Sierra Place Retirement Community
State licensed1111 W College Parkway, Carson City, NV 89703
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Medicare-certifiedSkilled Nursing
Ormsby Post Acute Rehabilitation
Carson City, NevadaMedicare inspection record
About Ormsby Post Acute Rehabilitation
Ormsby Post Acute Rehabilitation brings specialized skilled nursing and rehabilitation care to Carson City, Nevada families. Our clinical team focuses on helping patients regain strength and independence through personalized recovery plans. We combine medical expertise with compassionate support during every stage of healing.
Community at a glance
Capacity
120 residents
Location
Carson City, NV
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
3050 N ORMSBY ROAD, Carson City, Nevada 89703
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- Medicare lists Ormsby Post Acute Rehabilitation as a Special Focus Facility: a home with a history of serious quality problems that inspectors visit more often until it improves.
- Medicare flags Ormsby Post Acute Rehabilitation for a citation related to abuse of residents in its recent inspections.
At its most recent standard inspection, on May 14, 2026, state inspectors cited 27 health deficiencies (the Nevada average is 9.6).
Nurses and nurse aides spend 2 hours 49 minutes with each resident a day, below the Nevada average of 4 hours 20 minutes.
Medicare fined Ormsby Post Acute Rehabilitation once in the last three years, $60,464 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 2 hours 49 minutesBelow the Nevada average |
| Registered nurse time per resident, per day | 45 minutesBelow the Nevada average |
| Nursing staff who left in the past year | 58%Above the Nevada average |
Inspections
87 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 14, 2026 · Standard inspection · 25 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jun 27, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jun 27, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 27, 2026Dispose of garbage and refuse properly.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jun 27, 2026Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Jun 27, 2026Provide safe, appropriate pain management for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 27, 2026Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Jun 27, 2026Provide care or services that was trauma informed and/or culturally competent.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 27, 2026Keep all essential equipment working safely.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Jun 27, 2026Have a plan that describes the process for conducting QAPI and QAA activities.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Jun 27, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 27, 2026Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jun 27, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 27, 2026Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jun 27, 2026Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 27, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 27, 2026Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 27, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 27, 2026Observe each nurse aide's job performance and give regular training.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Jun 27, 2026Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 27, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 27, 2026Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jun 27, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 27, 2026Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Jun 27, 2026Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Minimal harm or risk, a pattern (level B)Resident RightsCorrected Jun 27, 2026
March 26, 2026 · Complaint investigation · 2 citations
Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 30, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 30, 2026
March 27, 2025 · Standard inspection · 9 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Apr 14, 2025Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Apr 14, 2025Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 14, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 14, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 14, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 14, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 14, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 14, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 14, 2025
March 27, 2025 · Complaint investigation · 1 citation+
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Apr 14, 2025
September 18, 2024 · Complaint investigation · 4 citations+
Protect each resident from the wrongful use of the resident's belongings or money.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 3, 2024Ensure each resident’s drug regimen must be free from unnecessary drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Nov 3, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 3, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 3, 2024
May 29, 2024 · Standard inspection · 18 citations+
Respond appropriately to all alleged violations.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 24, 2024Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Jul 24, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jul 24, 2024Implement a program that monitors antibiotic use.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Jul 24, 2024Provide training in compliance and ethics.
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Jul 24, 2024Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Jul 24, 2024Have a plan that describes the process for conducting QAPI and QAA activities.
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Jul 24, 2024Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jul 24, 2024Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Jul 24, 2024Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jul 24, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jul 24, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jul 24, 2024Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 24, 2024Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Jul 24, 2024Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 24, 2024Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Jul 24, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 24, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 24, 2024
May 29, 2024 · Complaint investigation · 1 citation+
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 24, 2024
Showing the 60 most recent. The full list is on Medicare.gov.
Fines and payment denials
1 fine totaling $60,464 and 1 Medicare payment denial in the last three years.
- May 29, 2024Payment denial, 6 days
- May 29, 2024Fine: $60,464
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Legal Business Name Not Available
- Medicare-certified beds
- 120
- Average residents per day
- 93
- Accepts
- Medicare and Medicaid
- First certified
- March 25, 1999
- Part of a chain
- Evergreen Healthcare Group, 43 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 295067
Location
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3050 N ORMSBY ROADCarson City, NV 89703
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Questions about Ormsby Post Acute Rehabilitation
How did Ormsby Post Acute Rehabilitation do on its last inspection?+
State inspectors visited on May 14, 2026 and cited 27 health deficiencies, 4 of them from complaint investigations. The Nevada average is 9.6.
How much nursing care does each resident get at Ormsby Post Acute Rehabilitation?+
Nurses and aides spend 2 hours 49 minutes with each resident per day, including 45 minutes from registered nurses. 58% of nursing staff left over the past year.
Has Ormsby Post Acute Rehabilitation been fined by Medicare?+
Yes. Medicare fined Ormsby Post Acute Rehabilitation once in the last three years, totaling $60,464.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.