Federal inspection record · CMS data as of October 1, 2026
Alpine Skilled Nursing And Rehabilitation Center
3101 Plumas St, Reno, NV · (775) 829-7220
- Certified beds
- 189
- Residents per day
- 147
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 16, 1988
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nevada.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nevada homes
Alpine Skilled Nursing And Rehabilitation Center carries 57 inspection points. That is fewer than 31% of Nevada's 65 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nevada: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–16 pts
- 4★ 16–29 pts
- 3★ 29–46 pts
- 2★ 46–74 pts
- 1★ over 74 pts
Bars show every rated home in Nevada by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
41 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning9D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- B
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care9D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide or obtain dental services for each resident.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Resident Rights7F
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Keep residents' personal and medical records private and confidential.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
Pharmacy Service6E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Administration2D
- D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- D
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2026-04-02
9 health deficiencies · 7 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2025-01-13
18 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2024-02-06
14 health deficiencies · 11 fire-safety deficiencies
Top issue: Pharmacy Service (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 18 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
3 h 18 min
Nevada average
4 h 20 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 7% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts worse | 2.6 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse | 2.3 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts better | 100.0% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.5 pts better | 99.3% | 92.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse | 2.3% | 1.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.1 pts worse | 6.1% | 5.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.3 pts better | 2.0% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.5 pts better | 9.4% | 21.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6 pts better | 11.1% | 17.1% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.4 pts worse | 15.8% | 12.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.6 pts worse | 14.1% | 12.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 1.3% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts worse | 2.6% | 1.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.2 pts worse | 17.7% | 15.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts better | 5.4% | 5.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.1 pts better | 98.1% | 85.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.8 pts worse | 13.9% | 9.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 1.6% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.9 pts better | 93.4% | 82.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.8 pts better | 14.1% | 21.9% | 23.4% |
·
Who owns and runs it
24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Asl Realty LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 3 facilities |
| Asl Realty LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Gray Estate Holdings LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 2 facilities |
| Gray Estate Holdings LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Gray, Chelsey | Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Gray, Chelsey | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Gray, Chelsey | Limited Partnership Interest · Individual | 0% | 3 facilities |
| Gray, Chelsey | Adp Of The SNF · Individual | 0% | 3 facilities |
| Gray, Zachary | Indirect Ownership Interest · Individual | 0% | 4 facilities |
| Gray, Zachary | 5% Or Greater Mortgage Interest · Individual | 0% | 4 facilities |
| Gray, Zachary | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Gray, Zachary | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Gray, Zachary | Adp Of The SNF · Individual | 0% | 4 facilities |
| Lebowitz, Andrew | 5% Or Greater Mortgage Interest · Individual | 0% | 3 facilities |
| Lebowitz, Andrew | Adp Of The SNF · Individual | 0% | 3 facilities |
| Nadora, Marie | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Nadora, Marie | Adp Of The SNF · Individual | 0% | 3 facilities |
| Nasrawy, Joseph | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Nasrawy, Joseph | Adp Of The SNF · Individual | 0% | 3 facilities |
| Plumas Street LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Plumas Street LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Revive Health Senior Care Management LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Revive Reno LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Revive Reno LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
·
Fire safety
26 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13E
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install an approved automatic sprinkler system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems6F
- D
Have proper medical gas storage and administration areas.
- E
Ensure proper usage of power strips and extension cords.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Ensure proper usage of power strips and extension cords.
Services4E
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
Miscellaneous2D
- D
Have simulated fire drills held at unexpected times.
- D
Have simulated fire drills held at unexpected times.
Egress1D
- D
Meet other general requirements.
·
Other homes nearby
-
★★★★★
- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 27 min
- Fines
- $0
-
Advanced Health Care Of Reno
Reno, NV · Advanced Health Care
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 3 min
- Fines
- $0
-
Caremeridian LLC, DBA Neurorestorative
Reno, NV · Neurorestorative · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 8 h 12 min
- Fines
- $68,738