Churchill County, Nevada · Nursing home
Highland Manor of Fallon Rehabilitation LLC
1 of 5 overall from CMS
550 North Sherman Street, Fallon, NV 89406
At a glance
- Overall rating 1 of 5 Below the state average of 3.1
- Nurse time per resident, per day 3.06 hours Below the state average of 4.34
- Nursing staff who left in a year 56.3% Above the state average of 45.1%
- Health citations, last 3 inspection cycles 79 2 at the harm level or above
- Fines in 3 years $90,220 2 fines
- Certified beds in use 94.4% of 102 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Highland Manor of Fallon Rehabilitation LLC is a 102-bed nursing home in Fallon, Nevada (Churchill County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.06 nurse staffing hours per resident per day, below the Nevada average of 4.34. CMS lists 2 fines totaling $90,220 in the past three years.
- Certified beds
- 102
- Residents per day (average)
- 96.3
- Certified since
- 2005 (21 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers (20 homes)CMS Special Focus: SFF CandidateCMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Highland Manor of Fallon Rehabilitation LLC
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 2 fines totaling $90,220 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 22 health deficiencies in the latest inspection cycle (the standard inspection on Sep 4, 2025 plus complaint and infection-control inspections); the Nevada average is 9.7. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Nevada average 3.1
- Health inspections 1 of 5 Nevada average 2.9
- Staffing 1 of 5 Nevada average 3.4
- Quality measures 4 of 5 Nevada average 3.8
The vertical line marks the Nevada average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.06 h Nevada average 4.34
- Nurse aides 1.90 h Nevada average 2.38
- Licensed practical nurses 0.91 h Nevada average 0.84
- Registered nurses 0.24 h Nevada average 1.12
- All staff, weekends 2.69 h Nevada average 3.86
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the Nevada average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover56.3%
- Nevada average45.1%
- Registered nurse turnover86.7%
- Nevada average43.4%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Nevada and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Nevada | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 13.2% | 12.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.9% | 5.5% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 1.6% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 3.3% | 1.9% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 13.4% | 5.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.9% | 2.0% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% | 92.9% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 9.8% | 13.5% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.5% | 22.2% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.7% | 89.6% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 1.6% | 5.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.9% | 15.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 15.7% | 17.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.93 | 1.85 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.70 | 1.45 | 1.78 |
Short-stay residents
| Measure | This home | Nevada | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 73.1% | 84.6% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% | 1.8% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 79.6% | 80.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.7% | 23.2% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 12.5% | 9.6% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 79 health deficiencies in the three most recent inspection cycles. Of these, 2 involved actual harm; the rest were graded as no actual harm. 22 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Sep 4, 2025: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Sep 4, 2025 | 22 | 14 |
| Aug 22, 2024 | 24 | 17 |
| Jun 8, 2023 | 33 | 14 |
Nevada homes averaged 9.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (79)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 17, 2025)
-
FPotential for more than minimal harm, widespread
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · No revisit needed (Oct 17, 2025)
-
EPotential for more than minimal harm, pattern
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · No revisit needed (Oct 17, 2025)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · No revisit needed (Oct 17, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · No revisit needed (Oct 17, 2025)
Show 25 more
-
DPotential for more than minimal harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · No revisit needed (Oct 17, 2025)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · No revisit needed (Oct 17, 2025)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · No revisit needed (Oct 17, 2025)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · No revisit needed (Oct 17, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · No revisit needed (Oct 17, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · No revisit needed (Oct 17, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · No revisit needed (Oct 17, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · No revisit needed (Oct 17, 2025)
-
DPotential for more than minimal harm, isolated
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.
Quality of Life and Care · No revisit needed (Oct 17, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · No revisit needed (Oct 17, 2025)
-
DPotential for more than minimal harm, isolated
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care · No revisit needed (Oct 17, 2025)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · No revisit needed (Oct 17, 2025)
-
DPotential for more than minimal harm, isolated
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · No revisit needed (Oct 17, 2025)
-
DPotential for more than minimal harm, isolated
Employ staff that are licensed, certified, or registered in accordance with state laws.
Complaint investigation · Administration · No revisit needed (Oct 17, 2025)
-
DPotential for more than minimal harm, isolated
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration · No revisit needed (Oct 17, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · No revisit needed (Oct 17, 2025)
-
DPotential for more than minimal harm, isolated
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.
Environmental · No revisit needed (Oct 17, 2025)
-
EPotential for more than minimal harm, pattern
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 7, 2025)
-
GActual harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Dec 6, 2024)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 6, 2024)
-
FPotential for more than minimal harm, widespread
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · Deficient, Provider has date of correction (Oct 6, 2024)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Oct 6, 2024)
-
EPotential for more than minimal harm, pattern
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.
Nursing and Physician Services · Deficient, Provider has date of correction (Oct 6, 2024)
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Oct 6, 2024)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Oct 6, 2024)
Showing the 30 most recent of 79.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Sep 4, 2025 | Fine | $71,656 |
| Nov 12, 2024 | Fine | $18,564 |
Nevada homes averaged 0.5 fines and $13,952 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Nevada
- Size33 of 66 by certified beds
- Nevada average residents per day94.3
- ChainThe Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers
- Chain average overall rating1.7 of 5
- Resident or family councilResident
- Homes in Churchill County1
Common questions
What is the CMS star rating for Highland Manor of Fallon Rehabilitation LLC?
Highland Manor of Fallon Rehabilitation LLC has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 1 and quality measures is 4.
How many beds does Highland Manor of Fallon Rehabilitation LLC have?
Highland Manor of Fallon Rehabilitation LLC has 102 certified beds. It averages 96.3 residents per day, about 94.4% of its certified beds.
How much nursing care do residents get at Highland Manor of Fallon Rehabilitation LLC?
The home reports 3.06 hours of nurse staffing per resident per day, including 0.24 hours from registered nurses. The Nevada average is 4.34 hours and 1.12 hours from registered nurses.
Has Highland Manor of Fallon Rehabilitation LLC been fined?
Yes. CMS lists 2 fines totaling $90,220 in the past three years.
Does Highland Manor of Fallon Rehabilitation LLC accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 South Lyon Medical Center 49beds 64.9%in use 4.22nurse hours a day
- 2 of 5 Wingfield Skilled Nursing and Rehabilitation Cente 120beds 96.7%in use 3.02nurse hours a day
- 1 of 5 Hearthstone Health and Rehabilitation 125beds 87.9%in use 3.81nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Churchill County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 295085. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.