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Nursing HomeMedicaid Top Rated

Sierra Basin Post Acute

Strong Medicare quality ratings; families often praise clean, modern, and well-maintained facility. Still worth an in-person visit.

1001 N. Mountain Street, Carson City, NV 8970380 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 189 Google reviews

5
4
3
2
1
Sierra Basin Post Acute Nursing Home in Carson City, NV — Street View
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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 details
Food5.0Staff7.0Clean9.0Activities4.0Meds3.0Memory2.0Comms3.0ValueN/A

Strengths

  • 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

2343.02020(2)1.02021(2)5.02022(1)4.02023(2)4.02024(41)4.62025(60)4.52026(37)

Distribution · 145 analyzed

5
103
4
19
3
9
2
1
1
13

How They Respond to Reviews

7%response rate

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.

Daughter of resident · 2024★★★★

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.

Family member · 2025★★★☆☆

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.

Family member · 2025★★★★
Source: 189 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.09hrs
OK
Registered nurses for medical care
Total Nursing
4.79hrs
OK
All nurses + aides combined
Staff Turnover
45%
Lower is better (< 30% = good)
RN Turnover
45%
Lower is better (< 30% = good)

This 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

Medicare Rating
5/ 5
Better Than Avg

3

measures

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.3%
Better than Avg
Here
98.3%
US
81.8%
NV
84.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.3%
Better than Avg
Here
95.3%
US
79.7%
NV
80.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
NV
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Near state avg (9.4)
1 complaint-triggered

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, 2026Routine
13
0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0605Potential for harm · IsolatedCorrected

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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0657Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0761Potential for harm · IsolatedCorrected

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.

0842Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jan 16, 2025Routine
18
0943Potential for harm · PatternCorrected

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.

0341Potential for harm · PatternCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0341Potential for harm · PatternCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0943Potential for harm · PatternCorrected

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.

0623Potential for harm · IsolatedCorrected

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.

0625Potential for harm · IsolatedCorrected

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.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0623Potential for harm · IsolatedCorrected

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.

0625Potential for harm · IsolatedCorrected

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.

0921Potential for harm · IsolatedCorrected

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, 2024Complaint
1
0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

Jan 16, 2024Routine
26
0690Potential for harm · PatternCorrected

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.

0690Potential for harm · PatternCorrected

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

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.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0912Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0912Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

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, 2023Routine
15
0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0655Potential for harm · IsolatedCorrected

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

0656Potential for harm · IsolatedCorrected

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.

0657Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0745Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0842Potential for harm · IsolatedCorrected

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.

0943Potential for harm · IsolatedCorrected

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.

0949Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

0346Minimal · PatternCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0354Minimal · PatternCorrected

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

Owner / Operator

Sierra Basin Post Acute

Organization Type

for profit

Chain Affiliation

Chain Name

Prestige Care

Chain Size

2 facilities nationwide

Chain avg rating: 3.5/5 · Rank 1 of 2 (Best)

Ownership & Management

Owners

Carson Tahoe Regional Healthcare

Owner · Organization

50%

D. D. & F.

Owner · Organization

50%

Delamarter, Brian

Owner (parent company)

42%

Delamarter, Elizabeth

Owner (parent company)

14%

Delamarter, Harold

Owner (parent company)

14%

Vislocky, Gregory

Owner (parent company)

30%

Key personnel

Mitchell, ThomasW-2 Managing EmployeePrestige Care INCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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