Cycle 1
Health 2025-01-16 · Fire 2025-01-16
4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
5 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Carson City, NV
Sierra Basin Post Acute
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1001 N. Mountain Street, Carson City, NV
(775) 443-4800
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
80
Certified beds
Average residents
62
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Prestige Care
Operator or chain grouping
Approved since
2019-06-18
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
2 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.06
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
1.40
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.60
Nurse aide staffing · state 2.37 · national 2.35
Total nurse hours
5.06
All reported nurse hours · state 4.34 · national 3.89
Licensed hours
2.46
RN + LPN hours · state 1.97 · national 1.54
Weekend hours
4.29
Weekend nurse staffing · state 3.85 · national 3.43
Weekend RN hours
0.50
Weekend registered nurse coverage · state 0.85 · national 0.47
Physical therapist
0.18
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.72
CMS adjusted RN staffing hours
Adjusted total hours
3.44
CMS adjusted total nurse staffing hours
Case-mix index
2.01
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
374
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
71.52
Composite VBP score used to determine payment impact.
Payment multiplier
1.0231
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 16.18% · Performance 15.72% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
10
Baseline 5.55% · Performance 4.97% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
6.26
Baseline 42.86% · Performance 38.09% · Measure score 6.26 · Achievement 6.26 · Improvement 2.14
Adjusted total nurse staffing
2.35
Baseline 4.15 hours · Performance 3.75 hours · Measure score 2.35 · Achievement 2.35 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.22% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 786 · Observed rate 7.12% · Lower 95% interval 7.55% |
| Discharge to community | 73.76% |
50.57%
23.2 pts better
|
Better than the National Rate · Eligible stays 806 · Observed rate 74.19% · Lower 95% interval 70.81% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.8% |
95.27%
4.5 pts better
|
Numerator 509 · Denominator 510 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 510 |
| Discharge self-care score | 85.23% |
53.69%
31.5 pts better
|
Numerator 300 · Denominator 352 |
| Discharge mobility score | 72.73% |
50.94%
21.8 pts better
|
Numerator 256 · Denominator 352 |
| Pressure ulcers or injuries, new or worsened | 1.18% |
2.29%
1.1 pts better
|
Numerator 6 · Denominator 510 · Adjusted rate 1.16% |
| Healthcare-associated infections requiring hospitalization | 4.97% |
7.12%
2.2 pts better
|
No Different than the National Rate · Eligible stays 441 · Observed rate 3.17% · Lower 95% interval 3.28% |
| Staff COVID-19 vaccination coverage | 12.57% |
8.2%
4.4 pts better
|
Numerator 21 · Denominator 167 |
| Staff flu vaccination coverage | 12.02% |
42%
30 pts worse
|
Numerator 25 · Denominator 208 |
| Discharge function score | 84.38% |
56.45%
27.9 pts better
|
Numerator 297 · Denominator 352 |
| Transfer of health information to provider | 98.03% |
95.95%
2.1 pts better
|
Numerator 299 · Denominator 305 |
| Transfer of health information to patient | 82.65% |
96.28%
13.6 pts worse
|
Numerator 162 · Denominator 196 |
| Resident COVID-19 vaccinations up to date | 30.87% |
25.2%
5.7 pts better
|
Numerator 92 · Denominator 298 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
84.1%
15 pts better
|
81.7%
17.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.8% · Q2 99.4% · Q3 98.6% · Q4 98.7% · 4Q avg 99.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.7% |
9.8%
0.1 pts better
|
12.0%
2.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.7% · Observed 8.3% · Expected 9.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.6%
1.4 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.3% |
80.7%
14.6 pts better
|
79.7%
15.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.4% |
23.4%
1 pts worse
|
23.9%
0.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.4% · Observed 21.5% · Expected 21.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-16 · Fire 2024-01-16
11 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2023-01-26 · Fire 2023-01-26
10 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-01-16
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-02-19
E · Potential for more than minimal harm
2025-01-16
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-02-19
D · Potential for more than minimal harm
2025-01-16
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-02-19
D · Potential for more than minimal harm
2025-01-16
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-02-19
D · Potential for more than minimal harm
2025-01-16
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-19
D · Potential for more than minimal harm
2024-01-16
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-02-16
D · Potential for more than minimal harm
2024-01-16
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-02-16
D · Potential for more than minimal harm
2024-01-16
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-02-16
E · Potential for more than minimal harm
2023-01-26
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-03-03
D · Potential for more than minimal harm
2023-01-26
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-03-03
D · Potential for more than minimal harm
2023-01-26
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-03-03
B · Minimal harm
2023-01-26
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-03-03
B · Minimal harm
2023-01-26
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-03-03
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-01-16
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 2025-02-19
D · Potential for more than minimal harm
2025-01-16
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-02-19
D · Potential for more than minimal harm
2025-01-16
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2025-02-19
D · Potential for more than minimal harm
2025-01-16
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-02-19
D · Potential for more than minimal harm
2024-03-08
F825 · Quality of Life and Care Deficiencies
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2024-05-01
E · Potential for more than minimal harm
2024-01-16
F690 · Quality of Life and Care Deficiencies
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 2024-02-16
D · Potential for more than minimal harm
2024-01-16
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-02-16
D · Potential for more than minimal harm
2024-01-16
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 2024-02-16
D · Potential for more than minimal harm
2024-01-16
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-16
D · Potential for more than minimal harm
2024-01-16
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 2024-02-16
D · Potential for more than minimal harm
2024-01-16
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-02-16
D · Potential for more than minimal harm
2024-01-16
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-02-16
D · Potential for more than minimal harm
2024-01-16
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 2024-02-16
D · Potential for more than minimal harm
2024-01-16
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-02-16
D · Potential for more than minimal harm
2024-01-16
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 2024-02-16
D · Potential for more than minimal harm
2023-01-26
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 2023-03-03
D · Potential for more than minimal harm
2023-01-26
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 2023-03-03
D · Potential for more than minimal harm
2023-01-26
F657 · Resident Assessment and Care Planning Deficiencies
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 2023-03-03
D · Potential for more than minimal harm
2023-01-26
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-03-03
D · Potential for more than minimal harm
2023-01-26
F744 · Quality of Life and Care Deficiencies
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-03-03
D · Potential for more than minimal harm
2023-01-26
F745 · Quality of Life and Care Deficiencies
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2023-03-03
D · Potential for more than minimal harm
2023-01-26
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-03-03
D · Potential for more than minimal harm
2023-01-26
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 2023-03-03
D · Potential for more than minimal harm
2023-01-26
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 2023-03-03
D · Potential for more than minimal harm
2023-01-26
F949 · Administration Deficiencies
Health
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2023-03-03
Penalties and ownership
What sits behind the stars
Ownership
Carson Tahoe Regional Healthcare
5% Or Greater Direct Ownership Interest · Organization
D. D. & F.
5% Or Greater Direct Ownership Interest · Organization
Delamarter, Brian
5% Or Greater Indirect Ownership Interest · Individual
Vislocky, Gregory
5% Or Greater Indirect Ownership Interest · Individual
Delamarter, Elizabeth
5% Or Greater Indirect Ownership Interest · Individual
Delamarter, Harold
5% Or Greater Indirect Ownership Interest · Individual
Mitchell, Thomas
W-2 Managing Employee · Individual
Prestige Care Inc
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Ormsby Post Acute Rehabilitation
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
#2
Northstar Post Acute
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
#3
Mountain View Health & Rehabilitation Center
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
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