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Nursing HomeMedicaid Top Rated

Harmony Manor Skilled Nursing Facility

Strong Medicare quality ratings. Still worth an in-person visit before deciding.

118 East Haskell St, Winnemucca, NV 8944542 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 753 Google reviews

Harmony Manor Skilled Nursing Facility Nursing Home in Winnemucca, NV — Street View
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What this means for your family

Choosing Harmony Manor Skilled Nursing Facility means your loved one is in a facility that ranks well on Medicare quality measures. High RN hours correlate directly with lower rates of hospital readmission and better specialized care coordination. While no facility is perfect, the clinical data here is encouraging.

Google Reviews

Google Reviews

753 reviews on Google
[MISMATCH] Google reviews appear to be for a hospital/medical clinic, not this facility. Review data may be inaccurate.

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1With such an impressive 5-star health inspection rating, what specific protocols do you follow to ensure the highest standards of clinical care and safety?
  • 2I noticed your team is very active in responding to community feedback; how does the administration use resident and family input to improve the facility?
  • 3Since the facility has a more intimate capacity of 42 residents, how does that smaller scale help in providing personalized attention to each person's medical needs?
  • 4What steps are in place to ensure staffing levels remain high and consistent, especially during overnight shifts or weekends?
  • 5Could you tell us more about the daily social calendar and what types of activities are available to keep residents engaged and connected?
  • 6How does the nursing team manage sudden changes in a resident's medical condition or handle unexpected emergencies after hours?

Personalized based on this facility's data

Source: 753 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.42hrs
OK
Registered nurses for medical care
Total Nursing
5.75hrs
OK
All nurses + aides combined
Staff Turnover
38%
Lower is better (< 30% = good)
RN Turnover
46%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility6.2%
Better than Avg
Here
6.2%
US
19.5%
NV
22.2%
Humboldt
13.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
NV
5.1%
Humboldt
13.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
NV
89.6%
Humboldt
94.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
NV
92.3%
Humboldt
95.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.6%
Better than Avg
Here
10.6%
US
15.3%
NV
16.5%
Humboldt
14.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility12.0%
Mixed vs Avgs
Here
12.0%
US
15.5%
NV
17.6%
Humboldt
10.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
NV
84.6%
Humboldt
76.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
Near state avg (9.4)
1 complaint-triggered

Harmony Manor has accumulated 31 deficiencies across three surveys, indicating ongoing operational challenges. The most recurring issues involve fire safety systems, resident assessment and care planning, and infection control protocols. While all deficiencies show correction dates, problems persist across multiple surveys, suggesting systemic issues with maintaining compliance standards that families should consider when evaluating this facility.

Apr 23, 2026Routine
15
0921Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0730Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0838Potential for harm · IsolatedCorrected

Administration Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0943Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

0949Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0346Potential for harm · IsolatedCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0354Potential for harm · IsolatedCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Apr 23, 2026Complaint
1
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Feb 6, 2025Routine
11
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0680Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0031Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0640Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Apr 4, 2024Routine
14
0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0851Potential for harm · IsolatedCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0868Potential for harm · IsolatedCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0887Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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.

0022Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for sheltering.

0023Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for medical documentation.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0346Potential for harm · IsolatedCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0354Potential for harm · IsolatedCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Harmony Manor Skilled Nursing Facility

Organization Type

government

Ownership & Management

Owners

Humboldt General Hospital

Owner · Organization

100%

Key personnel

Dunckhorst, RobynW-2 Managing EmployeePlummer, KimberleyW-2 Managing EmployeePowers, TimothyW-2 Managing EmployeeDunckhorst, RobynOfficer / DirectorPowers, TimothyOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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