27 health deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Reno, NV
1-star overall rating with 1-star inspections with Special Focus status with 27 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
445 W. Holcomb Lane, Reno, NV
(775) 851-0123
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
198
Certified beds
Average residents
115
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
1991-06-14
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
194 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.08
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.13
Nurse aide staffing · state 2.37 · national 2.35
Total nurse hours
3.94
All reported nurse hours · state 4.34 · national 3.89
Licensed hours
1.81
RN + LPN hours · state 1.97 · national 1.54
Weekend hours
3.37
Weekend nurse staffing · state 3.85 · national 3.43
Weekend RN hours
0.68
Weekend registered nurse coverage · state 0.85 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.88
CMS adjusted RN staffing hours
Adjusted total hours
3.19
CMS adjusted total nurse staffing hours
Case-mix index
1.69
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
1,183
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
59.12
Composite VBP score used to determine payment impact.
Payment multiplier
1.0143
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.14
Baseline 15.85% · Performance 18.12% · Measure score 7.14 · Achievement 7.14 · Improvement 0
Healthcare-associated infections
8.53
Baseline 7.07% · Performance 5.29% · Measure score 8.53 · Achievement 8.53 · Improvement 8.1
Total nurse turnover
7.98
Baseline 37.14% · Performance 31.07% · Measure score 7.98 · Achievement 7.98 · Improvement 4.44
Adjusted total nurse staffing
0
Baseline 3.14 hours · Performance 3.17 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.36% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 731 · Observed rate 11.76% · Lower 95% interval 9.41% |
| Discharge to community | 61.72% |
50.57%
11.1 pts better
|
Better than the National Rate · Eligible stays 804 · Observed rate 54.98% · Lower 95% interval 57.87% |
| Medicare spending per beneficiary | 1.09 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 94.02% |
95.27%
1.2 pts worse
|
Numerator 487 · Denominator 518 |
| Falls with major injury | 0.58% |
0.77%
0.2 pts better
|
Numerator 3 · Denominator 518 |
| Discharge self-care score | 74.54% |
53.69%
20.9 pts better
|
Numerator 202 · Denominator 271 |
| Discharge mobility score | 76.38% |
50.94%
25.4 pts better
|
Numerator 207 · Denominator 271 |
| Pressure ulcers or injuries, new or worsened | 1.54% |
2.29%
0.8 pts better
|
Numerator 8 · Denominator 518 · Adjusted rate 1.27% |
| Healthcare-associated infections requiring hospitalization | 5.29% |
7.12%
1.8 pts better
|
Better than the National Rate · Eligible stays 444 · Observed rate 4.5% · Lower 95% interval 3.89% |
| Staff COVID-19 vaccination coverage | 6.25% |
8.2%
1.9 pts worse
|
Numerator 11 · Denominator 176 |
| Staff flu vaccination coverage | 45.81% |
42%
3.8 pts better
|
Numerator 104 · Denominator 227 |
| Discharge function score | 85.24% |
56.45%
28.8 pts better
|
Numerator 231 · Denominator 271 |
| Transfer of health information to provider | 87.84% |
95.95%
8.1 pts worse
|
Numerator 325 · Denominator 370 |
| Transfer of health information to patient | 83.9% |
96.28%
12.4 pts worse
|
Numerator 99 · Denominator 118 |
| Resident COVID-19 vaccinations up to date | 15.33% |
25.2%
9.9 pts worse
|
Numerator 42 · Denominator 274 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
91.5%
7.6 pts better
|
93.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.6% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.6% |
89.6%
1 pts better
|
95.5%
4.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
2.3%
0.4 pts worse
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.0% · Q4 7.4% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.1% |
4.9%
1.2 pts worse
|
11.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 7.4% · Q3 4.5% · Q4 0.0% · 4Q avg 6.1% |
| Percentage of long-stay residents who lose too much weight | 6.7% |
5.6%
1.1 pts worse
|
5.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 10.3% · Q3 4.8% · Q4 7.7% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.6% |
22.2%
0.4 pts worse
|
19.6%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 20.7% · Q3 36.4% · Q4 19.2% · 4Q avg 22.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.7% |
18.5%
5.8 pts better
|
16.7%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q4 13.0% · 4Q avg 12.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 35.7% |
19.1%
16.6 pts worse
|
16.3%
19.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 35.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.0% |
14.2%
0.2 pts better
|
14.9%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 11.1% · Q4 13.6% · 4Q avg 14.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% |
1.8%
0.1 pts worse
|
1.0%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.1% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
1.8%
About the same
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 8.3% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.3% |
16.5%
12.8 pts worse
|
19.8%
9.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.1% · Q2 35.0% · Q4 17.6% · 4Q avg 29.3% |
| Percentage of long-stay residents with pressure ulcers | 8.1% |
5.5%
2.6 pts worse
|
5.1%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 8.9% · Q3 3.9% · Q4 8.6% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.4% |
84.1%
5.3 pts better
|
81.7%
7.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.1% · Q2 89.1% · Q3 90.2% · Q4 89.9% · 4Q avg 89.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.9% |
9.8%
0.9 pts better
|
12.0%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.9% · Observed 9.0% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.6%
0.1 pts better
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.9% · Q3 1.7% · Q4 1.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.0% |
80.7%
3.7 pts worse
|
79.7%
2.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.5% |
23.4%
1.1 pts worse
|
23.9%
0.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.5% · Observed 25.4% · Expected 24.7% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (8 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-08-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-15
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-08-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-08-15
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2025-08-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-11
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-11
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-09-15
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-09-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-09-11
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-09-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-15
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-09-15
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-15
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-09-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-15
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-09-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-15
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-15
Inspection history
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2025-08-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-15
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-08-15
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-08-15
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-08-15
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-08-20
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-08-15
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-08-15
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-07-15
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-08-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-15
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-08-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-15
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-08-15
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-08-15
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-08-15
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-08-15
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-08-15
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2025-08-15
Health
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.
Corrected 2025-08-15
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2025-08-15
Health
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Corrected 2025-07-01
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-08-15
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-15
Health
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.
Corrected 2025-08-15
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-08
Health
Dispose of garbage and refuse properly.
Corrected 2024-09-15
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-09-06
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-09-15
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-06
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-09-15
Health
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.
Corrected 2024-09-15
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-09-06
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-09-15
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-09-06
Health
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.
Corrected 2024-09-06
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-09-06
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-06
Health
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.
Corrected 2024-04-17
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-17
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-11-04
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-11-04
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-09-15
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-09-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-15
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-09-15
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-09-15
Health
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.
Corrected 2023-09-15
Health
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.
Corrected 2023-09-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-15
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-15
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Nearby options
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Reno, NV
5-star overall rating with 4-star inspections with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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