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.
Sandstone Spring Valley runs 160 beds under for-profit LLC ownership, and its nurse staffing sits at 4.50 hours per resident day, about 16% above the national average of 3.86. That sounds good until you notice weekends drop roughly 11% below the home's own weekday levels, and annual turnover hits 50.6% against a national 45.8%, meaning the people at the bedside keep changing. The inspection record shows 47 deficiencies, four of them abuse-related, though none rose to harm or jeopardy. Inspectors last visited in August 2025. High raw staffing hours and a two-star inspection history can coexist; here they do.
Nurse staffing at this Sparks home runs 5.37 hours per resident day, roughly 39% above the national average of 3.86, the kind of number that shows up in daily care, not just on paper. Weekend coverage dips about 6% below its own weekday level, so the weekday-to-Saturday gap is worth asking about directly. Against that, staff turnover sits at 51.9% compared with 45.8% nationally, and the home carries 52 deficiencies on its current record, including 14 tied to abuse. None were cited at the harm or jeopardy level. The most recent inspection was April 2, 2026. Strong staffing and quality scores, real churn underneath.
El Jen Skilled Care runs 144 beds in Las Vegas under a for-profit limited liability company, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.01 hours per resident day against a national average of 3.86, roughly a fifth less hands-on time than typical, and weekends drop about 9% below what the home already provides on weekdays. Its inspection history carries 50 deficiencies, including two at the harm or jeopardy level and eight tied to abuse, with $51,839 in fines across two penalties. The most recent inspection was August 2025. When staffing runs light, weekends run lighter, and the deficiency list runs that long, the pattern is consistent rather than unlucky.
Northstar Post Acute runs on thin staffing, 3.36 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 14 percent below its own weekday coverage. That's a real gap when aides are already stretched, and it shows in the numbers: 62.5 percent annual turnover means most of the people caring for residents weren't there a year ago. The inspection record is where things get serious. Seventy-eight deficiencies, one at the harm level and eleven tied to abuse, plus a $70,296 fine and a spot in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems. The last inspection was February 2026.
Life Care Center of Reno runs 198 beds under corporate ownership, and its staffing sits just a hair above the national average, close enough that the real story is elsewhere. Weekend coverage drops about 19% below weekday levels, which matters when falls and infections don't check the calendar. Turnover is genuinely low at 31.3%, well under the national 45.8%, so caregivers tend to stay. What sinks this home is its inspection record: 55 deficiencies, including two tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for the most persistently troubled homes. The quality and staffing stars look fine on paper. The survey history is what a family should actually weigh.
Ormsby Post Acute Rehabilitation runs 120 beds and sits in the federal Special Focus Facility program, the list CMS keeps for homes with a persistent pattern of serious problems. The record backs that up: 98 deficiencies, including one at the harm level and 15 tied to abuse, plus a $60,464 fine. Nurse staffing runs 2.81 hours per resident day, about 27% under the national average of 3.86, and weekends drop roughly another 12% below the home's own weekday coverage. Staff turnover is 58% against a 45.8% national figure. The most recent inspection was March 27, 2025, so the picture is current, not stale.
Life Care Center of South Las Vegas is a 120-bed for-profit home that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The inspection history backs that up: 41 deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse. Staffing sits roughly at the national average, and weekend coverage runs about 10% thinner than weekdays. Turnover is 31.4%, well below the national rate, so the same caregivers tend to stay. The catch is that stable staff haven't translated into clean surveys. Strong quality-measure scores don't offset a record this troubled.
Highland Manor of Fallon carries a federal Special Focus Facility designation, which CMS reserves for the homes with the most persistent compliance problems. The record backs that up: 79 deficiencies, including two at the harm or jeopardy level and 11 tied to abuse, plus $90,220 in fines. Nurse staffing sits at 3.06 hours per resident day, about 21 percent under the national average, and weekend coverage drops roughly 12 percent below its own weekday level. Staff turnover of 56.3 percent runs well above the 45.8 percent national figure, and the inspection rating is 1 out of 5. The quality measure score of 4 looks good on paper, but it's measuring resident outcomes, not the conditions that produce them.
Caremeridian runs 36 beds in Reno, and the staffing numbers are genuinely high, 7.86 nurse hours per resident day, roughly double the national average. That matters for daily care, though weekend coverage dips about 9% below its own weekday level. The trouble shows up elsewhere: 49 deficiencies on the current record, including one at the harm level and eight tied to abuse, plus a $68,738 fine and a spot in CMS's Special Focus Facility program, which is reserved for the homes with the worst inspection histories. Annual turnover sits at 60.3% against a national 45.8%, so the people delivering that strong staffing keep changing. The most recent inspection was February 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?