48/100
Below average
2898 Highway 50 East, Carson City, NV 89701
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Special Focus Facility
CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.
1 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$70,296 in federal fines
CMS has fined this facility across 1 penalty action(s).
Nursing staff turnover of 63%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: February 2, 2026 (6 months ago).
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No actual harm, potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
No actual harm, potential for more than minimal harm
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
No actual harm, potential for more than minimal harm
Part of PACS GROUP, which operates 281 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| TRUIST BANK | Organization | 5% OR GREATER SECURITY INTEREST | — |
| JERGENSEN, JOSHUA | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| MITCHELL, JOHN | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| CANTY, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| JERGENSEN, JOSHUA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| MITCHELL, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| RHODES, MATTHEW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| TILLEY, SAMANTHA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| CSV 4 CARSON SNF, LLC | Organization | ADP OF THE SNF | — |
| PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC | Organization | ADP OF THE SNF | — |
| TRUIST BANK | Organization | ADP OF THE SNF | — |
| CANTY, MARK | Individual | ADP OF THE SNF | — |
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Northstar Post Acute holds an ElderGrade of D (48 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.36 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 1 of the 78 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Northstar Post Acute is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.