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C
Below Standard

HIGHLAND MANOR OF ELKO REHABILITATION LLC

2850 RUBY VISTA DRIVE · ELKO, NV 89801

7757535500 · Non profit - Corporation

146 beds88.9 residents97 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
A
Very Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

HIGHLAND MANOR OF ELKO REHABILITATION LLC receives an overall staffing grade of C (Below Standard). With 3.0613 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.83 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 8.52% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0613 HPRD — needs 0.42 more hours per resident per day.

✨ Strengths (5)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only 8.52% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.0613hrs/resident/day▼ 0.83
CMS benchmark: 3.48
RN HPRD
0.8076hrs/resident/day▲ 0.12
Recommended: 0.75
Weekend Drop-off
8.52%
3.1369 weekday → 2.8695 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.3865hrs/resident/day
Direct care aides
LPN HPRD
0.4758hrs/resident/day
Licensed practical nurses
Consistency
0.2516std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Elko County Average+0.00 HPRD
3.06
03.06 HPRD
vs. Nevada State Average-1.30 HPRD
4.36
03.06 HPRD
vs. National Average-0.83 HPRD
3.90
03.06 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
HIGHLAND MANOR OF ELKO REHABILITATION LLC ★
ELKO · This facility
—
C
3.06130.8076★★☆☆☆
BATTLE MOUNTAIN GENERAL HOSPITAL
BATTLE MOUNTAIN
63.9 mi
D
3.96420.3817★★★☆☆
HARMONY MANOR SKILLED NURSING FACILITY
WINNEMUCCA
103.6 mi
A+
5.8911.4375★★★★★
WHITE PINE CARE CENTER
ELY
119.9 mi
C
3.24350.4513☆☆☆☆☆
PERSHING GENERAL HOSPITAL SNF
LOVELOCK
150 mi
B
3.95011.0258★★★★☆
HIGHLAND MANOR OF FALLON REHABILITATION LLC
FALLON
184 mi
D
3.10510.318★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
27
Total Deficiencies
$0
Fines Assessed
Jul 18, 2024Health
17 deficiencies cited
▼
May 18, 2023Health
7 deficiencies cited
▼
Mar 31, 2022Health
3 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.