Nursing homes across Washoe County, Nevada, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Advanced Health Care of Reno runs a tight 42-bed operation, and the staffing numbers reflect it: 5.12 nurse hours per resident day, well above the national average of 3.86. The catch is weekends, where coverage drops about 17% below its own weekday level, so your visit timing matters. Turnover sits at 40.8%, slightly better than the national 45.8%, which suggests a relatively stable crew for a for-profit LLC. Inspections show 18 deficiencies on record, but none at the harm or jeopardy level and none related to abuse, a meaningful distinction when you're reading a deficiency count. State surveyors were last in on November 20, 2025, so the picture is current.
Hearthstone runs 125 beds in Sparks under for-profit LLC ownership, and its last inspection on March 5, 2026 left a record of 59 deficiencies, one at the harm or immediate jeopardy level, five tied to abuse. That's a lot of findings, even for a home with a recent survey. Staffing sits just under the national average at 3.81 nurse hours per resident day, and weekends run about 15% thinner than weekdays, so coverage dips when families tend to visit. Turnover is genuinely better than most: 34.7% against a national 45.8%. One fine totaling $48,721 is on record. The quality measure score looks strong, but the inspection history is what should drive your questions.
Alta Skilled Nursing runs 180 beds in Reno under for-profit LLC ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average of 3.86, with weekends about 13% thinner than its own weekdays. Turnover is 44.5%, essentially matching the national 45.8%, so retention isn't the standout issue; coverage is. The inspection record shows 56 deficiencies, including one at the harm level and eight tied to abuse, plus a $39,166 fine, though the most recent inspection came in May 2025. Quality measures score 2 out of 5. Families should ask directly how weekend coverage is handled.
Alpine Skilled Nursing runs 189 beds as a for-profit LLC, and its nurse staffing sits at 3.01 hours per resident per day, roughly 22% under the national average of 3.86. Weekends dip about 10% below its own weekday numbers, and annual turnover is 53.8%, higher than the 45.8% national figure. The current record shows 41 deficiencies, none flagged at harm or jeopardy level, but three tied to abuse. Its last inspection was April 2, 2026. The staffing and quality stars both land at 3 out of 5, and health inspection sits at 2. If you're weighing this one, ask specifically how they cover weekends and what those abuse-related citations involved.
Rosewood Rehabilitation Center runs 99 certified beds in Reno under corporate for-profit ownership, and the staffing numbers are the place to start. At 3.09 nurse hours per resident day, it sits roughly 20 percent under the national average of 3.86, and weekends dip about 14 percent below its own weekday level. Staff turnover is 58 percent against a national 45.8 percent, and CMS rates staffing 1 out of 5 stars. The inspection record is heavier still: 62 deficiencies, including 10 tied to abuse, though none at the harm or jeopardy level, with the most recent inspection in December 2025. Its quality measure score is strong at 4 out of 5 stars, which makes the thin staffing the more pressing question for anyone weighing a move here.
Nurse staffing at this Sparks home runs 5.37 hours per resident day, roughly 39% above the national average of 3.86, the kind of number that shows up in daily care, not just on paper. Weekend coverage dips about 6% below its own weekday level, so the weekday-to-Saturday gap is worth asking about directly. Against that, staff turnover sits at 51.9% compared with 45.8% nationally, and the home carries 52 deficiencies on its current record, including 14 tied to abuse. None were cited at the harm or jeopardy level. The most recent inspection was April 2, 2026. Strong staffing and quality scores, real churn underneath.
Wingfield runs about 3.02 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop another 15% below its own weekday coverage. That thinner weekend schedule matters most when families visit and when fewer supervisors are on the floor. The inspection record shows 42 deficiencies, including three at the harm level and five tied to abuse, with one fine of $75,670, and the last inspection was February 2026. Staff turnover of 45.3% sits essentially at the national rate, so continuity isn't the standout problem here, the short staffing and the inspection history are.
Life Care Center of Reno runs 198 beds under corporate ownership, and its staffing sits just a hair above the national average, close enough that the real story is elsewhere. Weekend coverage drops about 19% below weekday levels, which matters when falls and infections don't check the calendar. Turnover is genuinely low at 31.3%, well under the national 45.8%, so caregivers tend to stay. What sinks this home is its inspection record: 55 deficiencies, including two tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for the most persistently troubled homes. The quality and staffing stars look fine on paper. The survey history is what a family should actually weigh.
Caremeridian runs 36 beds in Reno, and the staffing numbers are genuinely high, 7.86 nurse hours per resident day, roughly double the national average. That matters for daily care, though weekend coverage dips about 9% below its own weekday level. The trouble shows up elsewhere: 49 deficiencies on the current record, including one at the harm level and eight tied to abuse, plus a $68,738 fine and a spot in CMS's Special Focus Facility program, which is reserved for the homes with the worst inspection histories. Annual turnover sits at 60.3% against a national 45.8%, so the people delivering that strong staffing keep changing. The most recent inspection was February 2025.