Northstar Post Acute
2898 Highway 50 East · Carson City, NV · 89701 · 7758823301
73 certified beds For profit - Corporation Chain: Pacs Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.61 | 0.55–0.75 |
| Weekend hours / resident-day | 2.89 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 1 · $70,296 |
Inspection citations (78 in the current record)
-
Potential for harm · D February 2, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 17, 2026 · Resident Rights
-
Potential for harm · D February 2, 2026
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 March 17, 2026 · Resident Rights
-
Potential for harm · D February 2, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 17, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 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 March 17, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 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 March 17, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 2, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 17, 2026 · Quality of Life and Care
-
Potential for harm · E February 2, 2026
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected March 17, 2026 · Nursing and Physician Services
-
Potential for harm · D February 2, 2026
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected March 17, 2026 · Quality of Life and Care
-
Potential for harm · E February 2, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 17, 2026 · Pharmacy Service
-
Potential for harm · E February 2, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected March 17, 2026 · Pharmacy Service
-
Potential for harm · D February 2, 2026
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 March 17, 2026 · Pharmacy Service
-
Potential for harm · F February 2, 2026
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected March 17, 2026 · Administration
-
Potential for harm · D February 2, 2026
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected March 17, 2026 · Administration
-
Potential for harm · E February 2, 2026
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected March 17, 2026 · Administration
-
Potential for harm · D February 2, 2026
Provide and implement an infection prevention and control program.
Corrected March 17, 2026 · Infection Control
-
Potential for harm · F February 2, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 17, 2026 · Infection Control
-
Potential for harm · D February 2, 2026
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.
Corrected March 17, 2026 · Infection Control
-
Potential for harm · D February 2, 2026
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected March 17, 2026 · Administration
-
Potential for harm · D February 2, 2026
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected March 17, 2026 · Administration
-
Potential for harm · D February 2, 2026
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected March 17, 2026 · Resident Rights
-
Potential for harm · E February 2, 2026
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected March 17, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 2, 2026
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected March 17, 2026 · Administration
-
Potential for harm · D February 2, 2026
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected March 17, 2026 · Infection Control
-
Potential for harm · D February 2, 2026
Provide training in compliance and ethics.
Corrected March 17, 2026 · Administration
-
Potential for harm · D February 2, 2026
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected March 17, 2026 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 20, 2024 | Fine | $70,296 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 295023 · certified since January 1, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.