Sierra Basin Post Acute
Strong Medicare quality ratings; families often praise clean, modern, and well-maintained facility. Still worth an in-person visit.
based on 189 Google reviews

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What this means for your family
This facility offers a clean, modern environment with highly regarded physical therapy services, making it a strong candidate for post-surgery recovery. However, families should be proactive: ensure a clear plan for pain management is established upon admission and verify how to reach the nursing station directly, as communication and off-hours responsiveness remain recurring concerns.
Google Reviews
Google Reviews
189 reviews on Google“Sierra Basin Post Acute is widely praised for its modern, clean facility and generally friendly, attentive staff. However, families report significant inconsistencies in medical care, particularly regarding pain management, communication with doctors, and responsiveness during night and weekend shifts.”
Quality Themes
Tap a score for detailsStrengths
- Clean, modern, and well-maintained facility
- Friendly and professional front-desk and administrative staff
- Effective physical and occupational therapy programs
- Compassionate bedside manner from many nursing staff
Concerns
- Delayed or inadequate pain management (mentioned by 6 reviewers)
- Poor communication and lack of return calls from staff/social workers (mentioned by 5 reviewers)
- Understaffing, particularly on nights and weekends (mentioned by 5 reviewers)
- Inconsistent food quality and temperature (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 145 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1We've heard great things about how clean and modern the facility is; could you tell us more about how the physical and occupational therapy programs are integrated into the daily routine?
- 2What is the protocol for ensuring residents receive timely pain management and medication updates, especially during the night or over the weekend?
- 3How does the nursing staff ensure that family members are kept informed and receive timely call-backs regarding any changes in a resident's condition?
- 4Could you describe the variety of social activities and events planned for the residents to keep them engaged and active?
- 5What steps are in place to ensure food quality and temperature remain consistent for every meal?
- 6In the event of a medical emergency after hours, what is the specific process for contacting the on-call physician or coordinating urgent care?
Personalized based on this facility's data
Key Review Excerpts
“The only problem we came across was the night nurses that took the shift after ten pm! It took a long time for them to get to my mom sometimes a long time.”
“The PT department was fantastic. The CNA's are under staffed. I did not understand that they manage all meal delivery and pick up. This takes them away from patience for approximately an each meal.”
“The only problems we have had are getting pain medication in a timely manner and pain medication that is effective for acute pain from a recent fall.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 3 measures
3
measures
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Sierra Basin Post Acute has a concerning pattern of recurring issues across multiple surveys, with deficiencies in care planning, medication management, and fire safety appearing repeatedly. A family filed a complaint about rehabilitation services in 2024. While all deficiencies show correction dates, the facility continues to struggle with the same fundamental problems across surveys, suggesting potential systemic challenges in maintaining consistent quality standards.
Mar 12, 2026Routine13
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Jan 16, 2025Routine18
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
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.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
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.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Mar 8, 2024Complaint1
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Jan 16, 2024Routine26
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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.
Jan 26, 2023Routine15
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Ownership & Operations
Who Operates This Facility
Sierra Basin Post Acute
for profit
Chain Affiliation
Prestige Care
2 facilities nationwide
Chain avg rating: 3.5/5 · Rank 1 of 2 (Best)
Ownership & Management
Owners
Carson Tahoe Regional Healthcare
Owner · Organization
D. D. & F.
Owner · Organization
Delamarter, Brian
Owner (parent company)
Delamarter, Elizabeth
Owner (parent company)
Delamarter, Harold
Owner (parent company)
Vislocky, Gregory
Owner (parent company)
Key personnel
Contact
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
189 reviews from families & visitors
Official Website
Visit sierrabasinpa.com
Medicare data downloads
Original nursing home datasets
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