Ormsby Post Acute Rehab stands as a 120-bed skilled nursing facility in Carson City, Nevada, managed by Pacific Northwest SNF Operations Holdings (NV) LLC and licensed for Medicare and Medicaid. The facility blends short-term post-acute rehabilitation with long-term residential care.
Clinical services encompass wound management, IV therapy, diabetes control, and podiatric care delivered by a nursing staff of registered nurses, licensed practical nurses, and certified nursing assistants, supported by physical therapists. Food service customizes meals to residents’ dietary requirements. Positioned in a moderately walkable neighborhood (Walk Score 46), the facility sits near regional amenities including a golf course, city park, and Western Nevada College.
Resident demographics skew heavily toward Medicaid: 72% of the current 82-resident census rely on state coverage, while Medicare accounts for 18.3% and private pay 9.8%. The facility operates at 68.2% occupancy; 16% below Nevada’s 81.5% average, with typical stays averaging 73 days. Staffing stands at 134 personnel (107 on payroll, 27 contractors representing 8% of total hours).
Performance metrics reveal significant clinical challenges. The overall CMS rating is 1 star (66.8% below Nevada average), with health inspections rated 1 star (64.9% below state average) and quality measures 1 star (17.2% below average). Long-stay hospitalization frequency reaches 2.67 per 1,000 resident days; 47% above Nevada’s 1.82 benchmark. In May 2024, CMS imposed a $60,000 civil money penalty plus a 6-day payment denial for violations, marking the facility’s only recorded federal enforcement action.
Financially, the facility reported 2023 revenue of $5.0M against an operating deficit of $869.4K (profit margin -17.5%). It ranked 43rd of 44 Nevada SNFs on both gross revenue and payroll dollars, though payroll consumed 47% of revenue; placing it in Nevada’s top third for staff-cost investment relative to income.
Staffing hours
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Hours per resident per day vs Nevada averages
Total nursing care
This home is ranked 35th out of 41 homes we track in Nevada for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 8m
22% below state avg
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
All 6 underlying metrics fall below the state average
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
6% more staff per resident than Nevada average
0% compared with Nevada average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
22 total: 14 full-time employees and 8 contractors.
22
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursAssists with medical care and medications.
22 total: 16 full-time employees and 6 contractors.
22
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursHelps with daily care and mobility.
48 total: 35 full-time employees and 13 contractors.
48
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,110 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 35 | 13 | 48 | 15,054 | 92 | 100% | 9.9 |
| Physical Therapist | 18 | 0 | 18 | 6,034 | 92 | 100% | 7.3 |
| Registered Nurse | 14 | 8 | 22 | 4,947 | 92 | 100% | 10.2 |
| Licensed Practical Nurse | 16 | 6 | 22 | 4,922 | 92 | 100% | 9.2 |
| RN Director of Nursing | 3 | 0 | 3 | 1,617 | 84 | 91% | 8.2 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,555 | 88 | 96% | 7.6 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,276 | 76 | 83% | 7.7 |
| Mental Health Service Worker | 3 | 0 | 3 | 780 | 62 | 67% | 7.5 |
| Nurse Aide in Training | 5 | 0 | 5 | 632 | 40 | 43% | 9.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 520 | 63 | 68% | 8.2 |
| Nurse Practitioner | 2 | 0 | 2 | 504 | 60 | 65% | 8 |
| Dietitian | 1 | 0 | 1 | 487 | 66 | 72% | 7.4 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
Includes penalties issued in 2024
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 Jan 2026)
77% higher than Nevada averageNevada average: $34K
29% fewer fines than Nevada averageNevada average: 1.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
1250% more payment denials than Nevada averageNevada average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 29, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 29, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.8
21% worse than Nevada averageNevada average: 9.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.5
23% worse than Nevada averageNevada average: 17.5
Percent of long-stay residents whose need for help with daily activities has increased
20.3%
30% worse than Nevada averageNevada average: 15.6%
Percent of long-stay residents whose ability to move independently worsened
31.0%
49% worse than Nevada averageNevada average: 20.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.2%
22% better than Nevada averageNevada average: 16.9%
Percent of long-stay residents experiencing one or more falls with major injury
1.1%
56% better than Nevada averageNevada average: 2.5%
Percent of long-stay high risk residents with pressure ulcers
3.3%
39% better than Nevada averageNevada average: 5.5%
Percent of long-stay residents with a urinary tract infection
1.6%
10% worse than Nevada averageNevada average: 1.4%
Percent of long-stay residents who lose too much weight
3.0%
45% better than Nevada averageNevada average: 5.4%
Percent of long-stay residents who have depressive symptoms
5.1%
21% worse than Nevada averageNevada average: 4.2%
Percent of long-stay residents who received an antipsychotic medication
11.1%
22% better than Nevada averageNevada average: 14.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.1%
7% better than Nevada averageNevada average: 91.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.3%
In line with Nevada averageNevada average: 89.6%
Number of hospitalizations per 1,000 long-stay resident days.
2.67
47% worse than Nevada averageNevada average: 1.82
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.02
101% worse than Nevada averageNevada average: 1.50
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.1%
16% worse than Nevada averageNevada average: 83.9%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
18% worse than Nevada averageNevada average: 2.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.1%
In line with Nevada averageNevada average: 80.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.0%
23% better than Nevada averageNevada average: 23.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.8%
20% worse than Nevada averageNevada average: 9.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Nevada averageNevada average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
28.3%
47% worse than Nevada averageNevada average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
54.0%
7% better than Nevada averageNevada average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
37% of new residents, usually for short-term rehab.
56% of new residents, often for short stays.
8% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
82Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Ormsby Post Acute Rehab from 2011–2022, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2022 — the home's most recent complete cost report, an older period than most facilities report.
Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (56% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.9 miles from city center
Estimated distance in miles from Carson City's city center to Ormsby Post Acute Rehab's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking 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.
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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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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: 52.4% 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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mountain View Health & Rehab | NH SNF | El Paso | 117
Facility
117
TX AVG
78
Rank
#255 / 980 |
65.0%
Facility
65.0%
TX AVG
71.2
Rank
#110 / 163 | -9% | 2.61 | -66% | -28% | $0 | 24 | 8.0 | 3 | 76 | - |
46
Facility
46
TX AVG
42
Rank
#608 / 1,345 | Shari Jordan | $6.4MFiscal year ending 06/2024 | $3.9MFiscal year ending 06/2024 | 61.9%Fiscal year ending 06/2024 | 115688 | ||||
| Ormsby Post Acute Rehab | - | NH | Carson City | 120 | 77.3% | -4% | 3.13 | - | - | - | +9% | -22% | $60.5k | 100 | 12.5 | 1 | 93 | - | 46 | Pacific Northwest Snf Operations Holdings (Nv) LLC | $9.2M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $3.9M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 42.6%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 295067 |
Ormsby Post Acute Rehab is located in Carson City, Nevada.
Here are the financial assistance programs available to residents in Nevada.
Ormsby Post Acute Rehab has a walk score of 46. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Ormsby Post Acute Rehab's occupancy is 68.2%.
No, Ormsby Post Acute Rehab has a no-pet policy.
Ormsby Post Acute Rehab is registered as a for-profit.
Yes — there are 3 photos of Ormsby Post Acute Rehab in the photo gallery on this page.
Ormsby Post Acute Rehab is located at 3050 N Ormsby Blvd, Carson City, NV 89703.
(775) 841-4646 will put you in contact with the team at Ormsby Post Acute Rehab.
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