1573 South Muller Pkwy, Gardnerville, NV 89410 · Douglas County · (775) 782-6620
60 certified beds, about 50 residents a day · For profit - Corporation · Medicare and Medicaid since 2004
CMS Care Compare ratings, data as of September 1, 2026 · CCN 295082 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 29, 2026, inspectors cited 19 health deficiencies (the Nevada average is 9.7, the national average 9.2).
Of 54 health citations since June 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.69 hours per resident per day, against 4.34 across Nevada and 3.86 nationally. Registered nurses accounted for 0.91 of those hours.
63.6% of nursing staff left within the year CMS measured (Nevada average 45.1%).
CMS links it to Evergreen Healthcare Group, an affiliated group of 43 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 54 health citations on file.
Inspectors wroteBased on clinical record review, interview, and document review, the facility failed to ensure 5 of 5 residents reviewed for immunizations (Resident #15, #5, #59, #46, and #1) were eligible to receive pneumococcal vaccines by failing to assess immunization status, determine if additional vaccine doses were indicated based on current Center for Disease Control and Prevention (CDC) recommendations and identifying contraindications or precautions prior to making a vaccine determination. This deficient practice resulted in Substandard Quality of Care and had the potential for residents to receive unnecessary vaccines and for eligible residents to not be offered recommended immunizations, placing the residents at increased risk for developing vaccine-preventable illnesses, including pneumococcal disease.
Inspectors wroteBased on interview and record review, the facility failed to provide sufficient nursing staff to meet the needs of residents as identified in the facility assessment for 6 of 25 reviewed days. This deficient practice had the potential to result in staffing levels below the facility established Per Patient Day (PPD) requirements and had the potential to negatively affect resident care, safety, and timely delivery of services.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure 1) medications were accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorized to administer medication and 2) 2 of 2 medication storage carts were kept clean and organized when medications which were contaminated and/or in a container without a secure closure were not immediately removed from stock and disposed of. This deficient practice had the potential to result in unauthorized access to medication, misuse of medication within the facility and contaminated medication to be administered to residents.
Inspectors wroteBased on observation, interview, record review and document review, the facility failed to make prompt efforts to resolve grievances when a grievance form was not given to facility leadership timely for 1 of 14 sampled residents (Resident #40). This deficient practice had the potential to result in residents having unresolved complaints/grievances.
Inspectors wroteBased on interview, observation, and record review, the facility failed to ensure a resident remained free from verbal abuse when a Certified Nursing Assistant (CNA) used an elevated tone, and re entered the resident's room after being removed for 1 of 52 residents (Resident #23). This deficient practice had the potential to put residents at risk for emotional harm.
Inspectors wroteBased on record review and interview, the facility failed to develop an initial care plan for a peripherally inserted central catheter (PICC) line for 1 of 14 sampled residents (Resident #59). This failure created the potential for unmet care needs related to management of the PICC line.
Inspectors wroteBased on observation, interview, clinical record review, and document review, the facility failed to ensure care plans were developed related to 1) the monitoring and supervision of high-risk medications including narcotics and diuretics, 2) the care of indwelling devices, and 3) pain management for 3 of 14 sampled residents (Resident #38, #5, and #18). This deficient practice had the potential to result in residents not receiving the necessary care and services to ensure medications were monitored for the appropriate side effects including increased risk for falls, severe hypotension, constipation, bowel impaction, and complications related to other potential side effects of narcotic and diuretic medications, increased risk for catheter-associated urinary tract infections (CAUTIs), and unrelieved pain.
Inspectors wroteBased on observation, interview, clinical record review and document review, the facility failed to ensure staff received training and were deemed competent by the facility to provide care to Peripherally Inserted Central Catheters (PICCs) prior to being assigned to care for 1 of 14 sampled residents (Resident #59). This deficient practice had the potential to result in insertion site and blood stream infections for residents due to lack of knowledge of correct technique for dressing changes and signs and symptoms of potential complications.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident received timely bathing, hygiene, and personal care services consistent with the resident's needs and preferences for 1 of 14 sampled residents (Resident #44). This deficient practice had the potential to result in residents not receiving routine bathing services, caused extended periods without showers, and failed to maintain dignity, comfort, and basic hygiene.
Inspectors wroteBased on observation, interview, clinical record review and document review, the facility failed to ensure Peripherally Inserted Central Catheter (PICC) line dressing changes were performed according to physician orders for 1 of 14 sampled residents (Resident #59). This deficient practice had the potential to result in insertion site and bloodstream infections for residents.
Inspectors wroteBased on observation, interview, clinical record review and document review, the facility failed to ensure the administration of a controlled medication was documented in the controlled drug record for 1 unsampled resident (Resident #31). This deficient practice had the potential to result in inaccurate record keeping of the administration of controlled substances, misappropriation of a resident's medications and a resident's symptoms not being managed effectively.
Inspectors wroteBased on observation, interview, clinical record review and document review, the facility failed to ensure medications were administered with an error rate of less than five percent (%). There were 29 opportunities observed and two errors. The medication error rate was 6.9%. This deficient practice had the potential to result in residents receiving medications in a manner inconsistent with physician orders and professional standards, placing them at risk for ineffective treatment, adverse drug reactions, and compromised health outcomes.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain accurate and complete clinical records for 1 of 14 sampled residents (Resident #44) when the facility did not ensure bathing documentation, refusal documentation was accurately recorded and to ensure residents with indwelling urinary catheters received care and services necessary to prevent Urinary Tract Infections (UTIs) including care planning and catheter care/cleaning for 3 of 14 sampled residents (Residents #59, #5, and #18). This deficient practice had the potential to result in incomplete medical records resulting in an inaccurate representation of the residents' care needs, services provided and risks for complications related to catheter use including obstruction, UTI, and sepsis.
Inspectors wroteBased on interview and document review, the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to identify the facility lacked a process to ensure residents were screened for eligibility to receive an influenza and/or pneumococcal vaccine upon admit and annually thereafter. This deficient practice resulted in a substandard quality of care related to the facility's immunization program.
Inspectors wroteBased on interview, personnel record review, and document review, the facility failed to ensure initial and annual communication training was completed timely per facility policy for 8 of 20 sampled employees (Employee #4, #10, #11, #12, #13, #15, #16 and #17). This deficient practice had the potential to prevent residents with communication needs from attaining or maintaining their highest practicable physical, mental and psychosocial well-being.
Inspectors wroteBased on interview, personnel record review, and document review, the facility failed to ensure initial Quality Assurance and Performance Improvement (QAPI) training was completed timely per facility policy for 5 of 20 sampled employees (Employee #9, #10, #15, #16 and #17). This deficient practice had the potential to put residents at risk of receiving care from employees unaware of facility regulations.
Inspectors wroteBased on interview, personnel record review, and document review, the facility failed to ensure initial and annual infection control training was completed timely per facility policy for 3 of 20 sampled employees (Employee #9, #15 and #16). This deficient practice had the potential to put residents at risk of contracting avoidable infections and diseases.
Inspectors wroteBased on interview, personnel record review, and document review, the facility failed to ensure initial and annual compliance and ethics training was completed timely per facility policy for 3 of 20 sampled employees (Employee #2, #9 and #16). This deficient practice had the potential to put residents at risk of receiving care from employees unaware of facility regulations.
Inspectors wroteBased on interview, personnel record review, and document review, the facility failed to ensure initial and annual Behavioral Health training was completed timely per facility policy for 15 of 20 sampled employees (Employee #1, #2, #3, #5, #6, #7, #8, #9, #10, #12, #13, #14, #15, #16, and #17). This deficient practice had the potential to put residents at risk of receiving care from employees unaware of facility regulations.
Inspectors wroteBased on clinical record review, employee record review, interviews, and document review, the facility failed to ensure a resident was protected from physical abuse by an employee (Employee #4) while providing care for 1 of 9 sampled residents (Resident #1). This deficient practice has the potential to place residents at risk for further abuse, compromised safety, and unmet care needs.
Inspectors wroteBased on observation, interview, clinical record review, and document review the facility failed to ensure 1 of 13 sampled residents (Resident #27) received appropriate care to prevent a urinary tract infection (UTI) when facility policy and Centers for Disease Control and Prevention (CDC) recommendations related to Transmission-Based Precautions (TBP) were not followed and the resident remained in a shared room with another resident known to have an active infection with a Multidrug-Resistant Organism (MDRO). This deficient practice resulted in potentially avoidable isolation of the resident, UTI with an MDRO, and treatment with Intravenous (IV) antibiotics (ABX).
Inspectors wroteBased on observation, interview, clinical record review, and document review, the facility failed to ensure Transmission-Based Precautions (TBP) were implemented according to facility policy and Centers for Disease Control and Prevention (CDC) recommendations for 1 of 13 sampled residents (Resident #27) and Enhanced-Barrier Precautions (EBP) were implemented for 3 of 5 residents meeting criteria for EBP (Resident #20, #6, and #15). This deficient practice had the potential to increase risk of spreading infectious organisms throughout the facility.
Inspectors wroteAn initial report for FRI #NV00073619, with an allegation a Certified Nursing Assistant was verbally abusive toward a resident was submitted to the SA on 03/06/2025. A review of progress notes related to the incident revealed the incident occurred on 03/04/2025. Based on interview and document review, the facility failed to ensure an allegation of abuse, neglect and a fall resulting in serious bodily injury was reported to the State Agency (SA) within the required time frame for 7 of 10 Facility Reported Incidents (FRI). This deficient practice could result in allegations of abuse and neglect not being investigated by the facility and/or the SA timely. An initial report for FRI #NV00073584, with an allegation of Resident-to-Resident physical abuse was submitted to the SA on 03/03/2025. The report documented the alleged incident occurred on 02/25/2025. [...]
Inspectors wroteBased on clinical record review, interview and document review the facility failed to ensure a device evaluation was completed and consent obtained prior to placing a resident's mattress on the floor for 1 of 24 residents sampled related to Facility Reported Incidents (FRIs). This deficient practice had the potential to deprive a resident/resident representative of the right to be informed of the risks and benefits of an intervention which could restrict the resident's freedom of movement.
Inspectors wroteBased on interview, clinical record review, and document review, the facility failed to ensure a Licensed Practical Nurse (LPN) treated a resident with dignity and did not seclude the resident, leaving the resident only in a brief and a t-shirt in the dining room while experiencing behaviors for 1 of 24 residents sampled related to facility reported incidents (FRI) (Resident #43). This deficient practice had the potential to result in the resident experiencing psychosocial harm or emotional distress due to not being treated with respect and dignity.
Inspectors wroteBased on interview, clinical record review, and document review, the facility failed to protect 1 of 24 residents sampled for Facility Reported Incidents (FRI) free from involuntary seclusion. The deficient practice had the potential to cause the resident psychosocial harm or emotional distress by placing the resident alone in the common dining room, closing the door, and leaving the resident isolated from others.
Inspectors wroteBased on clinical record review, interview, and document review the facility failed to ensure a Minimum Data Set 3.0 (MDS) assessment was accurate for 1 of 13 sampled residents (Resident #29). This deficient practice had the potential to deprive residents of necessary care and services relative to current health management needs in the facility.
Inspectors wroteBased on observation, interview, record review and document review, the facility failed to ensure 1) the facility had a process in place to identify and refer residents for pre-admission screening and resident review (PASARR) level II and 2) to initiate a submission for a determination of a Preadmission Screening and Resident Review (PASARR) level I for 1 of 13 sampled residents (Resident 4). The deficient practice had the potential to deprive residents from obtaining appropriate behavioral health services.
Inspectors wroteBased on observation, interview, clinical record review, and document review the facility failed to ensure Oxygen use and associated diagnoses were care planned for 1 of 13 sampled residents (Resident #34). This deficient practice had the potential to result in staff working with the resident to be unaware of the need to monitor the resident for shortness of breath or difficulty breathing, provide Oxygen as ordered, and monitor Oxygen saturation.
Inspectors wroteBased on observation, interview, record review and document review, the facility failed to ensure a resident who relied on staff for Activities of Daily Living (ADLs) received scheduled showers or baths as required for 1 of 13 sampled residents (Resident #19). The deficient practice had the potential to increase skin breakdown, infections, odor, and bacteria buildup.
Inspectors wroteBased on observation, interview, clinical record review, and document review the facility failed to ensure oxygen was administered according to a physician's order for 1 of 13 sampled residents (Resident #34). This deficient practice had the potential to cause worsening of the resident's diagnosed chronic obstructive pulmonary disease.
Inspectors wroteBased on personnel record review and interview, the facility failed to ensure a Certified Nursing Assistant (CNA) employed greater than one year had a performance review completed annually for 1 of 3 CNAs reviewed for completed performance review. This deficient practice had the potential to affect all residents when the facility did not identify areas of CNA performance in need of insevice education/training.
Inspectors wroteBased on observation, interview, clinical record review, and document review the facility failed to ensure medications were administered with an error rate of less than five percent (%). There were 26 opportunities observed and two errors. The medication error rate was 7.69%.
Inspectors wroteBased on observation, interview, and document review the facility failed to ensure a multi-dose vial was labeled with the date the vial was opened in 1 of 1 medication storage rooms inspected. This deficient practice placed residents at risk for injection with expired Tuberculin Purified Protein Derivative (PPD) solution and potentially inaccurate Tuberculin PPD skin test results.
Inspectors wroteBased on interview and document review, the facility failed to ensure the Facility Assessment (FA) was reviewed, updated, included input from and was approved by facility leadership and management Quality Assessment and Assurance (QAA) Committee. The deficient practice could result in the facility not being able to determine what resources were necessary to care for its residents competently.
Inspectors wroteBased on observation, interview, clinical record review, and document review the facility failed to ensure 1) As Needed (PRN) medications were documented timely for 1 of 6 residents observed for medication administration (Resident #7) and 2) a wound care order was entered into the Electronic Medical Record (EMR) for 1 of 13 sampled residents (Resident #12). This deficient practice had the potential for duplicate administration of PRN medications, accurate Medication Administration Records (MARs) to not be available for review during a change in condition or required transfer to the hospital, and for staff providing care to a resident to not be aware of physician ordered care.
Inspectors wroteBased on interview, record review and document review, the facility failed to develop and implement at least one Performance Improvement Project (PIP) per year. This deficient practice had the potential to adversely impact each resident's well-being.
Inspectors wroteBased on clinical record review, interview, and document review the facility failed to ensure 1 of 5 residents sampled for vaccinations (Resident #12) was offered timely pneumococcal vaccination to complete the recommended pneumococcal vaccine schedule. This deficient practice had the potential to result in residents contracting a preventable illness.
Inspectors wroteBased on clinical record review, interview, and document review the facility failed to ensure 1 of 5 residents sampled for vaccinations (Resident #4) received or declined an updated/booster dose of COVID-19 (Covid) vaccine after being screened for eligibility. This deficient practice placed residents wishing to receive the Covid vaccine at risk of not receiving the vaccine and experiencing severe or prolonged illness, hospitalization, or death as a result of infection with the Covid virus.
Inspectors wroteBased on interview and document review, the facility failed to ensure initial elder abuse prevention training was completed timely for an agency contracted Certified Nursing Assistant (CNA) involved in and terminated as a result of an abuse investigation (Employee #24). This deficient practice had the potential to place all residents at risk for abuse and neglect.
Inspectors wroteBased on observation, interview, clinical record review, and document review, the facility failed to ensure the medication room and a medication cart did not contain expired COVID-19 testing supplies and narcotic medications were stored appropriately to prevent a resident's narcotic pain medication from going missing for 1 of 1 residents sampled for Facility Reported Incident (FRI) investigations (Resident #188). This deficient practice had the potential to result in residents tested with the expired products receiving inaccurate results, delays in residents receiving pain medication, and unauthorized individuals having access to narcotics without a prescription, leading to the misuse of prescription opioids.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure an ice machine's cleanliness was maintained, food was discarded per facility policy, and hand hygiene was performed during trayline observation. This deficient practice had the potential to affect the entire facility census.
Inspectors wroteBased on observation, interview, clinical record review, and document review, the facility failed to ensure a staff member performed hand hygiene between contact with residents and environmental surfaces, a glucometer was sanitized correctly between residents, clean laundry was stored and handled in a sanitary manner and was not placed on a floor cleaner to finish drying, and a fan was not blowing air from the dirty laundry side of the laundry room to the clean laundry side of the laundry room. This deficient practice had the potential to result in the spread of infection and illness to residents throughout the facility due to lack of appropriate infection control practices.
Inspectors wroteBased on observation, interview, clinical record review and document review, the facility failed to ensure informed consents were obtained prior to administering two psychotropic medications for 1 of 13 sampled residents (Resident #288).
Inspectors wroteBased on observation, interview, clinical record review, and document review, the facility failed to ensure the accuracy of a Minimum Data Set 3.0 (MDS) assessment for 2 of 13 sampled residents (Resident #3 and #13).
Inspectors wroteBased on interview, clinical record review, and document review the facility failed to develop a care plan for a resident with a Deep Vein Thrombosis (DVT) (Resident #13) and a resident with insomnia (Resident #20) for 2 of 13 sampled residents.
Inspectors wroteBased on interview, clinical record review, and document review, the facility failed to meet professional standards for accurate recording per the Nevada Nurse Practice Act for a Registered Nurse (RN) when the Minimum Data Set Coordinator, Registered Nurse (MDS Coordinator) backdated a resident's care plan for deep vein thrombosis (DVT) by 11 months (Resident #13).
Inspectors wroteBased on record review, interview, and document review, the facility failed to ensure nursing staff were trained and certified to perform Cardio-Pulmonary Resuscitation (CPR) in the event of a resident cardiac arrest for 2 of 5 sampled licensed nurses (Licensed Practical Nurse (LPN)1 and LPN2). The deficient practice could result in a negative outcome for a resident in cardiac arrest while awaiting the arrival of emergency medical personnel.
Inspectors wroteBased on interview, clinical record review, and document review, the facility failed to ensure a resident was not administered a pain medication outside physician parameters resulting in a resident receiving acetaminophen unnecessarily for 1 of 13 sampled residents (Resident #288).
Inspectors wroteBased on interview, clinical record review, and document review, the facility failed to ensure a psychotropic medication was prescribed to a resident with a diagnosed indication for use for 1 of 13 sampled residents (Resident #20).
Inspectors wroteBased on interview, clinical record review, and document review, the facility failed to ensure 4 of 15 residents reviewed for vaccinations were offered a pneumonia vaccine upon admission (Residents #239, #88, #89, and #288) and 1 of 15 residents reviewed for vaccinations and residing in the facility during the 2023 to 2024 influenza (flu) season was offered a flu vaccine (Resident #33). This deficient practice had the potential for residents to become ill with a preventable illness due to lack of vaccinations.
Inspectors wroteBased on interview, clinical record review, and document review, the facility failed to ensure 4 of 15 residents reviewed for vaccinations were offered a COVID-19 vaccine upon admission (Residents #239, #88, #89, and #288) and 1 of 15 residents was offered an updated 2023 to 2024 COVID vaccine (Resident #30). This deficient practice had the potential for residents to become ill with a preventable illness due to lack of vaccinations.
Inspectors wroteBased on observation and interview, the facility failed to ensure the laundry room was a safe and comfortable temperature. This deficient practice had the potential to result in staff experiencing adverse effects from working in unsafe temperatures while providing laundry services for residents of the facility.
Inspectors wroteBased on personnel record review, interview and document review, the facility failed to ensure annual elder abuse training was completed 1 of 20 sampled employees (Housekeeper).
17 fire safety citations on file: 8 on June 29, 2026, 4 on May 1, 2025, 5 on June 26, 2024.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Nevada | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.69 | 4.34 | 3.86 |
| Registered nurses | 0.91 | 1.12 | 0.69 |
| All nursing staff on weekends | 3.31 | 3.86 | 3.42 |
| Nurse aides | 2.05 | ||
| Licensed practical nurses | 0.73 | ||
| Nursing staff turnover (share who left in a year) | 63.6% | 45.1% | 45.8% |
| Registered nurse turnover | 46.7% | 43.4% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.67 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.85 on weekdays and 3.31 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 14.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.47 in April to June 2025 to 3.69 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.69 | 0.91 | 3.85 | 3.31 | 14.2% | 0 of 90 | 50 |
| Oct to Dec 2025 | 3.53 | 1.02 | 3.79 | 2.84 | 17.4% | 0 of 92 | 48 |
| Jul to Sep 2025 | 3.38 | 0.84 | 3.65 | 2.72 | 8.2% | 0 of 92 | 45 |
| Apr to Jun 2025 | 3.47 | 0.98 | 3.67 | 2.97 | 11.8% | 0 of 91 | 44 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Nevada, Jan to Mar 2026 | 3.88 | 0.85 | 4.05 | 3.46 | 2.7% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Nevada, all employers | |||
| CNAs (nursing assistants) | $21.87 | $18.80 to $23.07 | 8,100 |
| LPNs and LVNs | $36.62 | $31.70 to $38.26 | 3,350 |
| Registered nurses | $49.84 | $41.76 to $57.82 | 27,070 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Nevada | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.4 | 12.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.4 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 12.0 | 1.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.5 | 2.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 27.7 | 13.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.5 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.4 | 17.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.5 | 23.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 22.7 | 9.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.4 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.3 | 1.4 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Gardnerville Health & Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (55.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
55.9% this home
No different from the national rate
US median of homes 51.5% · Nevada: 9 better, 7 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 98 eligible stays.
10.9% this home
No different from the national rate
US median of homes 10.7% · Nevada: 0 better, 5 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 93 eligible stays.
6.1% this home
No different from the national rate
US median of homes 7.1% · Nevada: 1 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 73 eligible stays.
53.2% this home
Median of homes: Nevada60.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 47 residents counted.
1.5% this home
Median of homes: Nevada0.4% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 65 residents counted.
1.5% this home
Median of homes: Nevada1.6% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 65 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Nevada91.8% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 14 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: GARDNERVILLE SNF OPERATIONS LLC. CMS links this home to Evergreen Healthcare Group, a group of 43 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Pacific Northwest 12 Leased Operations Holdings LLC | Direct ownership interest | Organization | 08/31/2023 | |
| Ch Pnw 12 Holdings LLC | Indirect ownership interest | Organization | 08/31/2023 | |
| Witzcorp Pnw 12 LLC | Indirect ownership interest | Organization | 08/31/2023 | |
| Herzka, Yisroel | Indirect ownership interest | Individual | 08/31/2023 | |
| Yenowitz, Yitzchok | Indirect ownership interest | Individual | 08/31/2023 | |
| Earl, Steven | Managing control - governing body | Individual | 08/31/2023 | |
| Riker, Michelle | Managing control - governing body | Individual | 08/31/2023 | |
| Spielman, Shimon | Corporate officer | Individual | 08/31/2023 | |
| Yenowitz, Yitzchok | Corporate officer | Individual | 08/31/2023 | |
| Couve Financial Services LLC | Operational/managerial control | Organization | 08/31/2023 | |
| Couve Healthcare Consulting LLC | Operational/managerial control | Organization | 08/31/2023 | |
| Pnw 12 Opco Management LLC | Operational/managerial control | Organization | 08/31/2023 | |
| Pnw 12 SNF Consulting LLC | Operational/managerial control | Organization | 08/31/2023 | |
| Earl, Steven | Operational/managerial control | Individual | 08/31/2023 | |
| Garcia, Melanie | Operational/managerial control | Individual | 08/31/2023 | |
| Rance, Aaron | Operational/managerial control | Individual | 08/31/2023 | |
| Rojas, Aleli | Operational/managerial control | Individual | 08/31/2023 | |
| Spielman, Shimon | Operational/managerial control | Individual | 08/31/2023 | |
| Yenowitz, Yitzchok | Operational/managerial control | Individual | 08/31/2023 | |
| Couve Financial Services LLC | Adp of the SNF | Organization | 04/11/2025 | |
| Couve Healthcare Consulting LLC | Adp of the SNF | Organization | 04/14/2025 | |
| Pnw 12 Opco Management LLC | Adp of the SNF | Organization | 04/11/2025 | |
| Pnw 12 SNF Consulting LLC | Adp of the SNF | Organization | 04/14/2025 | |
| Earl, Steven | Adp of the SNF | Individual | 08/31/2023 | |
| Garcia, Melanie | Adp of the SNF | Individual | 08/31/2023 | |
| Rance, Aaron | Adp of the SNF | Individual | 08/31/2023 | |
| Riker, Michelle | Adp of the SNF | Individual | 08/31/2023 | |
| Rojas, Aleli | Adp of the SNF | Individual | 08/31/2023 | |
| Spielman, Shimon | Adp of the SNF | Individual | 08/31/2023 | |
| Yenowitz, Yitzchok | Adp of the SNF | Individual | 08/31/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.