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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.
Skyline Estates Senior Living (Formerly Mountain Springs Senior Care Community) is a home located in Carson City, Nevada, where the focus on assisted living for seniors is matched only by their commitment to providing top-tier memory care options. Here, families and residents find the perfect synergy of care and understanding, acknowledging the natural changes that come with aging. Through a specialized life enrichment program, the community creates an environment that instills meaning and engagement into the lives of its cherished residents, fostering connections through small group and one-on-one activities.
The community is equipped with on-site healthcare and personal assistance, a testament to their holistic approach to well-being. With a variety of room sizes and floor plans, including spacious studios with premium safety features, the community caters to the diverse preferences of its residents. Backed by highly trained caregivers, the focus remains on enhancing the quality of life for each resident. The charm of Skyline Estates Senior Living is one of intimacy, offering a quaint and home-like ambiance that resonates deeply with both residents and families.
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 10th 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.
| 4h 52m per day |
Lower than the Nevada average: 81.5%Skyline Estates Senior Living is administrated by Dwight Aalgaard.
Key information about the people who lead and staff this community.
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.
| 119 | 62 | This facility has 92% more total deficiencies than a typical Nevada nursing home (119 vs. NV avg 62).↑ 92% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 19.8 | 10.3 | This facility has 92% more deficiencies per year than a typical Nevada nursing home (19.8 vs. NV avg 10.3).↑ 92% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 11.9 | 3 | This facility has 297% more deficiencies per inspection than a typical Nevada nursing home (11.9 vs. NV avg 3).↑ 297% worse |
Inspections
| This Facility | NV Average | vs. NV Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 10 | 21 | This facility has 52% fewer total inspections than a typical Nevada nursing home (10 vs. NV avg 21).↓ 52% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on September 16, 2024, identified multiple deficiencies including caregiver training gaps, medication administration errors, expired food items, unsecured oxygen tanks, and incomplete personnel files. Earlier inspections showed a pattern of similar issues with caregiver qualifications, medication management, infection control, and facility maintenance, with some repeat findings over time. Complaint investigations were unsubstantiated, and no fines, immediate jeopardy findings, or license actions were listed in the available reports. Prior inspections noted deficiencies in training, medication handling, and sanitation, with occasional improvements followed by recurring issues. The overall trend suggests ongoing challenges in maintaining compliance, with no clear sustained improvement in recent inspections.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNevada average 5.1
Last Health inspection on Jan 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.
24 of 25 citations resulted from standard inspections; and 1 of 25 resulted from complaint investigations.
100% better than Nevada averageNevada average: 0.1
100% better 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.
59% better than Nevada average
10% 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,362 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 48 | 20 | 68 | 14,848 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 20 | 8 | 28 | 6,651 | 92 | 100% | 9.4 |
| Registered Nurse | 15 | 8 | 23 | 5,006 | 92 | 100% | 9 |
| Speech Language Pathologist | 6 | 0 | 6 | 1,704 | 83 | 90% | 8.1 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,127 | 69 | 75% | 7.8 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 1,124 | 82 | 89% | 6.5 |
| Occupational Therapy Aide | 3 | 0 | 3 | 1,050 | 73 | 79% | 7.6 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 1,035 | 71 | 77% | 7.8 |
| Physical Therapy Assistant | 8 | 0 | 8 | 1,034 | 87 | 95% | 5.6 |
| Dental Services Staff | 2 | 0 | 2 | 597 | 62 | 67% | 8.1 |
| Mental Health Service Worker | 3 | 0 | 3 | 567 | 64 | 70% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 527 | 74 | 80% | 7.1 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 415 | 77 | 84% | 5.1 |
| Other Dietary Services Staff | 2 | 0 | 2 | 386 | 55 | 60% | 7 |
| Nurse Aide in Training | 7 | 0 | 7 | 357 | 39 | 42% | 6.7 |
| Administrator | 1 | 0 | 1 | 256 | 64 | 70% | 4 |
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
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.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
18% better than Nevada averageNevada average: 83.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.2%
93% better than Nevada averageNevada average: 2.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.3%
18% 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.
69% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
68Data 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 Skyline Estates Senior Living 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 #32 / 44Payroll — State benchmarkedThis home is ranked 32nd 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.
Pets Allowed
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
1.8 miles from city center
Estimated distance in miles from Carson City's city center to Skyline Estates Senior Living's address, calculated via Google Maps.
— 0.21 miles to nearest hospital (DaVita Carson City At Home)
Add your location
Skyline Estates Senior Living is located in Carson City, Nevada.
Here are the financial assistance programs available to residents in Nevada.
Skyline Estates Senior Living has a walk score of 66. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to NV state health department records, Skyline Estates Senior Living's license expires on December 31, 2025.
Skyline Estates Senior Living's occupancy is 77%.
Dwight Aalgaard is the administrator of Skyline Estates Senior Living.
Skyline Estates Senior Living has 30 beds.
(775) 885-9223 will put you in contact with the team at Skyline Estates Senior Living.
Yes — Skyline Estates Senior Living is a CMS-certified provider of Medicare and Medicaid.
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