Nevada › Carson City County › Carson City
Ormsby Post Acute Rehabilitation
3050 N Ormsby Road, Carson City, NV 89703
CMS abuse iconSpecial Focus Facility
Overallnot rated
Health inspectionnot rated
Staffingnot rated
Quality measuresnot rated
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Ormsby Post Acute Rehabilitation, in Carson City, Nevada, is certified for 120 beds under for-profit, limited liability company ownership and belongs to the Evergreen Healthcare Group chain.
CMS gives it no overall rating; the health inspection rating is —, staffing — and quality measures —.
Inspectors recorded 88 health deficiencies across the three most recent survey cycles (27, 14, 47 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 73.3 per 100 beds, more than the state median of 27.8.
CMS lists 2 penalties in the period covered: fines totalling $60K and 1 payment denial.
Reported nurse staffing is 2.8 hours per resident per day (0.8 RN), below the Nevada median of 3.9; nursing staff turnover is 58.0%.
CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility.
88health deficiencies, 3 survey cycles1 at actual harm or worse
$60Kfines listed by CMS2 penalties in period
2.8nurse hours per resident per daystate median 3.9
77%occupancy (residents ÷ beds)93 residents a day
Compared with county, state and nation
| Measure | This facility | Carson City Co. median | Nevada median | US average |
|---|---|---|---|---|
| Overall star rating | — | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 88 | 78 | 29 | 28.7 |
| Citations per 100 beds | 73.3 | 73.3 | 27.8 | 26.8 |
| Total nurse hours per resident day | 2.8 | 3.4 | 3.9 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.9 | 0.7 |
| Nursing staff turnover | 58.0% | 58.0% | 45.1% | 45.8% |
| Fines listed | $60,464 | $60,464 | $0 | — |
County and state figures are medians across facilities (4 in the county, 66 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Nevada average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 May 2026, 27 Mar 2025.
Severity mix: J ×1 D ×67 E ×9 F ×8 B ×1 C ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 27 Jun 2026 |
| 14 May 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 27 Jun 2026 |
| 14 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Standard survey | 27 Jun 2026 |
| 14 May 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard survey | 27 Jun 2026 |
| 26 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 30 Apr 2026 |
| 26 Mar 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 30 Apr 2026 |
| 27 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Apr 2025 |
| 27 Mar 2025 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | Standard survey | 14 Apr 2025 |
| 27 Mar 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 14 Apr 2025 |
| 27 Mar 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 14 Apr 2025 |
| 27 Mar 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 14 Apr 2025 |
| 27 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 14 Apr 2025 |
| 27 Mar 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 14 Apr 2025 |
| 27 Mar 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 14 Apr 2025 |
| 27 Mar 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 14 Apr 2025 |
| 27 Mar 2025 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Complaint investigation | 14 Apr 2025 |
| 18 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 3 Nov 2024 |
| 18 Sep 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 3 Nov 2024 |
| 18 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 3 Nov 2024 |
| 18 Sep 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 3 Nov 2024 |
| 29 May 2024 | F0610 | Respond appropriately to all alleged violations. | J | Complaint investigation | 24 Jul 2024 |
| 29 May 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0946 | Provide training in compliance and ethics. | F | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 24 Jul 2024 |
| 29 May 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 24 Jul 2024 |
| 29 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 24 Jul 2024 |
| 29 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 24 Jul 2024 |
| 29 May 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | C | Standard survey | 24 Jul 2024 |
| 29 May 2024 | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | C | Standard survey | 24 Jul 2024 |
| 16 Feb 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 11 Mar 2024 |
| 16 Feb 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 11 Mar 2024 |
| 16 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 11 Mar 2024 |
| 16 Feb 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 11 Mar 2024 |
| 16 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 11 Mar 2024 |
| 16 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 30 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 29 May 2024 | Payment denial | — | 6 days |
| 29 May 2024 | Fine | $60,464 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Nevada average. Turnover: nursing staff 58.0%, RNs 40.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Nevada median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.1% | 12.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | 1.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.6% | 13.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.5% | 4.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.9% | 14.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Ormsby Snf Operations Llc. Chain: Evergreen Healthcare Group (44 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pacific Northwest SNF Operations Holdings (Nv) LLC | Direct ownership interest | NOT APPLICABLE | 08/31/2023 |
| Ch Pacific Northwest Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| Pacific Northwest SNF Operations Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| Witzcorp Global LLC | Indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| Couve Financial Services LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| Couve Healthcare Consulting LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| Nevada SNF Consulting LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| Ormsby SNF Operations LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| Pacific Northwest Opco Management LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| Ch Pacific Northwest Holdings LLC | Adp of the snf | NOT APPLICABLE | 08/31/2023 |
| Couve Financial Services LLC | Adp of the snf | NOT APPLICABLE | 05/07/2025 |
| Couve Healthcare Consulting LLC | Adp of the snf | NOT APPLICABLE | 05/07/2025 |
| Nevada SNF Consulting LLC | Adp of the snf | NOT APPLICABLE | 05/07/2025 |
| Ormsby SNF Operations LLC | Adp of the snf | NOT APPLICABLE | 05/07/2025 |
| Ormsby SNF Realty LLC | Adp of the snf | NOT APPLICABLE | 05/07/2025 |
| Pacific Northwest Opco Management LLC | Adp of the snf | NOT APPLICABLE | 05/07/2025 |
| Witzcorp Global LLC | Adp of the snf | NOT APPLICABLE | 08/31/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Carson City County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Sierra Basin Post Acute | Carson City | 80 | 5 | 4 | 3 | 25 | 31.3 | — | 12 Mar 2026 |
| Mountain View Health and Rehabilitationabuse icon | Carson City | 146 | 2 | 2 | 3 | 52 | 35.6 | $26K | 15 Jan 2026 |
| Northstar Post Acute | Carson City | 73 | 1 | 1 | 1 | 78 | 106.8 | $70K | 2 Feb 2026 |
All 4 facilities in Carson City County
Questions and answers
How many deficiencies has Ormsby Post Acute Rehabilitation been cited for?
88 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Nevada median is 29 per facility.
Has Ormsby Post Acute Rehabilitation been fined?
Yes. CMS lists fines totalling $60K in the period covered, plus 1 payment denial.
How does staffing at Ormsby Post Acute Rehabilitation compare?
Reported total nurse staffing is 2.8 hours per resident per day against a Nevada median of 3.9 and a national average of 3.9.
Who operates Ormsby Post Acute Rehabilitation?
It is part of the Evergreen Healthcare Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Pacific Northwest SNF Operations Holdings (Nv) LLC, Ch Pacific Northwest Holdings LLC and Pacific Northwest SNF Operations Holdings LLC. Individual owners and managers are not listed on this site.
When was Ormsby Post Acute Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 14 May 2026; the most recent standard health survey was 14 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.