All states › Nevada › Elko › Highland Manor of Elko Rehabilitation
2850 Ruby Vista Drive Elko, NV 89801 · Elko County
CMS certification number 295078 · See this home on Medicare Care Compare
Is Highland Manor of Elko Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Highland Manor of Elko Rehabilitation as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Nevada average of 3.3.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.31 hours per resident per day at Highland Manor of Elko Rehabilitation, below the Nevada median of 3.94 (US median: 3.72). About 0.66 of those hours are from registered nurses. On weekends it falls to 2.96 hours, 11% below its all-week average. 51.9% of nursing staff left within a year (Nevada median 43%).
About this nursing home
Paying for care at Highland Manor of Elko Rehabilitation: Medicare and Medicaid
Highland Manor of Elko Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Nevada's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 7, 2025 and found 8 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 36 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 36 citations at Highland Manor of Elko Rehabilitation across 4 inspection dates, 5 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 34 were "potential for more than minimal harm" (D–F) and 2 were minimal (A–C). The most common areas cited were infection control (9) and quality of life and care (9). The most serious was cited under the CMS rule to "implement a program that monitors antibiotic use" (tag F0881, level F, August 7, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
August 13, 2026 · 4 citations · includes complaint inspection
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide care or services that was trauma informed and/or culturally competent.
August 7, 2025 · 8 citations
FImplement a program that monitors antibiotic use.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
DEducate 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.
July 18, 2024 · 17 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
FImplement a program that monitors antibiotic use.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
DReasonably accommodate the needs and preferences of each resident.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
BAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
BPost nurse staffing information every day.
May 18, 2023 · 7 citations
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DEducate 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.
Questions to ask on a tour of Highland Manor of Elko Rehabilitation
- CMS cited the home under its abuse and neglect rules on July 18, 2024. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 3/5 | 5/5 |
| August 2026 | 2/5 | 2/5 | 3/5 | 4/5 |
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Location
Hospitals near Highland Manor of Elko Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.7 mi
Northeastern Nevada Regional Hospital ElkoEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 27m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Highland Manor of Elko Rehabilitation › All nursing homes in Elko ›
Compare Highland Manor of Elko Rehabilitation with the 3 closest homes side by side ›
Other The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers nursing homes in Nevada
- Highland Manor of Mesquite Rehabilitation · Mesquite · 4 stars
- Highland Manor of Fallon Rehabilitation · Fallon · 1 stars
- El Jen Skilled Care · Las Vegas · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 22 The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.