5 out of 5 stars overall. Harmony Manor Skilled Nursing Facility in Winnemucca, NV also has 5-star health inspection, staffing, and quality ratings, reports 5.75 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and had $0 in fines in the last 24 months.
Last inspection: February 6, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.7533.
Staffing detail
Registered nurses
1.42
Licensed practical nurses
0.54
Nurse aides
3.79
Weekend nursing
4.98
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 46%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
12.5%12%Improving
Residents with a fall causing major injury
3%5.9%Worsening
Residents with pressure ulcers (bedsores)
5%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
6.1%5.9%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.4%18.8%Improving
Residents whose ability to walk got worse
20%3.2%Improving
Long-stay residents on antianxiety or sleep medication
3%5.9%Worsening
Residents with a long-term catheter
0%6.1%Worsening
Residents with new or worsening incontinence
14.4%28.8%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited February 2025 — isolated incident, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: D
The nursing home failed to make sure its activities program was led by a qualified professional. Cited February 2025 — isolated incident, potential for harm.
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F-Tag 680 — 42 CFR §483.24 — S/S: D
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited February 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: D
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 February 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Ownership
Government - Hospital district
Occupancy
34.3 residents on an average day (82% of 42 beds)
Resident voice
Resident council
Medicare history
Certified for 52 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.