Every Medicare-certified nursing home in Nevada, graded on inspections, staffing, turnover
and enforcement history.
6 homes in the state sit in the federal Special Focus programme.
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.
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.
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.