Federal inspection record · CMS data as of October 1, 2026
Caremeridian LLC, DBA Neurorestorative
3980 Lake Placid Drive Ste 2, Reno, NV · (702) 499-9523
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 36
- Residents per day
- 25
- Ownership
- For-Profit
- Chain
- Neurorestorative
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 10, 2019
1
How this home got 1 star
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.
-
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
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Nevada homes
Caremeridian LLC, DBA Neurorestorative carries 145 inspection points. That is fewer than 2% 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
57 health citations on record since 2024. 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.
Harm and immediate-jeopardy citations (1)
-
G
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Everything else, by area of care
Resident Rights11F
- F
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 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.
Freedom from Abuse, Neglect, and Exploitation9E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- E
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- 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.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Administration8F
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- D
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.
- D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- D
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- F
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.
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- D
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Resident Assessment and Care Planning6D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Plan the resident's discharge to meet the resident's goals and needs.
- 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.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control5F
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- F
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
Pharmacy Service5E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 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
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.
Nutrition and Dietary5F
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- D
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- D
Dispose of garbage and refuse properly.
Quality of Life and Care4D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Provide or get specialized rehabilitative services as required for a resident.
- 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.
Nursing and Physician Services3E
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D
Observe each nurse aide's job performance and give regular training.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspection history
2026-05-07
22 health deficiencies · 6 fire-safety deficiencies
Top issue: Administration (5 deficiencies)
2025-02-21
24 health deficiencies · 18 fire-safety deficiencies
Top issue: Resident Rights (6 deficiencies)
2024-02-01
11 health deficiencies · 14 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 8 h 12 min of nursing staff time a day, 2 h 6 min of it from a registered nurse.
This home
8 h 12 min
Nevada average
4 h 20 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 64% of nursing staff and 71% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$68,738 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-02-21 | Fine | $68,738 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine13.7 pts worse | 80.0% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.2 pts better | 100.0% | 92.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts worse | 2.7% | 1.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.1 pts worse | 5.1% | 5.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight4 pts better | 1.3% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.9 pts better | 20.0% | 21.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.3 pts worse | 18.4% | 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 need for help with daily activities has increased6.7 pts better | 5.8% | 12.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts worse | 2.3% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts better | 1.3% | 1.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.6 pts better | 11.9% | 15.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.3 pts better | 1.2% | 5.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.6 pts worse | 66.4% | 85.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 1.1% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.3 pts better | 82.8% | 82.5% | 80.1% |
·
Who owns and runs it
11 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 |
|---|---|---|---|
| National Mentor Healthcare LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 5 facilities |
| Caremeridian LLC | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Hewitt, Stephen | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hewitt, Stephen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kaufman, Philip | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Kaufman, Philip | Corporate Director · Individual | 0% | 1 facilities |
| Kaufman, Philip | Corporate Officer · Individual | 0% | 1 facilities |
| Kaufman, Philip | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mavromatis, Michael | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mavromatis, Michael | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wenger, Lindsey | Operational/Managerial Control · Individual | 0% | 1 facilities |
·
Fire safety
38 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness12F
- E
Address subsistence needs for staff and patients.
- E
Implement emergency and standby power systems.
- D
Establish policies and procedures for volunteers.
- D
Provide family notifications of emergency plan.
- D
Establish staff and initial training requirements.
- F
Address subsistence needs for staff and patients.
- D
Establish procedures for tracking staff and patients during an emergency.
- D
Establish policies and procedures for volunteers.
- D
Create arrangements with other facilities to receive patients.
- D
Establish roles under a Waiver declared by secretary.
- D
List the names and contact information of those in the facility.
- D
Provide a means of sharing information on occupancy/needs.
Smoke9F
- E
Install corridor and hallway doors that block smoke.
- F
Install a fire alarm system that can be heard throughout the facility.
- E
Provide properly protected cooking facilities.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Install a fire alarm system that can be heard throughout the facility.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems6E
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- D
Ensure proper usage of power strips and extension cords.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Miscellaneous5F
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Have simulated fire drills held at unexpected times.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Services4E
- D
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.
- D
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
Egress2E
- D
Install emergency lighting that can last at least 1 1/2 hours.
- E
Have properly located and lighted "Exit" signs.
·
Other homes nearby
-
Advanced Health Care Of Reno
Reno, NV · Advanced Health Care
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 3 min
- Fines
- $0
-
Rosewood Rehabilitation Center
Reno, NV · The Ensign Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 25 min
- Fines
- $0
-
★★★★★
- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 18 min
- Fines
- $0