Reno, NV

Rosewood Rehabilitation Center

1-star overall rating with 1-star inspections with Special Focus status with 26 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

2045 Silverada Blvd, Reno, NV

(775) 359-3161

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

99

Certified beds

Average residents

85

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Ensign Group

Operator or chain grouping

Approved since

1970-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

329 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 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

Hours and turnover

RN hours / resident day

0.35

Registered nurse staffing · state 1.06 · national 0.68

LPN hours / resident day

1.07

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

1.94

Nurse aide staffing · state 2.37 · national 2.35

Total nurse hours

3.36

All reported nurse hours · state 4.34 · national 3.89

Licensed hours

1.42

RN + LPN hours · state 1.97 · national 1.54

Weekend hours

2.80

Weekend nurse staffing · state 3.85 · national 3.43

Weekend RN hours

0.22

Weekend registered nurse coverage · state 0.85 · national 0.47

Physical therapist

0.13

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.32

CMS adjusted RN staffing hours

Adjusted total hours

3.13

CMS adjusted total nurse staffing hours

Case-mix index

1.47

Higher values indicate more complex resident acuity

RN turnover

78%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

47%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,085

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

18.09

Composite VBP score used to determine payment impact.

Payment multiplier

0.9819

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 19.28% · Performance 24.00% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

1.58

Baseline 7.00% · Performance 7.36% · Measure score 1.58 · Achievement 1.58 · Improvement 0

Total nurse turnover

4.03

Baseline 37.84% · Performance 47.19% · Measure score 4.03 · Achievement 4.03 · Improvement 0

Adjusted total nurse staffing

1.62

Baseline 3.54 hours · Performance 3.54 hours · Measure score 1.62 · Achievement 1.62 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.83%
10.72%
0.9 pts better
No Different than the National Rate · Eligible stays 174 · Observed rate 8.05% · Lower 95% interval 6.82%
Discharge to community 54.9%
50.57%
4.3 pts better
No Different than the National Rate · Eligible stays 179 · Observed rate 50.84% · Lower 95% interval 48.54%
Medicare spending per beneficiary 0.85
1.02
0.2 pts better
Drug regimen review with follow-up 96.09%
95.27%
0.8 pts better
Numerator 123 · Denominator 128
Falls with major injury 0.78%
0.77%
About the same
Numerator 1 · Denominator 128
Discharge self-care score 42.17%
53.69%
11.5 pts worse
Numerator 35 · Denominator 83
Discharge mobility score 46.99%
50.94%
3.9 pts worse
Numerator 39 · Denominator 83
Pressure ulcers or injuries, new or worsened 2.34%
2.29%
About the same
Numerator 3 · Denominator 128 · Adjusted rate 3.54%
Healthcare-associated infections requiring hospitalization 7.36%
7.12%
0.2 pts worse
No Different than the National Rate · Eligible stays 115 · Observed rate 6.96% · Lower 95% interval 4.72%
Staff COVID-19 vaccination coverage 1.56%
8.2%
6.6 pts worse
Numerator 2 · Denominator 128
Staff flu vaccination coverage 42.21%
42%
0.2 pts better
Numerator 65 · Denominator 154
Discharge function score 56.63%
56.45%
0.2 pts better
Numerator 47 · Denominator 83
Transfer of health information to provider 97.22%
95.95%
1.3 pts better
Numerator 35 · Denominator 36
Transfer of health information to patient 95.35%
96.28%
0.9 pts worse
Numerator 82 · Denominator 86
Resident COVID-19 vaccinations up to date 11.59%
25.2%
13.6 pts worse
Numerator 8 · Denominator 69

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.8
1.8
1 pts worse
1.9
0.9 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.3 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.7
1.5
1.2 pts worse
1.8
0.9 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.5 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
91.5%
8.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.8%
89.6%
4.2 pts better
95.5%
1.7 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.8%
Percentage of long-stay residents experiencing one or more falls with major injury 2.6%
2.3%
0.3 pts worse
3.3%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.5% · Q3 1.9% · Q4 1.7% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 26.4%
4.9%
21.5 pts worse
11.4%
15 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 22.7% · Q3 41.3% · Q4 28.3% · 4Q avg 26.4%
Percentage of long-stay residents who lose too much weight 7.4%
5.6%
1.8 pts worse
5.4%
2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 3.9% · Q3 8.9% · Q4 15.4% · 4Q avg 7.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 28.5%
22.2%
6.3 pts worse
19.6%
8.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 30.8% · Q3 31.9% · Q4 23.1% · 4Q avg 28.5%
Percentage of long-stay residents who received an antipsychotic medication 17.2%
18.5%
1.3 pts better
16.7%
0.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 20.6% · Q3 13.2% · Q4 12.5% · 4Q avg 17.2% · 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 33.0%
19.1%
13.9 pts worse
16.3%
16.7 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 33.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 19.4%
14.2%
5.2 pts worse
14.9%
4.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 46.0% · Q2 14.9% · Q3 6.8% · Q4 8.0% · 4Q avg 19.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.7%
1.8%
1.1 pts better
1.0%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
1.8%
1.8 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 22.1%
16.5%
5.6 pts worse
19.8%
2.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 33.1% · Q2 17.9% · Q3 11.6% · Q4 24.3% · 4Q avg 22.1%
Percentage of long-stay residents with pressure ulcers 5.9%
5.5%
0.4 pts worse
5.1%
0.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 8.1% · Q3 3.1% · Q4 4.0% · 4Q avg 5.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.3%
84.1%
11.2 pts better
81.7%
13.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 92.9% · Q2 94.7% · Q3 97.9% · Q4 95.7% · 4Q avg 95.3%
Percentage of short-stay residents who had an outpatient emergency department visit 20.1%
9.8%
10.3 pts worse
12.0%
8.1 pts worse
Short Stay · 20240701-20250630 · Adjusted 20.1% · Observed 22.1% · Expected 12.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.4%
1.6%
1.2 pts better
1.6%
1.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88.6%
80.7%
7.9 pts better
79.7%
8.9 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 30.0%
23.4%
6.6 pts worse
23.9%
6.1 pts worse
Short Stay · 20240701-20250630 · Adjusted 30.0% · Observed 27.9% · Expected 22.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-11 · Fire 2025-12-11

26 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

7 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 2 Health 2024-10-10 · Fire 2024-10-10

14 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-11-02 · Fire 2023-11-02

25 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (8 deficiencies)

17 fire-safety deficiencies

Top issue: Emergency Preparedness (9 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-12-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-25

E · Potential for more than minimal harm 2025-12-11

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2026-01-25

E · Potential for more than minimal harm 2024-10-10

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-11-11

E · Potential for more than minimal harm 2024-10-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-11

E · Potential for more than minimal harm 2024-10-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-11-11

E · Potential for more than minimal harm 2024-10-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-11-11

E · Potential for more than minimal harm 2024-10-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-11-11

D · Potential for more than minimal harm 2024-10-10

K223 · Egress Deficiencies

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 2024-11-11

D · Potential for more than minimal harm 2024-10-10

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-11-11

D · Potential for more than minimal harm 2024-10-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-11-11

D · Potential for more than minimal harm 2023-11-02

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-12-18

D · Potential for more than minimal harm 2023-11-02

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2023-12-18

D · Potential for more than minimal harm 2023-11-02

E23 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for medical documentation.

Corrected 2023-12-18

D · Potential for more than minimal harm 2023-11-02

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2023-12-18

D · Potential for more than minimal harm 2023-11-02

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2023-12-18

D · Potential for more than minimal harm 2023-11-02

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2023-12-18

D · Potential for more than minimal harm 2023-11-02

E33 · Emergency Preparedness Deficiencies

Fire Safety

Establish methods for sharing information.

Corrected 2023-12-18

D · Potential for more than minimal harm 2023-11-02

E42 · Emergency Preparedness Deficiencies

Fire Safety

Meet the requirements of an integrated health system.

Corrected 2023-12-18

D · Potential for more than minimal harm 2023-11-02

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2023-12-18

D · Potential for more than minimal harm 2023-11-02

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2023-12-18

D · Potential for more than minimal harm 2023-11-02

K321 · Smoke Deficiencies

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 2023-12-18

D · Potential for more than minimal harm 2023-11-02

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-12-18

D · Potential for more than minimal harm 2023-11-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-18

D · Potential for more than minimal harm 2023-11-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-12-18

D · Potential for more than minimal harm 2023-11-02

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-12-18

D · Potential for more than minimal harm 2023-11-02

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-12-18

D · Potential for more than minimal harm 2023-11-02

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-12-18

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-11

F761 · Pharmacy Service Deficiencies

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 2026-01-25

F · Potential for more than minimal harm 2025-12-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-25

F · Potential for more than minimal harm 2025-12-11

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

F693 · Quality of Life and Care Deficiencies

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 2026-01-25

D · Potential for more than minimal harm 2025-12-11

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

F726 · Nursing and Physician Services Deficiencies

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 2026-01-25

D · Potential for more than minimal harm 2025-12-11

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

F803 · Nutrition and Dietary Deficiencies

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 2026-01-25

D · Potential for more than minimal harm 2025-12-11

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2026-01-25

D · Potential for more than minimal harm 2025-12-11

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2026-01-25

C · Minimal harm 2025-12-11

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2026-01-25

C · Minimal harm 2025-12-11

F838 · Administration Deficiencies

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 2026-01-25

D · Potential for more than minimal harm 2025-04-24

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-06-01

D · Potential for more than minimal harm 2025-04-24

F693 · Quality of Life and Care Deficiencies

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 2025-06-01

D · Potential for more than minimal harm 2025-04-24

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-06-01

D · Potential for more than minimal harm 2024-12-18

F572 · Resident Rights Deficiencies

Health

Give residents a notice of rights, rules, services and charges.

Corrected 2025-01-31

F · Potential for more than minimal harm 2024-10-10

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-11-11

D · Potential for more than minimal harm 2024-10-10

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-11-11

D · Potential for more than minimal harm 2024-10-10

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-11-11

D · Potential for more than minimal harm 2024-10-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-11-11

D · Potential for more than minimal harm 2024-10-10

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-11-11

D · Potential for more than minimal harm 2024-10-10

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-11-11

D · Potential for more than minimal harm 2024-10-10

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-11-11

D · Potential for more than minimal harm 2024-10-10

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-11-11

D · Potential for more than minimal harm 2024-10-10

F761 · Pharmacy Service Deficiencies

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 2024-11-11

D · Potential for more than minimal harm 2024-10-10

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2024-11-11

D · Potential for more than minimal harm 2024-10-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-01

D · Potential for more than minimal harm 2024-10-10

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2024-11-11

D · Potential for more than minimal harm 2024-08-01

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-08-19

F · Potential for more than minimal harm 2023-11-02

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-12-15

E · Potential for more than minimal harm 2023-11-02

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-02

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-02

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-02

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-02

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-02

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-02

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-02

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-02

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-02

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-02

F700 · Quality of Life and Care Deficiencies

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 2023-12-15

D · Potential for more than minimal harm 2023-11-02

F758 · Pharmacy Service Deficiencies

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 2023-12-15

D · Potential for more than minimal harm 2023-11-02

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-02

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-02

F887 · Infection Control Deficiencies

Health

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.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-02

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-08-31

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-09-28

D · Potential for more than minimal harm 2023-08-31

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-09-28

D · Potential for more than minimal harm 2023-08-31

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-09-28

D · Potential for more than minimal harm 2023-08-31

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-09-28

D · Potential for more than minimal harm 2023-06-22

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-07-28

D · Potential for more than minimal harm 2023-06-22

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-07-28

D · Potential for more than minimal harm 2023-06-22

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-07-28

Penalties and ownership

What sits behind the stars

Ownership

Pennant Healthcare LLC

5% Or Greater Direct Ownership Interest · Organization

100% 30 facilities 2014-02-01
The Ensign Group Inc

5% Or Greater Indirect Ownership Interest · Organization

100% 209 facilities 2006-01-30
Burnam, Soon

Corporate Officer · Individual

0% 323 facilities 2011-09-27
Farnsworth, Stephen

Corporate Officer · Individual

0% 25 facilities 2018-07-27
Fitch, Craig

Corporate Officer · Individual

0% 58 facilities 2019-09-13
Hoopes, Tyler

Corporate Director · Individual

0% 9 facilities 2019-09-13
Welker, David

W-2 Managing Employee · Individual

0% 2 facilities 2022-11-01

Nearby options

Other facilities in reach

#1

Advanced Health Care Of Reno

Reno, NV

5-star overall rating with 4-star inspections with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
4 / 5
Staffing
4 / 5
Fines
$0
#2

Caremeridian LLC, DBA Neurorestorative

Reno, NV

1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $68,738 in total fines with 16 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
4 / 5
Fines
$68,738
#3

Northern Nevada State Veterans Home

Sparks, NV

3-star overall rating with 2-star inspections with abuse icon flag with 14 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
2 / 5
Staffing
4 / 5
Fines
$0

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