South Lyon Medical Center
Yerington, Nevada · CCN 295011
19 surveys since 2011, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 146
- Surveys
- 19
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 49
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Lyon
- Medicare-certified since
- 1967
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 4
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 21 facilities with fewer than 66 beds in Nevada.
Last survey on record
Jul 30, 2026
102 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 | 4.22 | 5.76 |
| Registered-nurse hours per resident day | 1.16 | — |
| Annual nurse turnover | 61.8% | 44.8% |
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 | D4782.5% | E23.5% | F712.3% |
| No harm, potential for minimal | A— | B— | C11.8% |
Most frequently cited here
In CMS’s current monthly file.
- F8353×
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F8653×
Have a plan that describes the process for conducting QAPI and QAA activities.
- F8803×
Provide and implement an infection prevention and control program.
- F8813×
Implement a program that monitors antibiotic use.
- F5502×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
In the surveyor’s words
From the most serious findings on record at South Lyon Medical Center, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF835Feb 3, 2025
Based on observation, document review, and interview the facility failed to demonstrate effective administration by not ensuring the Chief Executive Officer (CEO) and the Chief Nursing Officer (CNO) adequately interpreted and implemented effective infection control protocols per the Centers for Disease Control and Prevention (CDC) guidance to effectively prevent the spread of COVID-19 (COVID) resulting in a wide spread outbreak of COVID amongst facility staff and residents. Findings include: A facility COVID tracking sheet documented between [DATE] and [DATE], 16 employees and 16 of 22 residents residing in the facility tested positive for COVID. (See Tag F880 for details). […]
- No harm, potential for more than minimal, widespreadF880Feb 3, 2025
Based on observation, record review, document review, and interview, the facility failed to ensure the Centers for Disease Control and Prevention (CDC) guidance and the facility's Infection Prevention and Control Plan (IPCP) were followed regarding the management of COVID-19 (COVID). This failure resulted in an outbreak of COVID within the facility resulting in 16 employees and 16 of 22 residents (Resident #14, #18, #4, #19, #9, #10, #3, #11, #16, #21, #15, #2, #5, #6, #17, and #12) becoming infected with COVID during September and [DATE]. Resident #12 was transferred to an acute care hospital for treatment of COVID symptoms the facility was not able to manage. Resident #12 expired during this hospitalization. […]
- No harm, potential for more than minimal, widespreadF835Jul 23, 2024
Based on observation, document review, and interview the facility failed to demonstrate effective administration by not ensuring the facility's influenza (flu) and pneumonia (PNA) vaccination program included 1) screening residents for eligibility to receive the vaccines, 2) the provision of education related to the risk and benefits of the vaccines to residents and/or the resident's representative preventing the resident or the resident's representative from making an informed decision regarding the vaccines, 3) a process for determining/selecting the correct PNA vaccine for each resident per the Centers for Disease Control and Prevention (CDC) guidance. This failure resulted in substandard quality of care. […]
- No harm, potential for more than minimal, widespreadF881Jul 23, 2024
Based on observation, clinical record review, interview, and document review the facility failed to ensure 1) the facility's Antibiotic Stewardship Program (ASP) policy was reviewed annually, 2) education regarding the ASP/antibiotic use was provided to staff and residents, #3) a process was in place to ensure the Infection Preventionist (IP) was made aware when a resident had a new infection and an antimicrobial medication was prescribed, 4) an antibiotic time out was performed to ensure the best treatment was being provided to residents, and 5) the IP had a process in place related to communicating infection, treatment, and prescribing concerns to prescribing providers. […]
- No harm, potential for more than minimal, widespreadF882Jul 23, 2024
Based on observation, clinical record review, interview, and document review the facility failed to ensure the Infection Preventionist ( IP) 1) completed a specialized IP training course, 2) provided education related to the Antibiotic Stewardship Program (ASP) to staff 3) understood and conducted an antibiotic time out (an active reassessment conducted of an antimicrobial prescription 48-72 hours after the first administration), 4) had a process in place to ensure residents and staff were offered vaccines (see tag F883 and F887), and 5) the IP communicated with providers regarding prescribing trends, needs, and outcomes, with the potential to effect the facility's entire census of 27 residents. […]
Read 20 findings in full →The most serious and the most recent: 20 of 146 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 30, 2026Complaint5 findings
- Jul 24, 2025Standard11 findings
- Feb 3, 2025Complaint3 findings
- Jul 23, 2024Standard24 findings
- Sep 26, 2023Standard14 findings
- Sep 15, 2022Standard16 findings
- Mar 9, 2022Complaint3 findings
- Sep 2, 2021Standard and complaint7 findings
Show the 11 earlier surveys
- Apr 29, 2021Complaint3 findings
- Nov 14, 2019Standard11 findings
- Oct 11, 2018Standard5 findings
- Dec 7, 2017Standard7 findings
- Jul 5, 2017Complaint1 finding
- Oct 20, 2016Standard2 findings
- Dec 9, 2015Standard14 findings
- Nov 5, 2014Standard3 findings
- Oct 30, 2013—10 findings
- Oct 23, 2012—4 findings
- Oct 21, 2011—3 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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