Mission Pines Nursing And Rehab Center

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 240 beds and averages 176.0 residents a day — about 73% occupied, or roughly 64 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the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026.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 3.04 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.32 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.00 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 2.66 hrs/resident/day on weekends vs 3.19 on weekdays — 16% thinner on weekends. RN hours go from 0.37 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 53% 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.

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

• Potential for harm · D2026-06-18 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 was free from abuse for 1 of 7 sampled residents (Resident 1). The deficient practice had the potential to result in physical injury, pain, emotional distress, fear, and psychosocial harm to the resident as a result of resident-to-resident physical aggression. Findings include:Resident 1 (R1) was admitted on [DATE] and readmitted on [DATE], with diagnoses including dementia, schizophrenia, and anxiety disorder.The Brief Interview of Mental Status dated 05/08/20206, documented a score of 11/15, indicating R1's cognitive status was moderately impaired.Resident 2 (R2) was admitted on [DATE] and readmitted on [DATE], with diagnoses including dementia, post-traumatic stress disorder, anxiety disorder, bipolar disorder, and hemiplegia (complete paralysis of one side of the body) and hemiparesis (weakness or partial loss of strength on one side of the body).The Brief Interview of Mental Status dated 05/08/20206,…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · Dcited before2026-06-18 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 comprehensive care plan was updated to include interventions surrounding supervised visitation by a specific family member with criminal history for 1 of 7 sampled residents (Resident 4). The deficient practice had the potential to compromise the safety of the resident and violate the privacy of other residents in the secured unit.Findings include:Resident 4 (R4) was admitted on [DATE], with a diagnoses including unspecified dementia, anxiety and schizophrenia.On 06/17/2026 at 8:25 AM, R4 was seated in the common lounge located at the center of the secured unit. There was a total of 13 residents in the lounge seated near one another. Upon the survey team's request, R4 was assisted to the room by a staff member for an interview.On 06/17/2026 at 8:31 AM, R4 was pleasant, cooperative and able to respond to questions with moments of confusion noted. R4 indicated being a resident at the facility for about four years…

  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 no plan of correction
• Potential for harm · Dcited before2026-06-18 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  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 the medical record contained complete information for 1 of 7 sampled residents (Resident 4). The deficient practice had the potential to negatively impact on the resident's quality of care.Findings include:The Charting and Documentation policy revised July 2017 documented all services provided to residents and any changes in the residents' psychosocial condition shall be documented in the resident's medical record. The medical record should facilitate communication between the inter-disciplinary team (IDT). Documentation would include events and incidents involving the residents and documentation must be objective, complete, and accurate. Resident 4 (R4) was admitted on [DATE], with a diagnoses including unspecified dementia, anxiety and schizophrenia.On 06/17/2026 at 9:00 AM, the charge nurse steadily assigned in the secured unit indicated being very familiar with R4 who a resident at the facility for about four years had been…

  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 no plan of correction
• Potential for harm · E2025-11-07 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  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 and record review, the facility did not ensure the Water Management Program was complete and included all required elements.Findings include:Review of the facility's Water Management Program (WMP) revealed the WMP Team included the Director of Maintenance, Infection Preventionist/Director of Nursing, the Administrator, the Assistant Administrator, and the Maintenance Assistant. The WMP included a written narrative of the water flow in the building. This text narrative indicated the facility included 109 resident rooms; 56 rooms with two shared shower rooms on the North side, and 53 rooms with [NAME] and [NAME] shower set up on the South side. The text narrative specified there were nine 100-gallon water heaters and three 100-pound ice machines. The WMP contained a flow diagram for the path of water through the facility. The flow diagram of the path of water through the facility lacked detail to identify areas where potentially dangerous conditions or limited flow could occur:The flow diagram…

  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 · Dcited before2025-11-07 · 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 1) a medication with instructions to refrigerate was stored in the refrigerator, 2) an opened multi-dose vial (MDV) was labeled with opened date and 3) expired over the counter (OTC) medications were discarded. The deficient practice had the potential to affect the efficacy of medications being provided to residents.Findings include:Medication not refrigeratedOn 11/07/2025 at 9:51 AM, an inspection of the OTC cabinet in the 200-Hall medication storage room revealed two boxes of Arformoterol Tartrate 12 micrograms (mcg) per two milliliters (ml). A blue sticker which read Refrigerate was affixed on the medication container and was labeled with the name of an active resident (Resident 6). The product insert instructed to store the medication inside a refrigerator between 36 degrees Fahrenheit to 46 degrees Fahrenheit. The recorded room temperature for 11/07/2025 was 68.2 degrees Fahrenheit.On 11/07/2025 in the morning, the Assistant Director of Nursing (ADON) confirmed the medication which had 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-07 · tag F0838 — failed to assess facility resources and resident needs — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and document review, the facility failed to ensure the facility assessment tool contained a staffing plan. The deficient practice had the potential to impact the quality of care provided to residents due to staffing levels. Findings include:The Facility Assessment Policy and Procedure dated 2025, documented the facility shall conduct a facility-wide assessment to determine which resources were necessary to care for its residents competently both day-to-day and during emergencies. The facility shall use the facility assessment to inform staffing decisions to ensure there was a sufficient number of staff with appropriate competencies and skill sets necessary for its residents' needs. Consider specific staffing needs for each resident unit and adjust as necessary based on changes to its population. Consider specific staffing needs for each shift, such as day, evening, night and adjust as necessary based on changes.The Facility Assessment Tool reviewed on 08/28/2025, lacked documented evidence of a staffing plan.On 11/06/2025 at 10:30 AM, Administrator confirmed 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-11-08 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  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 food was served at a preferable and appetizing temperature for four sampled residents (Residents 12, 54, 72, and 119) and two unsampled residents (Residents 27 and 141). The deficient practice had the potential to negatively affect the amount of nutrients consumed by the residents and therefore affect their nutritional status. Findings include: On 11/07/2024 at 01:31 PM, Resident 12 (R12) verbalized the meal tasted poor and the cool temperature didn't help. On 11/07/2024 at 1:33 PM, Resident 54 (R54) indicated the meal tasted poor and the lukewarm to cool temperatures make it worse. On 11/07/2024 at 1:36 PM, Resident 72 (R72) indicated the meal tasted okay, but the cooler temperature was a problem. On 11/07/2024 at 1:38 PM, Resident 27 (R27) verbalized the meal tasted okay but was not a fan of the cool temperature. On 11/07/2024 at 1:39 PM, Resident 141 (R141) also verbalized the meal tasted okay but was not a fan of the cool temperature. On 11/07/2024 at 1:42 PM, Resident 119 (R119) indicated 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-08 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 the facility followed through on a resident's request regarding personal mail for 1 of 38 sampled residents (Resident 176). The deficient practice had the potential to negatively impact the resident's well-being. Resident 176 (R176) R176 was admitted on [DATE], with diagnoses including idiopathic neuropathy, depression and generalized anxiety disorder. On 11/05/2024 at 11:13 AM, R176 appeared neat, well-groomed with pleasant demeanor while seated inside the resident's room in the semi-secured unit. R176 indicated living in a church-based homeless shelter prior to being admitted to the facility in May 2024. R176 reported having requested the social worker multiple times to have R176's personal mail picked up from the shelter as the resident was expecting some checks, bills and letters which were important to the resident. R176 indicated not hearing back from the social worker and expressed worry regarding several months' worth 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 · D2024-11-08 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, employee file review, and document review, the facility failed to ensure verification of a professional license was conducted in accordance with the abuse prevention policy for 1 of 10 sampled employee files (Employee 9). The failure resulted in Employee 9 (E9) working as a Registered Nurse (RN) in the care of residents for over six months using another person's RN license. An unqualified person practicing as an RN could result in an adverse health outcome to residents. Findings: The policy and procedure titled Compliance with Reporting Allegations of Abuse/Neglect/Exploitation, revised 04/01/2024, indicated the facility would implement procedures for screening potential employees. Background and credential checks would be conducted for each potential employee and documented proof the screening occurred would be maintained. The policy indicated the facility would verify credentials such as licenses prior to an employee beginning work. On 11/08/2024, in the morning, the Payroll/Staffing Coordinator verbalized each RN must possess a valid state license in order to…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-08 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 a Preadmission Screening and Resident Review (PASARR) level two referral was completed for 3 of 38 sampled residents (Residents #39, 50, & 82). The deficient practice had the potential to deprive the residents of concern and other residents of necessary behavioral health services. Findings include: Resident 39 (R39) R39 was re-admitted on [DATE], with diagnoses including schizoaffective disorder, vascular dementia with behavioral disturbance, and anxiety disorder. On 11/05/2024 in the afternoon, R39 stated had been at the facility for over a year. The resident was happy with the food but would like BBQ foods more often. The resident had an issue with laundry having lost some clothes but has been resolved. The resident was happy with physical therapy and the nursing care. The resident also asked the Activities Department to take the residents on more trips away from the facility which The Activities Department said…

  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

“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

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in NV