Sierra Basin Post Acute

Name: Sierra Basin Post Acute
Address: 1001 N. MOUNTAIN STREET, Carson City, NV, 89703, US
Telephone: 7754434800

1001 N. Mountain Street, Carson City, NV 89703 · Carson City County · 80 certified beds · avg 71 residents/day · certified since Jun 18, 2019

4/5

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: ★★★★☆4/5 · CMS overall rating: 5/5

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 (25)

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
Mar 12, 2026	E · Potential for harm, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Mar 12, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Mar 12, 2026	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.
Mar 12, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Mar 12, 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.
Mar 12, 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.
Mar 12, 2026	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.
Mar 12, 2026	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.
Mar 12, 2026	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.
Mar 12, 2026	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 16, 2025	E · Potential for harm, repeated	The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation.
Jan 16, 2025	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Jan 16, 2025	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Jan 16, 2025	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Mar 8, 2024	D · Potential for harm, one-off	The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint
Jan 16, 2024	E · Potential for harm, repeated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jan 16, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 16, 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.
Jan 16, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jan 16, 2024	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.
Jan 16, 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.
Jan 16, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Jan 16, 2024	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.
Jan 16, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jan 16, 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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 10).

Year	Citations	Worst severity that year
2024	11	E
2025	4	E
2026	10	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 21% in Nevada; bottom 30% in the U.S.
Registered Nurse hours	0.84	0.98	0.69	bottom 49% in Nevada; top 24% in the U.S.
Weekend total nurse staffing	2.88	3.61	3.50	bottom 16% in Nevada; bottom 25% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.66	0.87	0.48	bottom 48% in Nevada; top 18% in the U.S.
Total nursing staff turnover (%)	50.0	45.1	45.8	bottom 33% in Nevada; bottom 38% in the U.S.
RN turnover (%)	42.1	43.4	42.9	top 49% in Nevada; bottom 49% 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 4.61, RN 1.15, weekend 3.93. 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: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Carson Tahoe Regional Healthcare	Organization	5% or Greater Direct Ownership Interest	50%	03/01/2019
D. D. & F.	Organization	5% or Greater Direct Ownership Interest	50%	03/01/2019
Delamarter, Brian	Individual	5% or Greater Indirect Ownership Interest	42%	03/01/2019
Delamarter, Elizabeth	Individual	5% or Greater Indirect Ownership Interest	14%	03/01/2019
Delamarter, Harold	Individual	5% or Greater Indirect Ownership Interest	14%	03/01/2019
Vislocky, Gregory	Individual	5% or Greater Indirect Ownership Interest	30%	03/01/2019
Mitchell, Thomas	Individual	W-2 Managing Employee	NOT APPLICABLE	03/01/2019
Prestige Care INC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/01/2019

Questions to ask on your visit

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

"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"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?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"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
Ormsby Post Acute Rehabilitation	1.3 mi	Carson City, NV		—/5	abuseSFF
Northstar Post Acute	1.7 mi	Carson City, NV	★☆☆☆☆	1/5
Mountain View Health and Rehabilitation	2.5 mi	Carson City, NV	★★☆☆☆	2/5	abuse
Gardnerville Health & Rehabilitation Center	15.5 mi	Gardnerville, NV	★☆☆☆☆	1/5	abuse
Life Care Center of Reno	19.0 mi	Reno, NV	★☆☆☆☆	1/5	SFF

Compare this facility with the 3 closest →

All facilities in Carson City →

Facility data as of CMS processing date 2026-08-01. CCN 295104.

The Care File

Visit checklist — Sierra Basin Post Acute

1001 N. Mountain Street, Carson City, NV 89703 · 7754434800

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "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?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "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 295104 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)