Grover C Dils Medical Center SNF

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 16 beds and averages 15.8 residents a day — about 99% occupied, or roughly 0 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.01 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.59 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.29 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.55 hrs/resident/day on weekends vs 4.20 on weekdays — 16% thinner on weekends. RN hours go from 1.76 to 1.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

• Potential for harm · Dcited before2026-03-25 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, interview, and policy review, the facility failed to ensure a person-centered comprehensive care plan was developed for one of four residents (Resident (R) 2) reviewed for oxygen therapy in the sample of 10 residents. By not having or implementing a comprehensive care plan could potentially place the residents at risk for unmet care needs.Findings include:R2 was admitted on [DATE] with diagnoses including acute chronic right side heart failure, and atrial fibrillation.On 03/23/2026 at 10:55 AM, R2 was lying in bed and wearing oxygen via a nasal cannula at 1 liter/minute. R2 acknowledged the use of oxygen. R2 stated, They put it on me for a while then took the dosage down from two to one liter.On 03/24/2026 at 11:50 AM, R2 was observed lying in bed with the oxygen on via nasal cannula set at 2 liters/minutes.R2's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/23/2025 revealed R2 had a Brief Interview for Mental Status (BIMS) score of 13 out of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-25 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review, and policy review, the facility failed to ensure an oxygen (02) concentrator filter was free of dust and heavy buildup of lint for one of one sampled resident (Resident (R) 2) oxygen tubing was dated/labeled and changed for two of ten sampled residents (R2 and R7). This failure had the potential for the residents to have an increased chance of unnecessary respiratory treatments and/or infection.Findings include:R2's was admitted on [DATE] with diagnoses including acute chronic right heart failure, and atrial fibrillation. Physician Orders dated 02/25/2026 documented oxygen 1-2 liters per nasal cannula every shift for wheezing. 1. On 03/23/2026 at 10:55 AM, R2 was lying in bed and wearing oxygen via a nasal cannula. R2's oxygen tubing was connected to the oxygen concentrator which was set at liters/minute (l/min). There was no date/label as to when the oxygen tubing was changed. The black oxygen cabinet filter located on the left side of the concentrator was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-04-25 · tag F0640 — widespread
  Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and document review, the facility failed to ensure Minimum Data Set (MDS) assessments and/or care plans were timely completed and/or transmitted for 8 of 11 months since the last recertification survey on 05/03/2024. The failed practice had the potential to delay care interventions and provide inadequate care and services to residents. A Medicare Recertification Survey was completed for the facility on 05/03/2024. An MDS Submission Report dated 03/27/2025, revised 04/29/2025, documented the following: June 2024: 44.4% of assessments were completed late (4 of 9) 11.1% of care area assessments were completed late (1 of 9) July 2024: 40.0% of assessments were completed late (2 of 5) August 2024: 10.0% of admission assessments were completed late (1 of 10) 10.0% of admission care plans were completed late October 2024: 33.3% of assessments were completed late (2 of 6) 16.7% of care area assessments were completed late (1 of 6) [DATE] 12.5% of assessments were completed late (1 of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-04-25 · tag F0656 — failed to write and follow a full care plan — widespread
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and document review, the facility failed to ensure care plans and/or comprehensive assessments, were completed within the required timeframe for 6 of 10 residents (Resident 2, 3, 6, 7, 10, and 11). The failed practice had the potential to delay care interventions and provide inadequate care and services to residents. Findings include: Resident 2 (R2) R2 was admitted on [DATE], with diagnosis including epilepsy, unspecified not intractable without status epilepticus, unspecified symptoms and signs involving cognitive functions and awareness, and low back pain. R2's medical record documented a care plan was completed on 01/11/2024. R2's medical record documented the next care plan due had a target completion date of 04/11/2025, and an actual completion date of 04/23/2025. R2's care plan was completed late. Resident 3 (R3) R3 was admitted on [DATE], with diagnosis including dementia, unspecified severity with other behavioral disturbance, major depressive disorder recurrent, and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-04-25 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and document review, the facility failed to ensure hot water was available in the kitchen sinks for food preparation, handwashing, and sanitation. The failed practice had the potential to increase the risk of cross contamination, inadequate handwashing, and food borne illness. Findings include: On 04/22/2025 at 10:35 AM, hot water was not available in the kitchen at the hand/eye wash sink, the pot washing sink, and the adjacent food preparation sink. The water was allowed to run for an extended time and the faucets failed to produce hot water. The hot water faucet's temperature was approximately 66 degrees. On 04/22/2025 at 10:44 AM, the Dietary Manager confirmed there was no hot water in the kitchen sinks. The Dietary Manager explained one water heater was down in the main building. There were times during the day the kitchen was without hot water in the sinks due to the laundry, which was located next to the kitchen, running the washer and the hot water would then not reach the kitchen sinks. The Dietary Manager explained the automatic dishwasher…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-25 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to develop and implement a baseline care plan within 48 hours of admission to address pain for 1 of 10 sampled residents (Resident 10) and Oxygen (O2) therapy for 1 of 10 sampled residents (Resident 11). This deficient practice could have led to unmanaged pain, ineffective symptom control, and compromised respiratory status during the early stages of admission. Findings include: Resident 10 (R10) R10 was admitted on [DATE] and readmitted on [DATE], with diagnoses including sepsis, polyarthritis (inflammation of multiple joints), cellulitis of the left lower limb (a person's leg), and toe wounds. The Pain Interview, dated 03/05/2025, documented the interview was conducted with a pain frequency of frequently over the last five days and had limited the day-to-day activities because of pain. The pain interview was incompletely filled out with the indicators and frequency. The admission Minimum Data Set, dated [DATE], documented…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-25 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to ensure the signs and symptoms of bleeding or adverse effects for a resident on Warfarin (anticoagulant medication) were consistently monitored, documented, and reported to the physician for 1 of 10 sampled residents (Resident 9). The deficient practice had the potential to result in adverse outcomes, including an increased risk of bleeding or clotting complications and potential harm due to inadequate monitoring, delayed medical intervention, increased hospitalizations, or even life-threatening hemorrhages. Findings include: Resident 9 (R9) Resident 9 (R9) was admitted on [DATE], with diagnoses including persistent atrial fibrillation and thrombophilia (blood clotting disorder). On 04/22/2025 at 12:23 PM, R9 was seated in a wheelchair in the room, verbally alert and oriented, with multiple bruises or skin discoloration on bilateral upper extremities. R9 verbalized taking an anticoagulant, and the assigned licensed nurse…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to ensure a physician order for the use, care management, and monitoring of a protective seizure helmet were obtained for 1 of 10 sampled residents. The failed practice had the potential to increase risk of injury from falls and delay identification of skin conditions or concerns. Findings include: Resident 2 (R2) R2 was admitted on [DATE], with diagnosis including epilepsy, unspecified not intractable without status epilepticus, symptoms and signs involving cognitive functions and awareness, and low back pain. A physician order dated 06/27/2024, documented seizure precautions. On 04/22/2025 at 11:55 AM, R2 was observed walking in room independently, R2 was wearing a helmet. On 04/23/2025 at 3:25 PM, R2 was observed walking in room, helmet was not on. On 04/25/2025 at 7:58 AM, R2 was observed sitting on right side of bed with feet touching the floor, speaking to an LPN. R2's helmet was not on. R2 was crying and reported had…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-25 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to ensure the resident's Oxygen (O2) was monitored and care orders were obtained per policy for 1 of 10 sampled residents (Resident 11). The deficient practice could have the potential to result in inadequate oxygen administration, unrecognized respiratory decline, delayed medical intervention, and compromised resident safety. Findings include: Resident 11 (R11) R11 was admitted on [DATE], with diagnoses including acute and chronic respiratory failure and chronic congestive heart failure. A Physician Order dated 10/04/2023, documented O2 via nasal cannula (NC) 2-3 liters continuous for congestive heart failure/dyspnea and shortness of breath. The History and Physical dated 10/04/2023, documented R11 had chronic shortness of breath, was on supplemental O2 and the plan was to continue with O2 use. The Minimum Data Set, dated [DATE], documented the brief interview of mental status with a score of 12/12, indicating intact…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-25 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to ensure non-pharmacological interventions were consistently implemented, the effectiveness of pain management was monitored and documented, including location, frequency, severity, and duration, and opioid use adverse effects were monitored for 1 of 10 sampled residents (Resident 10). This deficient practice could have led to unresolved pain and diminished quality of life. Findings include: Resident 10 (R10) R10 was admitted on [DATE] and readmitted on [DATE], with diagnoses including sepsis, polyarthritis (inflammation of multiple joints), cellulitis of the left lower limb (a person's arm or leg), and toe wounds. The admission Minimum Data Set, dated [DATE], documented a brief interview of mental status with a score of 15/15, which indicated intact cognitive status. R10 was in frequent pain. On 04/22/2025 in the morning, R10 indicated having hammertoes causing wounds on the second toe of the left foot. R10 expressed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 19 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

What families pay in NV