Highland Manor of Elko Assisted Living

Last state inspection

November 18, 2025 Annual licensure survey

State inspections

3

Deficiencies cited

18

Most recent grade from the state

B November 18, 2025

Complaints investigated

2: 0 substantiated, 2 not substantiated

State sanctions

0

• License active since 2024

Most recent inspections with deficiencies

• November 18, 2025, annual licensure survey: 6 deficiencies, grade B
  • Health And Sanitation-Garbage (NAC 449.209): Based on observation and interview, the facility failed to ensure a garbage dumpster was covered and trash was not littering the ground severity 2 (potential for harm), scope 1 (isolated); correction date December 22, 2025
  • Service of food; seating; menus; special diets; nutritional requirements; dietary consultants (NAC 449.2175): Based on observation, interview, clinical record review, and document review, the facility failed to ensure alternative meals were provided to residents with physician ordered special diets for 1 of 10 sampled residents (Resident #7). severity 2 (potential for harm), scope 1 (isolated)
  • Supervision and Treatment of Residents (NAC 449.259): Based on record review, document review and interview, the facility failed to develop complete person-centered service plans for 10 of 10 sampled residents (Resident #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10). severity 2 (potential for harm), scope 3 (widespread); correction date December 22, 2025
  • Supervision and Treatment of Residents (NAC 449.259): Based on record review, document review and interview, the facility failed to develop a complete person-centered service plan for a resident with a dementia diagnosis (Resident #6). severity 2 (potential for harm), scope 1 (isolated); correction date December 22, 2025
  • Rights of Residents; Procedure for Filing (NAC 449.268): Based on observation, interview, and record review, the facility failed to ensure Resident #7 received the physician-ordered specialized diet, a potential for nutritional compromise. severity 2 (potential for harm), scope 1 (isolated); correction date December 22, 2025
  • Medication: Storage (NAC 449.2748): Based on observation, interview and document review, the facility failed to ensure resident medications were kept secured in the facility for 2 of 10 sampled residents (Resident #4 and #8). severity 2 (potential for harm), scope 1 (isolated); correction date December 22, 2025
• February 20, 2025, complaint investigation, grading re-survey: 2 deficiencies, grade A
  • Service of Food-Nutritious Meals;Frequency (NAC 449.2175): Based on observation and interview, the facility failed to provide meals in accordance with resident preferences for 2 of 43 residents. severity 2 (potential for harm), scope 1 (isolated); correction date March 14, 2025
  • Care for Persons with Mental Illnesses (NAC 449.2764): Based on record review, document review, and interview, the facility failed to obtain an endorsement for Mental Illness (MI), admitted, and retained a resident with a MI diagnosis for 1 of 8 sampled residents (Resident #8). severity 2 (potential for harm), scope 1 (isolated); correction date March 14, 2025
• November 20, 2024, annual licensure survey: 10 deficiencies, grade D
  • Personnel File - TB Screening (NAC 449.200): Based on personnel file review, document review, and interview, the facility failed to ensure physical examinations were completed in accordance with Nevada Administrative Code 441A.375 for 8 of 10 sampled employees (Employee #1, #2, #3, #4, #5, #6, #7, and #10). correction date December 2, 2024
  • Personnel Files - Background Checks (NAC 449.200): Based on personnel file review and interview, the facility failed to ensure 1 of 10 sampled employees met the background check requirements of Nevada Revised Statute (NRS) 449.122 to 449.125 (Employee #8). severity 2 (potential for harm), scope 1 (isolated); correction date December 2, 2024
  • First Aid & CPR (NAC 449.231): Based on personnel file review, document review, and interview, the facility failed to ensure employees had cardiopulmonary resuscitation and first aid training which included skills testing for 7 of 10 sampled employees (Employee #2, #4, #5, 6, #7, #9, and #10). severity 2 (potential for harm), scope 3 (widespread); correction date December 17, 2024
  • Medication Administration-Accuracy & Report (NAC 449.2742): Based on interview and medical record review, the facility failed to ensure a medication review of residents' medications was conducted at least every six months by a physician, pharmacist or registered nurse for 5 of 10 sampled residents (Resident #2, #8, #1, #4, and #5). severity 2 (potential for harm), scope 3 (widespread); correction date December 2, 2024
  • Medication Administration-Report Received (NAC 449.2742): Based on interview and medical record review, the facility failed to ensure pharmacist medication reviews were provided to the physician within 72 hours of the administrator receiving the reports for 9 of 10 sampled residents (Resident #2, #3, #6, #10, #8, #1, #4, #5, and #9) and the reports were reviewed and initialed by the administrator for 3 of 10 sampled residents (Resident #3, #6 and #5). severity 2 (potential for harm), scope 3 (widespread); correction date December 2, 2024
  • Medication/OTCS, Supplements, Change Order (NAC 449.2742): Based on observation, interview, and record review, the facility failed to ensure a medication had an order change sticker affixed to the label when a new order was received for 1 of 10 sampled residents (Resident #5). severity 2 (potential for harm), scope 1 (isolated); correction date December 2, 2024
  • and 4 more in the report

Read every report on the state’s site → Search license 11543-AGC-2, then choose View Detail and SOD/POC for each inspection.

Deficiency names and findings are quoted from the state’s Statements of Deficiencies. Fine amounts are read from the state’s scanned sanction notices. This community is licensed for 57 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Nevada Health Authority, Health Care Quality and Compliance (formerly DPBH, Bureau of Health Care Quality and Compliance), data as of October 15, 2026, showing the last five years. The state’s search shows active licenses only. Always visit in person and ask the community about anything listed here.