16 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Carson City, NV
1-star overall rating with 1-star inspections with $25,675 in total fines with 16 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
201 Koontz Lane, Carson City, NV
(775) 883-3622
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
146
Certified beds
Average residents
136
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Evergreen Healthcare Group
Operator or chain grouping
Approved since
2001-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
41 facilities
Chain averages 2 overall / 2 health / 3 staffing / 3 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
0.24
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.73
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.82
Nurse aide staffing · state 2.37 · national 2.35
Total nurse hours
2.80
All reported nurse hours · state 4.34 · national 3.89
Licensed hours
0.98
RN + LPN hours · state 1.97 · national 1.54
Weekend hours
2.42
Weekend nurse staffing · state 3.85 · national 3.43
Weekend RN hours
0.19
Weekend registered nurse coverage · state 0.85 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.30
CMS adjusted RN staffing hours
Adjusted total hours
3.49
CMS adjusted total nurse staffing hours
Case-mix index
1.10
Higher values indicate more complex resident acuity
RN turnover
57%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
5,060
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.52
Composite VBP score used to determine payment impact.
Payment multiplier
0.9907
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.86
Baseline 17.73% · Performance 17.79% · Measure score 7.86 · Achievement 7.86 · Improvement 0
Healthcare-associated infections
0.76
Baseline 6.32% · Performance 7.61% · Measure score 0.76 · Achievement 0.76 · Improvement 0
Total nurse turnover
5.97
Baseline 37.29% · Performance 39.29% · Measure score 5.97 · Achievement 5.97 · Improvement 0
Adjusted total nurse staffing
0.42
Baseline 2.68 hours · Performance 2.97 hours · Measure score 0.42 · Achievement 0 · Improvement 0.42
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.29% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 78 · Observed rate 2.56% · Lower 95% interval 6.28% |
| Discharge to community | 35.22% |
50.57%
15.4 pts worse
|
No Different than the National Rate · Eligible stays 50 · Observed rate 18% · Lower 95% interval 24.99% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 47 · Denominator 47 |
| Falls with major injury | 8.51% |
0.77%
7.7 pts worse
|
Numerator 4 · Denominator 47 |
| Discharge self-care score | 37.5% |
53.69%
16.2 pts worse
|
Numerator 12 · Denominator 32 |
| Discharge mobility score | 21.88% |
50.94%
29.1 pts worse
|
Numerator 7 · Denominator 32 |
| Pressure ulcers or injuries, new or worsened | 8.51% |
2.29%
6.2 pts worse
|
Numerator 4 · Denominator 47 · Adjusted rate 9.7% |
| Healthcare-associated infections requiring hospitalization | 7.61% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 41 · Observed rate 7.32% · Lower 95% interval 4.47% |
| Staff COVID-19 vaccination coverage | 0.87% |
8.2%
7.3 pts worse
|
Numerator 1 · Denominator 115 |
| Staff flu vaccination coverage | 64.56% |
42%
22.6 pts better
|
Numerator 102 · Denominator 158 |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 16 · Denominator 32 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.8
0.2 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.3 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
1.5
0.5 pts worse
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.8% |
91.5%
2.7 pts worse
|
93.4%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 94.2% · Q2 85.4% · Q3 88.7% · Q4 86.8% · 4Q avg 88.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.3% |
89.6%
9.7 pts better
|
95.5%
3.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.7% |
2.3%
5.4 pts worse
|
3.3%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 7.3% · Q3 6.8% · Q4 9.6% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.2% |
4.9%
4.7 pts better
|
11.4%
11.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.2% |
| Percentage of long-stay residents who lose too much weight | 8.2% |
5.6%
2.6 pts worse
|
5.4%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 5.7% · Q3 12.0% · Q4 12.6% · 4Q avg 8.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.6% |
22.2%
3.4 pts worse
|
19.6%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 27.9% · Q3 27.0% · Q4 23.6% · 4Q avg 25.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 45.8% |
18.5%
27.3 pts worse
|
16.7%
29.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.0% · Q2 46.6% · Q3 47.7% · Q4 47.3% · 4Q avg 45.8% · 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 | 17.2% |
19.1%
1.9 pts better
|
16.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.2% · Q2 19.9% · Q3 9.6% · Q4 5.7% · 4Q avg 17.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.7% |
14.2%
4.5 pts worse
|
14.9%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.8% · Q2 24.0% · Q3 11.5% · Q4 8.6% · 4Q avg 18.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
1.8%
1.5 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.7% · Q4 0.7% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.2% |
1.8%
1.4 pts worse
|
1.7%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 5.3% · Q3 0.8% · Q4 3.8% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.4% |
16.5%
4.9 pts worse
|
19.8%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 16.4% · Q3 14.0% · Q4 29.3% · 4Q avg 21.4% |
| Percentage of long-stay residents with pressure ulcers | 3.1% |
5.5%
2.4 pts better
|
5.1%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 4.4% · Q3 3.3% · Q4 2.0% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 24.6% |
84.1%
59.5 pts worse
|
81.7%
57.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 24.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.0% |
9.8%
1.2 pts worse
|
12.0%
1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.0% · Observed 12.1% · Expected 12.2% · Used in QM five-star |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.7% |
23.4%
7.7 pts better
|
23.9%
8.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.7% · Observed 10.3% · Expected 15.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (9 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-12-19
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-11-07
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-12-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-11
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-12-19
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2024-12-19
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-12-19
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-12-19
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-11-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-11
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-12-07
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-12-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-12-27
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-01-16
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 2022-12-22
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-12-14
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-12-27
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-12-27
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-12-09
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-12-23
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Not marked corrected
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-12-11
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2025-12-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-02
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-11-08
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 2024-11-22
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-12-23
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-12-18
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 2024-12-18
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-11-07
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-11-17
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-18
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-22
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-11-13
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-11-22
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-22
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-11-12
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-22
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-12-22
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-12-22
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-10-27
Health
Respond appropriately to all alleged violations.
Corrected 2023-12-15
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-12-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-22
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-12-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-22
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 2023-12-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-12-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-22
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 2023-12-22
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-12-22
Health
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.
Corrected 2023-12-22
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 2023-12-22
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2023-12-15
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-12-15
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-22
Health
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.
Corrected 2023-12-15
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-10-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-12
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 2023-05-01
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-05-14
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-01-02
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 2022-12-22
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2022-12-22
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2022-12-02
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-01-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-12-30
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2022-12-30
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-01-16
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2023-01-16
Penalties and ownership
Fine · fine $25,675
Fine
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Carson City, NV
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Carson City, NV
2-star overall rating with 2-star inspections with $70,296 in total fines with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Carson City, NV
1-star overall rating with 1-star inspections with Special Focus status with $60,464 in total fines with 10 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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