Federal inspection record · CMS data as of October 1, 2026
Pahrump Health And Rehabilitation
4501 N Blagg Road, Pahrump, NV · (775) 751-6600
- Certified beds
- 120
- Residents per day
- 105
- Ownership
- For-Profit
- Chain
- Evergreen Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 15, 2000
1
How this home got 3 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.
-
Staffing
★★★★★no change
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
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nevada homes
Pahrump Health And Rehabilitation carries 36 inspection points. That is fewer than 51% 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
23 health citations on record since 2023. 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.
Harm and immediate-jeopardy citations (2)
-
G
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Everything else, by area of care
Quality of Life and Care8D
- 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, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service3D
- 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.
- D
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.
- 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 Assessment and Care Planning3D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Rights2E
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- 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.
Administration2E
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-12-19
5 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-10-11
7 health deficiencies · 7 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-11-30
11 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 17 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
3 h 17 min
Nevada average
4 h 20 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 63% 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
Fines and payment denials
$40,427 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-11 | Fine | $26,800 |
| 2024-04-09 | Fine | $13,627 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.6 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse | 2.1 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better | 99.1% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6 pts better | 98.8% | 92.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts worse | 3.1% | 1.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.4 pts worse | 6.4% | 5.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts better | 4.9% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5 pts worse | 26.9% | 21.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.1 pts better | 13.0% | 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 worsened1 pts better | 11.4% | 12.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.7 pts better | 7.8% | 12.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.2 pts better | 0.2% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts better | 0.3% | 1.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.7 pts better | 10.8% | 15.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts worse | 5.9% | 5.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.2 pts better | 86.2% | 85.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.2 pts better | 6.9% | 9.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse | 2.2% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.4 pts worse | 74.1% | 82.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission11.6 pts worse | 33.5% | 21.9% | 23.4% |
·
Who owns and runs it
37 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 |
|---|---|---|---|
| Ch Pacific Northwest Holdings LLC | Indirect Ownership Interest · Organization | 0% | 22 facilities |
| Ch Pacific Northwest Holdings LLC | Adp Of The SNF · Organization | 0% | 22 facilities |
| Couve Financial Services LLC | Operational/Managerial Control · Organization | 0% | 41 facilities |
| Couve Financial Services LLC | Adp Of The SNF · Organization | 0% | 41 facilities |
| Couve Healthcare Consulting LLC | Operational/Managerial Control · Organization | 0% | 50 facilities |
| Couve Healthcare Consulting LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Earl, Steven | Managing Control - Governing Body · Individual | 0% | 24 facilities |
| Earl, Steven | Operational/Managerial Control · Individual | 0% | 24 facilities |
| Earl, Steven | Adp Of The SNF · Individual | 0% | 24 facilities |
| Herzka, Yisroel | Indirect Ownership Interest · Individual | 0% | 75 facilities |
| Herzka, Yisroel | Adp Of The SNF · Individual | 0% | 75 facilities |
| Jorgenson, Craig | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Jorgenson, Craig | Adp Of The SNF · Individual | 0% | 2 facilities |
| Mortillaro, Cathy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mortillaro, Cathy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Nevada SNF Consulting LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Nevada SNF Consulting LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Pacific Northwest Opco Management LLC | Operational/Managerial Control · Organization | 0% | 29 facilities |
| Pacific Northwest Opco Management LLC | Adp Of The SNF · Organization | 0% | 29 facilities |
| Pacific Northwest SNF Operations Holdings (Nv) LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Pacific Northwest SNF Operations Holdings LLC | Indirect Ownership Interest · Organization | 0% | 16 facilities |
| Pahrump SNF Operations, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Pahrump SNF Operations, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Pahrump SNF Realty LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Riker, Michelle | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Riker, Michelle | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Riker, Michelle | Adp Of The SNF · Individual | 0% | 3 facilities |
| Spielman, Shimon | Operational/Managerial Control · Individual | 0% | 48 facilities |
| Spielman, Shimon | Adp Of The SNF · Individual | 0% | 48 facilities |
| Thayer, Inez | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Thayer, Inez | Adp Of The SNF · Individual | 0% | 2 facilities |
| Witzcorp Global LLC | Indirect Ownership Interest · Organization | 0% | 21 facilities |
| Witzcorp Global LLC | Adp Of The SNF · Organization | 0% | 21 facilities |
| Yenowitz, Yitzchok | Indirect Ownership Interest · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Adp Of The SNF · Individual | 0% | 50 facilities |
·
Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness6F
- F
Establish roles under a Waiver declared by secretary.
- F
Conduct testing and exercise requirements.
- F
Address patient/client population and determine types of services needed.
- E
Address subsistence needs for staff and patients.
- E
Conduct testing and exercise requirements.
- E
Conduct risk assessment and an All-Hazards approach.
Smoke4F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install a fire alarm system that can be heard throughout the facility.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous2F
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have restrictions on the use of highly flammable decorations.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Ensure that testing and maintenance of electrical equipment is performed.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
Construction1D
- D
Meet other general requirements.
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