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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Northern Nevada State Veterans Home (NNSVH) redefines the concept of a nursing home veterans would adore. This 102,000 square foot, 96-bed facility prioritizes skilled care in a non-institutional environment. Veterans cherish the privacy of individual rooms, while also having den, living room, and kitchen areas shared with other residents. The “Town Hall” plays a central role, housing facilities like a restaurant, sports bar, therapy gym, beauty/barber shop, and a platform for Veteran Service Organizations.
Overseen by the Nevada Department of Veterans Services and managed by Avalon Health Care Management, NNSVH offers short-term rehabilitation, long-term care, and memory care. Their service model ranges from assistance in daily living to specialized care following hospital stays. Distinctly, their memory care community concentrates on engaging activities for veterans managing dementia. In essence, NNSVH offers a comprehensive approach to caring for America’s veterans.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 1st out of 36 homes in Nevada.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 5m per day | ■ Avg State avg: 1h 4m per day · National avg: 41m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 6m per day | ▲ 30% State avg: 2h 23m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 15m per day | ▲ 10% State avg: 3h 51m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 20% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 43m per day | ▼ 16% State avg: 51m per day · National avg: 29m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
17% of new residents, usually for short-term rehab.
76% of new residents, often for short stays.
6% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #16 / 39Payroll — state benchmarkedThis home is ranked 16th out of 39 homes in Nevada.Shows total annual staff payroll benchmarked to the Nevada average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Nevada average: 81.5%Northern Nevada State Veterans Home is administrated by Susan Magluilo.
In Nevada, the Department of Health and Human Services, Bureau of Health Care Quality and Compliance performs unannounced onsite surveys to evaluate resident safety and care quality.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Nevada average: 21 inspections
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Nevada average: 62 deficiencies
The most recent inspection on March 13, 2025, identified deficiencies related to personnel records, dementia training, CMS star rating posting, non-discrimination statement posting, and cultural competency training. Earlier inspections and complaint investigations also noted issues with resident neglect, verbal abuse, medication administration errors, staff training, and care planning. Several complaint investigations substantiated neglect and abuse, including delayed hospital transfer after a fall, verbal abuse by staff, and failure to timely report incidents to authorities. Enforcement actions included staff suspensions and terminations, but fines or license suspensions were not listed in the available reports. The facility’s inspection history shows ongoing challenges with staff compliance and resident care protocols, with no clear pattern of sustained improvement.
Nevada average 5.1
Last Health inspection on Mar 2025
Nevada average 36.2
Nevada average 7.08
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
38 of 57 citations resulted from standard inspections; 18 of 57 resulted from complaint investigations; and 1 of 57 came from combined inspections (standard and complaint).
100% better than Nevada averageNevada average: 0.1
1
100% worse than Nevada averageNevada average: 0.5
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 13, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 13, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 13, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 13, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
| Northern Nevada State Veterans Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Sparks | 96 | 96.9% | +19% | 5.66 | +17% | +40% | 0 | 57 | 7.1 | 1 | 94 | - | 74 | Avalon Veterans Services, L.l.c. | $21.7M | $8.1M | 37.4% | 295105 | ||||
| Hearthstone of Northern Nevada |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Sparks (Baring Boulevard) | 125 | 91.3% | +12% | 3.50 | -44% | -13% | 2 | 72 | 12.0 | 3 | 100 | - | 40 | - | $9.7M | $3.8M | 39.1% | 295044 | ||||
| Wingfield Skilled Nursing And Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Sparks (Saddlebrook) | 120 | 88.4% | +8% | 3.77 | -5% | -6% | 1 | 56 | 11.2 | 3 | 113 | - | 13 | - | $22.5M | $6.4M | 28.2% | 295088 | ||||
| Golden Years Castle Group Home Care | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Reno (West University) | 8 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 8 | - | - | - | - | - |
2.3 miles from city center
Estimated distance in miles from Sparks's city center to Northern Nevada State Veterans Home's address, calculated via Google Maps.
— 1.12 miles to nearest hospital (Renown Institute for Heart & Vascular Health u2013 Center B)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with Nevada averageNevada average ratio: 1.57:1
6% better than Nevada averageNevada average: 8.8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursThis role is partially covered by contractors.
Total hours from contractors
4,035 contractor hours this quarter
| Certified Nursing Assistant | 60 | 6 | 66 | 24,354 | 91 | 100% | 9.9 |
| Registered Nurse | 23 | 0 | 23 | 8,055 | 91 | 100% | 10.1 |
| Licensed Practical Nurse | 20 | 2 | 22 | 6,787 | 91 | 100% | 9.9 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,796 | 84 | 92% | 7.8 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,133 | 66 | 73% | 7.3 |
| Dental Services Staff | 2 | 0 | 2 | 940 | 64 | 70% | 7.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 653 | 71 | 78% | 5.3 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 405 | 54 | 59% | 7.5 |
| Physical Therapy Assistant | 0 | 1 | 1 | 366 | 58 | 64% | 6.3 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 305 | 51 | 56% | 5.9 |
| Dietitian | 1 | 0 | 1 | 262 | 34 | 37% | 7.7 |
| Medical Director | 0 | 1 | 1 | 156 | 39 | 43% | 4 |
| Qualified Social Worker | 0 | 2 | 2 | 111 | 17 | 19% | 6.6 |
| Physical Therapy Aide | 0 | 2 | 2 | 41 | 12 | 13% | 3.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 26 | 13 | 14% | 2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 26 | 13 | 14% | 2 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
92Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.6
19% worse than Nevada averageNevada average: 9.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.5
23% worse than Nevada averageNevada average: 17.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
20.5%
31% worse than Nevada averageNevada average: 15.6%
Percent of long-stay residents whose ability to move independently worsened
20.1%
In line with Nevada averageNevada average: 20.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.7%
40% worse than Nevada averageNevada average: 16.9%
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
157% worse than Nevada averageNevada average: 2.5%
Percent of long-stay high risk residents with pressure ulcers
4.5%
18% better than Nevada averageNevada average: 5.5%
Percent of long-stay residents with a urinary tract infection
3.1%
117% worse than Nevada averageNevada average: 1.4%
Percent of long-stay residents who lose too much weight
6.4%
18% worse than Nevada averageNevada average: 5.4%
Percent of long-stay residents who have depressive symptoms
1.0%
77% better than Nevada averageNevada average: 4.2%
Percent of long-stay residents who received an antipsychotic medication
6.6%
53% better than Nevada averageNevada average: 14.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
6% better than Nevada averageNevada average: 91.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
9% better than Nevada averageNevada average: 89.6%
Number of hospitalizations per 1,000 long-stay resident days.
0.61
66% better than Nevada averageNevada average: 1.82
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.58
5% worse than Nevada averageNevada average: 1.50
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.2%
In line with Nevada averageNevada average: 83.9%
Percent of short-stay residents who newly received an antipsychotic medication
5.4%
165% worse than Nevada averageNevada average: 2.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.9%
10% better than Nevada averageNevada average: 80.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Nevada averageNevada average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Historical financial and operational data for Northern Nevada State Veterans Home based on CMS SNF Cost Reports.
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