These are the lowest-rated nursing homes in Nevada based on CMS data (2026). The lowest CMS rating in this list is 1 star(s). Combined, these 20 facilities have been fined a total of $425,878. 6 have abuse flags. This ranking is based solely on official CMS data and does not represent editorial opinion.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Lefa Seran SNF | Hawthorne | $0 | |
| 2 | El Jen Skilled Care | Las Vegas | $51,839 | |
| 3 | Rosewood Rehabilitation Center | Reno | $0 | |
| 4 | Northstar Post Acute | Carson City | $70,296 | |
| 5 | Hearthstone | Sparks | $48,721 | |
| 6 | Life Care Center of Reno | Reno | $0 | |
| 7 | Tlc Care Center | Henderson | $20,719 | |
| 8 | Gardnerville Health & Rehabilitation Center | Gardnerville | $0 | |
| 9 | Highland Manor of Fallon Rehabilitation LLC | Fallon | $90,220 | |
| 10 | Caremeridian Llc, Dba Neurorestorative | Reno | $68,738 | |
| 11 | Royal Springs Healthcare and Rehab | Las Vegas | $40,359 | |
| 12 | Life Care Center of South Las Vegas | Las Vegas | $0 | |
| 13 | South Lyon Medical Center | Yerington | $0 | |
| 14 | Horizon Health and Rehabilitation Center | Las Vegas | $0 | |
| 15 | North Las Vegas Care Center | North Las Vegas | $9,311 | |
| 16 | Alpine Skilled Nursing and Rehabilitation Center | Reno | $0 | |
| 17 | Torrey Pines Post Acute and Rehabilitation | Las Vegas | $0 | |
| 18 | Silver Hills Health Care Center | Las Vegas | $0 | |
| 19 | Highland Manor of Elko Rehabilitation LLC | Elko | $0 | |
| 20 | Mountain View Health and Rehabilitation | Carson City | $25,675 |
Rankings are based on the CMS 5-Star Quality Rating System, which evaluates nursing homes on health inspections, staffing, and quality measures. Ratings range from 1 star (much below average) to 5 stars (much above average). Data is updated monthly by CMS.