Harmony Manor Skilled Nursing Facility in Winnemucca, NV has a 5 out of 5 star overall rating, with 5-star staffing and quality scores and 4-star health inspection results. It reports 6.14 nursing hours per resident per day versus the 4.1 federal benchmark, with $0 fines in the last 24 months.
Last inspection: April 23, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 6.141.
Staffing detail
Registered nurses
1.65
Licensed practical nurses
0.49
Nurse aides
4.00
Weekend nursing
5.37
Hours per resident per day.
Total staff turnover: 33%
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%11.5%No change
Residents with a fall causing major injury
3.1%3.1%No change
Residents with pressure ulcers (bedsores)
5.4%4.1%Improving
Residents with a urinary tract infection
0%3.1%Worsening
Residents who lost too much weight
3.1%3.2%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.4%36.7%Worsening
Residents whose ability to walk got worse
17%17.1%No change
Long-stay residents on antianxiety or sleep medication
9.4%6.2%Improving
Residents with a long-term catheter
6.9%6%Improving
Residents with new or worsening incontinence
11.6%33.8%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
—84.6%—
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 home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited April 2026 — isolated incident, potential for harm.
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F-Tag 609 — 42 CFR §483.12 — S/S: D
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited April 2026 — isolated incident, potential for harm.
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F-Tag 610 — 42 CFR §483.12 — S/S: D
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited April 2026 — isolated incident, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited April 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 6 health deficiencies.
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INSPECTION
Health inspection found 8 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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Operator & ownership
Ownership
Government - Hospital district
Occupancy
33 residents on an average day (79% 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.