Starfile / Nevada

ORMSBY POST ACUTE REHABILITATION

3050 N ORMSBY ROAD, CARSON CITY, NV 89703 · CCN 295067

SFF Candidate

Inspection history vs Nevada & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$60,464

Number of fines

1

Number of penalties

2

Payment denials

1

Chain

Chain

EVERGREEN HEALTHCARE GROUP

Facilities in chain

41

Chain avg overall

2.30 / 5

Inspection citations (100)1 immediate jeopardy

1. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-03-27 · Health · corrected 2025-04-14

   Potential for more than minimal harm

2. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-03-27 · Health · corrected 2025-04-14

   Potential for more than minimal harm

3. DF0641Ensure each resident receives an accurate assessment.2025-03-27 · Health · corrected 2025-04-14

   Potential for more than minimal harm

4. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-27 · Health · corrected 2025-04-14

   Potential for more than minimal harm

5. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-03-27 · Health · corrected 2025-04-14

   Potential for more than minimal harm

6. DF0761Ensure 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.2025-03-27 · Health · corrected 2025-04-14

   Potential for more than minimal harm

7. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-27 · Health · corrected 2025-04-14

   Potential for more than minimal harm

8. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-27 · Health · corrected 2025-04-14

   Potential for more than minimal harm

9. EF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-03-27 · Health · corrected 2025-04-14

   Potential for more than minimal harm

10. DF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2025-03-27 · Health · corrected 2025-04-14

    Potential for more than minimal harm

11. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-18 · Health · corrected 2024-11-03

    Potential for more than minimal harm

12. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-09-18 · Health · corrected 2024-11-03

    Potential for more than minimal harm

13. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-09-18 · Health · corrected 2024-11-03

    Potential for more than minimal harm

14. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-09-18 · Health · corrected 2024-11-03

    Potential for more than minimal harm

15. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

16. DF0558Reasonably accommodate the needs and preferences of each resident.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

17. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

18. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

19. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

20. JF0610Respond appropriately to all alleged violations.2024-05-29 · Health · corrected 2024-07-24

    Immediate jeopardy

21. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

22. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

23. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

24. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

25. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

26. DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

27. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

28. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

29. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

30. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

31. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

32. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

33. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

34. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

35. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

36. DF0759Ensure medication error rates are not 5 percent or greater.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

37. EF0761Ensure 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.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

38. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

39. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

40. CF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2024-05-29 · Health · corrected 2024-07-24

    Potential for minimal harm

41. CF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.2024-05-29 · Health · corrected 2024-07-24

    Potential for minimal harm

42. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

43. DF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

44. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

45. DF0880Provide and implement an infection prevention and control program.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

46. FF0881Implement a program that monitors antibiotic use.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

47. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

48. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

49. DF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

50. EF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

51. DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

52. EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

53. EF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

54. FF0946Provide training in compliance and ethics.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

55. EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-05-29 · Health · corrected 2024-07-24

    Potential for more than minimal harm

56. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-02-16 · Health · corrected 2024-03-11

    Potential for more than minimal harm

57. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-02-16 · Health · corrected 2024-03-11

    Potential for more than minimal harm

58. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-16 · Health · corrected 2024-03-11

    Potential for more than minimal harm

59. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-16 · Health · corrected 2024-03-11

    Potential for more than minimal harm

60. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-16 · Health · corrected 2024-03-11

    Potential for more than minimal harm

61. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-16 · Health · corrected 2023-10-30

    Potential for more than minimal harm

62. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

63. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-07-05 · Health · corrected 2023-07-29

    Potential for more than minimal harm

64. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-07-05 · Health · corrected 2023-07-29

    Potential for more than minimal harm

65. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

66. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-07-05 · Health · corrected 2023-07-29

    Potential for more than minimal harm

67. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-07-05 · Health · corrected 2023-07-29

    Potential for more than minimal harm

68. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-07-05 · Health · corrected 2023-07-29

    Potential for more than minimal harm

69. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-05 · Health · corrected 2023-07-29

    Potential for more than minimal harm

70. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

71. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-07-05 · Health · corrected 2023-07-29

    Potential for more than minimal harm

72. DF0679Provide activities to meet all resident's needs.2023-07-05 · Health · corrected 2023-07-29

    Potential for more than minimal harm

73. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-05 · Health · corrected 2023-09-07

    Potential for more than minimal harm

74. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-07-05 · Health · corrected 2023-07-29

    Potential for more than minimal harm

75. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

76. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

77. DF0759Ensure medication error rates are not 5 percent or greater.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

78. DF0761Ensure 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.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

79. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

80. CF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2023-07-05 · Health · corrected 2023-08-15

    Potential for minimal harm

81. FF0838Conduct 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.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

82. FF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

83. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

84. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

85. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

86. FF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

87. EF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

88. EF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

89. DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

90. EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

91. EF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

92. EF0946Provide training in compliance and ethics.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

93. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

94. DF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2023-07-05 · Health · corrected 2023-08-15

    Potential for more than minimal harm

95. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-04-27 · Health · corrected 2023-06-08

    Potential for more than minimal harm

96. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-03-01 · Health · corrected 2023-03-31

    Potential for more than minimal harm

97. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-01 · Health · corrected 2023-03-31

    Potential for more than minimal harm

98. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-03-01 · Health · corrected 2023-03-31

    Potential for more than minimal harm

99. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-03-01 · Health · corrected 2023-03-31

    Potential for more than minimal harm

100. DF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2023-03-01 · Health · corrected 2023-03-31

     Potential for more than minimal harm

Ownership

Other facilities in CARSON CITY

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.