Gardnerville Health & Rehabilitation Center
1573 South Muller Pkwy · Gardnerville, NV · 89410 · 7757826620
60 certified beds For profit - Limited Liability company Chain: Evergreen Healthcare Group
Why this verdict
- Carries CMS’s abuse warning icon.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
73% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.53 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.02 | 0.55–0.75 |
| Weekend hours / resident-day | 2.84 | ≈ weekday level |
| Nursing turnover / year | 73% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (56 in the current record)
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Potential for harm · D March 17, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 3, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G May 1, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 23, 2025 · Quality of Life and Care
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Potential for harm · D May 1, 2025
Ensure each resident receives an accurate assessment.
Corrected May 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 1, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 1, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 1, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 23, 2025 · Quality of Life and Care
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Potential for harm · D May 1, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 23, 2025 · Quality of Life and Care
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Potential for harm · D May 1, 2025
Observe each nurse aide's job performance and give regular training.
Corrected May 23, 2025 · Nursing and Physician Services
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Potential for harm · D May 1, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected May 23, 2025 · Pharmacy Service
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Potential for harm · D May 1, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected May 23, 2025 · Pharmacy Service
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Potential for harm · D May 1, 2025
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected May 23, 2025 · Administration
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Potential for harm · D May 1, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 1, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 23, 2025 · Administration
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Potential for harm · F May 1, 2025
Provide and implement an infection prevention and control program.
Corrected May 23, 2025 · Infection Control
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Potential for harm · D May 1, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 23, 2025 · Infection Control
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Potential for harm · D May 1, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected May 23, 2025 · Infection Control
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Potential for harm · D May 1, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 23, 2025 · Resident Rights
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Potential for harm · D May 1, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected May 23, 2025 · Resident Rights
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Potential for harm · D May 1, 2025 · found via complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected May 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 1, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 1, 2025 · found via complaint
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected May 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 26, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 7, 2024 · Resident Rights
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Potential for harm · D June 26, 2024
Ensure each resident receives an accurate assessment.
Corrected August 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 7, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 295082 · certified since July 20, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.