Sierra Manor Care Home
Nursing Home & Assisted Living · Reno, NV
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Sierra Manor Care Home

Nursing Home & Assisted Living · Reno, NV
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Sierra Manor Care Home accepts Medicare, Medicaid, and private pay.

Inspection History

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.

Since 2012 · 14 years of data 11 deficiencies 13 inspections

Inspection Scorecard Info 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.

Since 2012 vs. Nevada state average
Overall vs. NV average 0 Worse No metrics in this bucket. 4 Better Metrics better than Nevada average:
• Total deficiencies (82% below)
• Deficiencies per year (82% below)
• Deficiencies per inspection (73% below)
• Total inspections (38% below)
Latest Inspection November 6, 2024

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNV Averagevs. NV Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1162 This facility has 82% fewer total deficiencies than a typical Nevada nursing home (11 vs. NV avg 62).↓ 82% better
Deficiencies per year Info Average deficiencies per year since 2012. 0.84.4 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 Info Average deficiencies per inspection. 0.83 This facility has 73% fewer deficiencies per inspection than a typical Nevada nursing home (0.8 vs. NV avg 3).↓ 73% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNV Averagevs. NV Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 1321 This facility has 38% fewer total inspections than a typical Nevada nursing home (13 vs. NV avg 21).↓ 38% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on November 6, 2024, found no deficiencies and unsubstantiated abuse allegations after a complaint investigation.
  • The facility had isolated medication documentation and training deficiencies in 2023 and 2021 but maintained compliance in other areas and inspections.
  • Multiple past inspections identified unsecured oxygen tanks and missing prescribed medications, including repeat oxygen safety issues in 2019 and 2020.

Health Inspection History

Inspections since 2023
Total health inspections 3

Nevada average 5.1


Last Health inspection on May 2025

Total health citations
20 Rank #7 / 48Health citations — State benchmarkedThis home is ranked 7th out of 48 homes in Nevada. Shows this facility's total health deficiency citations benchmarked to the Nevada State average, with a ranking across all 48 NV facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Nevada that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Nevada average 36.2

Citations per inspection
6.67 Rank #22 / 48Citations per inspection — State benchmarkedThis home is ranked 22nd out of 48 homes in Nevada. Shows average deficiency citations per CMS inspection for this facility versus the Nevada mean across 48 facilities with citation data. Lower is better.Rankings are based only on facilities in Nevada that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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).

Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than Nevada average

Nevada average: 0.1


Serious health citations
1
100% worse than Nevada average

Nevada average: 0.5

0 critical citations Nevada average: 0.1

1 serious citation Nevada average: 0.5

19 moderate citations Nevada average: 35

0 minor citations Nevada average: 0.5
Citations history (last 3 years)
Nutrition moderate citation May 02, 2025
Corrected

Pharmacy moderate citation May 02, 2025
Corrected

Pharmacy moderate citation May 02, 2025
Corrected

Care Planning moderate citation May 02, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 88
Employees 76
Contractors 12
Staff to resident ratio 1.14 : 1
26% fewer staff per resident than Nevada average
Nevada average ratio: 1.54 : 1 Nevada average ratio: 1.54 : 1See full Nevada ranking
Avg staff/day 37
Average shift 8.3 hours
6% worse than Nevada average
Nevada average: 8.8 hours Nevada average shift: 8.8 hoursSee full Nevada ranking
Total staff hours (quarter) 28,103

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 12 RN Staff are full-time employees. No contractors work on this role. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 11 LPN Staff are full-time employees. No contractors work on this role. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 39 CNA Staff are full-time employees. No contractors work on this role. 39
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

6.6%

1,859 contractor hours this quarter

Physical Therapy Assistant: 3 Occupational Therapy Assistant: 3 Respiratory Therapy Technician: 2 Speech Language Pathologist: 1 Qualified Social Worker: 1 Physical Therapy Aide: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3903913,94892100%8.1
Licensed Practical Nurse110114,59892100%10.6
Registered Nurse120123,46492100%8.9
Other Dietary Services Staff4041,1287683%7.3
Clinical Nurse Specialist2026976773%8.4
RN Director of Nursing1016126368%9.7
Dental Services Staff2026007278%8.1
Physical Therapy Assistant0335436773%8.1
Speech Language Pathologist1125416672%8
Physical Therapy Aide0115386368%8.5
Nurse Practitioner1015216368%8.3
Administrator2024985459%7.7
Respiratory Therapy Technician0221764852%3.6
Nurse Aide in Training1011652022%8.2
Medical Director011361820%2
Qualified Social Worker011312224%1.4
Occupational Therapy Assistant033633%2
39 Certified Nursing Assistant
% of Days 100%
11 Licensed Practical Nurse
% of Days 100%
12 Registered Nurse
% of Days 100%
4 Other Dietary Services Staff
% of Days 83%
2 Clinical Nurse Specialist
% of Days 73%
1 RN Director of Nursing
% of Days 68%
2 Dental Services Staff
% of Days 78%
3 Physical Therapy Assistant
% of Days 73%
2 Speech Language Pathologist
% of Days 72%
1 Physical Therapy Aide
% of Days 68%
1 Nurse Practitioner
% of Days 68%
2 Administrator
% of Days 59%
2 Respiratory Therapy Technician
% of Days 52%
1 Nurse Aide in Training
% of Days 22%
1 Medical Director
% of Days 20%
1 Qualified Social Worker
% of Days 24%
3 Occupational Therapy Assistant
% of Days 3%

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 Jan 2026)

Total fines amount $9K Rank #1 / 48Federal fines — State benchmarkedThis home is ranked 1st out of 48 homes in Nevada. Shows this facility's cumulative CMS federal fine dollars versus the Nevada average among facilities with fines, and where it ranks among 48 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Nevada that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
73% lower than Nevada average

Nevada average: $34K

Number of fines 1
29% fewer fines than Nevada average

Nevada average: 1.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Nevada average

Nevada average: 0.1

Fines amount comparison
Fines amount comparison
This facility $9K
Nevada average $34K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 average

Nevada average: 9.7

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.9
25% worse than Nevada average

Nevada average: 17.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 17.3%
11% worse than Nevada average

Nevada average: 15.6%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 24.7%
19% worse than Nevada average

Nevada average: 20.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 23.6%
39% worse than Nevada average

Nevada average: 16.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.2%
31% worse than Nevada average

Nevada average: 2.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.7%
33% better than Nevada average

Nevada average: 5.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.3%
11% better than Nevada average

Nevada average: 1.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.2%
59% better than Nevada average

Nevada average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 33.3%
685% worse than Nevada average

Nevada average: 4.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.4%
16% worse than Nevada average

Nevada average: 14.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
9% better than Nevada average

Nevada average: 91.0%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
12% better than Nevada average

Nevada average: 89.6%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.9%
13% better than Nevada average

Nevada average: 83.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.1%
5% worse than Nevada average

Nevada average: 2.0%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 92.6%
15% better than Nevada average

Nevada average: 80.7%

Breakdown by payment type

Medicare

43% of new residents, usually for short-term rehab.

Typical stay 29 days

Private pay

28% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

29% of new residents, often for long-term daily care.

Typical stay 7 - 8 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 77
Medicare
7
9.1% of residents
Medicaid
58
75.3% of residents
Private pay or other
12
15.6% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 09/2023.

Privately-owned community
Operated by a single business entity.
Net patient revenue Info 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."
$6.3M
Net patient income Info 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."
-$898.8K
Privately-owned community Operated by a single business entity.
Net patient revenue Info 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."
$6.3M Rank #44 / 47Revenue — State benchmarkedThis home is ranked 44th out of 47 homes in Nevada. Shows this facility's annual revenue compared to the Nevada average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Nevada that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info 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."
-$898.8K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$217.2K
Payroll costs Info 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. Rank #42 / 47Payroll — State benchmarkedThis home is ranked 42nd out of 47 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.Rankings are based only on facilities in Nevada that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.4M 53.4% of net patient revenue Info 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. Rank #4 / 47Payroll % — State benchmarkedThis home is ranked 4th out of 47 homes in Nevada. Shows payroll as a percentage of revenue versus the Nevada average. Well-run Nevada facilities typically land around 47–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Nevada that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info 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).
$3.8M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.2M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (43% of admissions), and a typical Medicare stay runs around 29 days.

Admissions
202 total

Coverage residents most often arrive under.

Medicare 43%
Private pay 28%
Medicaid 29%
Discharges
189 total

Coverage residents most often leave under.

Medicare 37%
Private pay 30%
Medicaid 33%

Places of interest near Sierra Manor Care Home

Address 5.7 miles from city center Info Estimated distance in miles from Reno's city center to Sierra Manor Care Home's address, calculated via Google Maps.

Calculate Travel Distance to Sierra Manor Care Home

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Address

Compare Nursing Homes around Reno

The information below is reported by the Nevada Department of Health and Human Services, Bureau of Health Care Quality and Compliance.

2 facilities compared · CMS & NV Dept. of Health data

Sierra Manor Care Home
NH
AL
Reno
8
Facility 8
NV AVG 42
Rank #233 / 321
75.0%
Facility 75.0%
NV AVG 81.5%
Rank #179 / 267
-8%
2.95
Facility 2.95
NV AVG 4.03
Rank #43 / 46
-9%-27%
$0
Facility $0
NV AVG $34.1k
Rank #1 / 48
20
Facility 20
NV AVG 36.2
Rank #7 / 48
6.7
Facility 6.7
NV AVG 7.1
Rank #22 / 48
16-
15
Facility 15
NV AVG 45
Rank #365 / 414
Desert Health Care Facilities Inc
$6.3M
Facility $6.3M
NV AVG $18.7M
Rank #44 / 47
$3.4M
Facility $3.4M
NV AVG $6.3M
Rank #42 / 47
53.4%
Facility 53.4%
NV AVG 34.9%
Rank #4 / 47
295068
Summerset Senior Living – Reno -
NH
AL
Reno (Sharlands Avenue)
141
Facility 141
NV AVG 42
Rank #31 / 321
--------------
48
Facility 48
NV AVG 45
Rank #199 / 414
$1.6M
Facility $1.6M
NV AVG $18.7M
Rank #43 / 47
$913.7k
Facility $913.7k
NV AVG $6.3M
Rank #44 / 47
55.7%
Facility 55.7%
NV AVG 34.9%
Rank #18 / 47
295100

Financial Assistance for
Nursing Home in Nevada

Sierra Manor Care Home is located in Reno, Nevada.
Here are the financial assistance programs available to residents in Nevada.

Get Financial aid guidance

Home and Community Based Waiver

Nevada Medicaid HCBW

Age 65+ or disabled
General Nevada resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
NV

High urban demand (e.g., Las Vegas); rural challenges.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Home modifications ($1,500 avg.) Meals ($6/meal)

Nevada Senior Services Program

NV SSP

Age 60+
General Nevada resident, at risk of decline.
Income Limits ~$1,800/month individual, varies
Asset Limits $5,000 individual
NV

Limited funding; rural focus.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Personal Care Services (PCS)

Nevada Personal Care Services

Age 19+ (65+ for seniors focus)
General Nevada resident, Medicaid-eligible, needs help with 1+ ADL.
Income Limits (2025) ~$967/month (individual); spenddown allowed.
Asset Limits $2,000 (individual), $3,000 (couple).
NV

Self-directed (family can be paid); statewide via DHHS.

Benefits
Personal care (4-6 hours/day) Limited homemaker services Respite (~200 hours/year)

Senior Rx Program

Nevada Senior Rx Program

Age 65+
General Nevada resident, enrolled in Medicare Part D, income below limit.
Income Limits (2025) ~$2,510/month (individual), ~$3,380/month (couple).
Asset Limits Not assessed.
NV

Covers up to $38.75/month premium; funded by tobacco settlement.

Benefits
Prescription drug premium assistance (~$465/year) Reducing out-of-pocket costs

Medicare Savings Program (MSP)

Nevada Medicare Savings Program

Age 65+ or disabled
General Nevada resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NV

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Nevada Caregiver Support Program (via NFCSP)

Nevada Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; Nevada resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
NV

5 AAAs; prioritizes rural, low-income caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Nevada VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Nevada resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NV

High veteran demand in urban/rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Sierra Manor Care Home

Is Sierra Manor Care Home in a walkable area?

Sierra Manor Care Home has a walk score of 15. Car-dependent. Most errands require a car, with limited nearby walkable options.

When does Sierra Manor Care Home's license expire?

According to NV state health department records, Sierra Manor Care Home's license expires on December 31, 2026.

What is the occupancy rate at Sierra Manor Care Home?

Sierra Manor Care Home's occupancy is 75%.

Who is the administrator of Sierra Manor Care Home?

Laila Buenviaje is the administrator of Sierra Manor Care Home.

How many beds does Sierra Manor Care Home have?

Sierra Manor Care Home has 8 beds.

What is the address of Sierra Manor Care Home?

Sierra Manor Care Home is located at 327 River Flow Dr, Reno, NV 89523.

What is the phone number of Sierra Manor Care Home?

(775) 787-7960 will put you in contact with the team at Sierra Manor Care Home.

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