Alpine Skilled Nursing and Rehabilitation Center

3101 Plumas St · Reno, NV · 89509 · 7758297220

189 certified beds For profit - Limited Liability company Part of a CCRC

  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Total nurse staffing below 3.0 hours per resident-day

2.97 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 50
Serious harm & abuse 20% 100
Staffing 20% 53
Federal penalties 15% 100
Trend 10% 65
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day2.973.48 min · 4.1 strong
RN hours / resident-day0.470.55–0.75
Weekend hours / resident-day2.67≈ weekday level
Nursing turnover / year55%median 45%
Fines (3-yr window)none

Inspection citations (41 in the current record)

  • Potential for harm · D April 2, 2026

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected April 30, 2026 · Resident Rights

  • Potential for harm · D April 2, 2026

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected April 30, 2026 · Resident Rights

  • Potential for harm · D April 2, 2026

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 30, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 2, 2026

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 30, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 2, 2026

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 30, 2026 · Quality of Life and Care

  • Potential for harm · D April 2, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 30, 2026 · Quality of Life and Care

  • Potential for harm · D April 2, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected April 30, 2026 · Pharmacy Service

  • Potential for harm · E April 2, 2026

    Provide and implement an infection prevention and control program.

    Corrected April 30, 2026 · Infection Control

  • Potential for harm · E April 2, 2026

    Implement a program that monitors antibiotic use.

    Corrected April 30, 2026 · Infection Control

  • Potential for harm · D June 11, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 15, 2025 · Resident Rights

  • Potential for harm · D June 11, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected July 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 11, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 11, 2025 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected July 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 11, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 15, 2025 · Quality of Life and Care

  • Potential for harm · D January 13, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected February 7, 2025 · Resident Rights

  • Potential for harm · F January 13, 2025

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected February 7, 2025 · Resident Rights

  • Potential for harm · D January 13, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 13, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 13, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 7, 2025 · Quality of Life and Care

  • Potential for harm · E January 13, 2025

    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.

    Corrected February 7, 2025 · Pharmacy Service

  • Potential for harm · D January 13, 2025

    Provide or obtain dental services for each resident.

    Corrected February 7, 2025 · Quality of Life and Care

  • Potential for harm · D January 13, 2025

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected February 7, 2025 · Administration

  • Potential for harm · D January 13, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected February 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 13, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 7, 2025 · Infection Control

  • No harm found · C January 13, 2025

    Post nurse staffing information every day.

    Corrected February 7, 2025 · Nursing and Physician Services

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 295043 · certified since November 16, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.