Harmony Manor Skilled Nursing Facility
118 East Haskell St · Winnemucca, NV · 89445 · 7756235222
42 certified beds Government - Hospital district Hospital-based
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- 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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 5.75 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.42 | 0.55–0.75 |
| Weekend hours / resident-day | 4.98 | ≈ weekday level |
| Nursing turnover / year | 38% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (24 in the current record)
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Potential for harm · D April 23, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 13, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 23, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 13, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 23, 2026
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 June 7, 2026 · Quality of Life and Care
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Potential for harm · D April 23, 2026
Observe each nurse aide's job performance and give regular training.
Corrected May 13, 2026 · Nursing and Physician Services
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Potential for harm · D April 23, 2026
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 13, 2026 · Administration
-
Potential for harm · D April 23, 2026
Provide and implement an infection prevention and control program.
Corrected May 15, 2026 · Infection Control
-
Potential for harm · D April 23, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 15, 2026 · Infection Control
-
Potential for harm · D April 23, 2026
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected May 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D April 23, 2026
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected May 4, 2026 · Administration
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Potential for harm · D April 23, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 12, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 6, 2025
Ensure each resident receives an accurate assessment.
Corrected February 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 6, 2025
Ensure the activities program is directed by a qualified professional.
Corrected February 25, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 6, 2025
Provide and implement an infection prevention and control program.
Corrected March 6, 2025 · Infection Control
-
No harm found · B February 6, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected February 24, 2025 · Resident Assessment and Care Planning
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No harm found · C February 6, 2025
Post nurse staffing information every day.
Corrected February 25, 2025 · Nursing and Physician Services
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Potential for harm · D April 4, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2024
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 April 17, 2024 · Quality of Life and Care
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Potential for harm · E April 4, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 19, 2024 · Pharmacy Service
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Potential for harm · D April 4, 2024
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.
Corrected April 15, 2024 · Pharmacy Service
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Potential for harm · D April 4, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected April 17, 2024 · Administration
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Potential for harm · D April 4, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected April 17, 2024 · Administration
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Potential for harm · D April 4, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 15, 2024 · Infection Control
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Potential for harm · D April 4, 2024
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 April 19, 2024 · Infection Control
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 295024 · certified since March 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.