Sierra Basin Post Acute
1001 N. Mountain Street, Carson City, NV 89703 · Carson City County · (775) 443-4800
80 certified beds, about 71 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2019
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 295104 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 12, 2026, inspectors cited 6 health deficiencies (the Nevada average is 9.7, the national average 9.2).
None of its 25 health citations since January 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.61 hours per resident per day, against 4.34 across Nevada and 3.86 nationally. Registered nurses accounted for 1.15 of those hours.
50.0% of nursing staff left within the year CMS measured (Nevada average 45.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1001/24
103/24
401/25
1003/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 25 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
22D
3E
0F
Potential for minimal harm
0A
0B
0C
March 12, 2026Standard inspection · 10 citations
- E Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview, clinical record review, and document review, the facility failed to report an allegation of staff-to-resident physical abuse for 1 of 18 sampled residents (Resident #24). This deficient practice could allow allegations of abuse to occur and not be reported for investigation resulting in continued or worsening abuse of vulnerable residents throughout the facility.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on interview, clinical record review, and document review, the facility failed to ensure 2 of 18 sampled residents (Residents #6 and #14) had an appropriate diagnosis to support the use of an antipsychotic medication. This deficient practice had the potential to result in the use of an unnecessary psychotropic medication and to restrict a resident's ability to function.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview, clinical record review, and document review, the facility failed to investigate an allegation of staff-to-resident physical abuse for 1 of 18 sampled residents (Resident #24). This deficient practice could allow allegations of abuse to occur and result in continued or worsening abuse of vulnerable residents throughout the facility.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on interview, clinical record review, and document review, the facility failed to ensure a resident was provided with written notice of the facility bed-hold policy when 1 of 3 residents sampled for closed records (Resident #78) was transferred to a hospital. This deficient practice had the potential to result in an unsafe discharge and prevent the resident from being informed of the resident's rights related to returning to the facility.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to revise the comprehensive person centered care plan to address changes in the resident's condition after experiencing two falls for 1 of 18 sampled residents (Resident #34). This deficient practice had the potential to result in unmet care needs, continued fall risk, and preventable injury.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview, clinical record review, and document review, the facility failed to ensure a resident received treatment and care in accordance with professional standards of practice when 1 of 18 sampled residents (Resident #55) was not assisted with transportation to an orthopedics appointment outside the facility. This deficient practice had the potential to result in a delay in required services and hindered wound recovery.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure supervision and assistive devices were provided to prevent accidents by failing to revise the comprehensive person centered care plan after the resident experienced two falls for 1 of 18 sampled residents (Resident #34). This deficient practice had the potential to result in unmet care needs, continued fall risk, and preventable injury.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure the treatment/wound cart containing resident medications was secured. This deficient practice had the potential to result in unauthorized access to medications.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview, clinical record review, and document review, the facility failed to ensure a resident's medical record was complete for 1 of 18 sampled residents (Resident #24). The deficient practice had the potential for staff to be unaware of resident needs resulting in further harm.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure a staff member performed hand hygiene when assisting residents in the dining room for 4 of 4 observed opportunities to perform hand hygiene. This deficient practice had the potential to result in the spread of bacteria and viruses, including multi drug resistant organisms, to the residents in the facility.
January 16, 2025Standard inspection · 4 citations
- E Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Inspectors wroteBased on interview, personnel record review and document review, the facility failed to ensure staff were trained on the prevention of elder abuse prior to engaging with residents for 8 of 20 sampled personnel records reviewed (Employee #1, #10, #13, #14, #15, #16, #19, and #20).
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on observation, clinical record review, interview, and document review the facility failed to ensure 1 of 17 sampled residents (Resident #2) and the Resident's Representative received written notification of transfer or discharge. This deficient practice had the potential to cause confusion and prevent the Resident Representative from being informed of the reason for transfer.
- D 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.
Inspectors wroteBased on observation, interview, clinical record review, and document review, the facility failed to provide a bed hold policy notification to 1 of 17 residents (Resident #2) and/or the Resident's Representative upon transfer to an acute care hospital. This deficient practice had the potential to cause confusion and prevent the Resident Representative from being informed of the right to exercise the bed hold provisions and any associated fees.
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure a fire alarm sounded in the front of the facility, including the therapy gym and resident dining hall, during a fire drill. This deficient practice had the potential to affect resident, visitor, and staff safety in the event of an actual fire.
March 8, 2024Complaint inspection · 1 citation
- D Provide or get specialized rehabilitative services as required for a resident.
Inspectors wroteBased on observation, interview, clinical record review, and document review the facility failed to ensure physical therapy (PT) frequency of treatment was provided per the physician's order for 1 of 3 sampled residents (Resident #1).
January 16, 2024Standard inspection · 10 citations
- E Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on interview, observation, clinical record review, and document review the facility failed to ensure a process was developed and implemented to assess/screen residents for participation in a bowel and bladder retraining program with the potential to affect the facility's entire resident census of 48 and 1 of 12 sampled residents (Resident #9) was assessed to determine if the resident was a candidate for a bowel and bladder retraining program.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and clinical record review, the facility failed to ensure a resident's discharge status was accurately documented on a Minimum Data Set 3.0 (MDS) assessment for 1 of 5 closed resident records (Resident #40).
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview, clinical record review, and document review, the facility failed to ensure 1) a care plan for administering a resident's as needed (PRN) heart medication was developed for 1 of 12 sampled residents (Resident #5).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, clinical record review, interview, and document review the facility failed to ensure professional standards of practice were followed by failing to develop and implement a bowel and bladder retraining program ensuring residents were provided the appropriate treatment and services needed to restore as much bowel and bladder function as possible. The failure had the potential to affect the facilities entire resident census of 48.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, clinical record review, and document review the facility failed to ensure medications were not left unsecured in a resident's room with the potential for accidental ingestion of the medication for 1 of 12 sampled residents (Resident #5).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteResident #59 Resident #59 was admitted to the facility on [DATE], with diagnoses including nondisplaced fracture of shaft of left clavicle, subsequent encounter for fracture with routine healing and acute posthemorrhagic anemia. On 01/08/24 at 3:06 PM, Resident #59 was resting in bed with a nasal cannula placed under the resident's nose and the resident's oxygen concentrator was set at 1.5 LPM. A physician's order dated 01/08/24, documented oxygen continuous at 2.0 LPM via nasal cannula every shift for oxygen use. On 01/10/24 at 8:15 AM, Resident #59 was sitting in a wheelchair with a nasal cannula placed under the resident's nose and the resident's oxygen was set to 1.5 LPM. A physician's order dated 01/09/24, documented oxygen continuous at 2.0 LPM via nasal cannula every shift for hypoxia. [...]
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observation, interview, clinical record review, and document review the facility failed to ensure a resident's pain was managed and a physician was notified when pain medication was ineffective for 1 of 12 sampled residents (Resident #45).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, clinical record review, and document review the facility failed to ensure physician ordered medications were available and administered for 1 of 5 residents observed for medication administration (Resident #61).
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, clinical record review, and document review the facility failed to ensure medication was administered with an error rate of less than five percent (%). There were 31 opportunities and two medication errors. The medication error rate was 6.45%.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, clinical record review, and document review the facility failed to ensure medications were secured for 1 of 12 sampled residents (Resident #5).
Fire safety inspections
11 fire safety citations on file: 3 on March 12, 2026, 5 on January 16, 2025, 3 on January 16, 2024.
Every fire safety citation11 citations
- E Have simulated fire drills held at unexpected times.
- D Have properly installed electrical wiring and gas equipment.
- D Ensure proper usage of power strips and extension cords.
- E Install a fire alarm system that can be heard throughout the facility.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have properly installed electrical wiring and gas equipment.
- D Have simulated fire drills held at unexpected times.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have properly installed electrical wiring and gas equipment.
- D Have power receptacles that are properly grounded.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Nevada | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.61 | 4.34 | 3.86 |
| Registered nurses | 1.15 | 1.12 | 0.69 |
| All nursing staff on weekends | 3.93 | 3.86 | 3.42 |
| Nurse aides | 2.50 | ||
| Licensed practical nurses | 0.96 | ||
| Nursing staff turnover (share who left in a year) | 50.0% | 45.1% | 45.8% |
| Registered nurse turnover | 42.1% | 43.4% | 42.9% |
| Administrators who left | 0 |
CMS expects 5.23 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.88 on weekdays and 3.93 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.67 in April to June 2025 to 4.61 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.61 | 1.15 | 4.88 | 3.93 | 9.2% | 0 of 90 | 71 |
| Oct to Dec 2025 | 4.79 | 1.09 | 5.05 | 4.10 | 4.7% | 0 of 92 | 66 |
| Jul to Sep 2025 | 5.06 | 1.06 | 5.36 | 4.29 | 5.2% | 0 of 92 | 62 |
| Apr to Jun 2025 | 5.67 | 1.17 | 5.99 | 4.87 | 8.5% | 0 of 91 | 67 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Nevada, Jan to Mar 2026 | 3.88 | 0.85 | 4.05 | 3.46 | 2.7% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Nevada | US |
|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.8 | 1.6 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.8 | 23.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.5 | 9.6 | 12.0 |
Owners and operators
Legal business name: CARSON CITY SNF VENTURES LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Carson Tahoe Regional Healthcare | 5% or greater direct ownership interest | Organization | 50% | 03/01/2019 |
| D. D. & F. | 5% or greater direct ownership interest | Organization | 50% | 03/01/2019 |
| Delamarter, Brian | 5% or greater indirect ownership interest | Individual | 42% | 03/01/2019 |
| Delamarter, Elizabeth | 5% or greater indirect ownership interest | Individual | 14% | 03/01/2019 |
| Delamarter, Harold | 5% or greater indirect ownership interest | Individual | 14% | 03/01/2019 |
| Vislocky, Gregory | 5% or greater indirect ownership interest | Individual | 30% | 03/01/2019 |
| Mitchell, Thomas | W-2 managing employee | Individual | 03/01/2019 | |
| Prestige Care Inc | Operational/managerial control | Organization | 03/01/2019 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on March 12, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on March 12, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on March 12, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on March 12, 2026: "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."
Other nursing homes nearby
- Ormsby Post Acute Rehabilitation Carson City, 1.3 mi · not rated · 88 citations
- Northstar Post Acute Carson City, 1.7 mi · 1 of 5 stars · 78 citations
- Mountain View Health and Rehabilitation Carson City, 2.5 mi · 2 of 5 stars · 49 citations
- Gardnerville Health & Rehabilitation Center Gardnerville, 15.5 mi · 1 of 5 stars · 54 citations
- Life Care Center of Reno Reno, 19 mi · 1 of 5 stars · 53 citations
- Alta Skilled Nursing and Rehabilitation Center Reno, 20.9 mi · 2 of 5 stars · 47 citations
- Barton Hospital D/P SNF South Lake Tahoe, 21.6 mi · 4 of 5 stars · 18 citations
- Alpine Skilled Nursing and Rehabilitation Center Reno, 22.5 mi · 2 of 5 stars · 41 citations
Common questions
- What is Sierra Basin Post Acute's Medicare star rating?
- CMS rates Sierra Basin Post Acute 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Sierra Basin Post Acute get at its last inspection?
- 6 health deficiencies at the standard inspection on March 12, 2026. The Nevada average is 9.7.
- Has Sierra Basin Post Acute been fined?
- CMS lists no fines in the last three years.
- Does Sierra Basin Post Acute accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Sierra Basin Post Acute?
- CMS lists 8 owners and managers. Legal business name: CARSON CITY SNF VENTURES LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.