Highland Manor of Elko Rehabilitation LLC

2850 Ruby Vista Drive · Elko, NV · 89801 · 7757535500

146 certified beds For profit - Limited Liability company Chain: The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 75 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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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.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 52
Serious harm & abuse 20% 100
Staffing 20% 64
Federal penalties 15% 100
Trend 10% 80
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.013.48 min · 4.1 strong
RN hours / resident-day0.780.55–0.75
Weekend hours / resident-day2.89≈ weekday level
Nursing turnover / year45%median 45%
Fines (3-yr window)none

Inspection citations (32 in the current record)

  • Potential for harm · D August 7, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected September 19, 2025 · Resident Rights

  • Potential for harm · D August 7, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 19, 2025 · Quality of Life and Care

  • Potential for harm · D August 7, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected September 19, 2025 · Quality of Life and Care

  • Potential for harm · E August 7, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected September 19, 2025 · Nutrition and Dietary

  • Potential for harm · D August 7, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected September 19, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 7, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 19, 2025 · Infection Control

  • Potential for harm · F August 7, 2025

    Implement a program that monitors antibiotic use.

    Corrected September 19, 2025 · Infection Control

  • Potential for harm · D August 7, 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 September 19, 2025 · Infection Control

  • Potential for harm · D July 18, 2024

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected September 1, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 18, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected September 1, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 18, 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 September 1, 2024 · Quality of Life and Care

  • Potential for harm · D July 18, 2024

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Corrected September 1, 2024 · Quality of Life and Care

  • Potential for harm · D July 18, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected September 1, 2024 · Quality of Life and Care

  • Potential for harm · D July 18, 2024

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected September 1, 2024 · Quality of Life and Care

  • Potential for harm · E July 18, 2024

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected September 1, 2024 · Nursing and Physician Services

  • Potential for harm · D July 18, 2024

    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 September 1, 2024 · Pharmacy Service

  • Potential for harm · F July 18, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected September 1, 2024 · Nutrition and Dietary

  • Potential for harm · D July 18, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected September 1, 2024 · Resident Assessment and Care Planning

  • Potential for harm · F July 18, 2024

    Provide and implement an infection prevention and control program.

    Corrected September 1, 2024 · Infection Control

  • Potential for harm · F July 18, 2024

    Implement a program that monitors antibiotic use.

    Corrected September 1, 2024 · Infection Control

  • Potential for harm · E July 18, 2024

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Corrected September 1, 2024 · Infection Control

  • Potential for harm · D July 18, 2024

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected September 1, 2024 · Infection Control

  • Potential for harm · D July 18, 2024 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected September 1, 2024 · Resident Rights

  • No harm found · B July 18, 2024

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected September 1, 2024 · Resident Rights

  • No harm found · B July 18, 2024

    Post nurse staffing information every day.

    Corrected September 1, 2024 · Nursing and Physician Services

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data. 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 295078 · certified since February 16, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.