Sierra Basin Post Acute
Sierra Basin Post Acute operates an 80-bed nursing home in Carson City, Nevada, offering round-the-clock skilled nursing care alongside hospice and palliative support. The facility features both private and semi-private rooms, an in-house rehabilitation gym, and specialized clinical programming. Clinical capabilities include bariatric, digestive disease, and cancer recovery care, as well as complex wound, catheter, tracheostomy, and tube management.
Administrator oversight ensures continuous therapy assessments, outpatient treatments, and customized dietary plans overseen by a registered dietitian. Residents also have access to a grab-and-go café for alternative meal choices. Payment methods accepted include Medicare and private pay.
Prospective residents requiring specialized clinical supervision or short-term therapy can reach out to Sierra Basin Post Acute to request details on admissions.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Standout metric: Physical therapist is +35% above Nevada average
5 of 6 metrics below Nevada average
Daily care time per resident, by role
US average: 42m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 42m
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
US average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 26m
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
US average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 32m
US average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
95.8% of staff hours were worked by the facility's own employees
Nevada average: 95% · Contractors this quarter: Certified Nursing Assistant (20), Registered Nurse (8), Licensed Practical Nurse (2), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Community insights.
Smaller home · May offer a more intimate, personalized care environment.
Based on 65.2 residents and 80 beds. Source: CMS Provider Information, average daily residents (data as of Oct 2026)
About This Community
CMS Health Inspection History
ALM Inspection Grade
9 points above the Nevada average for CMS-certified facilities (83/100)
Category breakdown
Citations
Typical
50 severity-weighted points (25 deficiencies) · 26% lower than the typical CMS-certified NV facility (median: 68)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Typical
32 days to fix issues · faster than the typical CMS-certified NV facility (median: 33)
Citation severity
Latest inspection: Mar 12, 2026 · 10 citations, all corrected
Most cited category: Quality of Life & Care, 7 of 25 citations · 7 categories in total
Citations history
Most recent firstTop deficiency categories
Share of 25 citationsHow citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
24 of 25 citations resulted from standard inspections; and 1 of 25 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Nevada average.
3 short-stay measures: 2 better, 1 near NV average
Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
Physical & mental health
Preventive care
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Sierra Basin Post Acute’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 39 Nevada nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
Is it financially stable?
Profitable on care
7.5% operating margin
+11.7 pts vs prior year
Positive margin in 2 of the last 5 reported years. Net income $0.6M after other income.
Does it invest in staff?
Spends more on payroll than most Nevada homes
55.6% payroll share of revenue
NV average 50.3%Rank #9 / 39Payroll % of net patient revenue — State benchmarked This nursing home is ranked 9th out of 39 nursing homes we track in Nevada for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Nevada average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nevada that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll fell $2.7M while revenue fell $5.4M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Nevada homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2020 → 2024Trend | NV median | Compared with NV homesRank in NV | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $6.5M | −$5.4M | Trend 20202024 | NV median $19.1M | Rank in NV Rank #36 / 39Net patient revenue — State benchmarked This nursing home is ranked 36th out of 39 nursing homes we track in Nevada for net patient revenue. Shows this facility's net patient revenue compared to the Nevada average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nevada that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 8% of homes | Below NV median Higher net patient revenue than 8% of NV homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $6.0M | −$6.4M | Trend 20202024 | NV median $18.2M | Rank in NV Rank #36 / 39Operating expenses — State benchmarked This nursing home is ranked 36th out of 39 nursing homes we track in Nevada for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Nevada homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nevada that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 8% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.5M | +$1.0M | Trend 20202024 | NV median $1.2M | Rank in NV Rank #28 / 39Net patient income — State benchmarked This nursing home is ranked 28th out of 39 nursing homes we track in Nevada for net patient income. Shows net patient revenue minus operating expenses, compared with other Nevada homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nevada that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 29% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 7.5% | +11.7 pts | Trend 20202024 | NV median 7.1% | Rank in NV Rank #19 / 39Operating margin — State benchmarked This nursing home is ranked 19th out of 39 nursing homes we track in Nevada for operating margin. Shows net patient income as a share of net patient revenue, compared with other Nevada homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nevada that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 53% of homes | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $0.1M | — | Trend — | NV median $0.0M | Rank in NV Rank #9 / 39Other income — State benchmarked This nursing home is ranked 9th out of 39 nursing homes we track in Nevada for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Nevada homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nevada that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 79% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.6M | −$1.1M | Trend — | NV median $1.0M | Rank in NV Rank #25 / 39Net income — State benchmarked This nursing home is ranked 25th out of 39 nursing homes we track in Nevada for net income. Shows the bottom line after other income, compared with other Nevada homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nevada that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 37% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends more of revenue on staff than most Nevada homes
| Metric | FY 2024 | vs prior year | Trend 2020 → 2024Trend | NV median | Compared with NV homesRank in NV | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $3.6M | −$2.7M | Trend 20202024 | NV median $9.3M | Rank in NV Rank #36 / 39Payroll costs — State benchmarked This nursing home is ranked 36th out of 39 nursing homes we track in Nevada for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Nevada average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nevada that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 8% of homes | Below NV median Higher payroll than 8% of NV homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 55.6% | +2.7 pts | Trend 20202024 | NV median 51.1% | Rank in NV Rank #9 / 39Payroll % of net patient revenue — State benchmarked This nursing home is ranked 9th out of 39 nursing homes we track in Nevada for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Nevada average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nevada that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 79% of homes | 5.3 pts over NV average The NV average is 50.3% of revenue. Within 3 points of it reads as near the average. |
Charts, 2020–2024 2 charts · NV benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Nevada payroll average.
% of net patient revenue
Payroll share Operating margin NV payroll average
Year-by-year data, 2020–2024 every reported year · latest first, scroll sideways
| Metric | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|
| Net patient revenue | $11.9M | $12.0M | $13.5M | $11.9M | $6.5M |
| Operating expenses | $13.1M | $12.6M | $13.4M | $12.4M | $6.0M |
| Net patient income | −$1.2M | −$0.7M | $0.0M | −$0.5M | $0.5M |
| Operating margin | −10.0% | −5.4% | 0.3% | −4.1% | 7.5% |
| Net income | −$0.6M | −$0.6M | $1.0M | $1.7M | $0.6M |
| Payroll costs | $6.4M | $6.3M | $6.9M | $6.3M | $3.6M |
| Payroll share of revenue | 54.0% | 52.9% | 50.8% | 52.9% | 55.6% |
| Beds | 80 | 80 | 80 | 80 | 80 |
| Gross revenue | $24.4M | $22.1M | $24.0M | $21.6M | $13.6M |
| Salaries | $5.2M | $5.1M | $5.5M | $5.1M | $3.0M |
| Wage-related costs | $1.2M | $1.2M | $1.3M | $1.2M | $0.6M |
| Contract labor | — | — | — | — | $0.1M |
| Other operating costs | $6.7M | $6.3M | $6.6M | $6.1M | $2.4M |
| Net patient revenue per day | $598 | $635 | $663 | $658 | $695 |
| Cost per day | $657 | $669 | $661 | $686 | $643 |
| Average length of stay | 26.7 days | 24.6 days | 25.4 days | 23.7 days | 29.0 days |
Showing 2024–2022 · scroll sideways for 2 earlier years
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Sierra Basin Post Acute
0.5 miles from city center
Estimated distance in miles from Carson City's city center to Sierra Basin Post Acute's address, calculated via Google Maps.
Calculate Travel Distance to Sierra Basin Post Acute
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Info below is compiled from CMS reports & the NV Dept. of Health & Human Services, senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Nevada average is: 50.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ormsby Post Acute Rehab | - | NH | Carson City | 120
Facility
120
NV AVG
116
Rank
#22 / 49 | F |
81.5%
Facility
81.5%
NV AVG
83.9%
Rank
#33 / 44 | -3% | 3.23
Facility
3.23
NV AVG
4.06
Rank
#33 / 39 | - | - | - | -42% | -21% | $60.5k
Facility
$60.5k
NV AVG
$35.6k
Rank
#37 / 40 | 88
Facility
88
NV AVG
32.5
Rank
#40 / 40 | 12.6
Facility
12.6
NV AVG
6.6
Rank
#39 / 40 | 1 | 98 | - |
46
Facility
46
NV AVG
48
Rank
#28 / 54 | Pacific Northwest Snf Operations Holdings (Nv) LLC | $9.7MFiscal year ending 12/2024
Facility
$9.7MFiscal year ending 12/2024
NV AVG
$19.4M
Rank
#34 / 39 | $6.1MFiscal year ending 12/2024
Facility
$6.1MFiscal year ending 12/2024
NV AVG
$9.4M
Rank
#32 / 39 | 63.3%Fiscal year ending 12/2024
Facility
63.3%Fiscal year ending 12/2024
NV AVG
50.3%
Rank
#2 / 39 | 295067 |
| Sierra Basin Post Acute | NH HOS PC SNF | Carson City | 80
Facility
80
NV AVG
116
Rank
#35 / 49 | A- |
81.5%
Facility
81.5%
NV AVG
83.9%
Rank
#33 / 44 | -3% | 3.19
Facility
3.19
NV AVG
4.06
Rank
#33 / 39 | +16% | -21% | $0
Facility
$0
NV AVG
$35.6k
Rank
#1 / 40 | 25
Facility
25
NV AVG
32.5
Rank
#13 / 40 | 6.3
Facility
6.3
NV AVG
6.6
Rank
#25 / 40 | - | 65 | - |
66
Facility
66
NV AVG
48
Rank
#12 / 54 | Carson Tahoe Regional Healthcare | $6.5MFiscal year ending 12/2024
Facility
$6.5MFiscal year ending 12/2024
NV AVG
$19.4M
Rank
#36 / 39 | $3.6MFiscal year ending 12/2024
Facility
$3.6MFiscal year ending 12/2024
NV AVG
$9.4M
Rank
#36 / 39 | 55.6%Fiscal year ending 12/2024
Facility
55.6%Fiscal year ending 12/2024
NV AVG
50.3%
Rank
#9 / 39 | 295104 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other NV nursing home we track that reports that metric, not just the 2 on this page. See how we rank facilities
Programs that may help with care and living costs in Nevada
Sierra Basin Post Acute is in CARSON CITY, Nevada. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
VA Aid and Attendance (A&A) and Housebound Benefits
VA Aid and Attendance (A&A) and Housebound Benefits
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- 2026 · Countable income is compared with the applicable maximum annual pension rate (MAPR), which varies by dependents and benefit category. For a veteran with one dependent and Aid and Attendance, MAPR is $34,488/year.
- Asset limit
- VA pension net-worth ceiling is $163,699 from December 1, 2025 through November 30, 2026. Net worth includes countable assets plus income for VA purposes; exclusions and transfer rules apply.
Eligibility
- General
- Aid and Attendance or Housebound is an increased VA pension rate for eligible veterans or surviving spouses who meet pension and additional care/disability requirements; it is not a stand-alone state benefit.
- NV specifics
- Federal VA pension rules apply nationwide.
What it provides
- Monthly pension is based on the applicable MAPR less countable annual income; divided by 12. Maximum annual veteran Aid and Attendance rates are $29,093 without dependents and $34,488 with one dependent; actual payments may be lower.
Waiver for the Frail Elderly
Waiver for the Frail Elderly
Eligibility
- General
- Adults age 65+ who meet nursing-facility level of care and Medicaid waiver eligibility.
- NV specifics
- CMS lists the Frail Elderly 1915(c) waiver as approved from July 1, 2025 through June 30, 2030.
What it provides
- Case management; homemaker help; respite; adult companion services; adult day care; augmented personal care; chores; home-delivered meals and personal emergency response systems.
Family Caregiver Support Services (Title III-E)
Family Caregiver Support Services (Title III-E)
Eligibility
- General
- Family and informal caregivers seeking support through the state aging network; individual services are assessed through local providers.
What it provides
- Title III-E caregiver support includes counseling; group support and caregiver training.
Medicare Savings Program (MSP)
Medicare Savings Program (MSP)
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
Eligibility
- General
- Medicare beneficiary; the state determines the applicable Medicare Savings Program. QMB helps with premiums and Medicare cost sharing; SLMB and QI generally help with Part B premiums.
- NV specifics
- QI requires annual application and is funded first-come, first-served with priority for prior recipients. QMB, SLMB and QI confer Part D Extra Help.
What it provides
- QMB pays eligible Part A/Part B premiums and Medicare deductibles and cost sharing; SLMB and QI pay Part B premiums. The exact benefit depends on the approved program.
Energy Assistance Program (EAP)
Energy Assistance Program (EAP)
- Income limit
- FY2027 monthly gross limits: $1,995 for one person and $2,705 for two; larger households have higher limits.
Eligibility
- General
- Nevada households meeting citizenship rules, responsible for some heating or cooling costs, and within the household income limit.
What it provides
- An annual energy-assistance payment; usually paid to the household’s energy provider.




