Elko, NV

Highland Manor Of Elko Rehabilitation LLC

2-star overall rating with 2-star inspections with 17 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

2850 Ruby Vista Drive, Elko, NV

(775) 753-5500

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

146

Certified beds

Average residents

89

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

The Charly Bello Family, The Maze Family, The Swain Family, & Walter Myers

Operator or chain grouping

Approved since

2001-02-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.81

Registered nurse staffing

LPN hours / resident day

0.48

Licensed practical nurse staffing

Aide hours / resident day

1.78

Nurse aide staffing

Weekend hours

2.87

Weekend nurse staffing

RN turnover

27%

Annual RN turnover

Total nurse turnover

40%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.4
1.8
0.4 pts better
1.9
0.5 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.8
1.5
1.3 pts worse
1.8
1 pts worse
Long Stay · 20240701-20250630
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
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.7%
89.6%
9.1 pts better
95.5%
3.2 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.7%
2.3%
0.4 pts worse
3.3%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 2.1%
4.9%
2.8 pts better
11.4%
9.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 5.8%
5.6%
0.2 pts worse
5.4%
0.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.3%
22.2%
3.1 pts worse
19.6%
5.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 9.5%
18.5%
9 pts better
16.7%
7.2 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 26.2%
19.1%
7.1 pts worse
16.3%
9.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 18.8%
14.2%
4.6 pts worse
14.9%
3.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.4%
1.8%
1.4 pts better
1.0%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.2%
1.8%
1.4 pts worse
1.7%
1.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.8%
16.5%
7.3 pts worse
19.8%
4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.6%
5.5%
1.9 pts better
5.1%
1.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.4%
84.1%
14.3 pts better
81.7%
16.7 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 11.9%
9.8%
2.1 pts worse
12.0%
0.1 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.6%
1.6%
1 pts better
1.6%
1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 91.0%
80.7%
10.3 pts better
79.7%
11.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.7%
23.4%
1.7 pts better
23.9%
2.2 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-07-18 · Fire 2024-07-18

17 health deficiencies

Top issue: Infection Control (4 deficiencies)

8 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2023-05-18 · Fire 2023-05-18

7 health deficiencies

Top issue: Infection Control (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2022-03-31 · Fire 2022-03-31

3 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-07-18

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-09-01

E · Potential for more than minimal harm 2024-07-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-09-01

D · Potential for more than minimal harm 2024-07-18

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-09-01

D · Potential for more than minimal harm 2024-07-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-01

D · Potential for more than minimal harm 2024-07-18

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-09-01

D · Potential for more than minimal harm 2024-07-18

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-09-01

D · Potential for more than minimal harm 2024-07-18

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-09-01

D · Potential for more than minimal harm 2024-07-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-09-01

D · Potential for more than minimal harm 2023-05-18

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-05-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-05-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-06-30

B · Minimal harm 2023-05-18

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-06-30

E · Potential for more than minimal harm 2022-03-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-05-27

E · Potential for more than minimal harm 2022-03-31

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-05-27

D · Potential for more than minimal harm 2022-03-31

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2022-05-20

D · Potential for more than minimal harm 2022-03-31

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-05-20

D · Potential for more than minimal harm 2022-03-31

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-05-27

D · Potential for more than minimal harm 2022-03-31

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-05-27

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-07-18

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-09-01

F · Potential for more than minimal harm 2024-07-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-01

F · Potential for more than minimal harm 2024-07-18

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-09-01

E · Potential for more than minimal harm 2024-07-18

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-09-01

E · Potential for more than minimal harm 2024-07-18

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 2024-09-01

D · Potential for more than minimal harm 2024-07-18

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-09-01

D · Potential for more than minimal harm 2024-07-18

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-09-01

D · Potential for more than minimal harm 2024-07-18

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 2024-09-01

D · Potential for more than minimal harm 2024-07-18

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 2024-09-01

D · Potential for more than minimal harm 2024-07-18

F691 · Quality of Life and Care Deficiencies

Health

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2024-09-01

D · Potential for more than minimal harm 2024-07-18

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-01

D · Potential for more than minimal harm 2024-07-18

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-09-01

D · Potential for more than minimal harm 2024-07-18

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 2024-09-01

D · Potential for more than minimal harm 2024-07-18

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 2024-09-01

D · Potential for more than minimal harm 2024-07-18

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-09-01

B · Minimal harm 2024-07-18

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2024-09-01

B · Minimal harm 2024-07-18

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-09-01

D · Potential for more than minimal harm 2023-05-18

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-05-18

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 2023-06-30

D · Potential for more than minimal harm 2023-05-18

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 2023-06-30

D · Potential for more than minimal harm 2023-05-18

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-05-18

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-05-18

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-05-18

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 2023-06-30

E · Potential for more than minimal harm 2022-03-31

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-05-27

D · Potential for more than minimal harm 2022-03-31

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 2022-05-27

D · Potential for more than minimal harm 2022-03-31

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 2022-05-27

Penalties and ownership

What sits behind the stars

Ownership

Maze Family Limited Partnership

5% Or Greater Direct Ownership Interest · Organization

50% 18 facilities 2024-04-18
Charly Bello Family Limited Partnership

5% Or Greater Direct Ownership Interest · Organization

35% 18 facilities 2024-04-18
Myers, Katie

5% Or Greater Indirect Ownership Interest · Individual

24% 16 facilities 2024-04-18
Myers, Walter

5% Or Greater Indirect Ownership Interest · Individual

24% 23 facilities 2024-04-18
Swain, Holly

5% Or Greater Indirect Ownership Interest · Individual

17% 16 facilities 2024-04-18
Swain, Jared

5% Or Greater Indirect Ownership Interest · Individual

17% 21 facilities 2024-04-18
Mahrt, David

5% Or Greater Indirect Ownership Interest · Individual

15% 13 facilities 2024-04-18
Pickd LLC

5% Or Greater Direct Ownership Interest · Organization

15% 13 facilities 2024-04-18
Banford, Andrew

Operational/Managerial Control · Individual

0% 1 facilities 2024-04-18
Myers, Walter

Operational/Managerial Control · Individual

0% 23 facilities 2024-04-18
Rogers, Andrew

Operational/Managerial Control · Individual

0% 1 facilities 2024-04-18

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