Sierra Basin Post Acute

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

73.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 806 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 92.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 364 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.91 therapist hours per resident per day in 2026Q1 — more than 96% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 35% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 80 beds and averages 70.6 residents a day — about 88% occupied, or roughly 9 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.61 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.15 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.50 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.93 hrs/resident/day on weekends vs 4.88 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 1.34 to 0.66 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.

• Potential for harm · Edisputed · IDR2026-03-12 · tag F0609 — failed to report abuse allegations — pattern
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, clinical record review, and document review, the facility failed to report an allegation of staff-to-resident physical abuse for 1 of 18 sampled residents (Resident #24). This deficient practice could allow allegations of abuse to occur and not be reported for investigation resulting in continued or worsening abuse of vulnerable residents throughout the facility.Findings include:Resident #24Resident #24 was admitted to the facility on [DATE], with diagnoses including fracture of left femur, fracture around internal prosthetic left hip joint, and chronic obstructive pulmonary disease.On 03/09/2026 at 12:00 PM, Resident #24 verbalized a Certified Nursing Assistant (CNA) had handled the resident roughly and the resident was concerned the CNA would cause further injury to an existing fracture in the resident's hip. Resident #24 had requested the Physical Therapy Assistant (PTA) to remove the CNA from the resident's care due to the CNA handling the resident roughly when providing care. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-12 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, clinical record review, and document review, the facility failed to ensure 2 of 18 sampled residents (Residents #6 and #14) had an appropriate diagnosis to support the use of an antipsychotic medication. This deficient practice had the potential to result in the use of an unnecessary psychotropic medication and to restrict a resident's ability to function.Findings include:Resident #6 Resident #6 was admitted to the facility on [DATE], with a diagnosis of unspecified dementia unspecified severity without behavioral disturbance, psychotic disturbance, mood disturbance and anxiety. A physician's order dated 02/16/2026, documented Quetiapine Fumarate oral tablet 50 milligrams (mg). Give 50 mg by mouth at bedtime for behaviors. A progress note dated 02/18/2026 at 12:00 AM, documented Quetiapine Fumarate oral tablet 50 mg. Give 50 mg by mouth at bedtime for dementia. A medication regimen review form dated 02/18/2026, documented Resident #6 received the antipsychotic Quetiapine Fumarate for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ddisputed · IDR2026-03-12 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, clinical record review, and document review, the facility failed to investigate an allegation of staff-to-resident physical abuse for 1 of 18 sampled residents (Resident #24). This deficient practice could allow allegations of abuse to occur and result in continued or worsening abuse of vulnerable residents throughout the facility.Findings include:Resident #24Resident #24 was admitted to the facility on [DATE], with diagnoses including fracture of left femur, fracture around internal prosthetic left hip joint, and chronic obstructive pulmonary disease.On 03/09/2026 at 12:00 PM, Resident #24 verbalized a Certified Nursing Assistant (CNA) had handled the resident roughly and the resident was concerned the CNA would cause further injury to an existing fracture in the resident's hip. Resident #24 had requested the Physical Therapy Assistant (PTA) remove the CNA from the resident's care due to the CNA handling the resident roughly when providing care. The resident verbalized feeling unsafe as the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-12 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, clinical record review, and document review, the facility failed to ensure a resident was provided with written notice of the facility bed-hold policy when 1 of 3 residents sampled for closed records (Resident #78) was transferred to a hospital. This deficient practice had the potential to result in an unsafe discharge and prevent the resident from being informed of the resident's rights related to returning to the facility.Findings include:Resident #78 Resident #78 was admitted to the facility on [DATE], and readmitted on [DATE], with a primary diagnosis of idiopathic chronic gout, multiple sites, without tophus. A physician's progress note dated 02/18/2026 at 12:00 AM, documented Resident #78 was seen in bed and very confused. A smell of strong urine was present. A urinalysis was ordered and medications were adjusted due to concern for worsening confusion. The provider would send the resident to acute for concern of worsening infection.Resident #78's Discharge Minimum Data Set 3.0 (MDS)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-12 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to revise the comprehensive person centered care plan to address changes in the resident's condition after experiencing two falls for 1 of 18 sampled residents (Resident #34). This deficient practice had the potential to result in unmet care needs, continued fall risk, and preventable injury.Findings included:Resident #34Resident #34 was admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses including muscle weakness and difficulty in walking.Resident #34's initial care plan for falls dated 12/19/2025 identified the resident as being at risk for falls and included baseline fall prevention interventions.Resident #34's clinical record showed the resident sustained two falls in the facility on 12/24/2025 and 01/08/2026. These falls represented a change in the residents' condition requiring reassessment and revision of the care plan.Resident #34's clinical record lacked documented evidence the care plan was revised…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ddisputed · IDR2026-03-12 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, clinical record review, and document review, the facility failed to ensure a resident received treatment and care in accordance with professional standards of practice when 1 of 18 sampled residents (Resident #55) was not assisted with transportation to an orthopedics appointment outside the facility. This deficient practice had the potential to result in a delay in required services and hindered wound recovery.Findings include:Resident #55 Resident #55 was admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses including acquired absence of right leg below knee and encounter for orthopedic aftercare following surgical amputation. A provider consultation form dated 02/12/2026, documented the resident was seen for orthopedic services to include range of motion knee extension and splint care. A follow-up appointment was made for 02/26/2026 at 3:00 PM. A provider consultation form dated 02/19/2026, documented the resident was seen for orthopedic services to include suture…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure supervision and assistive devices were provided to prevent accidents by failing to revise the comprehensive person centered care plan after the resident experienced two falls for 1 of 18 sampled residents (Resident #34). This deficient practice had the potential to result in unmet care needs, continued fall risk, and preventable injury.Findings included:Resident #34Resident #34 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including muscle weakness and difficulty in walking.On 03/09/2026 at 11:12 AM, Resident #34 verbalized having two falls while in the facility. The first fall happened when attempting to transfer to the wheelchair and the wheelchair breaks were not set. The second fall happened when attempting to use the toilet. Resident #34 explained having been in pain after the second fall and required x-rays for the hip and hand.Resident #34's clinical record showed the resident sustained two…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-12 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and document review, the facility failed to ensure the treatment/wound cart containing resident medications was secured. This deficient practice had the potential to result in unauthorized access to medications.Findings include:On 03/12/2026 at 11:36 AM, a treatment/wound cart was observed unlocked in the resident care area. There was no nursing staff present in the area at the time of the observation. The following medications were noted inside drawers one and two of the cart: one tube of lidocaine cream one tube of triamcinolone (TAC) cream three bottles of nystatin powderOn 03/12/2026 at 11:40 AM, the Resident Care Manager (RCM) Registered Nurse confirmed the treatment cart had been left unlocked and explained it should not be left unlocked. The RCM Registered Nurse verbalized it was important to keep the cart locked to keep residents, and visitors from getting in the cart and to keep everyone safe.On 03/12/2026 at 1:59 PM, the Director of Nursing verbalized the expectation was for staff to ensure the treatment cart was locked before walking…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ddisputed · IDR2026-03-12 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, clinical record review, and document review, the facility failed to ensure a resident's medical record was complete for 1 of 18 sampled residents (Resident #24). The deficient practice had the potential for staff to be unaware of resident needs resulting in further harm.Findings include:Resident #24Resident #24 was admitted to the facility on [DATE], with diagnoses including fracture of left femur, fracture around internal prosthetic left hip joint, and chronic obstructive pulmonary disease.On 03/09/2026 at 12:00 PM, Resident #24 verbalized a Certified Nursing Assistant (CNA) had handled the resident roughly and the resident was concerned the CNA would cause further injury to an existing fracture in the resident's hip. Resident #24 had requested the Physical Therapy Assistant (PTA) remove the CNA from the resident's care due to the CNA handling the resident roughly when providing care. The resident verbalized feeling unsafe as the CNA continued to enter the resident's room to provide care to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-12 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and document review, the facility failed to ensure a staff member performed hand hygiene when assisting residents in the dining room for 4 of 4 observed opportunities to perform hand hygiene. This deficient practice had the potential to result in the spread of bacteria and viruses, including multi drug resistant organisms, to the residents in the facility.Findings include:On 03/09/2026 at 12:14 PM, a staff member was assisting residents in the dining room. The staff member performed the following activities without performing hand hygiene:delivered coffee to a resident.touched the back of a resident's chair.touched the table in front of a resident and then touched the resident's chair.assisted a resident with opening a container of salad dressing and then poured the dressing over the resident's salad.The staff member confirmed the staff member had not performed hand hygiene in between touching residents or before assisting a resident with the resident's salad dressing. The staff member verbalized the staff member should have washed their hands or…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $2.1M paid to related parties — landlords or management companies under common ownership — equal to about 17% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NV