All 4 Medicare-certified nursing homes in Carson City,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Sierra Basin runs 4.61 nurse hours per resident day, about 19% above the national average, but staffing thins out on weekends, roughly 15% below the home's own weekday level. Annual turnover sits at 50%, higher than the 45.8% national figure, so the people providing that care keep changing. The inspection record shows 25 deficiencies, four of them abuse-related, though none rose to harm or jeopardy level, and the most recent inspection was in March 2026. For-profit, LLC-owned. The federal quality measures look strong; the staffing and inspection record is more mixed. Worth asking about weekend coverage, turnover, and what those abuse deficiencies involved before deciding.
Mountain View runs 146 certified beds in Carson City under for-profit LLC ownership, and its nurse staffing sits around 3.22 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about another 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 47.6%, slightly above the national 45.8%. The inspection record shows 52 deficiencies, including one at the harm level and seven tied to abuse, with a $25,675 fine. Its last inspection was January 2026. If you're weighing this one, ask directly how they cover weekends and what changed since that January survey.
Northstar Post Acute runs on thin staffing, 3.36 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 14 percent below its own weekday coverage. That's a real gap when aides are already stretched, and it shows in the numbers: 62.5 percent annual turnover means most of the people caring for residents weren't there a year ago. The inspection record is where things get serious. Seventy-eight deficiencies, one at the harm level and eleven tied to abuse, plus a $70,296 fine and a spot in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems. The last inspection was February 2026.
Ormsby Post Acute Rehabilitation runs 120 beds and sits in the federal Special Focus Facility program, the list CMS keeps for homes with a persistent pattern of serious problems. The record backs that up: 98 deficiencies, including one at the harm level and 15 tied to abuse, plus a $60,464 fine. Nurse staffing runs 2.81 hours per resident day, about 27% under the national average of 3.86, and weekends drop roughly another 12% below the home's own weekday coverage. Staff turnover is 58% against a 45.8% national figure. The most recent inspection was March 27, 2025, so the picture is current, not stale.