Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
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.
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.
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.
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.
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.
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.
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.