Grover C Dils Medical Center SNF
700 N Spring St, Box 1010-C-Adm Bldg, Caliente, NV 89008 · Lincoln County · 16 certified beds · avg 16 residents/day · certified since Sep 27, 1974
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 self-reported quality measures.
All citations in the current public record (18)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 25, 2026 | D · Potential for harm, one-off | 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. |
| Mar 25, 2026 | D · Potential for harm, one-off | The 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. |
| Apr 25, 2025 | F · Potential for harm, facility-wide | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Apr 25, 2025 | F · Potential for harm, facility-wide | 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. |
| Apr 25, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Apr 25, 2025 | D · Potential for harm, one-off | The 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. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Apr 25, 2025 | D · Potential for harm, one-off | The 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. |
| May 2, 2024 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 2, 2024 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| May 2, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| May 2, 2024 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| May 2, 2024 | D · Potential for harm, one-off | The 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. |
| May 2, 2024 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| May 2, 2024 | C · Minimal risk, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 7 | 0 | E |
| 2025 | 9 | 0 | F |
| 2026 | 2 | 0 | D |
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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Nevada avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.32 | 4.05 | 3.95 | top 10% in Nevada; top 9% in the U.S. |
| Registered Nurse hours | 2.11 | 0.98 | 0.69 | top 5% in Nevada; top 1% in the U.S. |
| Weekend total nurse staffing | 4.70 | 3.61 | 3.50 | top 10% in Nevada; top 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.18 | 0.87 | 0.48 | top 22% in Nevada; top 4% in the U.S. |
| Total nursing staff turnover (%) | 46.2 | 45.1 | 45.8 | bottom 43% in Nevada; bottom 47% in the U.S. |
| RN turnover (%) | 18.2 | 43.4 | 42.9 | top 3% in Nevada; top 12% in the U.S. |
Hours are per resident per day, 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 4.01, RN 1.59, weekend 3.55. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Avery, Terry | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/12/2017 |
| Avery, Terry | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/12/2017 |
| Avery, Terry | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/12/2024 |
| Dirks, Sharon | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/10/2019 |
| Dirks, Sharon | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/10/2019 |
| Dirks, Sharon | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/12/2024 |
| Katschke, Richard | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/07/2003 |
| Katschke, Richard | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/12/2024 |
| Lloyd, Arthur | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/07/2015 |
| Lloyd, Arthur | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/07/2017 |
| Lloyd, Arthur | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/12/2024 |
| Mangum, Rozanne | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/08/2019 |
| Mangum, Rozanne | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/08/2019 |
| Mangum, Rozanne | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/12/2024 |
| Miller, Douglas | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/08/2019 |
| Miller, Douglas | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/08/2019 |
| Miller, Douglas | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/12/2024 |
| Rowe, Melissa | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/15/2018 |
| Rowe, Melissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/12/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
No other Medicare-certified nursing homes within 20 miles in the current records.
Facility data as of CMS processing date 2026-08-01. CCN 295026.