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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Sierra Manor Care Home is an outstanding assisted living community in Reno, NV, that offers personal care. Here, residents can ease their worries, as top-tier support is provided for their daily living activities and household responsibilities, around the clock. The community also ensures comfort and convenience with its spacious accommodations and well-maintained amenities.
Residents are encouraged to live actively and connect with friends with plenty of enriching games and exciting events. Transportation services are also available, ensuring residents can travel to their appointments safely. With its dedication to helping residents thrive, the community continuously provides the highest quality of care for its residents.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
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.
This home is ranked 41st out of 44 homes in Nevada. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
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.
| 2h 40m per day | ▼ 31% State avg: 3h 51m per day · National avg: 3h 25m per day |
Lower than the Nevada average: 81.5%Sierra Manor Care Home is administrated by Laila Buenviaje.
In Nevada, the Department of Health and Human Services, Bureau of Health Care Quality and Compliance performs unannounced onsite surveys to evaluate resident safety and care quality.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Nevada state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NV Average | vs. NV Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 11 | 62 | This facility has 82% fewer total deficiencies than a typical Nevada nursing home (11 vs. NV avg 62).↓ 82% better |
|
Deficiencies per year
Average deficiencies per year since 2012.
| 0.8 | 4.4 | This facility has 82% fewer deficiencies per year than a typical Nevada nursing home (0.8 vs. NV avg 4.4).↓ 82% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 0.8 | 3 | This facility has 73% fewer deficiencies per inspection than a typical Nevada nursing home (0.8 vs. NV avg 3).↓ 73% better |
Inspections
| This Facility | NV Average | vs. NV Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 13 | 21 | This facility has 38% fewer total inspections than a typical Nevada nursing home (13 vs. NV avg 21).↓ 38% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Nevada average 5.1
Last Health inspection on May 2025
Nevada average 36.2
Nevada average 7.08
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 20 citations resulted from standard inspections; and 1 of 20 came from combined inspections (standard and complaint).
100% better than Nevada averageNevada average: 0.1
100% worse than Nevada averageNevada average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
26% worse than Nevada average
6% worse than Nevada average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 12 RN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
All 11 LPN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hoursHelps with daily care and mobility.
All 39 CNA Staff are full-time employees. No contractors work on this role.
39
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,859 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 39 | 0 | 39 | 13,948 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 11 | 0 | 11 | 4,598 | 92 | 100% | 10.6 |
| Registered Nurse | 12 | 0 | 12 | 3,464 | 92 | 100% | 8.9 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,128 | 76 | 83% | 7.3 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 697 | 67 | 73% | 8.4 |
| RN Director of Nursing | 1 | 0 | 1 | 612 | 63 | 68% | 9.7 |
| Dental Services Staff | 2 | 0 | 2 | 600 | 72 | 78% | 8.1 |
| Physical Therapy Assistant | 0 | 3 | 3 | 543 | 67 | 73% | 8.1 |
| Speech Language Pathologist | 1 | 1 | 2 | 541 | 66 | 72% | 8 |
| Physical Therapy Aide | 0 | 1 | 1 | 538 | 63 | 68% | 8.5 |
| Nurse Practitioner | 1 | 0 | 1 | 521 | 63 | 68% | 8.3 |
| Administrator | 2 | 0 | 2 | 498 | 54 | 59% | 7.7 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 176 | 48 | 52% | 3.6 |
| Nurse Aide in Training | 1 | 0 | 1 | 165 | 20 | 22% | 8.2 |
| Medical Director | 0 | 1 | 1 | 36 | 18 | 20% | 2 |
| Qualified Social Worker | 0 | 1 | 1 | 31 | 22 | 24% | 1.4 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 6 | 3 | 3% | 2 |
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)
73% lower 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.
0
100% fewer payment denials than Nevada averageNevada average: 0.1
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
10.2
5% worse than Nevada averageNevada average: 9.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.9
25% worse than Nevada averageNevada average: 17.5
Percent of long-stay residents whose need for help with daily activities has increased
17.3%
11% worse than Nevada averageNevada average: 15.6%
Percent of long-stay residents whose ability to move independently worsened
24.7%
19% worse than Nevada averageNevada average: 20.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.6%
39% worse than Nevada averageNevada average: 16.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
31% worse than Nevada averageNevada average: 2.5%
Percent of long-stay high risk residents with pressure ulcers
3.7%
33% better than Nevada averageNevada average: 5.5%
Percent of long-stay residents with a urinary tract infection
1.3%
11% better than Nevada averageNevada average: 1.4%
Percent of long-stay residents who lose too much weight
2.2%
59% better than Nevada averageNevada average: 5.4%
Percent of long-stay residents who have depressive symptoms
33.3%
685% worse than Nevada averageNevada average: 4.2%
Percent of long-stay residents who received an antipsychotic medication
16.4%
16% worse than Nevada averageNevada average: 14.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
9% better than Nevada averageNevada average: 91.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
12% better than Nevada averageNevada average: 89.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.9%
13% better than Nevada averageNevada average: 83.9%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
5% worse than Nevada averageNevada average: 2.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.6%
15% better than Nevada averageNevada average: 80.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
43% of new residents, usually for short-term rehab.
28% of new residents, often for short stays.
29% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
77Residents 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 Sierra Manor Care Home based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #39 / 44Payroll — State benchmarkedThis home is ranked 39th out of 44 homes in Nevada. Shows total annual staff payroll benchmarked to the Nevada average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
5.7 miles from city center
Estimated distance in miles from Reno's city center to Sierra Manor Care Home's address, calculated via Google Maps.
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Sierra Manor Care Home is located in Reno, Nevada.
Here are the financial assistance programs available to residents in Nevada.
Sierra Manor Care Home has a walk score of 15. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NV state health department records, Sierra Manor Care Home's license expires on December 31, 2026.
Sierra Manor Care Home's occupancy is 75%.
Laila Buenviaje is the administrator of Sierra Manor Care Home.
Sierra Manor Care Home has 8 beds.
Sierra Manor Care Home is located at 327 River Flow Dr, Reno, NV 89523.
(775) 787-7960 will put you in contact with the team at Sierra Manor Care Home.
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