17 of the 66 Medicare-certified nursing homes in Nevada (26%) are independently owned, and all are listed below. 5 of the 17 graded homes earn an A and 1 earn a D or F. Nurse staff turnover runs 50.2%, 5.1 points higher than the 45.1% across all homes there. Harmony Manor Skilled Nursing Facility in Winnemucca grades highest at A (99 out of 100).
How independently owned homes in Nevada compare
This group set against every nursing home in Nevada, from the current CMS release.
Harmony Manor runs on unusually heavy staffing for a 42-bed hospital-district home, 6.14 nurse hours per resident day, roughly 59% above the national average, and the weekend dip of about 12% still leaves it well ahead of most places. Turnover sits at 32.7% against a national 45.8%, so the people caring for residents tend to stick around. The tradeoff shows up in its record: 24 deficiencies, three tied to abuse, though none rose to harm or jeopardy level. Its last inspection was April 2026, and it scores 4s and 5s across inspection, quality, and staffing measures.
Grover C Dils Medical Center SNF is a small hospital-district home in Caliente, 16 beds, government-run, which usually means the money goes back into the building rather than to a corporate parent. Staffing sits at 4.01 nurse hours per resident day, about 4% above the national average, though weekends run roughly 12% leaner than weekdays. Turnover is 46.2%, essentially the national rate, so this isn't a stable long-term crew. The current record shows 18 deficiencies, none at harm or jeopardy level and none abuse-related, and the last inspection was recent. Four-star health and quality ratings with five stars on staffing back that up.
Silver State Pediatric in Las Vegas runs on unusually deep nurse coverage, 7.00 hours per resident day against a national average of 3.86, and weekend staffing holds essentially level with weekdays, which is rare. That staffing shows up in the numbers: 15 deficiencies on record, but none at the harm or jeopardy level and none related to abuse. Staff turnover sits at 42.6%, slightly better than the national 45.8%. It's a for-profit LLC with 36 beds, and its last inspection was February 2026, so the record is current. The low patient count and pediatric focus mean fewer residents share that staffing pool, which matters for how much attention each child actually gets.
Pershing General Hospital's skilled nursing unit runs on a government hospital-district license and 25 certified beds, which makes it the kind of small county home where everyone knows the staff. Nurse coverage sits at 4.12 hours per resident day, about 7% above the national average, and weekend staffing dips roughly 11% below its own weekday level. Turnover lands at 44.8%, roughly in line with the national 45.8%. The record shows 41 deficiencies with none at harm or jeopardy level, though 8 are abuse-related, and one fine of $9,258. Inspectors were last on site in April 2025.
Nevada State Veterans Home in Boulder City runs 180 certified beds and is state-owned, which usually means more public accountability than a for-profit chain. Its 3.99 nurse staffing hours per resident day sit just above the national average of 3.86, but weekends drop about 10% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. The inspection history is the real story: 24 deficiencies on record, including one at the harm level and two tied to abuse, plus a $10,358 fine. Quality measures score well, and the last inspection was recent, so the record is current rather than stale.
Boulder City Hospital SNF sits at 47 beds under nonprofit ownership, and the staffing numbers are genuinely better than most: 4.21 nurse hours per resident day against a national average of 3.86. That said, weekends run about 14% thinner than weekdays, so coverage isn't perfectly even. The bigger concern is turnover, 64% of staff leaving annually, well above the 45.8% national figure, which can make care feel inconsistent even when raw hours look strong. Inspections are a clear strength: a top health inspection rating, zero deficiencies at the harm level, and nothing abuse-related. Twelve total deficiencies exist but none serious. The most recent inspection was May 2025.
Sierra Basin runs 4.61 nurse hours per resident day, about 19% above the national average, but staffing thins out on weekends, roughly 15% below the home's own weekday level. Annual turnover sits at 50%, higher than the 45.8% national figure, so the people providing that care keep changing. The inspection record shows 25 deficiencies, four of them abuse-related, though none rose to harm or jeopardy level, and the most recent inspection was in March 2026. For-profit, LLC-owned. The federal quality measures look strong; the staffing and inspection record is more mixed. Worth asking about weekend coverage, turnover, and what those abuse deficiencies involved before deciding.
Mountain View Care Center runs 87 certified beds in Boulder City under for-profit LLC ownership, and the staffing picture is decent on paper: 4.03 nurse hours per resident day, roughly 4% above the national average. Weekends dip about 5% below the home's own weekday numbers, so coverage isn't perfectly level. Turnover sits at 47%, slightly above the 45.8% national figure, not alarming, but worth asking about. The current deficiency record shows 20 citations, none at harm or jeopardy level, though one is abuse-related. One fine totaling $3,174. The last inspection was December 2025, so the record is recent. A 4/5 on health inspections and quality measures, 3/5 on staffing, reflects a home that's solid but not exceptional.
South Lyon Medical Center runs a nonprofit home in Yerington with 49 certified beds, and the staffing numbers are genuinely stronger than most: 4.22 nurse hours per resident day, roughly 9% above the national average. That's real coverage on paper. Two things complicate it. Weekend staffing drops about 18% below its own weekday level, so the coverage families actually see on Saturdays and Sundays is thinner than the average suggests. And turnover sits at 61.8%, well above the 45.8% national rate, meaning the people delivering that care keep changing. The current record shows 52 deficiencies, none at harm or jeopardy level but four tied to abuse. A July 2025 inspection is recent, so the picture is current rather than stale.
Alta Skilled Nursing runs 180 beds in Reno under for-profit LLC ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average of 3.86, with weekends about 13% thinner than its own weekdays. Turnover is 44.5%, essentially matching the national 45.8%, so retention isn't the standout issue; coverage is. The inspection record shows 56 deficiencies, including one at the harm level and eight tied to abuse, plus a $39,166 fine, though the most recent inspection came in May 2025. Quality measures score 2 out of 5. Families should ask directly how weekend coverage is handled.
Mission Pines runs on thin staffing for a 240-bed building: 3.04 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday coverage. Annual turnover sits at 52.6%, higher than the 45.8% national figure, so the people providing that care are cycling through faster than average. Inspections look better than the payroll does, a 4/5 health inspection rating, 23 deficiencies on record with none at harm or jeopardy level, though one is abuse-related, and the most recent survey was November 2025. For-profit, limited liability ownership. The quality measure score holds at 4/5, but those numbers come from resident assessments, not from how many hands are actually on the floor.
Lefa Seran SNF in Hawthorne runs on a government hospital district license with just 24 beds, and its staffing is genuinely unusual: 5.57 nurse hours per resident day, roughly 44% above the national average of 3.86. That's the strongest thing in its file, though weekends dip about 8% below its own weekday coverage, and turnover sits at 79.3% against a national 45.8%, meaning the people providing those hours change constantly. Inspections tell the harder story. Forty-seven deficiencies on the current record, including one abuse-related citation, with the last inspection in April 2025 and CMS scoring both health inspections and quality measures at one star out of five. The hours are there; the consistency and compliance aren't.
White Pine Care Center sits in Ely with 97 certified beds and a for-profit LLC owner. The staffing picture is where families should focus: CMS gives it just one star out of five for staffing, meaning nurse hours per resident fall well below what most homes provide. The inspection record shows 38 deficiencies, including one at the harm or jeopardy level and three tied to abuse. A May 2025 inspection is recent, so the record reflects current conditions rather than old problems. Quality measures land at three stars, middle of the pack. With a limited liability company at the helm and thin staffing, the numbers suggest asking direct questions about who's on the floor overnight.
Battle Mountain General Hospital runs a small 25-bed unit as a government hospital district, and its inspection record is the bright spot: a four-star health inspection rating and a survey from February 2025, so the findings are recent. The 31 deficiencies on file include none at the harm or jeopardy level, though one is abuse-related. Staffing is where this home falls short, a one-star rating means nurse hours per resident sit well below the national average, and in a 25-bed hospital-based unit that thin coverage leaves little margin. Quality measures land in the middle. Families should ask directly how many nurses are on the floor at night.
Alpine Skilled Nursing runs 189 beds as a for-profit LLC, and its nurse staffing sits at 3.01 hours per resident per day, roughly 22% under the national average of 3.86. Weekends dip about 10% below its own weekday numbers, and annual turnover is 53.8%, higher than the 45.8% national figure. The current record shows 41 deficiencies, none flagged at harm or jeopardy level, but three tied to abuse. Its last inspection was April 2, 2026. The staffing and quality stars both land at 3 out of 5, and health inspection sits at 2. If you're weighing this one, ask specifically how they cover weekends and what those abuse-related citations involved.
Wingfield runs about 3.02 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop another 15% below its own weekday coverage. That thinner weekend schedule matters most when families visit and when fewer supervisors are on the floor. The inspection record shows 42 deficiencies, including three at the harm level and five tied to abuse, with one fine of $75,670, and the last inspection was February 2026. Staff turnover of 45.3% sits essentially at the national rate, so continuity isn't the standout problem here, the short staffing and the inspection history are.
Tlc Care Center runs 255 beds in Henderson under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, about 9% under the national average of 3.86, with weekends roughly 7% thinner than its own weekdays. Turnover is 38.7%, actually better than the 45.8% national figure, so the concern here isn't retention so much as raw hours on the floor. The bigger signal is the inspection record: 61 deficiencies, including one at the harm level and four tied to abuse, with two fines totaling $20,719. Regardless of the staffing stars, that history of harm-level and abuse citations is what a family should weigh hardest when deciding whether this is the right place.
Frequently asked questions
How many independently owned nursing homes are there in Nevada?
There are 17 independently owned Medicare-certified nursing homes in Nevada, 26% of the 66 nursing homes there.
Are independently owned nursing homes better staffed?
In Nevada they average 4.25 total nursing hours per resident per day, against 4.34 for all nursing homes in Nevada, a difference of -0.09 hours. Staff turnover averages 50.2% against 45.1%.
Which independently owned nursing home grades best in Nevada?