Alpine Skilled Nursing and Rehabilitation Center

Name: Alpine Skilled Nursing and Rehabilitation Center
Address: 3101 PLUMAS ST, Reno, NV, 89509, US
Telephone: 7758297220

3101 Plumas St, Reno, NV 89509 · Washoe County · 189 certified beds · avg 155 residents/day · certified since Nov 16, 1988

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.38

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (41)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 2, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 2, 2026	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jun 11, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Jun 11, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Jun 11, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jun 11, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Jun 11, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jan 13, 2025	F · Potential for harm, facility-wide	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 13, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jan 13, 2025	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Jan 13, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jan 13, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 13, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jan 13, 2025	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Jan 13, 2025	D · Potential for harm, one-off	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Jan 13, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jan 13, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 13, 2025	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Dec 5, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Dec 5, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Jun 27, 2024	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Feb 6, 2024	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Feb 6, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Feb 6, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 6, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 6, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Feb 6, 2024	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Feb 6, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Feb 6, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Feb 6, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 6, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 6, 2024	D · Potential for harm, one-off	The facility did not develop or maintain an effective training program for its direct care staff, including training on how to communicate effectively with residents.
Feb 6, 2024	B · Minimal risk, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Dec 21, 2023	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 9).

Year	Citations	Worst severity that year
2023	1	D
2024	15	D
2025	16	F
2026	9	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Nevada avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.38	4.05	3.95	bottom 22% in Nevada; bottom 31% in the U.S.
Registered Nurse hours	0.60	0.98	0.69	bottom 24% in Nevada; top 48% in the U.S.
Weekend total nurse staffing	3.06	3.61	3.50	bottom 24% in Nevada; bottom 34% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.57	0.87	0.48	bottom 38% in Nevada; top 26% in the U.S.
Total nursing staff turnover (%)	53.8	45.1	45.8	bottom 23% in Nevada; bottom 28% in the U.S.
RN turnover (%)	33.3	43.4	42.9	top 33% in Nevada; top 33% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.01, RN 0.53, weekend 2.72. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Gray, Chelsey	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/01/2022
Gray, Zachary	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/01/2022
Revive Reno LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	02/01/2022
Asl Realty LLC	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	02/01/2022
Asl Realty LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2022
Gray Estate Holdings LLC	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	02/01/2022
Gray Estate Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2022
Gray, Chelsey	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/01/2022
Gray, Chelsey	Individual	Limited Partnership Interest	NOT APPLICABLE	02/01/2022
Gray, Chelsey	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2022
Gray, Zachary	Individual	5% or Greater Mortgage Interest	NOT APPLICABLE	02/01/2022
Gray, Zachary	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/01/2022
Gray, Zachary	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2022
Gray, Zachary	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2022
Lebowitz, Andrew	Individual	5% or Greater Mortgage Interest	NOT APPLICABLE	02/01/2022
Lebowitz, Andrew	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2022
Nadora, Marie	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/01/2022
Nadora, Marie	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2022
Nasrawy, Joseph	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/01/2022
Nasrawy, Joseph	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Alta Skilled Nursing and Rehabilitation Center	1.8 mi	Reno, NV	★★☆☆☆	2/5
Advanced Health Care of Reno	2.4 mi	Reno, NV	★★★★★	4/5
Caremeridian LLC, DBA Neurorestorative	2.9 mi	Reno, NV	★☆☆☆☆	1/5	abuseSFF
Life Care Center of Reno	3.8 mi	Reno, NV	★☆☆☆☆	1/5	SFF
Rosewood Rehabilitation Center	4.1 mi	Reno, NV	★☆☆☆☆	1/5
Northern Nevada State Veterans Home	5.7 mi	Sparks, NV	★★★★☆	2/5	abuse
Hearthstone Health and Rehabilitation	7.0 mi	Sparks, NV	★☆☆☆☆	1/5
Wingfield Skilled Nursing and Rehabilitation Cente	10.0 mi	Sparks, NV	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Reno →

Facility data as of CMS processing date 2026-08-01. CCN 295043.

The Care File

Visit checklist — Alpine Skilled Nursing and Rehabilitation Center

3101 Plumas St, Reno, NV 89509 · 7758297220

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 295043 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)