Harmony Manor Skilled Nursing Facility — Skilled Nursing Facility Profile (CCN #295024)

Winnemucca, Nevada · CCN 295024 · Phone: 7756235222 · 42 beds · Ownership: Government - Hospital District

Harmony Manor Skilled Nursing Facility is a Medicare-certified skilled nursing facility (CCN 295024) in Winnemucca, Nevada. It holds a CMS overall Five-Star rating of 5 of 5 stars on CMS Care Compare. FileFlo scores its CMS survey-readiness at 100/100 (Survey-Ready).

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Compliance Indicator: 100/100 — Survey-Ready

About Harmony Manor Skilled Nursing Facility

Harmony Manor Skilled Nursing Facility is a Medicare- and Medicaid-certified skilled nursing facility in Winnemucca, Nevada, operating under CMS Certification Number (CCN) 295024. 42-bed facility. Government - Hospital District. Independent (not part of a multi-facility chain). The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.

Harmony Manor Skilled Nursing Facility has held its Medicare/Medicaid certification for approximately 52 years (certification date on file: 1974-03-01). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.

Local market context (Humboldt County): Harmony Manor Skilled Nursing Facility is the only Medicare-certified skilled nursing facility in the same-county sample for Nevada. Sole-provider counties concentrate post-acute placement decisions into a single facility, which can either be operational leverage or a regulatory-visibility risk depending on quality trajectory.

CMS Five-Star Quality Ratings

CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.

Long-Stay vs Short-Stay Quality Measures

Long-Stay Quality Measure rating: ★★★★★ (5 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.

Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.

Compliance Red Flags

Harmony Manor Skilled Nursing Facility has none of the four CMS-published red-flag indicators active at the most recent publish: not on the Special Focus Facility list, no Abuse Icon on Care Compare, no overdue inspection flag, and no recent change-of-ownership flag. Absence of these flags does not mean the facility is deficiency-free — see the survey history below.

Survey History and Deficiencies

Recent health deficiencies cited at last standard survey: 6. National average for facilities of this size is approximately 8 deficiencies per cycle. Harmony Manor Skilled Nursing Facility has no CMS fines in its most recent reporting cycle. Last documented standard health survey: 2025-02-06. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.

Infection Control and Deficiency Weighting

CMS health survey weighted score: 21. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.

Staffing Detail

Harmony Manor Skilled Nursing Facility already meets the cadre-specific minimums scheduled to take effect on the May 2029 timeline under 89 FR 40876 (RN 1.422 HPRD vs the 0.55 floor; nurse-aide 3.794 HPRD vs the 2.45 floor). The constraint going forward is sustaining these levels under turnover pressure.

Total nurse staffing: 5.753 hours per resident day (HPRD), which is 2.27 hours above the 3.48 total HPRD floor that the CMS Minimum Staffing Standards rule (89 FR 40876, May 2024) phases in for rural-facility facilities by May 2029.

Staffing mix: RN 1.422 HPRD, LPN 0.538 HPRD, CNA 3.794 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2029 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.

Weekend RN staffing: 0.95 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.

Total nurse staff turnover: 38% annualized — moderate.

RN-specific turnover: 46.2% annualized. RN turnover above 50% is the single strongest correlate with QM rating decline in CMS's own internal analyses.

Chain Context and Facility Type

Harmony Manor Skilled Nursing Facility is independently operated (not part of a multi-facility chain). Independent SNFs typically rely on internal compliance staff or contracted consultants rather than corporate-level survey-prep teams; this affects both how quickly Plans of Correction are produced and how F-tag remediation is documented across multiple shifts.

Provider type designation: Medicare And Medicaid.

The facility is classified by CMS as rural (outside metropolitan statistical areas). Rural SNFs face different challenges — referral pipeline depth, RN availability, ambulance distance for transfers — and CMS applies certain modifiers to the staffing minimums under hardship exemption pathways for rural facilities.

How Harmony Manor Skilled Nursing Facility Compares to Peers in Nevada

Peer comparisons use a same-state cohort of 66 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.

FileFlo Compliance Indicator

FileFlo's compliance indicator for Harmony Manor Skilled Nursing Facility is 100/100 (Survey-Ready). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.

Why This Page Exists

FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.

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Frequently asked questions about Harmony Manor Skilled Nursing Facility

What is Harmony Manor Skilled Nursing Facility's CMS overall Five-Star rating?

Harmony Manor Skilled Nursing Facility (CCN 295024) holds a CMS overall Five-Star rating of 5 of 5 stars on CMS Care Compare. CMS updates these ratings quarterly from the facility's submitted assessment and claims data.

Is Harmony Manor Skilled Nursing Facility Medicare-certified, and where is it located?

Harmony Manor Skilled Nursing Facility is a Medicare-certified skilled nursing facility (CMS Certification Number 295024) in Winnemucca, Nevada.

How survey-ready is Harmony Manor Skilled Nursing Facility?

FileFlo scores Harmony Manor Skilled Nursing Facility's CMS survey-readiness at 100/100 (Survey-Ready). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.

Which CMS Conditions of Participation must Harmony Manor Skilled Nursing Facility meet?

As a Medicare-certified skilled nursing facility, Harmony Manor Skilled Nursing Facility is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.

How can Harmony Manor Skilled Nursing Facility prepare for its next CMS survey?

Run FileFlo's free CMS survey-readiness audit for Harmony Manor Skilled Nursing Facility — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.

Conditions of Participation Harmony Manor Skilled Nursing Facility is surveyed against

The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:

Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →

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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile

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