The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: G
Nursing home report
GARDNERVILLE HEALTH & REHABILITATION CENTER
GARDNERVILLE, NV · Medicare-certified · 60 beds
Needs attention
For-profitChain member
1 of 5 overall
Overall rating: 1 of 5 stars. GARDNERVILLE HEALTH & REHABILITATION CENTER has the lowest overall rating, with a 1-star health inspection rating, 2-star quality measures, and staffing below the federal benchmark (3.53 vs 4.1 hours per resident per day); there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5282 hrs/resident/day
Quality measures
Last inspection: March 17, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5282.
Staffing detail
- Registered nurses
- 1.02
- Licensed practical nurses
- 0.49
- Nurse aides
- 2.02
- Weekend nursing
- 2.84
Hours per resident per day.
Total staff turnover: 73%
Registered nurse turnover: 53%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
26.1%12.5%Improving
Residents with a fall causing major injury
7.5%7.9%No change
Residents with pressure ulcers (bedsores)
7%5.4%Improving
Residents with a urinary tract infection
5.3%10.5%Worsening
Residents who lost too much weight
0%14.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.2%5.9%Improving
Residents whose ability to walk got worse
—24.1%—
Long-stay residents on antianxiety or sleep medication
32.4%40%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%2.1%Worsening
Residents with new or worsening incontinence
21.6%27.3%Worsening
Residents with depressive symptoms
0%2.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.6%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—84.7%—
Short-stay residents given the pneumonia vaccine
92.9%100%Improving
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited August 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 20 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of EVERGREEN HEALTHCARE GROUP · 43 homes · 2.4 stars avg
- Occupancy
- 47.8 residents on an average day (80% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 21 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.