Nevada › Churchill County › Fallon
Highland Manor of Fallon Rehabilitation LLC
550 North Sherman Street, Fallon, NV 89406
CMS abuse iconSpecial Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Highland Manor of Fallon Rehabilitation LLC, in Fallon, Nevada, is certified for 102 beds under for-profit, corporation ownership.
CMS gives it 1 of 5 stars overall, below the Nevada median of 3; the health inspection rating is 1, staffing 1 and quality measures 4.
Inspectors recorded 79 health deficiencies across the three most recent survey cycles (22, 27, 30 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 77.5 per 100 beds, more than the state median of 27.8.
CMS lists 2 penalties in the period covered: fines totalling $90K.
Reported nurse staffing is 3.1 hours per resident per day (0.2 RN), below the Nevada median of 3.9; nursing staff turnover is 56.3%.
CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.
79health deficiencies, 3 survey cycles2 at actual harm or worse
$90Kfines listed by CMS2 penalties in period
3.1nurse hours per resident per daystate median 3.9
94%occupancy (residents ÷ beds)96 residents a day
Compared with county, state and nation
| Measure | This facility | Churchill Co. median | Nevada median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 79 | 79 | 29 | 28.7 |
| Citations per 100 beds | 77.5 | 77.5 | 27.8 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.1 | 3.9 | 3.9 |
| RN hours per resident day | 0.2 | 0.2 | 0.9 | 0.7 |
| Nursing staff turnover | 56.3% | 56.3% | 45.1% | 45.8% |
| Fines listed | $90,220 | $90,220 | $0 | — |
County and state figures are medians across facilities (1 in the county, 66 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Nevada average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Sep 2025, 22 Aug 2024.
Severity mix: G ×2 D ×65 E ×8 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 4 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 17 Oct 2025 |
| 4 Sep 2025 | F0641 | Ensure each resident receives an accurate assessment. | F | Standard survey | 17 Oct 2025 |
| 4 Sep 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 17 Oct 2025 |
| 4 Sep 2025 | F0761 | 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. | E | Standard survey | 17 Oct 2025 |
| 4 Sep 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 17 Oct 2025 |
| 4 Sep 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 17 Oct 2025 |
| 4 Sep 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 17 Oct 2025 |
| 4 Sep 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 17 Oct 2025 |
| 4 Sep 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 17 Oct 2025 |
| 4 Sep 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 17 Oct 2025 |
| 4 Sep 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 17 Oct 2025 |
| 4 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 17 Oct 2025 |
| 4 Sep 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 17 Oct 2025 |
| 4 Sep 2025 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 17 Oct 2025 |
| 4 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 17 Oct 2025 |
| 4 Sep 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 17 Oct 2025 |
| 4 Sep 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 17 Oct 2025 |
| 4 Sep 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint investigation | 17 Oct 2025 |
| 4 Sep 2025 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | Complaint investigation | 17 Oct 2025 |
| 4 Sep 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard survey | 17 Oct 2025 |
| 4 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Oct 2025 |
| 4 Sep 2025 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Standard survey | 17 Oct 2025 |
| 22 Jan 2025 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | E | Complaint investigation | 7 Feb 2025 |
| 12 Nov 2024 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 6 Dec 2024 |
| 12 Nov 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 6 Dec 2024 |
| 22 Aug 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0761 | 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. | E | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 6 Oct 2024 |
| 22 Aug 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 6 Oct 2024 |
| 22 Aug 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 6 Oct 2024 |
| 22 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 6 Oct 2024 |
| 22 Aug 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0680 | Ensure the activities program is directed by a qualified professional. | D | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard survey | 6 Oct 2024 |
| 30 Apr 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 17 Jun 2024 |
| 30 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 17 Jun 2024 |
| 30 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 17 Jun 2024 |
| 30 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 26 Jun 2024 |
| 30 Apr 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 26 Jun 2024 |
| 30 Apr 2024 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | Complaint investigation | 17 Jun 2024 |
| 30 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 17 Jun 2024 |
| 11 Sep 2023 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Complaint investigation | 5 Oct 2023 |
| 11 Sep 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 5 Oct 2023 |
| 11 Sep 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 5 Oct 2023 |
| 11 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 5 Oct 2023 |
| 8 Jun 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | F | Standard survey | 28 Jul 2023 |
| 8 Jun 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 28 Jul 2023 |
| 8 Jun 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 28 Jul 2023 |
| 8 Jun 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 28 Jul 2023 |
| 8 Jun 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 28 Jul 2023 |
| 8 Jun 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 28 Jul 2023 |
| 8 Jun 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 28 Jul 2023 |
| 8 Jun 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 28 Jul 2023 |
| 8 Jun 2023 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 28 Jul 2023 |
| 8 Jun 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 28 Jul 2023 |
| 8 Jun 2023 | F0761 | 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. | D | Standard survey | 28 Jul 2023 |
| 8 Jun 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 28 Jul 2023 |
| 8 Jun 2023 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 28 Jul 2023 |
| 8 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 28 Jul 2023 |
| 8 Jun 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 28 Jul 2023 |
| 8 Jun 2023 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard survey | 28 Jul 2023 |
| 8 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 28 Jul 2023 |
| 8 Jun 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 28 Jul 2023 |
| 8 Jun 2023 | F0887 | 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. | D | Standard survey | 28 Jul 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 4 Sep 2025 | Fine | $71,656 | |
| 12 Nov 2024 | Fine | $18,564 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Nevada average. Turnover: nursing staff 56.3%, RNs 86.7%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Nevada median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.2% | 12.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.3% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.9% | 1.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.8% | 13.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.6% | 4.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.7% | 14.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. CMS groups this facility with 19 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cottonwood Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 04/18/2024 |
| Cottonwood Healthcare LLC | Adp of the snf | NOT APPLICABLE | 01/17/2025 |
| Highland Manor Fallon Property Holdings Lls | Adp of the snf | NOT APPLICABLE | 01/17/2025 |
| Highland Manor of Fallon Holding LLC | Adp of the snf | NOT APPLICABLE | 08/15/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Highland Manor of Fallon Rehabilitation LLC been cited for?
79 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Nevada median is 29 per facility.
Has Highland Manor of Fallon Rehabilitation LLC been fined?
Yes. CMS lists fines totalling $90K in the period covered.
How does staffing at Highland Manor of Fallon Rehabilitation LLC compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Nevada median of 3.9 and a national average of 3.9.
Who operates Highland Manor of Fallon Rehabilitation LLC?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Cottonwood Healthcare LLC. Individual owners and managers are not listed on this site.
When was Highland Manor of Fallon Rehabilitation LLC last inspected?
The most recent survey or investigation in the CMS record is dated 4 Sep 2025; the most recent standard health survey was 4 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.