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GROVER C DILS MEDICAL CENTER SNF

CALIENTE, NV · Lincoln County · Government - Hospital district · 16 certified beds

📍 700 N Spring St, Box 1010-c-adm Bldg, Caliente, NV 89008  ·  📞 (775) 726-3171

Medicare ID: 295026  ·  Last Medicare inspection: Apr 25, 2025

Overall Safety Score
69
out of 100
Use Caution
Component Scores
60
Inspection
20
Staffing
✓ Clean
Enforcement
✓ None
Complaints
86
Quality
📋 Last inspected: April 25, 2025 📦 CMS data as of: May 2026

Score Breakdown

Inspection
60
Staffing
20
Enforcement
100
Complaints
100
Quality Outcomes
86

What the numbers mean

GROVER C DILS MEDICAL CENTER SNF scored 69 out of 100 — near the state average.

📋 Inspections: 32 citations over the last 36 months — 23 fewer than the state average (55). None were rated as causing actual harm to residents.

🚨 Staffing: Staffing levels are well below average — this is a serious concern. Understaffing leads to worse resident outcomes. We strongly recommend asking for staffing schedules and speaking with current residents or family members before making any decision.

⚖️ Penalties & enforcement: No significant federal fines or enforcement actions on record — a positive indicator of consistent regulatory compliance.

💬 Complaints: Low complaint activity — few formal complaints from residents or families have triggered inspections. Ask if there is a family council you can speak with.

💚 Resident quality outcomes: This facility's star-rated quality measures are in the strong range. Key indicators like fall rates, antipsychotic use, and vaccination coverage compare favorably to national benchmarks — a positive signal for day-to-day resident care.

🔍 Most cited areas: The facility had a problem with electrical systems, emergency power, outlets, power strips, generators, utilities, or medical gas handling. These issues can create fire or emergency-response risks., The facility had a problem with sprinkler coverage, maintenance, testing, or outage procedures. Sprinklers are a key fire-protection system that help control fires before residents are in danger.. The full report provides the complete citation record with dates, severity levels, and plain-English descriptions.

What inspectors found (last 3 surveys)

32
Total citations
State avg: 55.1
0
Serious (G+)
State avg: 0.4
0
Repeat findings

Top concern areas

21
5
Electrical & Utility Safety
The facility had a problem with electrical systems, emergency power, outlets, power strips, generators, utilities, or medical gas handling. These issues can create fire or emergency-response risks.
3
Fire Sprinkler System
The facility had a problem with sprinkler coverage, maintenance, testing, or outage procedures. Sprinklers are a key fire-protection system that help control fires before residents are in danger.

⚖ Penalties & Enforcement

Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.

No federal penalties on record. CMS has not issued civil monetary penalties or payment denials against this facility in the current reporting period.
📋 Enforcement Context Analysis
Clean enforcement record — No significant federal enforcement actions or fines on record for this facility. This is a positive indicator.
✅ No enforcement actions on record. This facility's enforcement score of 100/100 reflects a clean enforcement history in the current CMS reporting cycle.

📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.

🩹

Resident Wellbeing — Key Indicators

These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.

Antipsychotic medication use
0.0% lower is better
Share of long-stay residents given antipsychotic drugs. High use can signal residents being over-medicated rather than receiving attentive care.
Flu vaccination rate
7.9% higher is better
Share of long-stay residents vaccinated against the flu this season. Higher is better.

Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.

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What to know about Grover C Dils Medical Center Snf

Grover C Dils Medical Center Snf is a Medicare-certified nursing home in Caliente, Nv with 16 certified beds. Its current Senior Care Report Card score is 69/100, placing it in the Use Caution range. The latest CMS survey date in our data is Apr 25, 2025. Over the last 36 months, our CMS citation data shows 32 citations. Families comparing this facility should pay close attention to staffing before scheduling a tour or accepting placement. Ownership type on file: Government - Hospital district.

🟡
Overall Assessment — Use Caution  ·  69/100
This facility has mixed results. Some areas need a closer look before you decide.
What to do next: Proceed carefully. Ask management directly about the specific concerns listed in this report.

What this facility's data shows

📋 Inspections
Some deficiencies on record. Review Section D to see what was cited.
👥 Staffing
Staffing is below recommended levels. Ask about RN coverage on nights and weekends.
⚖ Penalties
No significant federal enforcement actions or fines in the record.
💬 Complaints
Complaint activity is low — few formal complaints filed by residents or families.
Quality outcome measures are strong — fall rates, antipsychotic use, and other key indicators compare favorably to national benchmarks.
Score breakdown — the numbers behind this assessment
👥 Staffing 20
What it measures RN hours per resident per day, total nurse hours, and RN turnover rate.
💡 Understaffing is the strongest single predictor of poor inspection outcomes.
📋 Inspection 60
What it measures Number, severity (A–L), and scope of deficiencies found. Repeat findings carry extra weight.
💡 Every citation in Section D feeds directly into this score.
⚖ Penalties 100
What it measures Whether CMS escalated from a deficiency citation to actual financial or operational sanctions.
💡 A penalty means the facility already failed a second level of regulatory review.
💬 Complaints 100
What it measures Volume of complaint-triggered inspections and the share that were substantiated.
💡 Complaint surveys are unannounced — they often surface issues annual surveys miss.
🎯 Quality outcomes 86
What it measures Resident outcome measures: falls, pressure ulcers, antipsychotic use, weight loss, hospitalizations.
💡 Reflects the lived experience of residents beyond what inspectors observe.

Each pillar scores 0–100 and is combined into the overall score. A strong overall can mask a weak pillar — compare all four and see how they stack against the state average in Section B.

🏗 How This Facility Compares to NV State Averages

Comparing a facility to others in the same state puts its score in context. A facility might have 8 citations and that could be above average in one state and below in another. Green means this facility is doing better than its peers; red means it's falling short.

Metric This facility NV avg vs. State
Overall score
The combined Senior Care Report Card score out of 100.
69 71 ▼ Worse than state avg
Inspection score
How well the facility performs on standard health surveys.
60 58 ▲ Better than state avg
Staffing score
RN hours, total nurse hours, and staff turnover from CMS payroll data.
20 68 ▼ Worse than state avg
Penalty score
Fines, payment denials, and enforcement actions on file.
100 77 ▲ Better than state avg
Complaint score
Volume of complaint surveys and substantiated complaints.
100 92 ▲ Better than state avg
Quality score
Resident clinical outcomes vs national benchmarks: falls, antipsychotics, pain, vaccination, hospitalizations.
86 64 ▲ Better than state avg
Citations (3 yrs)
Total number of deficiencies cited in the last 36 months.
32 55.1 ▲ Better than state avg
Serious citations
Citations rated severity G or higher (actual harm or immediate jeopardy).
0 0.4 ✓ At avg

📅 Inspection Timeline

State health inspectors visit nursing homes on a regular cycle — typically every 12 to 15 months — and document every deficiency they find. The timeline below shows the date and scale of each inspection visit over the past several years. A pattern of worsening surveys is a red flag even if the most recent visit looks clean.

2025-04-25
18 citations
2024-05-02
14 citations
2023-03-09
9 citations

Bar length proportional to citation count. Red = serious findings (severity G+). Orange = elevated. Green = low.

📄 Full Citation Record

Every time state inspectors visit a nursing home, they write up anything that doesn’t meet federal standards. Each write-up is called a citation.

Each citation shows what the problem was and how serious it was, using a color-coded badge:

Confused by codes like F0732 or K0363? Use the free inspection report decoder to understand F-tags, fire-safety K-tags, severity letters, and repeat findings. Get the decoder →
Green — No residents harmed Yellow — Risk of harm, no injury Orange — A resident was harmed Red — Life or safety in danger

A Repeat tag means the same problem appeared in a previous inspection — it was not fully corrected the first time. Citations shown cover the last two years.

Survey: 2025-04-25 18 citation(s)
K0345 No harm, could worsen
Fire safety: fire alarm testing and maintenance
The facility had a problem with fire alarms, smoke detectors, alarm testing, or alarm outage procedures. These systems warn staff and residents when fire or smoke is detected.
F0656 No harm, could worsen
Comprehensive care plan
F0812 No harm, could worsen
Food sanitation & safety
F0640 No harm, could worsen
F0640
K0353 No harm, could worsen
Fire safety: sprinkler system maintenance and testing
The facility had a problem with sprinkler coverage, maintenance, testing, or outage procedures. Sprinklers are a key fire-protection system that help control fires before residents are in danger.
K0511 No harm, could worsen
Fire safety: gas, electric and utility systems
The facility had a problem with electrical systems, emergency power, outlets, power strips, generators, utilities, or medical gas handling. These issues can create fire or emergency-response risks.
K0355 No harm, could worsen
Fire safety: portable fire extinguishers
Fire safety: portable fire extinguishers. This is a building, fire protection, emergency preparedness, or electrical-safety issue found during a CMS life-safety inspection. Families should ask what was repaired, when it was corrected, and whether staff were retrained.
K0923 No harm, could worsen
Gas safety: medical gas storage and handling
The facility had a problem with electrical systems, emergency power, outlets, power strips, generators, utilities, or medical gas handling. These issues can create fire or emergency-response risks.
E0006 No harm, could worsen
E0006
F0697 No harm, could worsen
Pain management
F0759 No harm, could worsen
Medication error rate control
F0695 No harm, could worsen
Respiratory care
F0689 No harm, could worsen
Accident & hazard prevention
F0684 No harm, could worsen
Quality of care
F0655 No harm, could worsen
Baseline care plan
K0354 No harm, could worsen
Fire safety: sprinkler system out of service procedures
The facility had a problem with sprinkler coverage, maintenance, testing, or outage procedures. Sprinklers are a key fire-protection system that help control fires before residents are in danger.
K0915 No harm, could worsen
K0915
Fire and life safety requirement. This is a building, fire protection, emergency preparedness, or electrical-safety issue found during a CMS life-safety inspection. Families should ask what was repaired, when it was corrected, and whether staff were retrained.
E0024 No harm
E0024
🩹

How Are Residents Doing?

Inspections tell you whether a facility followed the rules. These measures tell you how residents actually fared — whether they fell, experienced pain, lost weight, or were over-medicated. CMS collects this data through regular clinical assessments that nurses complete for every resident. Unlike inspections, which happen once a year, these assessments happen continuously.

⚠ Attention: 2 of 7 star-rated measures show rates above what\'s typically considered acceptable. This means the facility may be struggling in areas that directly affect residents\' day-to-day wellbeing — not just its inspection record.

How to read these cards: Each card shows one measure. Lower percentages are better for most (e.g. fewer falls), but higher is better for vaccination rates and community return. ★ Star rating marks measures CMS uses in its official quality star rating.

Long Stay Residents — 2025Q1-2025Q4
★ Star rating
Daily activity decline
8.0% lower is better
Share of long-stay residents who lost the ability to dress, eat, or move around independently over the past year. Rising rates can signal that residents aren't receiving enough physical therapy or that staffing is too thin to support mobility.
★ Star rating
Urinary tract infections
0.0% lower is better
Share of long-stay residents who had a urinary tract infection. While some UTIs are unavoidable, high rates can point to poor hydration practices, catheter hygiene, or rushed care routines.
★ Star rating
Antipsychotic medication use
0.0% lower is better
Share of long-stay residents given antipsychotic drugs. These medications carry serious risks for older adults. High use often signals that a facility is medicating residents to manage behavior instead of addressing needs through attentive, person-centered care.
★ Star rating
Percentage of long-stay residents experiencing on…
0.0% lower is better
Percentage of long-stay residents experiencing one or more falls with major injury
★ Star rating
Flu vaccination rate
7.9% higher is better
Share of long-stay residents vaccinated against the flu. Nursing homes are high-risk environments for flu outbreaks. Anything below 90% warrants a question about the facility's vaccination policy.
★ Star rating
Percentage of long-stay residents with pressure u…
0.0% lower is better
Percentage of long-stay residents with pressure ulcers
★ Star rating
Percentage of long-stay residents who received an…
45.0% lower is better
Percentage of long-stay residents who received an antipsychotic medication
Physical restraints used
1.9% lower is better
Share of long-stay residents physically restrained (lap belts, side rails). Federal regulations require restraints to be a last resort. High use is a red flag for understaffed facilities cutting corners on behavioral care.
Signs of depression
1.9% lower is better
Share of long-stay residents showing symptoms of depression. Social isolation, lack of meaningful activities, and poor staffing all contribute. This measure reflects the emotional quality of life inside the facility.
Unexplained weight loss
0.0% lower is better
Share of long-stay residents who lost 5% or more of body weight unexpectedly. This can indicate inadequate nutrition, difficulty eating without assistance, or unaddressed medical issues.
Percentage of long-stay residents assessed and ap…
100.0% lower is better
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
Pneumonia vaccination rate
35.8% higher is better
Share of long-stay residents vaccinated against pneumococcal pneumonia — one of the leading causes of death in older adults. Higher is better.
Percentage of long-stay residents with new or wor…
13.2% lower is better
Percentage of long-stay residents with new or worsened bowel or bladder incontinence

Source: CMS MDS Quality Measures (2025Q1-2025Q4). Collected via standardized clinical assessments — not inspector visits.

💬 Questions to Ask Before Touring

These questions are generated specifically from this facility's score profile and citation history — not a generic checklist. A facility's willingness to answer them openly, and the quality of their answers, is itself an important signal. Bring this list when you tour or call.

  1. Your recent inspection identified multiple deficiencies. For each finding, can you explain exactly what happened and confirm which corrective actions have been fully completed — not just planned?
  2. CMS data shows this facility is significantly below the state average for total nurse hours and RN-specific hours per resident day. What is the actual RN coverage on evenings, nights, and weekends — not the regulatory minimum, but what residents consistently receive?
  3. What is your 90-day CNA and nurse turnover rate? How do you ensure a resident sees the same familiar caregivers across a given week?
  4. Can we speak privately with two or three current residents or their families?

👪 Family Decision Guide

This guide translates this facility's data into practical next steps for families. It is not a recommendation for or against placement — it is a structured framework for the conversations you need to have before making a decision.

✓ Positives to confirm

  • No significant penalty history — a positive indicator of consistent compliance
  • Low complaint activity — ask if there is a family council you can speak with
  • No serious-harm citations (G+) in the public record
  • No pattern of repeat violations detected

⚠ Areas to probe

  • Inspection score is low — ask for the most recent state survey results
  • Staffing concerns — request staffing schedules and ask about agency nurse use
  • Always speak with at least two current residents or family members independently

📈 Score History

The score is recalculated every time CMS releases updated data (typically monthly). A consistent downward trend is more concerning than a single low score. An improving trend after a period of poor performance may indicate management changes are taking effect. Use the free facility-watch form above to get email alerts when this facility's record changes materially.

2026-05-27
69 — Fair

🏢 Ownership & Operators

Ownership matters because large corporate chains sometimes prioritize cost controls over care quality. CMS requires every nursing home to disclose its owners, operators, and managing employees. Frequent ownership changes can disrupt staffing and operations — which is why we flag facilities that changed ownership in the past 12 months.

🔗 LLOYD, ARTHUR operates 1 facility across .
Owner / Operator Role Ownership % Effective
LLOYD, ARTHUR Individual 1970-01-01
ROWE, MELISSA Individual 1970-01-01
AVERY, TERRY Individual 1970-01-01
MANGUM, ROZANNE Individual 1970-01-01
DIRKS, SHARON Individual 1970-01-01
KATSCHKE, RICHARD Individual 1970-01-01
MILLER, DOUGLAS Individual 1970-01-01

🔔 Monthly tracking is now free

We check CMS data monthly. Use the tracking form above and we will email you when new citations appear, scores change, or enforcement actions are added.

📋
Monthly report update
New citation alerts
📈
Score trend tracking
🏠 Verify this data on Medicare.gov
All data in this report comes from the CMS Care Compare database. You can review the official public record directly on Medicare.gov — including the full inspection narrative, star ratings, and any recent enforcement actions.
View on Medicare.gov ↗

This report reflects publicly available CMS data only and is updated monthly. Severity codes and narratives are reproduced directly from the CMS health inspection database. Senior Care Report Card scores are independently computed and are not affiliated with or endorsed by CMS or Medicare.gov.

Frequently asked questions

What is the Senior Care Report Card safety score for Grover C Dils Medical Center Snf?
Grover C Dils Medical Center Snf has an independently computed Safety Score of 69 out of 100, based on CMS inspection findings, staffing levels, penalty history, complaint volume, and quality measures.
Where is Grover C Dils Medical Center Snf located?
Grover C Dils Medical Center Snf is located in Caliente, NV. View the full address, phone number, and a map at the top of this report.
How many beds does Grover C Dils Medical Center Snf have?
Grover C Dils Medical Center Snf is certified for 16 beds in the CMS Care Compare dataset.
When was the most recent CMS health inspection at Grover C Dils Medical Center Snf?
The most recent CMS health inspection summarized in this report was completed on April 25, 2025. CMS publishes a new inspection cycle approximately every 12 months.
What does the Senior Care Report Card Safety Score measure?
The Safety Score (0-100) combines five public-data signals: CMS health inspection severity, nursing staffing hours per resident, civil monetary penalties, complaint counts, and quality measures. Methodology and weightings are documented at /how-it-works/.
Is the report on Grover C Dils Medical Center Snf affiliated with the facility?
No. This report is independently computed from public CMS Care Compare data and is not affiliated with Grover C Dils Medical Center Snf, CMS, or Medicare.gov. It is provided as a research aid for families.

Data source: CMS Care Compare · Methodology · State Ombudsman

This report uses public CMS nursing home data and simplified scoring to help families ask better questions. It is not a recommendation, ranking, medical opinion, legal opinion, or substitute for an in-person visit. Source data last published by CMS: May 27, 2026.