Nursing homeActive

Highland Manor Of Elko Rehabilitation LLC

2850 Ruby Vista Drive, Elko, NV 898017757535500146 certified beds · 91 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
32
2300
Penalties · 3 yrs
none on file
Last survey
2025-08-07
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Nevada Division of Public and Behavioral Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-08-07Standard080CMS-2567 (Care Compare)
2024-07-18Standard2150CMS-2567 (Care Compare)
2023-05-18Standard070CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Nevada Division of Public and Behavioral Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-08-07Standard survey · 8 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 295078-20250807-F550
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 295078-20250807-F689
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 295078-20250807-F698
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 295078-20250807-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 295078-20250807-F842
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 295078-20250807-F880
F881Implement a program that monitors antibiotic use.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 295078-20250807-F881
F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 295078-20250807-F887
2024-07-18Standard survey · 17 deficienciesOfficial report
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 295078-20240718-F558
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 295078-20240718-F609
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 295078-20240718-F657
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 295078-20240718-F690
F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 295078-20240718-F691
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 295078-20240718-F695
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 295078-20240718-F698
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 295078-20240718-F726
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 295078-20240718-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 295078-20240718-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 295078-20240718-F842
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 295078-20240718-F880
F881Implement a program that monitors antibiotic use.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 295078-20240718-F881
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 295078-20240718-F882
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 295078-20240718-F883
F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2024-09-01Record 295078-20240718-F577
F732Post nurse staffing information every day.Scope/severity BPaperwork
Staffing
Pattern; potential for minimal harm.Corrected 2024-09-01Record 295078-20240718-F732
2023-05-18Standard survey · 7 deficienciesOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 295078-20230518-F609
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 295078-20230518-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 295078-20230518-F689
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 295078-20230518-F756
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 295078-20230518-F812
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 295078-20230518-F883
F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 295078-20230518-F887

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.71
Facility
Nevada
National
Nevada 1.09 · National 0.69
Total nurse hours per resident day3.37
Facility
Nevada
National
Nevada 4.30 · National 3.86
Weekend total nurse hours3.15
Facility
Nevada
National
Nevada 3.83 · National 3.42
Total nursing staff turnover46%
Facility
Nevada
National
Nevada 45% · National 46%
Registered nurse turnover25%
Facility
Nevada
National
Nevada 43% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNevadaNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.0%5.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.6%2.0%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
8.2%17.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
5.2%1.9%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
16.9%12.6%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
5.2%5.5%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
24.4%22.2%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Banford, Andrew
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Myers, Walter
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Rogers, Andrew
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Banford, Andrew
Individual
ADP OF THE SNFNOT APPLICABLE
Charly Bello Family Limited Partnership
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Cottonwood Healthcare LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Highland Manor Of Elko Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Mahrt, David
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Maze Family Limited Partnership
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Myers, Katie
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Myers, Walter
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Pickd LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Rogers, Andrew
Individual
ADP OF THE SNFNOT APPLICABLE
Slattery & Holman P.C.
Organization
ADP OF THE SNFNOT APPLICABLE
Swain, Holly
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Swain, Jared
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Part of a chain
The Charly Bello Family, The Maze Family, The Swain Family, & Walter Myers19 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Nevada.

No county cost figures on file for Elko.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Battle Mountain General Hospital
Battle Mountain
64.1 mi2026-04-235270
White Pine Care Center
Ely
120.3 mi2025-05-070210
Harmony Manor Skilled Nursing Facility
Winnemucca
103.7 mi2026-04-232220
Bridgeview Estates
Twin Falls
126.3 mi2025-07-090120
Cascades at Desert View
Buhl
130.4 mi2026-05-150511
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01