Federal inspection record · CMS data as of October 1, 2026
Grover C Dils Medical Center SNF
700 N Spring St, Box 1010-C-Adm Bldg, Caliente, NV · (775) 726-3171
- Certified beds
- 16
- Residents per day
- 15
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 27, 1974
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nevada.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nevada homes
Grover C Dils Medical Center SNF carries 24 inspection points. That is fewer than 75% of Nevada's 65 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nevada: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–16 pts
- 4★ 16–29 pts
- 3★ 29–46 pts
- 2★ 46–74 pts
- 1★ over 74 pts
Bars show every rated home in Nevada by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
18 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care6E
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Resident Assessment and Care Planning5F
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- F
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Ensure each resident receives an accurate assessment.
Pharmacy Service2D
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Resident Rights2D
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Administration1C
- C
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspection history
2026-03-25
2 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2025-04-25
9 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-05-02
7 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 21 min of nursing staff time a day, 1 h 59 min of it from a registered nurse.
This home
4 h 21 min
Nevada average
4 h 20 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 27% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts better | 100.0% | 93.7% | 93.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better | 0.0% | 1.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5 pts better | 0.0% | 5.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.3 pts better | 0.0% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13.2 pts worse | 35.1% | 21.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication28.1 pts worse | 45.2% | 17.1% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.8 pts better | 5.6% | 12.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.8 pts better | 5.7% | 12.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts better | 0.0% | 1.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.8 pts better | 14.7% | 15.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers5.5 pts better | 0.0% | 5.5% | 4.5% |
·
Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Avery, Terry | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Avery, Terry | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Avery, Terry | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dirks, Sharon | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Dirks, Sharon | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Dirks, Sharon | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Katschke, Richard | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Katschke, Richard | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lloyd, Arthur | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Lloyd, Arthur | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Lloyd, Arthur | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mangum, Rozanne | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Mangum, Rozanne | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Mangum, Rozanne | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Miller, Douglas | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Miller, Douglas | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Miller, Douglas | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Rowe, Melissa | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Rowe, Melissa | Operational/Managerial Control · Individual | 0% | 2 facilities |
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Fire safety
21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems5F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Have proper medical gas storage and administration areas.
- D
Have proper power supply for life support equipment.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure that testing and maintenance of electrical equipment is performed.
Emergency Preparedness4F
- D
Conduct risk assessment and an All-Hazards approach.
- C
Establish policies and procedures for volunteers.
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for medical documentation.
Services2E
- E
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
Miscellaneous1F
- F
Provide a written emergency evacuation plan.
·
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