nursing home in Winnemucca, NV
Harmony Manor Skilled Nursing Facility
118 East Haskell St, Winnemucca, NV 89445 · (775) 623-5222
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★5
- Quality measures★★★★★5
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Harmony Manor Skilled Nursing Facility at a glance
Harmony Manor Skilled Nursing Facility is a 42-bed government nursing home in Winnemucca, Nevada (Humboldt County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Nevada average of 3.1.
Residents receive about 6.1 hours of nursing care per day (1.7 of them from registered nurses), better than the state average of 4.3 hours.
Its most recent standard health inspection (April 23, 2026) found 8 health citations. The Nevada average is 9.6.
It has not received a federal fine in the past three years.
Nursing staff turnover is 32.7% per year (state average 45.1%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 42
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- March 1, 1974
- Resident/family council
- Resident
- County
- Humboldt County
- CMS Certification Number
- 295024
Ratings
| Measure | This facility | Nevada avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.1 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.4 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.8 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.8 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Nevada avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 6.14 hrs | 4.34 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.65 hrs | 1.12 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 4.00 hrs | 2.38 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 5.37 hrs | 3.86 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 32.7% | 45.1% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 46.2% | 43.4% | 42.9% | Worse |
Inspections
| Measure | This facility | Nevada avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 10 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 28 | 54 | 80.6 | Better |
Penalties
| Measure | This facility | Nevada avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $13,952 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Nevada avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 42 | 110 | 107 | |
| Average residents per day | 33 | 94 | 86 | |
| Occupancy | 78.6% | 87% | 80.9% |
Long-stay residents
| Measure | This facility | Nevada avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.9% | 2% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.4% | 5.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 11.8% | 17.1% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.8% | 1.9% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 6.5% | 1.6% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 21.1% | 12.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 10% | 13.5% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.9% | 5.5% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 5.1% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 7% | 22.2% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 20.1% | 15.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 89.6% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 92.9% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Nevada avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 84.6% | 84.6% | 82% | Average |
Inspection citations
State inspectors cited this home for 24 health deficiencies and 17 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 23, 2026 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | E Potential harm, pattern | Corrected May 15, 2026 |
| April 23, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 23, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected June 6, 2026 |
| April 23, 2026 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 23, 2026 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 23, 2026 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | D Potential harm, isolated | Corrected June 6, 2026 |
| April 23, 2026 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected May 13, 2026 |
| April 23, 2026 Standard | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Tag F0949 | D Potential harm, isolated | Corrected May 4, 2026 |
| April 23, 2026 Standard | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943 | D Potential harm, isolated | Corrected May 18, 2026 |
| April 23, 2026 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 23, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 23, 2026 Standard | 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. Administration Deficiencies · Tag F0838 | D Potential harm, isolated | Corrected May 13, 2026 |
| April 23, 2026 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | D Potential harm, isolated | Corrected May 13, 2026 |
| April 23, 2026 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected June 7, 2026 |
| April 23, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected May 13, 2026 |
| April 23, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected May 12, 2026 |
| February 6, 2025 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | D Potential harm, isolated | Corrected February 26, 2025 |
| February 6, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected February 24, 2025 |
| February 6, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected February 26, 2025 |
| February 6, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected February 24, 2025 |
| February 6, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected February 24, 2025 |
| February 6, 2025 Standard | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Tag F0680 | D Potential harm, isolated | Corrected February 25, 2025 |
| February 6, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 6, 2025 |
| February 6, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected March 23, 2025 |
| February 6, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected February 25, 2025 |
| February 6, 2025 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected February 25, 2025 |
| February 6, 2025 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | B No harm, pattern | Corrected February 24, 2025 |
| April 4, 2024 Fire safety | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Tag E0022 | D Potential harm, isolated | Corrected April 11, 2024 |
| April 4, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected April 17, 2024 |
| April 4, 2024 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | D Potential harm, isolated | Corrected April 15, 2024 |
| April 4, 2024 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | D Potential harm, isolated | Corrected April 15, 2024 |
| April 4, 2024 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | D Potential harm, isolated | Corrected April 15, 2024 |
| April 4, 2024 Fire safety | Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Tag E0023 | D Potential harm, isolated | Corrected April 11, 2024 |
| April 4, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | E Potential harm, pattern | Corrected April 19, 2024 |
| April 4, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected April 17, 2024 |
| April 4, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected April 12, 2024 |
| April 4, 2024 Standard | 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. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected April 19, 2024 |
| April 4, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected April 15, 2024 |
| April 4, 2024 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | D Potential harm, isolated | Corrected April 17, 2024 |
| April 4, 2024 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | D Potential harm, isolated | Corrected April 17, 2024 |
| April 4, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected April 15, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| HUMBOLDT GENERAL HOSPITAL Organization | 5% or greater direct ownership interest | 100% | 07/01/1985 |
| DUNCKHORST, ROBYN Individual | corporate officer | NOT APPLICABLE | 01/08/2021 |
| POWERS, TIMOTHY Individual | corporate officer | NOT APPLICABLE | 08/17/2020 |
| DUNCKHORST, ROBYN Individual | w-2 managing employee | NOT APPLICABLE | 01/08/2021 |
| PLUMMER, KIMBERLEY Individual | w-2 managing employee | NOT APPLICABLE | 10/01/2018 |
| POWERS, TIMOTHY Individual | w-2 managing employee | NOT APPLICABLE | 08/17/2020 |
Frequently asked questions
What is Harmony Manor Skilled Nursing Facility's rating?
Harmony Manor Skilled Nursing Facility has 5 out of 5 stars on the CMS overall star rating. The average for Nevada nursing homes is 3.1 stars.
How many inspection citations did Harmony Manor Skilled Nursing Facility receive?
Its most recent standard health inspection found 8 citations, compared with a Nevada average of 9.6. Every citation is listed on this page with its severity.
Does Harmony Manor Skilled Nursing Facility accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Harmony Manor Skilled Nursing Facility?
It is government - hospital district. The ownership section on this page lists the owners and managers reported to CMS.
Where is Harmony Manor Skilled Nursing Facility and how do I contact it?
Harmony Manor Skilled Nursing Facility is at 118 East Haskell St, Winnemucca, NV 89445. Phone: (775) 623-5222.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.