Highland Manor Of Mesquite Rehabilitation LLC

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.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

53.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 134 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 61.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 73 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.22 therapist hours per resident per day in 2026Q1 — more than 27% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 112 beds and averages 87.2 residents a day — about 78% occupied, or roughly 25 beds typically open. It usually has some room. 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 3.30 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.65 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.94 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 2.91 hrs/resident/day on weekends vs 3.46 on weekdays — 16% thinner on weekends. RN hours go from 0.73 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 37% 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.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · E2026-04-10 · tag F0578 — failed to honor advance directives / code status — pattern
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 interviews, record review, and facility policy review, the facility failed to ensure four of five residents reviewed (Resident (R) 1, R12, R20, and R79) were provided with written information or education regarding advance directives and the right to formulate an advance directive to ensure their desired level of medical care was known in the event they were unable to direct care on their own. This failure had the potential to affect the ability of cognitively intact residents to direct their care.Findings include:R1 was admitted on [DATE] with diagnoses including transient cerebral ischemic attack, chronic obstructive pulmonary disease (COPD), asthma, altered mental status, sleep disorder, and Alzheimer's dementia. R1's admission Record noted: Advance Directive: Do Not Resuscitate. (Allow Natural Death). Comfort-Focused Treatment. No IV (intravenous) fluids. No artificial nutrition of feeding tube.R1's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 02/11/2026 revealed a…

  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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-10 · 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 facility policy review, the facility failed to ensure oxygen concentrator filters were free of dust and heavy buildup of lint for three of four sampled residents (Residents (R) 62, R5, and R79) out of a total sample of 24 residents. This failure had the potential for the residents to have an increased chance of unnecessary respiratory treatments and/or infection.Findings include: R62's was admitted on [DATE] and diagnoses including bradycardia (slow heart rate), hypoxemia (low blood oxygen level), and atrial fibrillation. R62's Physician Orders dated 03/23/2026 documented Oxygen at 2 L [liters] via NC [nasal cannula] to maintain SPO2 [Peripheral Oxygen Saturation] greater than 90% as needed for SOB [shortness of breath] related to hypoxemia. On 04/07/26 at 2:00 PM, R62 was lying in bed sleeping and wearing oxygen via a nasal cannula. The oxygen tubing was connected to the oxygen concentrator which was set at 2 liters per minute (LPM). The black oxygen cabinet…

  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 · D2026-04-10 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and facility policy review, the facility failed to ensure that laundry staff were aware of what Personal Protective Equipment (PPE) was available for staff to use while sorting dirty laundry. This deficient practice had the potential to spread infectious organisms throughout the facility of 90 residents.Findings include:On 04/10/2026 at 4:00 PM, during an observation of the laundry area, no face shields or goggles were observed anywhere in the vicinity of the sorting area.On 04/10/2026 at 4:01 PM, a laundry aide was asked about PPE in the dirty area where clothes were separated for washing. The laundry aide stated the clothes were brought in the barrel, taken from it, and placed into whites or colored for wash. The laundry aide was asked if aprons, gloves, and eye protection were available and where they were located. The laundry aide stated she had an apron, but it was at home. When asked about gloves and eye protection, the laundry aide stated they wore their reading glasses. During an interview on 04/10/26 at 4:15 PM, the Director of Nursing (DON)…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-02 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  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 consents for psychotropic medications were not obtained from a resident who was assessed to have severely impaired cognition for 1 of 18 sampled residents (Resident 36). The deficient practice potentially deprived the resident and the resident's representative the right to be informed of the medications' purpose, risks, benefits and potential side effects. Findings include: Resident 36 (R36) was admitted on [DATE] and readmitted on [DATE], with diagnoses including unspecified dementia, bipolar disorder and anxiety disorder. The Annual Minimum Data Set (MDS) dated [DATE], documented R36 had a brief interview of mental status (BIMS) score of 03 (severely impaired cognition). 1) A Physician's Order dated 04/01/2024, documented to give Trazadone (anti-depressant) 150 milligrams (mg) by mouth at bedtime for sleep disorder. A Consent for Psychotropic Medication Use dated 04/02/2024, revealed the Assistant Director 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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-02 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  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 resident who was observed taking own medications was assessed for capability to self-administer medications for 1 of 18 sampled residents (Resident 54). The deficient practice had the potential to compromise the resident's safety and negatively impact overall well-being. Findings include: Resident 54 (R54) was admitted on [DATE] and readmitted on [DATE], with diagnoses including Parkinsonism, bipolar disorder and post-traumatic stress disorder. On 04/29/2025 at 12:25 PM, R54 was seated in room with lunch tray in front, a small cup containing multiple medications was observed on the meal tray. R54's hands tremors were evident as R54 placed the medications on top of the yogurt container and started to consume the medications and yogurt using an adaptive spoon. During the consumption, a small portion of a pink pill fell on the resident's blouse. R54 explained the medications were routine medications scheduled with…

  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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-02 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  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 nurse did not document medications as having been administered without direct observation of the resident's consumption of the medications for 1 of 18 sampled residents (Resident 54). The deficient practice had the potential to compromise the resident's safety and inaccurately document care provided to the resident. Findings include: The Medication Administration policy dated 04/11/2025, documented medications were administered by licensed nurses as ordered by the physician in accordance with professional standards of practice. Nurses would administer medications and observe resident consumption of medication. Resident 54 (R54) was admitted on [DATE] and readmitted on [DATE], with diagnoses including Parkinsonism, bipolar disorder and post-traumatic stress disorder. On 04/29/2025 at 12:25 PM, R54 was seated in room with lunch tray in front, a small cup containing multiple medications was observed on the meal tray.…

  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 · D2025-05-02 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  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 a resident's blood pressure and heart rate were obtained and parameters were followed in accordance with physician's order for an anti-hypertensive medication for 1 of 18 sampled residents (Resident 36). The deficient practice resulted in unnecessary medications. Findings include: Resident 36 (R36) was admitted on [DATE] and readmitted on [DATE], with diagnoses including essential hypertension (high blood pressure). A physician's order dated 12/05/2024, documented Losartan Potassium 25 milligrams (mg) give half tablet by mouth once daily for essential hypertension. Hold for systolic blood pressure (SBP) less than 100 millimeters of Mercury (mmHg) and heart rate (HR) less than 55 beats per minute (bpm). The medical record lacked documented evidence R36's BP and HR were obtained and recorded in the resident's electronic health record (EHR) to reflect BP and HR parameters were being followed per physician's order. On 05/02/2025 at…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-02 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure 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.
  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 the medication storage room was free from expired medications. The deficient practice placed residents at risk for receiving expired medications. Findings include: On 04/30/2025 at 9:04 AM, a Licensed Practical Nurse (LPN) indicated the facility had one medication storage room. An inspection of the over-the-counter (OTC) medication cabinet was conducted with the LPN who confirmed the following observation: - seven bottles of Fexofenadine hydrochloride 30 tablets per bottle. Lot number AT2301068 expiration date January 2025 - four bottles of Calcium citrate 100 enteric-coated tablets per bottle. Lot number 254715 expiration date December 2024 - three bottles of Dehydroepiandrosterone (DHEA) micronized dietary supplement 24 tablets per bottle. Lot 112107 expiration date November 2024 - three bottles of Calcium Oyster shell 500mg plus Vitamin D3 60 chewable tablets per bottle. Lot 62300 expiration November 2024 - three bottles of saline enema Lot 2301 expiration August 2024 On 04/30/2025 at 9:22 AM, the…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-02 · tag F0812 — failed to store, cook, and serve food safely — isolated
  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 stored foods were stored in accordance with facility standards for food service safety and sanitization test strips to measure correct sanitizing levels were not expired. These deficient practices posed a potential risk to safety and health standards which could lead to contamination and place residents at risk of foodborne illness. Findings include: On 04/29/2025 in the morning, during a tour of the kitchen and dietary areas, an open undated drink bottle was found in the 400-hall nutrition refrigerator. A pre-dispensed, unlabeled, and undated bowl of cereal was stored in the 300-hall nutrition cabinet. An expired (04/2021) can of cocoa powder was being stored in the 100-hall nourishment cabinet. A facility policy entitled Date Marking for Food Safety implemented on 04/11/2025, revealed food would be clearly marked to indicate the date or day by which the food would be consumed or discarded. The individual who opened or prepared a food would date mark the food at the time the food was opened or…

  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 · F2024-04-25 · tag F0803 — failed to meet residents' dietary needs — widespread
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  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 policy review, the facility failed to have menu spreadsheets for the weekly menus that included portion sizes and regular and therapeutic diets for all residents and three of eight residents R16, R29, and R34) who were reviewed for menus. This deficient practice affected all residents who received meals prepared in the facility's only kitchen. Findings include: Review of the facility policy titled Menu Planning, revised 09/10, revealed: Purpose: To provide a variety of meals that are well balanced, palatable, attractive, satisfying and meet the recommended daily allowances. 2. Menus will be developed by following resident's food preference and by maintaining state and federal standards. Review of the facility diet roster, dated 04/24/24, provided by the facility revealed diet orders included 45 regular diets, nine mechanical soft diets, two pureed diets, one pureed high calorie high protein diet, four mechanical soft high calorie high protein diets, 12 regular…

  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

“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.

Part of a chain

This home belongs to THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS — 19 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 19 rows in the source record cover these 11 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.

4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $89K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NV