Highland Manor Of Fallon Rehabilitation Llc
Inspection Findings
F-Tag F0552
Federal health inspectors cited HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV for a deficiency under regulatory tag F-F0552 during a standard health inspection conducted on 2025-09-04.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Ensure that residents are fully informed and understand their health status, care and treatments.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of HIGHLAND MANOR OF FALLON REHABILITATION LLC.
Correction Status: No revisit needed.
The facility reported correction as of 2025-10-17.
F-Tag F0600
F 0600
positioning.
Level of Harm - Actual harm
The facility policy titled Compliance with Reporting Allegations of Abuse/Neglect/Exploitation, dated [DATE REDACTED], documented the facility would identify events, occurrences, patterns, and trends which may constitute neglect or abuse. An alleged violation was defined as a situation or occurrence observed or reported by staff, resident, relative, visitor, or others but had not yet been investigated and, if verified, could be noncompliance with the federal requirements related to mistreatment, exploitation, neglect, or abuse including injuries of unknown source. The facility would investigate all allegations and types of incidents as listed above in accordance with facility procedure for reporting/response.
Residents Affected - Few
CPT 2587748
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/04/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Highland Manor of Fallon Rehabilitation LLC
550 North Sherman Street Fallon, NV 89406
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0604
Federal health inspectors cited HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV for a deficiency under regulatory tag F-F0604 during a standard health inspection conducted on 2025-09-04.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of HIGHLAND MANOR OF FALLON REHABILITATION LLC.
Correction Status: No revisit needed.
The facility reported correction as of 2025-10-17.
F-Tag F0628
Federal health inspectors cited HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-09-04.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of HIGHLAND MANOR OF FALLON REHABILITATION LLC.
Correction Status: No revisit needed.
The facility reported correction as of 2025-10-17.
F-Tag F0641
Federal health inspectors cited HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-09-04.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of HIGHLAND MANOR OF FALLON REHABILITATION LLC.
Correction Status: No revisit needed.
The facility reported correction as of 2025-10-17.
F-Tag F0644
Federal health inspectors cited HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV for a deficiency under regulatory tag F-F0644 during a standard health inspection conducted on 2025-09-04.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of HIGHLAND MANOR OF FALLON REHABILITATION LLC.
Correction Status: No revisit needed.
The facility reported correction as of 2025-10-17.
F-Tag F0655
Federal health inspectors cited HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV for a deficiency under regulatory tag F-F0655 during a standard health inspection conducted on 2025-09-04.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of HIGHLAND MANOR OF FALLON REHABILITATION LLC.
Correction Status: No revisit needed.
The facility reported correction as of 2025-10-17.
F-Tag F0656
Federal health inspectors cited HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-09-04.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of HIGHLAND MANOR OF FALLON REHABILITATION LLC.
Correction Status: No revisit needed.
The facility reported correction as of 2025-10-17.
F-Tag F0658
Federal health inspectors cited HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-09-04.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of HIGHLAND MANOR OF FALLON REHABILITATION LLC.
Correction Status: No revisit needed.
The facility reported correction as of 2025-10-17.
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
On 08/27/2025 at 2:58 PM, the DON verbalized a skin assessment was part of the admission assessment.
The DON confirmed the skin assessment for Resident #99 did not include the resident's dry, red, and swollen skin to the resident's hands and arms.
The facility policy titled “Skin Assessment,” implemented 04/11/2025, documented a full body, or head to toe, skin assessment would be conducted by a licensed or registered nurse upon admission/re-admission and weekly thereafter. The resident's skin would be thoroughly examined for skin conditions, including redness. The observations would be documented.
Cross reference with F-F655 and F-F658
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/04/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Highland Manor of Fallon Rehabilitation LLC
550 North Sherman Street Fallon, NV 89406
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0686
Federal health inspectors cited HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-09-04.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of HIGHLAND MANOR OF FALLON REHABILITATION LLC.
Correction Status: No revisit needed.
The facility reported correction as of 2025-10-17.
F-Tag F0688
Federal health inspectors cited HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV for a deficiency under regulatory tag F-F0688 during a standard health inspection conducted on 2025-09-04.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of HIGHLAND MANOR OF FALLON REHABILITATION LLC.
Correction Status: No revisit needed.
The facility reported correction as of 2025-10-17.
F-Tag F0689
Federal health inspectors cited HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-09-04.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of HIGHLAND MANOR OF FALLON REHABILITATION LLC.
Correction Status: No revisit needed.
The facility reported correction as of 2025-10-17.
F-Tag F0699
Federal health inspectors cited HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV for a deficiency under regulatory tag F-F0699 during a standard health inspection conducted on 2025-09-04.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide care or services that was trauma informed and/or culturally competent.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of HIGHLAND MANOR OF FALLON REHABILITATION LLC.
Correction Status: No revisit needed.
The facility reported correction as of 2025-10-17.
F-Tag F0759
Federal health inspectors cited HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2025-09-04.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of HIGHLAND MANOR OF FALLON REHABILITATION LLC.
Correction Status: No revisit needed.
The facility reported correction as of 2025-10-17.
F-Tag F0761
Federal health inspectors cited HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-09-04.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of HIGHLAND MANOR OF FALLON REHABILITATION LLC.
Correction Status: No revisit needed.
The facility reported correction as of 2025-10-17.
F-Tag F0812
Federal health inspectors cited HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-09-04.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of HIGHLAND MANOR OF FALLON REHABILITATION LLC.
Correction Status: No revisit needed.
The facility reported correction as of 2025-10-17.
F-Tag F0835
F 0835 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
and was unsure how, it initially fell through the crack. The CMS, Long-Term Care Facility RAI 3.0 User's Manual, Version 1.18.11, Effective October 1, 2023, CHAPTER 1.3: RESIDENT ASSESSMENT INSTRUMENT (RAI), Completion of the RAI, documented given the requirements of participation of appropriate health professionals, completion of the RAI was best accomplished by staff with varied clinical backgrounds, combined with experience and knowledge to provide an understanding of the strengths, needs and preferences of a resident population to ensure the best possible quality of care and quality of life. Identification of resident problems, needs, and strengths, monitoring resident conditions on an on-going basis, and documenting treatments and response to treatments, was a matter of good clinical practice and
an expectation of trained and licensed health care professionals. A facility was responsible to ensure the MDS was validated for accuracy and all participants in the assessment process had the requisite knowledge to complete an accurate assessment. Complaint 2289182 Cross reference with Tags F-F641 and F-F839
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/04/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Highland Manor of Fallon Rehabilitation LLC
550 North Sherman Street Fallon, NV 89406
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0839
F 0839 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
behavioral disturbance, dysphasia, oropharyngeal phase, and anxiety disorder due to known physiological condition. Resident #21's quarterly MDS Resident assessment dated [DATE REDACTED], documented Employee #9 e-Signed as having completed portions of MDS Sections C-Cognitive Patterns, D-Mood, and Q-Participation in Assessment and Goal Setting. Resident #34 Resident #34 was admitted to the facility on [DATE REDACTED], with diagnoses including peripheral vascular disease, unspecified, acquired absence of right leg below knee, and atherosclerotic heart disease of native coronary artery without angina pectoris. Resident #34's quarterly MDS Resident assessment dated [DATE REDACTED], documented Employee #9 e-Signed as having completed portions of MDS Sections A-Identification Information, B-Hearing, Speech, and Vision, C-Cognitive Patterns, D-Mood, E-Behavior, GG-Functional Abilities, I-Active Diagnoses, J-Health Conditions, N-Medications, O-Special Treatments, Procedures, and Programs, and Q-Participation in Assessment and Goal Setting. Resident #84 Resident #84 was admitted to the facility on [DATE REDACTED], with diagnoses including Alzheimer's disease, unspecified, and unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. Resident #84's quarterly MDS Resident assessment dated [DATE REDACTED], documented Employee #9 e-Signed as having completed portions of MDS Sections A-Identification Information, B-Hearing, Speech, and Vision, C-Cognitive Patterns, D-Mood, E-Behavior, GG-Functional Abilities, I-Active Diagnoses, J-Health Conditions, O-Special Treatments, Procedures, and Programs, and Q-Participation in Assessment and Goal Setting. On 09/04/2025 at 2:10 PM, the Administrator confirmed both Employee #8 and Employee #9 had e-Signed on the above MDS Resident Assessment Sections, and confirmed the employees had not been trained to complete MDS Sections A-Identification Information, B-Hearing, Speech, and Vision, GG-Functional Abilities, I-Active Diagnoses, J-Health Conditions, K-Swallowing/Nutritional Status, N-Medications, and O-Special Treatments, Procedures, and Programs, and should not have completed or signed off on those sections. The Administrator verbalized it was the MDS Coordinator's responsibility to oversee the accuracy of the MDS Resident Assessments and confirmed the Administrator was responsible for oversight of the MDS Coordinator. The CMS, Long-Term Care Facility RAI 3.0 User's Manual, Version 1.18.11, Effective October 1, 2023, CHAPTER 1.3: RESIDENT ASSESSMENT INSTRUMENT (RAI), Completion of the RAI, documented given the requirements of participation of appropriate health professionals, completion of the RAI was best accomplished by staff with varied clinical backgrounds, combined with experience and knowledge to provide an understanding of the strengths, needs and preferences of a resident population to ensure the best possible quality of care and quality of life.
Identification of resident problems, needs, and strengths, monitoring resident conditions on an on-going basis, and documenting treatments and response to treatments, was a matter of good clinical practice and
an expectation of trained and licensed health care professionals. A facility was responsible to ensure the MDS was validated for accuracy and all participants in the assessment process had the requisite knowledge to complete an accurate assessment. Complaint 2289182 Cross reference with Tags F-F641 and F-F835
Event ID:
Facility ID:
If continuation sheet
F-Tag F0865
Federal health inspectors cited HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV for a deficiency under regulatory tag F-F0865 during a standard health inspection conducted on 2025-09-04.
Category: Administration Deficiencies
The facility was found deficient in the following area: Have a plan that describes the process for conducting QAPI and QAA activities.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of HIGHLAND MANOR OF FALLON REHABILITATION LLC.
Correction Status: No revisit needed.
The facility reported correction as of 2025-10-17.
F-Tag F0880
Federal health inspectors cited HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-04.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of HIGHLAND MANOR OF FALLON REHABILITATION LLC.
Correction Status: No revisit needed.
The facility reported correction as of 2025-10-17.
F-Tag F0909
Federal health inspectors cited HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV for a deficiency under regulatory tag F-F0909 during a standard health inspection conducted on 2025-09-04.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of HIGHLAND MANOR OF FALLON REHABILITATION LLC.
Correction Status: No revisit needed.
The facility reported correction as of 2025-10-17.
HIGHLAND MANOR OF FALLON REHABILITATION LLC in FALLON, NV inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in FALLON, NV, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from HIGHLAND MANOR OF FALLON REHABILITATION LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.