Gardnerville Health & Rehabilitation Center
1573 South Muller Pkwy · Gardnerville, NV · 89410 · 7757826620
60 certified beds For profit - Limited Liability company Chain: Evergreen Healthcare Group
Why this verdict
- Carries CMS’s abuse warning icon.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
73% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.53 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.02 | 0.55–0.75 |
| Weekend hours / resident-day | 2.84 | ≈ weekday level |
| Nursing turnover / year | 73% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (56 in the current record)
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Potential for harm · D March 17, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 3, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G May 1, 2025
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 May 23, 2025 · Quality of Life and Care
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Potential for harm · D May 1, 2025
Ensure each resident receives an accurate assessment.
Corrected May 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 1, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 1, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 1, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 23, 2025 · Quality of Life and Care
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Potential for harm · D May 1, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 23, 2025 · Quality of Life and Care
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Potential for harm · D May 1, 2025
Observe each nurse aide's job performance and give regular training.
Corrected May 23, 2025 · Nursing and Physician Services
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Potential for harm · D May 1, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected May 23, 2025 · Pharmacy Service
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Potential for harm · D May 1, 2025
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 May 23, 2025 · Pharmacy Service
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Potential for harm · D May 1, 2025
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected May 23, 2025 · Administration
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Potential for harm · D May 1, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 1, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 23, 2025 · Administration
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Potential for harm · F May 1, 2025
Provide and implement an infection prevention and control program.
Corrected May 23, 2025 · Infection Control
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Potential for harm · D May 1, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 23, 2025 · Infection Control
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Potential for harm · D May 1, 2025
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 May 23, 2025 · Infection Control
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Potential for harm · D May 1, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 23, 2025 · Resident Rights
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Potential for harm · D May 1, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected May 23, 2025 · Resident Rights
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Potential for harm · D May 1, 2025 · found via complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected May 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 1, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 1, 2025 · found via complaint
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected May 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 26, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 7, 2024 · Resident Rights
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Potential for harm · D June 26, 2024
Ensure each resident receives an accurate assessment.
Corrected August 7, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D June 26, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 7, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 295082 · certified since July 20, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.