Highland Manor of Fallon: 22 Deficiencies Found - NV
One of those citations involved the facility's failure to properly coordinate resident assessments with the pre-admission screening and resident review program, and to refer residents for services when those referrals were needed. The violation fell under a category regulators call Resident Assessment and Care Planning Deficiencies. Inspectors classified it as an isolated finding, scope and severity level D, meaning no actual harm was documented at the time. But regulators noted the potential for more than minimal harm existed.
That distinction matters. A failure to coordinate assessments and referrals doesn't show up as a bruise or a fall record. It shows up later, when a resident who needed a specialist didn't see one, or when a care plan was built on an incomplete picture of who that person was before they arrived.
The pre-admission screening and resident review program, known in federal policy as PASRR, exists specifically to catch residents who may need mental health services, intellectual disability services, or other specialized care that a standard nursing facility isn't equipped to provide. When a facility fails to coordinate with that program and fails to make the referrals it requires, the residents most likely to be affected are among the most vulnerable in the building — those whose needs are least visible on a standard intake form.
Highland Manor of Fallon reported the deficiency corrected as of October 17, 2025, roughly six weeks after inspectors cited it. Regulators determined no revisit was needed to verify the correction.
Twenty-two deficiencies in a single inspection is a significant number for any facility, particularly one serving a small rural community. Fallon is the county seat of Churchill County, with a population of roughly 8,000 people. For many residents of the surrounding region, Highland Manor is not one option among several. It may be the only option.
The inspection that produced these findings was triggered by a complaint, not a routine scheduled review. Complaint inspections are initiated when someone, a resident, a family member, a staff member, or a member of the public, contacts regulators with a concern serious enough to prompt a visit. The inspection then typically expands beyond the original complaint to assess overall conditions in the facility.
What inspectors found across all 22 deficiencies has not been detailed in the summary available here. The assessment coordination failure is the one citation for which a description exists in the record reviewed for this article. But 22 citations from a single complaint inspection suggests inspectors found problems that extended well beyond what originally brought them through the door.
The facility's correction report, submitted to regulators, closed the file on this particular citation without a follow-up visit. That is not unusual for a level D finding, the lowest tier of severity in the federal deficiency classification system. It does mean that the accuracy of the reported correction rests largely on what the facility itself submitted.
For the residents living at Highland Manor of Fallon, the question the inspection record leaves open is a simple one. The assessment coordination failure was isolated, regulators said. But isolated from what? Isolated from the other 21 deficiencies cited the same day, or isolated in the sense that only one resident's situation was directly implicated? The report does not say.
What it does say is that someone's need for services, someone's referral, was not handled the way it should have been. In a facility where residents depend on staff to navigate a health care system they can no longer navigate themselves, that gap is not abstract. It is the difference between a resident who gets connected to the care they need and one who doesn't, and may never know they were supposed to.
The facility had until mid-October to fix it. Whether the fix reached the residents who needed it most is a question the record doesn't answer.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Highland Manor of Fallon Rehabilitation LLC from 2025-09-04 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 25, 2026 · Our methodology
HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV was cited for violations during a health inspection on September 4, 2025.
The violation fell under a category regulators call Resident Assessment and Care Planning Deficiencies.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.