Above average — CMS composite of the measures below.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Advanced Health Care Of Reno during CMS and state inspections, most recent first.
Baseline Care Plan Missing Instructions for Biliary Drain: A resident with a cholecystostomy tube had a drainage bag and insertion site noted during observation, but the Baseline Care Plan did not include monitoring or care instructions for the biliary drain. The physician orders required the drain to be emptied and recorded every shift and the site to be cleansed and dressed daily, and the DON confirmed the care plan lacked guidance for device management, output documentation, infection monitoring, and CNA awareness during transfers.
The facility failed to include comprehensive care plan interventions for a resident with a biliary drainage tube and another resident receiving insulin. One resident had a cholecystostomy tube with orders to empty, record, and cleanse the drain site, but the care plan did not address the device. Another resident had orders for basal and sliding-scale insulin, yet the care plan only addressed non-insulin dependent DM and did not include insulin use or monitoring.
Medication Administration Not Given Within Ordered Time Frame: A resident with Parkinson disease, dementia, anxiety, and multiple myeloma in remission had morning doses of carbidopa-levodopa, gabapentin, and cyclobenzaprine administered over 30 minutes late. An RN gave two meds while the resident was on the way to PT, and gabapentin had to be retrieved from the med room before it was administered in the PT room.
Medication Storage and Security Lapses: A RN left a lidocaine patch unattended on top of a med cart while taking a resident's meds to PT, and later confirmed it should have been locked in the cart. Surveyors also found lorazepam 2 mg/ml stored in a med cart drawer even though the manufacturer's label and facility medication guide directed refrigeration at 36-46 degrees F and protection from light.
Thermometer Not Sanitized Between Food Temperature Checks: A staff member was observed taking temperatures of multiple food items without cleaning and sanitizing the thermometer between uses. The staff member confirmed the thermometer was not disinfected between checks and stated the process was being done quickly due to the survey. A later observation showed the thermometer resting on the trayline and then being placed directly into a resident plate of pureed food. Facility policy required the thermometer to be immediately cleaned and sanitized before checking another food item.
The facility failed to provide nursing services in accordance with its FA for resident needs and resources. The FA called for 5 CNAs on day and evening shifts and 3 CNAs on night shift, but staffing schedules showed multiple shifts with fewer CNAs than required across several months. The Administrator and DON confirmed the staffing variances, stated the FA was followed for staffing needs, and acknowledged contracted CNA staff was available but was not used during the staffing shortages.
Leaking Kitchen Handwashing Sink Drain Pipe: A kitchen handwashing sink was observed leaking from the drain pipe while someone was washing hands, with water puddling on the floor and duct tape wrapped around the pipe. The Kitchen Manager said the leak had been present for at least a few days and had been verbally reported to the Maintenance Director, who confirmed the leak and stated the maintenance binder was missing for about a week.
An LPN left a controlled substance unattended on a dining table during medication administration, creating a potential accident hazard for 12 residents. The LPN acknowledged the lapse in supervision, and both the DON and Administrator confirmed that facility policy requires medications to be supervised until ingested.
The facility failed to complete timely annual performance evaluations and identify areas of weakness for three CNAs. Evaluations and competency checklists were late and lacked documentation of strengths or weaknesses. Follow-up evaluations identified specific areas needing improvement, such as duties, donning and doffing, and therapeutic communication. The DON confirmed the evaluation forms did not assess skills or identify training needs, contrary to facility policy.
A medication cart was found unsecured with its top drawer ajar and three Lidocaine 5% patches left on top, unattended by any staff. An LPN confirmed the lapse, and the DON reiterated the expectation for staff to maintain sight of or lock the cart when not present, as per facility policy.
Baseline Care Plan Missing Instructions for Biliary Drain
Penalty
Summary
The facility failed to ensure the Baseline Care Plan for Resident #30 included monitoring and care instructions for an indwelling biliary drainage tube. Resident #30 was admitted with diagnoses including encounter for surgical aftercare following surgery on the circulatory system - cholecystostomy and calculus of gallbladder with other cholecystitis without obstruction. A hospital discharge summary documented that the resident had a distended gall bladder with severe inflammation and that a cholecystostomy tube had been placed on 11/04/2025. On 11/17/2025, the resident had a drainage bag sitting next to the resident on the chair, the tubing drain insertion site appeared to be in the right upper quadrant, and the bag contained a small amount of dark brown/green drainage. The resident was not aware of what the drainage bag was for. A Physician Order Report documented orders entered on 11/07/2025 for the biliary drain to be emptied and recorded every shift and for the drain site to be cleansed with normal saline and covered with a Tegaderm dressing daily, with monitoring for signs and symptoms of infection as needed. The resident's Baseline Care Plan, initiated on 11/06/2025, did not include a care plan for monitoring and care of the biliary drainage tube. On 11/20/2025, the DON confirmed the Baseline Care Plan did not include a care plan related to the biliary drainage device and stated it should have included management of the device and insertion site, draining and documenting output, and instructions for issues with the drain or signs and symptoms of infection. The DON also stated the baseline care plan was important to ensure CNAs were aware of the drainage device during transfers and that care was provided in a manner to reduce risk of infection.
Missing Care Plans for Drain Tube and Insulin Management
Penalty
Summary
The facility failed to ensure the Comprehensive Care Plan included care for the monitoring and management of an indwelling biliary drainage tube for Resident #30 and for the administration and monitoring of insulin for Resident #9. Resident #30 was admitted with diagnoses including surgical aftercare following cholecystostomy and gallbladder disease. During observation, the resident had a drainage bag next to the chair, the tubing insertion site appeared to be in the right upper quadrant, and the bag contained a small amount of dark brown/green drainage. The resident was not aware of what the drainage bag was for. The clinical record showed a cholecystostomy tube had been placed and physician orders were entered to empty and record the drain every shift and cleanse the site daily with normal saline and a Tegaderm dressing, but the Comprehensive Care Plan did not include a related care plan. Resident #9 was admitted with type II diabetes mellitus with other complications. The physician order summary included orders for insulin degludec 20 units daily with instructions to hold for blood sugars less than 150, and lispro insulin per sliding scale at bedtime with parameters for blood sugar ranges and instructions to call the physician for blood sugar less than 50 or over 400. The Comprehensive Care Plan included a care plan for non-insulin dependent diabetes but did not include a care plan related to the use of insulin. The DON confirmed that the physician orders included insulin and that the care plan did not address insulin use and monitoring.
Medication Administration Not Given Within Ordered Time Frame
Penalty
Summary
Medication administration was not completed in a timely manner, resulting in a medication error rate of 12%. Based on observation, clinical record review, document review, and interview, the facility failed to ensure medications were administered within the ordered time frame. The report states this deficient practice had the potential to result in residents not receiving medications as prescribed, potentially compromising the effectiveness of treatment, and placing residents at risk for adverse health outcomes. For Resident #40, who was admitted with diagnoses including Parkinson disease without dyskinesia, dementia in other diseases classified elsewhere, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, anxiety, and multiple myeloma in remission, physician orders dated 11/04/2025 included carbidopa-levodopa 25-250 mg four times daily with the morning dose due between 7:00 AM and 8:00 AM, and gabapentin 300 mg three times daily with the morning dose due between 6:00 AM and 8:00 AM. A physician order dated 11/18/2025 also included cyclobenzaprine 5 mg three times daily with the morning dose due between 6:00 AM and 8:00 AM. On 11/20/2025 at 8:32 AM, an RN administered cyclobenzaprine and carbidopa-levodopa approximately 32 minutes late; the resident was on the way to PT, and gabapentin was not available in the med cart. The RN told the resident the gabapentin would need to be retrieved from the med room and brought to the resident in the PT room, and it was then administered 32 minutes late. At 8:48 AM, the RN confirmed cyclobenzaprine, gabapentin, and carbidopa-levodopa had been administered over 30 minutes late.
Medication Storage and Security Lapses
Penalty
Summary
The facility failed to ensure medications were stored according to the manufacturer's instructions in 1 of 2 inspected medication carts. During an inspection of the Hall Two medication cart with the Regional Nurse, a 30-milliliter bottle of lorazepam 2 mg/ml with approximately 29 ml remaining was found in a drawer of the cart. The RN stated lorazepam was traditionally stored in the medication carts and was not stored in a refrigerator after opening. The manufacturer's label on the bottle instructed that the medication be stored at 36-46 degrees F, and the Regional Nurse confirmed that instruction. A facility-provided medication guide from Hikma Pharmaceuticals USA, Inc., revised January 2023, also stated lorazepam should be refrigerated at 36-46 degrees F and protected from light. The facility also failed to ensure medications were not left unattended on top of a medication cart. During a medication observation, an RN took a resident's medications to the physical therapy room for administration and left a lidocaine patch unattended on top of the medication cart while walking away. When the RN returned, the nurse confirmed the patch had been left sitting unattended on the cart and stated it should have been locked in the cart and not left unattended. Facility policies titled Administration of Medication and Medication Storage stated nurses were to lock the medication cart whenever it was out of view and that medications were to be stored per manufacturer's guidelines in locked compartments under proper temperature controls.
Thermometer Not Sanitized Between Food Temperature Checks
Penalty
Summary
The facility failed to ensure the thermometer used to take temperatures of food in holding trays was disinfected and sanitized between uses for each food item. During observation on 11/19/2025 at 11:26 AM, the [NAME] was seen taking temperatures of food to be served for lunch, but did not clean and sanitize the thermometer between checking the temperature of each food item. At 11:33 AM, the [NAME] stated that temperatures are taken on all food to be served to residents and that the thermometer should be disinfected and sanitized between each food item to prevent cross contamination. The [NAME] confirmed the thermometer was not disinfected and sanitized between temperatures and explained this was because the [NAME] was trying to take temperatures quickly in the kitchen due to the survey. At 11:55 AM, the [NAME] was observed placing a thermometer on the trayline next to a resident plate with pureed food, then removing plastic wrap and placing the thermometer into the food on the plate. The facility policy titled Resource: Taking Accurate Temperatures, updated July 25, 2025, stated that once a hot food temperature is taken and logged, the thermometer must be immediately cleaned and sanitized before taking another food temperature.
Facility Assessment Not Followed for CNA Staffing
Penalty
Summary
The facility failed to ensure nursing services were provided in accordance with its own Facility Assessment (FA) of resident needs and resources. The FA, reviewed with the QAPI team, documented that direct care staffing would include nurses and CNAs across day, evening, and night shifts, with 5 CNAs on day shift, 5 CNAs on evening shift, and 3 CNAs on night shift for both weekdays and weekends. The FA also stated the facility considered census and acuity levels when staffing, would not adjust staffing based on census fluctuations, and could use off-duty/as-needed staff or contracted temporary agency CNAs if additional resources were needed. The average daily census from the previous year was 41.5. Staffing schedules for September, October, and November 2025 showed multiple shifts with fewer CNAs than the FA required, including day, evening, and night shifts on various dates. The Administrator confirmed responsibility for the FA and stated the facility followed the annual FA after QAPI review, but also acknowledged that when staffing numbers did not reflect the FA, the facility would either adjust the staffing model or adjust the FA according to resident population needs; this was not documented and did not occur for the FA reviewed on 01/16/2025. The DON confirmed the staffing schedules were accurate, stated management would assist if staff called out, and confirmed that contracted staff was available but was not utilized during the CNA staffing difficulties in September, October, and November 2025.
Leaking Kitchen Handwashing Sink Drain Pipe
Penalty
Summary
The facility failed to maintain the drainage pipe under a handwashing sink in the kitchen, allowing water to leak onto the kitchen floor. On 11/17/2025 at 8:26 AM, a handwashing sink in the kitchen was observed leaking water from a drainage pipe while an individual was washing hands, and there was a water puddle under the sink on the kitchen floor. The drainage pipe below the sink had duct tape wrapped around it. On 11/17/2025 at 8:30 AM, the Kitchen Manager confirmed the handwashing sink pipes were leaking water onto the kitchen floor and stated the sink had been leaking for at least a few days. The Kitchen Manager said the pipe had been duct taped in hopes of preventing further leaking and reported informing the Maintenance Director verbally when the issue was discovered. On 11/18/2025 at 8:30 AM, the Maintenance Director confirmed the leak from the drainage pipe and stated staff were expected to document maintenance concerns in the maintenance binder, but the binder was missing and had been missing for about a week. The facility policy stated maintenance issues were to be reported and resolved in a timely manner, and urgent or safety-related concerns were to be tagged or blocked off if they could not be fixed right away.
Medication Left Unattended During Administration
Penalty
Summary
The facility failed to ensure medications were not left unattended and unsecured during a medication pass in the dining room, creating a potential accident hazard. An LPN placed a small cup containing a white pill on a table where three residents were seated and then walked away to retrieve a cup of water, leaving the medication unsupervised and out of sight. This action left the medication unsecured for all 12 residents present in the dining room at the time. Upon returning, the LPN confirmed the pill was hydrocodone, a controlled substance, and acknowledged that leaving it unattended was not best practice. The Director of Nursing (DON) and the Administrator both confirmed that the facility's policy required nurses to observe residents taking medications and to keep medications within their line of sight until ingestion. The DON expressed concern about the potential for other residents to ingest the medication or hide it for later use. The facility's policy on medication administration, although undated, clearly stated that a licensed nurse should stay with the resident until all medications were ingested and that medications should be locked in the medication cart whenever out of view.
Deficiency in Timely CNA Performance Evaluations and Competency Documentation
Penalty
Summary
The facility failed to ensure timely completion of annual performance evaluations and identification of areas of weakness for three Certified Nursing Assistants (CNAs) employed for over a year. Employee #21, hired in January 2023, had a performance review completed one month late and a competency checklist nine days late, both lacking documentation of performance strengths or weaknesses. A follow-up evaluation identified concerns with duties such as trash, water, bed making, and room cleanliness. Employee #22, hired in September 2021, had a performance review ten days late and a competency checklist that also lacked documentation of strengths or weaknesses. A follow-up evaluation highlighted issues with the donning and doffing process. Employee #23, hired in June 2023, had a performance review over two months late and a competency checklist without documented strengths or weaknesses. A follow-up evaluation noted the need for improvement in therapeutic communication with residents. The Director of Nursing (DON) confirmed that the facility's performance evaluation form did not evaluate CNAs' skills or identify strengths and weaknesses, and the competency checklist did not facilitate identifying training needs. The facility's policy required annual performance evaluations to identify areas needing improvement, which was not adhered to in these cases.
Medication Cart Security Lapse
Penalty
Summary
The facility failed to ensure the security of medications on a medication cart, as observed on the morning of October 31, 2024. At 7:10 AM, a medication cart was found with its top left drawer ajar and unlocked, and three Lidocaine 5% transdermal patches were left unsecured on top of the cart. There was no nurse or staff present in the hallway at the time. This lapse in security was confirmed by an LPN who returned to the cart at 7:14 AM, acknowledging that the drawer was left unlocked and the patches were left on top of the cart while administering medications to a resident. The Director of Nursing (DON) later explained that the expectation for nursing staff is to maintain sight of the medication cart at all times or to lock it when not present. The facility's policy on medication storage, updated on September 28, 2022, requires that medications be stored safely and securely, accessible only to authorized personnel. The unsecured state of the medication cart and the Lidocaine patches left unattended posed a risk of unauthorized access and potential misuse.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 235 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Reno
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Caremeridian Llc, Dba Neurorestorative | 0.7 mi | ★★★★★ | 28 | 0 |
| Rosewood Rehabilitation Center | 1.8 mi | ★★★★★ | 30 | 0 |
| Alpine Skilled Nursing And Rehabilitation Center | 2.4 mi | ★★★★★ | 16 | 0 |
| Alta Skilled Nursing And Rehabilitation Center | 3.9 mi | ★★★★★ | 19 | 0 |
| Northern Nevada State Veterans Home | 4 mi | ★★★★★ | 13 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Advanced Health Care Of Reno.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.