-01-11

8 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-11-03 · Fire 2022-11-03

14 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-02-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-02-06

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-03-03

F · Potential for more than minimal harm 2024-01-11

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2024-02-01

D · Potential for more than minimal harm 2024-01-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-01

D · Potential for more than minimal harm 2024-01-11

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-02-01

D · Potential for more than minimal harm 2022-11-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-11-03

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-12-16

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-02-06

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-02-06

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-03-14

D · Potential for more than minimal harm 2025-02-06

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-03-14

D · Potential for more than minimal harm 2025-02-06

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-14

D · Potential for more than minimal harm 2025-02-06

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-03-14

C · Minimal harm 2025-02-06

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-03-03

C · Minimal harm 2025-02-06

F642 · Resident Assessment and Care Planning Deficiencies

Health

Ensure a qualified health professional conducts resident assessments.

Corrected 2025-03-03

C · Minimal harm 2025-02-06

F731 · Nursing and Physician Services Deficiencies

Health

Request a waiver if it can't meet the nurse staffing requirements.

Corrected 2025-03-14

C · Minimal harm 2025-02-06

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-03-03

D · Potential for more than minimal harm 2024-01-11

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-02-09

D · Potential for more than minimal harm 2024-01-11

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-02-09

D · Potential for more than minimal harm 2024-01-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-02-09

D · Potential for more than minimal harm 2024-01-11

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-02-09

D · Potential for more than minimal harm 2024-01-11

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-02-09

D · Potential for more than minimal harm 2024-01-11

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-02-09

D · Potential for more than minimal harm 2024-01-11

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2024-02-09

D · Potential for more than minimal harm 2024-01-11

F826 · Quality of Life and Care Deficiencies

Health

Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.

Corrected 2024-02-09

D · Potential for more than minimal harm 2024-01-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-02-09

D · Potential for more than minimal harm 2022-11-03

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-11-03

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-11-03

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2022-12-16

D · Potential for more than minimal harm 2022-11-03

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-11-03

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-11-03

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-11-03

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-11-03

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-12-08

D · Potential for more than minimal harm 2022-11-03

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-11-03

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-11-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-12-08

D · Potential for more than minimal harm 2022-11-03

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-11-03

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2022-12-02

Penalties and ownership

What sits behind the stars

Ownership

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