HIGHLAND MANOR OF FALLON REHABILITATION LLC
HIGHLAND MANOR OF FALLON REHABILITATION LLC is a 102-bed nursing home in FALLON, Nevada. CMS has certified it for Medicare and Medicaid since 2005-05-07. It averages 96.3 residents a day.
What harm was found in the violations cited at HIGHLAND MANOR OF FALLON REHABILITATION LLC?
CMS lists 79 health-inspection deficiencies for HIGHLAND MANOR OF FALLON REHABILITATION LLC since 2023-06-08, 60 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-09-04.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-09-04 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2025-09-04 | F0641 | Ensure each resident receives an accurate assessment. | F |
| 2025-09-04 | F0759, F0761 | Ensure medication error rates are not 5 percent or greater. / 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 |
| 2025-09-04 | F0552, F0604, F0628, F0644, F0655, F0656, F0658, F0684, F0686, F0688, F0689, F0699, F0812, F0835, F0839, F0865, F0880, F0909 | Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide care or services that was trauma informed and/or culturally competent. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Employ staff that are licensed, certified, or registered in accordance with state laws. / Have a plan that describes the process for conducting QAPI and QAA activities. / Provide and implement an infection prevention and control program. / 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 |
| 2025-01-22 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | E |
| 2024-11-12 | F0760 | Ensure that residents are free from significant medication errors. | G |
| 2024-11-12 | F0692 | Provide enough food/fluids to maintain a resident's health. | D |
| 2024-08-22 | F0868, F0880 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Provide and implement an infection prevention and control program. | F |
| 2024-08-22 | F0727, F0755, F0761 | 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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 |
| 2024-08-22 | F0552, F0600, F0609, F0610, F0641, F0645, F0656, F0657, F0677, F0680, F0689, F0695, F0697, F0700, F0730, F0790, F0806, F0842, F0865 | Ensure that residents are fully informed and understand their health status, care and treatments. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure the activities program is directed by a qualified professional. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / 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. / Observe each nurse aide's job performance and give regular training. / Provide routine and 24-hour emergency dental care for each resident. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Have a plan that describes the process for conducting QAPI and QAA activities. | D |
| 2024-04-30 | F0550, F0600, F0609, F0610, F0657, F0727, F0812 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
| 2023-09-11 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E |
| 2023-09-11 | F0600, F0602, F0656 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Protect each resident from the wrongful use of the resident's belongings or money. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-06-08 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | F |
| 2023-06-08 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| 2023-06-08 | F0552, F0584, F0641, F0655, F0693, F0698, F0700, F0759, F0761, F0806, F0810, F0812, F0842, F0865, F0880, F0883, F0887 | Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / 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. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Ensure medication error rates are not 5 percent or greater. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Have a plan that describes the process for conducting QAPI and QAA activities. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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 |
Why was HIGHLAND MANOR OF FALLON REHABILITATION LLC fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2025-09-04 | Fine | $71,656 |
| 2024-11-12 | Fine | $18,564 |
How is HIGHLAND MANOR OF FALLON REHABILITATION LLC staffed relative to the NV average?
| Measure | This facility | NV average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.05647 | 4.30047 |
| Total nursing staff turnover (%) | 56.3 | 45.1 |
| Average number of residents per day | 96.3 | 94.3 |
Who owns HIGHLAND MANOR OF FALLON REHABILITATION LLC, and what chain is it in?
HIGHLAND MANOR OF FALLON REHABILITATION LLC is registered with CMS as For profit - Corporation, operates under the legal business name HIGHLAND MANOR OF FALLON REHABILITATION LLC and belongs to the THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS chain.
| Role | Owner | Association date |
|---|---|---|
| INDIRECT OWNERSHIP INTEREST | MAHRT, DAVID, MYERS, KATIE, MYERS, WALTER, SWAIN, JARED | since 04/18/2024 |
| CORPORATE OFFICER | MAHRT, DAVID, MYERS, WALTER, SWAIN, JARED | since 04/18/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | COTTONWOOD HEALTHCARE LLC, SLATTERY & HOLMAN P.C., MAHRT, DAVID, MILLER, DENVER, MILLER, TREVOR, MYERS, WALTER | since 01/02/2025 |
| ADP OF THE SNF | COTTONWOOD HEALTHCARE LLC, HIGHLAND MANOR FALLON PROPERTY HOLDINGS LLS, HIGHLAND MANOR OF FALLON HOLDING LLC, SLATTERY & HOLMAN P.C., MAHRT, DAVID, MILLER, DENVER, MILLER, TREVOR, MYERS, WALTER | since 01/17/2025 |
Were you or a family member harmed at HIGHLAND MANOR OF FALLON REHABILITATION LLC?