The home failed to respond appropriately to all reported abuse or neglect concerns. Cited May 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: J
Nursing home report
ORMSBY POST ACUTE REHABILITATION
CARSON CITY, NV · Medicare-certified · 120 beds
Needs attention
Special Focus FacilityAbuse citationFor-profitChain member
Not yet rated
Overall rating: not rated. This facility is a special focus facility (SFF), has $60,464 in fines in the last 24 months, and reported nurse staffing is 3.54 hours per resident per day, below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.5372 hrs/resident/day
Quality measures
Last inspection: March 26, 2026Penalties, last 24 months: $60,464special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5372.
Staffing detail
- Registered nurses
- 0.82
- Licensed practical nurses
- 0.80
- Nurse aides
- 1.92
- Weekend nursing
- 3.01
Hours per resident per day.
Total staff turnover: 63%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
17.8%10.3%Improving
Residents with a fall causing major injury
0%3.8%Worsening
Residents with pressure ulcers (bedsores)
1.7%1.6%No change
Residents with a urinary tract infection
1.5%0%Improving
Residents who lost too much weight
4.8%4.5%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.4%8.3%Improving
Residents whose ability to walk got worse
43.1%4.3%Improving
Long-stay residents on antianxiety or sleep medication
23.4%21.6%Improving
Short-stay residents newly given an antipsychotic
2.1%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
11.1%20.9%Worsening
Residents with depressive symptoms
0%7.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—90.3%—
Long-stay residents given the pneumonia vaccine
95.7%100%Improving
Short-stay residents given the seasonal flu vaccine
—82.1%—
Short-stay residents given the pneumonia vaccine
85.7%88.2%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to run its operations effectively and efficiently using its available resources. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 835 — 42 CFR §483.70 — S/S: F
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: F
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $60,464 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $60,464 in total fines · 1 payment denial.
- 6 days
Medicare/Medicaid payment denial
May 29, 2024
- $60,464
Federal fine
May 29, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of EVERGREEN HEALTHCARE GROUP · 43 homes · 2.4 stars avg
- Occupancy
- 89 residents on an average day (74% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 27 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.