Advanced Health Care Of Reno

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

73.7% 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 647 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 70.4% 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 324 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 1.22 therapist hours per resident per day in 2026Q1 — more than 98% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 42 beds and averages 41.8 residents a day — about 100% occupied, or roughly 0 beds typically open. It runs essentially full — expect a waiting list. 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 5.12 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.46 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.82 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 4.25 hrs/resident/day on weekends vs 5.47 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 1.69 to 0.89 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% 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.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

• Potential for harm · D2025-11-20 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  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, clinical record review, interview, and document review, the facility failed to ensure the Baseline Care Plan for 1 of 12 sampled residents (Resident #30) included monitoring and care instructions for an indwelling drainage tube. This deficient practice had the potential to result in the resident not receiving the care and services necessary to manage the drainage device. Findings include: Resident #30 Resident #30 was admitted to the facility on [DATE], with diagnoses including encounter for surgical aftercare following surgery on the circulatory system - cholecystostomy and calculus of gallbladder with other cholecystitis without obstruction. On 11/17/2025 at 2:17 PM, Resident #30 had a drainage bag sitting next to the resident, on the resident's chair. The tubing drain insertion site appeared to be in the resident's right upper quadrant (RUQ) and the drainage bag contained a small amount of dark brown/green drainage. The resident was not aware of what the drainage bag was for. A hospital…

  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 · D2025-11-20 · 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 observation, clinical record review, interview and document review, the facility failed to ensure the Comprehensive Care Plan included a care plan for the monitoring and care of an indwelling drainage tube for 1 of 12 sampled residents (Resident # 30), and for the administration and monitoring of insulin for 1 of 12 sampled residents (Resident #9). This deficient practice had the potential to result in the residents not receiving the care and services necessary to manage the affected care areas. Findings include: Resident #30Resident #30 was admitted to the facility on [DATE], with diagnoses including encounter for surgical aftercare following surgery on the circulatory system - cholecystostomy and calculus of gallbladder with other cholecystitis without obstruction. On 11/17/2025 at 2:17 PM, Resident #30 had a drainage bag sitting next to the resident, on the resident's chair. The tubing drain insertion site appeared to be in the resident's right upper quadrant (RUQ) and the drainage bag contained a…

  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 before2025-11-20 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  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, clinical record review, document review, and interview, the facility failed to ensure medications were administered in a timely manner resulting in a medication error rate of 12%. This deficient practice had the potential to result in residents not receiving medications as prescribed, potentially compromising the effectiveness of treatment, and placing residents at risk for adverse health outcomes.Findings include: Resident #40Resident #40 was admitted to the facility on [DATE], with diagnoses including Parkinson disease without dyskinesia, without mention of fluctuations, dementia in other diseases classified elsewhere, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety, and multiple myeloma in remission. A Physician Order dated 11/04/2025, documented Carbidopa-levodopa 25-250 milligrams (mg) tablets, administer 3.75-375 mg by mouth four times per day. The morning dose was to be administered between 7:00 AM and 8:00 AM. A Physician…

  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 · Dcited before2025-11-20 · 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, record review, interview, and document review, the facility failed to ensure medications were stored according to the manufacturer's instructions in 1 of 2 inspected medication carts and failed to ensure medications were not left unattended on top of a medication cart. This deficient practice had the potential to result in medication contamination, diversion, or administration errors, placing residents at risk for receiving compromised or incorrect medications.Findings include: Storage of Medication On 11/19/2025 at 4:05 PM, during an inspection of the Hall Two medication cart with the Regional Nurse, a 30-milliliter (ml) bottle of lorazepam 2 milligrams (mg)/ml, with approximately 29 ml of liquid remaining in the bottle, was located in a drawer of the medication cart. A Registered Nurse (RN) confirmed lorazepam was traditionally stored in the medication carts and was not stored in a refrigerator after being opened. The manufacturer's label on the bottle of lorazepam instructed to store the medication at a temperature between 36-46 degrees Fahrenheit (F). On…

  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 · Dcited before2025-11-20 · tag F0812 — failed to store, cook, and serve food safely — isolated
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  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 thermometer used to take temperatures of food in holding trays was disinfected and sanitized between uses for each food item. The deficient practice had the potential to expose residents to foodborne illnesses due to cross-contamination.Findings include: On 11/19/2025 at 11:26 AM, the [NAME] was observed taking temperatures of the food to be served for lunch. However, the [NAME] did not clean and sanitize the thermometer between checking the temperature of each food to be served.On 11/19/2025 at 11:33 AM, the [NAME] explained the [NAME] takes temperatures of all food to be served to residents in the facility and in between taking temperatures of each food, the thermometer was to be disinfected and sanitized to prevent cross contamination of food. The [NAME] confirmed not disinfecting and sanitizing the thermometer in between taking temperatures of various foods to be served to residents and explained the [NAME] was trying to take temperatures quickly in the kitchen because of the survey in 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-20 · tag F0838 — failed to assess facility resources and resident needs — isolated
  Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and document review, the facility failed to ensure nursing services were provided in accordance with the facility's own assessment of resident needs and resources. This deficient practice had the potential to affect the delivery of care and services by direct care staff to the entire facility census, potentially compromising residents' health, safety and well-being. Findings include:A Facility Assessment (FA) reviewed with the Quality Assurance Performance Improvement (QAPI) Team dated 01/16/2025, documented the facility provided for resident support/care needs and considered both the census and acuity levels to staff the facility accordingly.The FA documented the direct care staff would be allocated to a day, evening, and night shift. Direct care staff was identified as Nurses and Certified Nursing Assistants (CNA).The Monday through Friday CNA staffing schedule was as follows:-Day Shift: 6:00 AM-2:00 PM= 5 CNAs, -Evening Shift: 2:00 PM-10:00 PM= 5 CNAs, -Night Shift: 10:00 PM-6:00 AM= 3 CNAsThe Saturday and Sunday CNA staffing schedule was as follows:-Day Shift:…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-20 · tag F0908 — failed to keep essential equipment working — isolated
  Keep all essential equipment working safely.
  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 maintain the drainage pipe under a handwashing sink in the kitchen, allowing water to leak onto the kitchen floor. The deficient practice had the potential to pose a safety risk to staff working in the kitchen.Findings include:On 11/17/2025 at 8:26 AM, a handwashing sink in the kitchen was leaking water from a drainage pipe while an individual was washing hands. There was a water puddle under the sink, on the kitchen floor. On the drainage pipe below the sink, the pipe had duct tape wrapped around the pipe.On 11/17/2025 at 8:30 AM, the Kitchen Manager confirmed the handwashing sink pipes were leaking water onto the kitchen floor and explained the sink had been leaking for at least a few days. The Kitchen Manager explained the Kitchen Manager duct taped the pipe in hopes of preventing the pipe from leaking further onto the kitchen floor. The Kitchen Manager verbalized informing the Maintenance Director of the leaking pipe upon discovery and communicated the issue verbally.On 11/18/2025 at 8:30 AM, 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-31 · 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

  Based on observation, interview, and document review, the facility failed to ensure medications were not left unattended and unsecured in the dining room during a medication pass, creating a potential accident when a licensed nurse left the medications at a resident's table and walked away, resulting in the medications out of the nurse's line of sight for supervision for 12 of 12 residents in the dining room. Findings include: On 10/28/2024 at 12:08 PM, there were three residents seated at a table together awaiting lunch meal service. A Licensed Practical Nurse (LPN) set a small cup containing a white pill inside of the cup on the residents' table. The LPN turned around and walked away from the table to retrieve a cup of water, leaving the unknown pill unsupervised and unsecured at the dining table. The LPN returned to the residents' table with the cup of water and the resident administered the medication. On 10/28/2024 at 12:12 PM, the LPN confirmed leaving the pill unsecured and unsupervised at the three residents' table, while nine other residents were also in the dining room.…

  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 · D2024-10-31 · tag F0730 — isolated
  Observe each nurse aide's job performance and give regular training.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on personnel record review, document review and interview, the facility failed to ensure a Certified Nursing Assistant (CNA) had an annual performance evaluation completed timely and identified and addressed areas of weakness for 3 of 3 sampled CNAs employed greater than one year, selected for personnel record review (Employee #21, #22, and #23). Findings include: Employee #21 Employee #21 was hired by the facility as a CNA with a start date of 01/16/2023. Employee #21's personnel record documented the following: - a facility Employee Performance Review dated 02/14/2024, one month late. - a facility Competency Checklist dated 01/25/2024, nine days late. The Competency Checklist lacked documented evidence of Employee #21's performance strengths or weaknesses. - a facility Follow-up Evaluation dated 02/12/2024, documented the areas of concern, including duties for trash, water, bed made and room clean prior to giving report. Employee #22 Employee #22 was hired by the facility as a CNA with a start date of 09/09/2021. Employee #22's personnel record documented the following: - a…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-31 · 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 a medication cart and medications left on top of a medication cart were secured for 1 of 3 medication carts. Findings include: On 10/31/2024 at 7:10 AM, the top left drawer of a medication cart was left ajar and unlocked and three Lidocaine 5 percent (%) transdermal patches were on top of the cart and unsecured. A nurse was not at or near the cart and no other staff was present in the hallway. On 10/31/2024 at 7:14 AM, a Licensed Practical Nurse (LPN) returned to the medication cart and confirmed the top drawer was left ajar and unlocked, and three Lidocaine 5% transdermal patches were left on top of the medication cart. The LPN explained the LPN was administering medications to a resident and had left the Lidocaine patches on top of the cart and left the cart unsecured. The LPN verbalized the medication could have been taken and ingested by anyone in the hallway, including other residents, and could have resulted in an adverse reaction, overdose, or death. On 10/31/2024 at 7:48 AM, the Director of…

  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

“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 ADVANCED HEALTH CARE — 26 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

CMS files one row per role, so the 10 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 15% 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