Saint Joseph Transitional Rehabilitation Center

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.

33.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 63 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.29 therapist hours per resident per day in 2026Q1 — more than 44% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% 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 100 beds and averages 93.4 residents a day — about 93% occupied, or roughly 7 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 3.82 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.91 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.04 is below 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 3.65 hrs/resident/day on weekends vs 3.89 on weekdays — 6% thinner on weekends. RN hours go from 1.00 to 0.68 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 39% is about the same as the national median of 45%. 1 administrator has left in the past year.

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.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

• Potential for harm · D2025-09-12 · tag F0553 — failed to let residents help plan their care — isolated
  Allow resident to participate in the development and implementation of his or her person-centered plan of care.
  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, record review, and document review, the facility failed to ensure the care planning process included feedback and information from a resident for 1 of 32 sampled residents (Resident 5). The deficient practice had the potential to result in care which did not reflect the resident's preferences, goals, and choices, diminishing the resident autonomy and person-centered care. Findings include: Resident 5 (R5) was admitted on [DATE] with diagnoses including acute and chronic respiratory failure, neuromuscular dysfunction of bladder, and urinary tract infection. A Brief Interview for Mental Status (BIMS) assessment revealed a score of 13/15 indicating R5 was cognitively intact.On 09/09/2025 at 10:31 AM, R5 revealed the facility was not allowing R5 to participate in care planning for use of ventilator and care regarding tracheostomy. The medical record revealed a care conference was conducted on 09/09/2025 regarding skin alterations included the Director of Nursing, Social Worker,…

  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 · D2025-09-12 · tag F0637 — isolated
  Assess the resident when there is a significant change in condition
  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, record review and document review, the facility failed to ensure a significant change in status Minimum Data Set (MDS) assessment was completed within the required time frame for 1 of 32 sampled residents (Resident 50). The deficient practice had the potential to delay the development and implementation of a person-centered care plan for residents.Findings include:Resident 50 (R50) was admitted on [DATE], with diagnoses including fracture of unspecified part of neck of left femur, displaced fracture of base of neck of right femur, and major depressive disorder.R50's medical record contained the list of MDS assessments including a significant change in status MDS with an assessment reference date (ARD/the end date of an observation or look-back period for an MDS assessment) of 05/09/2025.The Centers for Medicare and Medicaid Services (CMS) Final Validation Report (a system-generated document which detailed the processing status of submitted data such as MDS) for the significant change in…

  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 · D2025-09-12 · tag F0638 — isolated
  Assure that each resident’s assessment is updated at least once every 3 months.
  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, record review and document review, the facility failed to ensure quarterly Minimum Data Set (MDS) assessments were completed within the required time frame for 3 of 32 sampled residents (Resident 21, 50, and 58). The deficient practice had the potential to delay the development and implementation of a person-centered care plan for the residents.Findings include:1) Resident 21 (R21) was admitted on [DATE], with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, tracheostomy status, gastrostomy status, and dependence on respirator (ventilator) status.R21's medical record contained the list of quarterly MDS with assessment reference date (ARD/the end date of an observation or look-back period for an MDS assessment) of 05/09/2025 and 08/07/2025.The Centers for Medicare and Medicaid Services (CMS) Final Validation Report (a system-generated document which detailed the processing status of submitted data such as MDS) documented 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-12 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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 interviews, record review, and document review, the facility failed to ensure comprehensive, resident-centered care plans were developed and implemented for ventilator use and tracheostomy care for 3 of 32 sampled residents (Residents 1, 4, and 10). The deficient practice had the potential to result in unmet respiratory care needs, inadequate staff direction, and compromised resident safety. Findings include: 1) Resident 1 (R1) was admitted on [DATE] and readmitted on [DATE] with diagnoses including chronic respiratory failure, and protein-calorie malnutrition. On 09/09/2025 at 10:20 AM, the resident was lying in bed ventilator dependent and receiving tube feeding, eyes closed. On 09/10/2025 at 9:15 AM, the resident was lying in bed ventilator dependent and receiving tube feeding, eyes closed.09/11/2025 10:35 AM, the resident was lying in bed ventilator dependent and receiving tube feeding, eyes closed. The medical record lacked documented evidence of a care plan for management of ventilator and…

  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 · D2025-09-12 · 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 a comprehensive person-centered care plan after a new skin condition was identified for 1 of 32 sampled residents (Resident 89). The deficient practice had the potential to place the resident at risk for delayed treatment, infection, and discomfort.Findings include:Resident 89 (R89) was admitted [DATE], with diagnosis including type 2 diabetes mellitus with hyperglycemia, hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, and major depressive disorder recurrent severe with psychotic symptoms. On 09/09/2025 at 10:16 AM, R89 was observed in bed with both legs exposed from the knees down. Multiple skin lesions (abnormal or damaged areas of skin) were present on both legs, greater in number on the left leg than the right leg. The lesions included scabbed areas and multiple linear scratch marks, some appeared bright red and fresh, some were darker red and scabbed. R89 reported both legs itched very…

  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 · Dcited before2025-09-12 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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, record review and document review, the facility failed to ensure a resident was assisted with meals in accordance with the assessment and care plan for 1 of 32 residents (R111). The deficient practice had the potential for residents not to maintain good nutrition.Findings include:Resident 111 (R111) was admitted on [DATE] and discharged on 09/27/2024, with diagnoses including dysphagia, cerebrovascular disease, and muscle weakness.R111's admission Minimum Data Set (MDS) assessment dated [DATE], documented the resident required supervision or touching assistance with eating (the ability to use suitable utensils to bring food and/or liquid to the mouth and swallow food and/or liquid once the meal was placed before the resident). The coding for supervision or touching assistance was 04, where the staff would provide verbal cues and/or touching/steadying and/or contact guard assistance as resident completed the activity (eating). R111's care plan documented the interventions/assistance 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-12 · 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 observation, interview, and document review, the facility failed to ensure treatment was provided for a resident with an identified skin condition for 1 of 32 sampled residents (Resident 89). The deficient practice had the potential to place the resident at risk for delayed healing, worsening of the skin condition, and infection.Findings include:Resident 89 (R89) was admitted [DATE], with diagnosis including type 2 diabetes mellitus with hyperglycemia, hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, and major depressive disorder recurrent severe with psychotic symptoms. On 09/09/2025 at 10:16 AM, R89 was observed in bed with both legs exposed from the knees down. Multiple skin lesions (abnormal or damaged areas of the skin) were present on both legs, greater in number on the left leg than the right leg. The lesions included scabbed areas and multiple linear scratch marks, some appeared bright red and fresh, some were darker red and scabbed. R89 reported both legs…

  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 · D2025-09-12 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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, record review, and document review, the facility failed to ensure wound care treatments were implemented as ordered for 1 of 32 sampled residents (Resident 1). The deficient practice had the potential to result in delayed healing, infection, and other negative outcomes for a resident with identified wound care needs. Findings include: Resident 1 (R1) was admitted on [DATE] and readmitted on [DATE] with diagnoses including pressure ulcers, osteomyelitis, and protein-calorie malnutrition. On 09/09/2025 at 10:20 AM, R1 was lying in bed ventilator dependent and receiving tube feeding, eyes closed and wound dressing saturated.On 09/10/2025 at 9: 15 AM, R1 was lying in bed ventilator dependent and receiving tube feeding, eyes closed and wound dressing saturated.On 09/11/2025 at 10:35 AM, R1 was lying in bed ventilator dependent and receiving tube feeding, eyes closed and wound dressing saturated.A Physician Order dated 09/08/2025 documented to give protein oral liquid 30 milliliters (mL) enterally…

  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 · D2025-09-12 · 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 observation, interview, and record review, the facility failed to ensure all required sections of the Provider Order for Life-Sustaining Treatment (POLST) form were completed for 4 of 32 residents (Resident 5, 50, 74, and 89), and failed to ensure resident's Power of Attorney (POA) documentation was present in the medical record for 3 of 32 sampled residents (Resident 1, 4, and 5). The deficient practice had the potential to result in the resident's treatment preferences and decision-making authority not being known or honored. Findings include:1) Resident 1 (R1) was admitted on [DATE] and readmitted on [DATE] with diagnoses including chronic respiratory failure, pressure ulcers, osteomyelitis, and protein-calorie malnutrition. The medical record revealed the resident had a Provider Order for Life Sustaining Treatment (POLST) which indicated the resident wanted full treatment in case of emergency which was signed by the physician. In the section to be signed by the durable power of attorney and/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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-12 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, the facility failed to ensure the Water Management Plan was completed and implemented.Findings include: The facility's Water Management Plan (WMP) was reviewed and lacked information regarding the validation process which establishes procedures to confirm the water management program effectively controls the hazardous conditions throughout the building's water system.On 09/10/2025, the Maintenance Director indicated the hot water temperatures were tested at the water heaters to ensure the temperatures were above 113 degrees Fahrenheit, but did not document the temperature results. The Maintenance Director revealed the facility did not test residual disinfectant levels.

  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.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to GENESIS HEALTHCARE — 184 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

5 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.

About 75% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $831K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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