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Alpine Skilled Nursing and Rehabilitation Center
3101 Plumas St, Reno, NV 89509 (opens Google Maps) · Washoe County · (775) 829-7220· 189 certified beds · avg 155 residents/day · certified since Nov 16, 1988 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
2/5
Health inspection rating (on-site)
inspected Apr 2, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.38
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 41 inspection findings. Open the full record below to read every finding.
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. F-0880
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. F-0881
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. F-0554
View all 41 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 2, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Apr 2, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0881 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0554 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0561 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Jun 11, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0550 |
| Jun 11, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0610 |
| Jun 11, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0656 |
| Jun 11, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0657 |
| Jun 11, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Jan 13, 2025 | F · Potential for more than minimal harm, widespread | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jan 13, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Jan 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Jan 13, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Jan 13, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Jan 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jan 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · F-0791 |
| Jan 13, 2025 | D · Potential for more than minimal harm, isolated | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · F-0835 |
| Jan 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Jan 13, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Jan 13, 2025 | C · Potential for minimal harm, widespread | 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. · F-0732 |
| Dec 5, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0600 |
| Dec 5, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0686 |
| Jun 27, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0602 |
| Feb 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552 |
| Feb 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · F-0565 |
| Feb 6, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Feb 6, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Feb 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Feb 6, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0700 |
| Feb 6, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
| Feb 6, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
| Feb 6, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Feb 6, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Feb 6, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0941 |
| Feb 6, 2024 | B · Potential for minimal harm, pattern | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Dec 21, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0757 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 9).
All citationsSerious citations (G–L)
2023
All citations: 1
Serious citations (G–L): 0
2024
All citations: 15
Serious citations (G–L): 0
2025
All citations: 16
Serious citations (G–L): 0
2026
All citations: 9
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 15 | 0 | D |
| 2025 | 16 | 0 | F |
| 2026 | 9 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityNevada averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.38
Nevada average: 4.05
U.S. average: 3.95
Registered Nurse hours
This facility: 0.60
Nevada average: 0.98
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.06
Nevada average: 3.61
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.01 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Alpine Skilled Nursing and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 24 parties CMS has on file for this facility; 4 are not displayed. The full list is in the CMS Ownership dataset.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Nevada midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 54% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 24 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 |
Facility data as of CMS processing date 2026-08-01. CCN 295043.