Highland Manor of Elko Rehabilitation LLC
Elko, Nevada · CCN 295078
19 surveys since 2010. The first finding at harm level was recorded in 2014.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 171
- Surveys
- 19
- Harm or worse
- 4
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 146
- Ownership
- For profit - Limited Liability company
- Chain
- THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS
- County
- Elko · rural
- Medicare-certified since
- 2001
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 3
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 21 for-profit facilities with 128 or more beds in Nevada.
Last survey on record
Aug 7, 2025
459 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.37 | 3.51 |
| Registered-nurse hours per resident day | 0.71 | — |
| Annual nurse turnover | 45.5% | 42.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2371.9% | E39.4% | F412.5% |
| No harm, potential for minimal | A— | B26.3% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F6092×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6982×
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- F8422×
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
In the surveyor’s words
From the most serious findings on record at Highland Manor of Elko Rehabilitation LLC, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF881Aug 7, 2025
Based on interview and document review, the facility failed to ensure staff, residents, and residents' families were provided education at least annually regarding the facility's antibiotic stewardship program according to facility policy. This deficient practice had the potential to result in suboptimal treatment of infections and lack of knowledgeable staff to follow the facility's antibiotic use protocols.Findings include: On 08/07/2025 at 8:46 AM, the Infection Preventionist (IP) verbalized the IP provided education to staff regarding the facility's antibiotic stewardship program when staff had questions. […]
- No harm, potential for more than minimal, widespreadF812Jul 18, 2024
Based on observation, interview and document review the facility failed to ensure hand washing was performed between the passing of resident beverages, touching residents and in between assisting two residents with eating. Findings include: On 07/15/2024 at 4:55 PM, in preparation for dinner in the 600 hall dining room, a Certified Nursing Assistant (CNA) completed the following sequential tasks without performing hand hygiene between tasks: -The CNA assisted a resident to a dining room seat, patted the seat, and touched the resident's oxygen tubing to reposition the tubing. -Retrieved three glasses and filled with ice and water then served to residents. -Pushed a resident in a wheel chair to a table. -Touched a resident's shoulder. […]
- No harm, potential for more than minimal, widespreadF880Jul 18, 2024
Based on observation, clinical record review, interview, and document review the facility failed to ensure 1) Enhanced Barrier Precautions (EBP) were implemented for 2 of 7 sampled residents (Resident #58 and #69), 2) the facility peformed active infection surveillance for July 2024, 3) a Licensed Practical Nurse (LPN) performed hand hygiene between residents while administering medications and 4) a resident on contact precautions did not share a room with another resident who did not have the same infection with the same microorganism, did not have meals in a shared dining room, and staff understood the Personal Protective Equipment (PPE) requirements when entering a room with contact precuation signage in place for 1 of 18 sampled residents (Resident #40). […]
- No harm, potential for more than minimal, widespreadF881Jul 18, 2024
Based on document review and interview, the facility failed to ensure tracking and trending of infections and antibiotic use was accurately monitored and completed for July 2024 for 2 of 2 residents on an antibiotic and diagnosed with an infection (Resident #13 and #8). The deficient practice had the potential to affect the facility's entire resident census of 79. Findings include: Resident #13 Resident #13 was admitted to the facility on [DATE], with diagnoses including unspecified fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healing. […]
- No harm, potential for more than minimal, patternF812Aug 7, 2025
Based on observation, interview, and document review, the facility failed to ensure staff performed hand hygiene upon entering the food preparation area of the kitchen and kitchenettes, and sanitary food handling occurred during lunchtime meal service. This deficient practice had the potential to result in placing residents at risk for food-borne illnesses. Findings include: Hand Hygiene During an observation of lunch tray line, the following sequential events occurred without doffing gloves, performing hand hygiene, or donning clean gloves:-On 08/06/2025 at 11:18 AM, the dietary staff exited the food preparation area, entered the pantry, collected serving scoops, re-entered the food preparation area, placed the scoops into the hot hold station and began portioning food.-On 08/06/2025 at… […]
Read 24 findings in full →The most serious and the most recent: 24 of 171 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 13, 2026Complaint4 findings
- Aug 7, 2025Standard8 findings
- Jul 18, 2024Standard and complaint17 findings
- May 18, 2023Standard7 findings
- Mar 31, 2022Standard3 findings
- Jun 24, 2021Standard5 findings
- Dec 9, 2020Infection control1 finding
- Mar 3, 2020Complaint1 finding
Show the 11 earlier surveys
- Jun 24, 2019Standard16 findings
- Jun 21, 2018Standard and complaint12 findings
- Sep 14, 2017Standard10 findings
- Sep 29, 2016Standard16 findings
- Aug 20, 2015Standard10 findings · 3 harm
- Sep 11, 2014Standard7 findings · 1 harm
- Dec 5, 2013Standard and complaint12 findings
- May 22, 2013—1 finding
- Oct 11, 2012—13 findings
- Oct 14, 2011—12 findings
- Oct 15, 2010—16 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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