Highland Manor of Fallon: Drug Storage Failures - NV
Highland Manor of Fallon Rehabilitation missed the resident's dry, red, and swollen skin on both hands and arms during the August 27 assessment. The director of nursing confirmed the oversight when questioned by federal inspectors.
The facility's skin assessment policy, implemented just four months earlier in April, explicitly requires licensed or registered nurses to conduct full body examinations upon admission and weekly thereafter. The policy states that residents' skin "would be thoroughly examined for skin conditions, including redness" and that "observations would be documented."
None of that happened for Resident 99.
The director of nursing acknowledged that skin assessment was part of the admission process. But when pressed by inspectors, she confirmed the assessment for this resident completely missed the visible skin problems affecting the patient's hands and arms.
Federal inspectors cited the facility for failing to ensure residents receive proper treatment and services to promote healing and prevent new health problems. The violation affects how the nursing home identifies and monitors skin conditions that could deteriorate without proper attention.
The missed assessment represents a breakdown in basic nursing protocols. Skin conditions like redness and swelling can indicate underlying health issues or signal the beginning of more serious problems if left unaddressed. Early identification through thorough assessment allows staff to implement appropriate interventions before conditions worsen.
Highland Manor's policy promised comprehensive skin examinations that would catch exactly these types of visible abnormalities. The policy language was clear about examining residents for redness and documenting what nurses observed. The facility created the policy in April 2025, suggesting recent attention to skin assessment procedures.
Yet when it mattered most, during a new resident's admission when establishing baseline health status is critical, the system failed completely.
The inspection occurred as part of a complaint investigation on September 4. Federal regulators found the skin assessment failure constituted minimal harm or potential for actual harm to residents, though it affected few patients during the review period.
The violation cross-references two other deficiencies found during the same inspection, suggesting the skin assessment failure was part of broader care planning and documentation problems at the facility.
For Resident 99, the consequences of the missed assessment remain unclear from the inspection report. What is certain is that obvious physical symptoms went unrecorded during the critical admission period when nursing staff should have been most thorough in their evaluation.
The facility now faces federal oversight to correct its assessment procedures and ensure nursing staff actually follow the skin examination protocols the facility created. Highland Manor must demonstrate that future admissions receive the comprehensive skin assessments its own policy promises.
The director of nursing's admission that the assessment missed obvious skin abnormalities highlights how even basic nursing procedures can break down when facilities fail to implement their own policies consistently. A resident's red, swollen skin should never go unnoticed during admission assessment, particularly when facility policy specifically requires documenting such conditions.
Highland Manor of Fallon Rehabilitation must now prove it can deliver the thorough skin assessments it promised in writing but failed to provide in practice.
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: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 5, 2026 · Our methodology
HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV was cited for violations during a health inspection on September 4, 2025.
Highland Manor of Fallon Rehabilitation missed the resident's dry, red, and swollen skin on both hands and arms during the August 27 assessment.
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.