Nevada ›Gardnerville

Gardnerville Health & Rehabilitation Center

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1573 South Muller Pkwy, Gardnerville, NV 89410 (opens Google Maps) · Douglas County · (775) 782-6620· 60 certified beds · avg 50 residents/day · certified since Jul 20, 2004 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Abuse citation flag (CMS)

What the abuse flag means →

Part of chain: EVERGREEN HEALTHCARE GROUP (44 facilities, chain avg rating 2.5★)

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

1/5
Health inspection rating (on-site)
inspected May 1, 2025
1
Serious findings on record
most recent May 1, 2025
$0
Fines, last 3 years
3.86
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · May 1, 2025 · F-0690

The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.

Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: May 23, 2025 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 57 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint F-0600

  2. D · Potential for more than minimal harm, isolated

    The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint F-0656

  3. D · Potential for more than minimal harm, isolated

    The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint F-0600

View all 57 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jun 29, 2026D · Potential for more than minimal harm, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Jun 29, 2026D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Mar 17, 2026D · Potential for more than minimal harm, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
May 1, 2025▲ G · Actual harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
May 1, 2025F · Potential for more than minimal harm, widespreadThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
May 1, 2025D · Potential for more than minimal harm, isolatedThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint · F-0552
May 1, 2025D · Potential for more than minimal harm, isolatedThe facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint · F-0557
May 1, 2025D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
May 1, 2025D · Potential for more than minimal harm, isolatedThe facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645
May 1, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
May 1, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
May 1, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
May 1, 2025D · Potential for more than minimal harm, isolatedThe facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730
May 1, 2025D · Potential for more than minimal harm, isolatedThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759
May 1, 2025D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
May 1, 2025D · Potential for more than minimal harm, isolatedThe facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · F-0838
May 1, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
May 1, 2025D · Potential for more than minimal harm, isolatedThe facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867
May 1, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
May 1, 2025D · Potential for more than minimal harm, isolatedThe facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887
May 1, 2025E · Potential for more than minimal harm, patternThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
May 1, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment. · from a complaint · F-0603
May 1, 2025D · Potential for more than minimal harm, isolatedThe facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · from a complaint · F-0943
Jun 26, 2024F · Potential for more than minimal harm, widespreadThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761
Jun 26, 2024F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jun 26, 2024F · Potential for more than minimal harm, widespreadThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · F-0678
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · F-0943
Aug 31, 2023F · Potential for more than minimal harm, widespreadThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725
Aug 31, 2023F · Potential for more than minimal harm, widespreadThe facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881
Aug 31, 2023F · Potential for more than minimal harm, widespreadThe facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882
Aug 31, 2023E · Potential for more than minimal harm, patternThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Aug 31, 2023D · Potential for more than minimal harm, isolatedThe facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · F-0557
Aug 31, 2023D · Potential for more than minimal harm, isolatedThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
Aug 31, 2023D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Aug 31, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
Aug 31, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Aug 31, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Aug 31, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Aug 31, 2023D · Potential for more than minimal harm, isolatedThe facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730
Aug 31, 2023D · Potential for more than minimal harm, isolatedThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756
Aug 31, 2023D · Potential for more than minimal harm, isolatedThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759
Aug 31, 2023D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Aug 31, 2023D · Potential for more than minimal harm, isolatedThe facility did not dispose of garbage and refuse properly. · F-0814
Aug 31, 2023D · Potential for more than minimal harm, isolatedThe facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · F-0838
Aug 31, 2023D · Potential for more than minimal harm, isolatedThe facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint · F-0865
Aug 31, 2023D · Potential for more than minimal harm, isolatedThe facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. · F-0868
Aug 31, 2023D · Potential for more than minimal harm, isolatedThe facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · F-0943

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (14 → 17).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 20
Serious citations (G–L): 0
2024
All citations: 14
Serious citations (G–L): 0
2025
All citations: 20
Serious citations (G–L): 1
2026
All citations: 3
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2023200F
2024140F
2025201G ▲
202630D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNevada averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.86
Nevada average: 4.05
U.S. average: 3.95
Registered Nurse hours
This facility: 0.95
Nevada average: 0.98
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.46
Nevada average: 3.61
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityNevada avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.864.053.95top 44% in Nevada; top 46% in the U.S.
Registered Nurse hours0.950.980.69top 41% in Nevada; top 18% in the U.S.
Weekend total nurse staffing3.463.613.50top 38% in Nevada; top 44% in the U.S.
Weekend RN hours (not acuity-adjusted)0.520.870.48bottom 33% in Nevada; top 31% in the U.S.
Total nursing staff turnover (%)63.645.145.8bottom 8% in Nevada; bottom 11% in the U.S.
RN turnover (%)46.743.442.9bottom 39% in Nevada; bottom 41% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.69, RN 0.91, weekend 3.31.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.69 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Gardnerville Health & Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
CH PNW 12 Holdings LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/31/2023
Herzka, YisroelIndividualIndirect Ownership InterestNOT APPLICABLE08/31/2023
Pacific Northwest 12 Leased Operations Holdings LLCOrganizationDirect Ownership InterestNOT APPLICABLE08/31/2023
Witzcorp PNW 12 LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/31/2023
Yenowitz, YitzchokIndividualIndirect Ownership InterestNOT APPLICABLE08/31/2023
Couve Financial Services LLCOrganizationOperational/Managerial ControlNOT APPLICABLE08/31/2023
Couve Financial Services LLCOrganizationADP of the SNFNOT APPLICABLE04/11/2025
Couve Healthcare Consulting LLCOrganizationOperational/Managerial ControlNOT APPLICABLE08/31/2023
Couve Healthcare Consulting LLCOrganizationADP of the SNFNOT APPLICABLE04/14/2025
Earl, StevenIndividualManaging Control - Governing BodyNOT APPLICABLE08/31/2023
Earl, StevenIndividualOperational/Managerial ControlNOT APPLICABLE08/31/2023
Earl, StevenIndividualADP of the SNFNOT APPLICABLE08/31/2023
Garcia, MelanieIndividualOperational/Managerial ControlNOT APPLICABLE08/31/2023
Garcia, MelanieIndividualADP of the SNFNOT APPLICABLE08/31/2023
PNW 12 Opco Management LLCOrganizationOperational/Managerial ControlNOT APPLICABLE08/31/2023
PNW 12 Opco Management LLCOrganizationADP of the SNFNOT APPLICABLE04/11/2025
PNW 12 SNF Consulting LLCOrganizationOperational/Managerial ControlNOT APPLICABLE08/31/2023
PNW 12 SNF Consulting LLCOrganizationADP of the SNFNOT APPLICABLE04/14/2025
Rance, AaronIndividualOperational/Managerial ControlNOT APPLICABLE08/31/2023
Rance, AaronIndividualADP of the SNFNOT APPLICABLE08/31/2023

Showing 20 of 30 parties CMS has on file for this facility; 10 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Evergreen Healthcare Group — 44 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 43 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
  • "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
  • "Can you show me an example care plan, and how are families included when it's created and updated?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "How do you explain health changes and treatment options to residents and their families?"
  • "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
  • "Who completes resident assessments here, and how do you check them for accuracy?"
  • "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 64% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 30 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Mountain View Health and Rehabilitation13.0 miCarson City, NV★★☆☆☆2/5abuse
Barton Hospital D/P SNF13.1 miSouth Lake Tahoe, CA★★★★☆3/5
Sierra Basin Post Acute15.5 miCarson City, NV★★★★★4/5
Northstar Post Acute16.0 miCarson City, NV★☆☆☆☆1/5
Ormsby Post Acute Rehabilitation16.7 miCarson City, NV—/5abuseSFF

Compare this facility with the 3 closest →

All facilities in Gardnerville →

Facility data as of CMS processing date 2026-08-01. CCN 295082.

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