Patients in Nevada's rural areas may face home care access problems following the Oct. 31 closure of Home Health Services of Nevada. The non-profit's board of directors voted to close the agency due to financial pressures, reports the Elko Daily Free Press. Low Medicaid rates and failure to gain regulatory approval to close branch offices in rural areas contributed to the closure, says a source. "We have branches all over the state and the cost of maintaining the overhead associated with having those branches just got to the point that the services we could be paid for wouldn't provide the capital to continue," CEO Bill Guisti told the newspaper. Genesis Home Health Services in Elko is taking on some of the shuttered agencies' 200 patients, the Press reports. Some Home Health field staff have been offered employment with other companies too. But for some patients in rural areas, Home Health was the only provider available, says the source.