49 of the 66 Medicare-certified nursing homes in Nevada (74%) are chain-owned, and all are listed below. 11 of the 49 graded homes earn an A and 5 earn a D or F. Nurse staff turnover runs 43.5%, 1.6 points lower than the 45.1% across all homes there. Neurorestorative in Las Vegas grades highest at A (96 out of 100).
How chain-owned homes in Nevada compare
This group set against every nursing home in Nevada, from the current CMS release.
Nursing hours per resident per day
4.37
All homes in Nevada: 4.34
Better than the local average
Nurse staff turnover
43.5%
All homes in Nevada: 45.1%
Better than the local average
Average ElderGrade score
74.4/100
All homes in Nevada: 75.4/100
Worse than the local average
Grade spread
A
B
C
D
11 grade A, 22 grade B, 11 grade C, 5 grade D,
The best-graded chain-owned home in Nevada is
Neurorestorative
in Las Vegas, NV, grade A, 96/100.
Premier Health & Rehabilitation Center Of Lv runs 100 certified beds under for-profit LLC ownership, and its federal ratings are genuinely solid, four stars each for health inspections, quality measures, and staffing. The staffing picture is where it gets more mixed. At 3.75 nurse hours per resident day, it sits just under the national average of 3.86, and weekend coverage drops about 12% below its own weekday level, a gap that matters when families visit on Saturdays and Sundays. Annual turnover of 48.9% runs above the national 45.8%. The current record shows 25 deficiencies, including one at the harm level and two abuse-related, plus a single fine of $29,395. Last inspection: August 2025.
Las Vegas Post Acute & Rehabilitation runs leaner than most: 3.06 nurse hours per resident day, about 21 percent under the national average of 3.86, with weekends dipping roughly 8 percent below its own weekdays. Turnover sits at 37.5 percent, better than the 45.8 percent national figure, and the home was inspected recently, in July 2025, earning a 4-out-of-5 inspection rating. Against that, its quality measure rating is 2 out of 5, and the current record carries 20 deficiencies, none at harm or jeopardy level, but four tied to abuse. For-profit partnership ownership. The staffing hours are the number worth asking about directly.
Henderson Health and Rehabilitation runs 266 beds under corporate ownership, and its nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average, with weekends about 10% thinner than weekdays. Turnover is 35.7%, better than the 45.8% national figure, which matters for consistency of care. The inspection record is the harder part: 37 deficiencies, including one at harm or jeopardy level and two related to abuse, plus a $40,830 fine, with the most recent inspection in August 2025. Its quality measure score is strong, but that's self-reported data, and it sits alongside a two-star inspection rating. Ask about the abuse-related findings and weekend coverage before deciding.
Highland Manor Of Mesquite Rehabilitation runs 112 certified beds under for-profit LLC ownership, and its staffing sits at 3.30 nurse hours per resident day, roughly 14% under the national average of 3.86. Weekends drop about 12% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the better news at 36.6%, well under the 45.8% national figure, which suggests less churn than many peers. Inspections look solid: a 4/5 health inspection rating, 15 deficiencies on record with none at harm or jeopardy level, though 3 are abuse-related and worth asking about directly. Last inspection was April 2026.
Highland Manor of Elko runs 146 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.37 hours per resident day, about 13% under the national average of 3.86. Weekends run roughly 7% thinner than weekdays, so coverage dips when families tend to visit. Annual turnover of 45.5% is essentially the national rate, meaning the churn here is ordinary rather than alarming.
The inspection record carries 32 deficiencies, none at harm or jeopardy level, though two are abuse-related, worth asking about directly. The last inspection was August 2025, so the record is recent. Quality measures score well above average; the inspection history is where the caution lies.
Sage Creek Post-Acute runs 60 beds in Las Vegas under for-profit LLC ownership, and its staffing numbers are the first thing worth noticing. Total nurse coverage sits at 4.39 hours per resident day, about 14% above the national average of 3.86, yet the federal staffing star comes in at just 2 out of 5, a gap that usually points to how thin weekend coverage gets, and here weekends run roughly 8% below the home's own weekday level. Annual turnover is 51.7%, higher than the 45.8% national figure. Twenty deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection dated April 30, 2026.
Trellis Centennial runs about 4.34 nurse hours per resident per day, roughly 12% above the national average, real coverage on paper. But weekends dip about 14% below its own weekday staffing, and turnover sits at 52.2% against a national 45.8%, so the people delivering that care keep changing. The inspection record shows 20 deficiencies, including one at the harm level and one tied to abuse, with a single fine of $8,278. The most recent inspection was May 2026, so the picture is current. Strong quality measures and a four-star inspection rating sit alongside those findings and the churn, worth asking about weekend coverage and how they've addressed the abuse-related deficiency specifically.
North Las Vegas Care Center runs 182 beds under individual for-profit ownership, and its nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average of 3.86. Weekends drop about another 10% below its own weekday level, and turnover runs 47.3%, a bit above the national 45.8%. The inspection record is the bigger concern: 35 deficiencies, including one at the harm or jeopardy level and five tied to abuse, with a $9,311 fine and a 2-out-of-5 health inspection rating. The last inspection was recent, in August 2025, and the quality measure rating of 3 shows some clinical measures holding up. Staffing and safety are where the gaps show.
Marquis Plaza Regency runs 4.12 nurse hours per resident day, roughly 7% above the national average, and its staff turnover of 39.5% actually beats the national 45.8%. That matters, because consistent caregivers tend to know residents and catch problems earlier. But weekends run about 12% thinner than weekdays, so coverage isn't even across the week. The inspection record shows 18 deficiencies, including one at the harm level and one tied to abuse, plus a $13,065 fine, a serious finding inside an otherwise recent, four-star inspection history from September 2025. Corporate-owned, 188 beds: solid staffing, real blemishes. Ask about weekend coverage and how that abuse deficiency was corrected.
Royal Springs runs 225 beds on the east side of Las Vegas, and its numbers pull in two directions. The nurse staffing sits at 3.69 hours per resident day, a bit under the national average, and weekends drop roughly 12% below the home's own weekday coverage, which is where shortfalls tend to show up. Turnover at 40.5% is actually better than the 45.8% national figure, so leadership isn't churning through aides the way many for-profits do. The problem is the inspection record: 39 deficiencies, one serious enough to cause harm, a $40,359 fine, and a March 2026 inspection that produced a two-star health rating and a one-star quality measure score. Ask to see the plan of correction for that harm-level citation.
Pahrump Health and Rehabilitation runs a 120-bed for-profit operation, and its nurse staffing sits at 3.32 hours per resident day, roughly 14 percent under the national average of 3.86. Weekends are thinner still, about 6 percent below its own weekday coverage, so the stretches when families tend to visit are the ones with the least help on hand. Staff turnover of 44 percent lands close to the national figure of 45.8 percent, meaning the workforce churns about as fast as everywhere else. Inspectors cited 23 deficiencies on the current record, two of them serious enough to involve harm or jeopardy, and fined the home twice for a combined $40,427. The most recent inspection was December 19, 2025.
Skye Canyon Post Acute runs a high staffing number, 5.11 nurse hours per resident day, roughly a third more than the national average, and its last inspection came back clean at the harm level, with 14 deficiencies on record and none involving actual injury. Two things pull against that. Weekend coverage drops about 14% below its own weekday level, so the strong average doesn't hold every day of the week. And turnover sits at 68.4% against a national 45.8%, meaning most of the aides and nurses you'd meet are relatively new. The state inspection history looks solid; the question is whether the staff caring for your family member sticks around long enough to know them.
Silver Ridge is a 148-bed for-profit home in Las Vegas where the direct-care staffing comes in around 3.47 hours per resident day, roughly 10% under the national average of 3.86, and it thins out further on weekends, dropping about 11% below its own weekday levels. Annual turnover sits at 55.6% against a national 45.8%, so CNAs and nurses are cycling through faster than average. The inspection record shows 32 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $69,343 in fines across two penalties and a survey dated April 2026. The five-star quality measure score reflects charted outcomes, not the hands available to deliver care.
Silver Hills runs on thin staffing. At 3.69 nurse hours per resident day, it sits about 4% under the national average, and weekends dip roughly 9% below what the home itself manages Monday through Friday, so the thinnest coverage lands when families tend to visit. The bigger number is turnover: 71.6% of nursing staff leaving annually, against a national average near 46%. State inspectors cited 27 deficiencies on the current record, four tied to abuse, with none rising to harm or jeopardy. Its last inspection was August 2025. This is a for-profit corporate home whose quality scores look strong on paper while its staffing scores and inspection history tell a harder story.
Green Valley Health and Wellness Suites runs 124 beds in Henderson under for-profit LLC ownership, and its staffing is the number that stands out. At 3.40 nurse hours per resident day, it sits about 12% under the national average, and weekends drop roughly another 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 59.6% against a 45.8% national average means the aides and nurses working with your relative are likely to change often. The inspection record is current, with 28 deficiencies but none at harm or jeopardy level and no abuse citations, and the last survey was in January 2026.
Rosewood Rehabilitation Center runs 99 certified beds in Reno under corporate for-profit ownership, and the staffing numbers are the place to start. At 3.09 nurse hours per resident day, it sits roughly 20 percent under the national average of 3.86, and weekends dip about 14 percent below its own weekday level. Staff turnover is 58 percent against a national 45.8 percent, and CMS rates staffing 1 out of 5 stars. The inspection record is heavier still: 62 deficiencies, including 10 tied to abuse, though none at the harm or jeopardy level, with the most recent inspection in December 2025. Its quality measure score is strong at 4 out of 5 stars, which makes the thin staffing the more pressing question for anyone weighing a move here.
Oasis Nursing & Rehab Of Green Valley runs 242 beds in Henderson under for-profit LLC ownership. Nurse staffing sits at 3.81 hours per resident day, just under the national average, and weekends run about 7% thinner than weekdays, a small gap, but worth asking about if your family visits on Saturdays. Turnover is 42.3%, which is actually below the national rate. The inspection record is where the picture gets cloudier: 34 deficiencies, two tied to abuse, though none rose to harm or jeopardy level. The most recent inspection was September 2025, so the record is current. Quality measure scores came in at 2 out of 5 stars, the weakest mark across the three CMS categories, which typically reflects resident outcomes rather than the building itself.
Torrey Pines runs 95 beds on the east side of the valley, and the staffing numbers are the strongest part of the picture: 4.16 nurse hours per resident day, roughly 8% above the national average, which earns a 4-out-of-5 staffing rating. Turnover sits at 45.6%, essentially matching the national rate, so this isn't a home bleeding caregivers faster than everyone else. Where it slips is inspections, a 2-out-of-5 health inspection rating, 36 deficiencies on the current record including six tied to abuse, though none rose to the level of actual harm or jeopardy. The most recent survey was in June 2025, so the record is current. Good daily coverage, a thinner compliance history.
Mountain View runs 146 certified beds in Carson City under for-profit LLC ownership, and its nurse staffing sits around 3.22 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about another 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 47.6%, slightly above the national 45.8%. The inspection record shows 52 deficiencies, including one at the harm level and seven tied to abuse, with a $25,675 fine. Its last inspection was January 2026. If you're weighing this one, ask directly how they cover weekends and what changed since that January survey.
Gardnerville Health & Rehabilitation Center runs 60 certified beds under for-profit LLC ownership, and the numbers worth knowing are the ones a star rating can hide. Nurse staffing sits at 3.69 hours per resident day, a bit under the national average, and it thins out about 10% on weekends, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Turnover is the bigger flag: 63.6% of staff leave each year against a national average of 45.8%, which means unfamiliar faces at the bedside. The inspection record shows 55 deficiencies, including one at the harm level and six tied to abuse, with the most recent inspection in May 2025.
Frequently asked questions
How many chain-owned nursing homes are there in Nevada?
There are 49 chain-owned Medicare-certified nursing homes in Nevada, 74% of the 66 nursing homes there.
Are chain-owned nursing homes better staffed?
In Nevada they average 4.37 total nursing hours per resident per day, against 4.34 for all nursing homes in Nevada, a difference of +0.03 hours. Staff turnover averages 43.5% against 45.1%.
Which chain-owned nursing home grades best in Nevada?