CareSentinel

Compiled from official CMS federal data

NORTHSTAR POST ACUTE, CARSON CITY, NV — Violations & Inspection Reports

CCN 295023 · 2898 HIGHWAY 50 EAST, CARSON CITY, NV, 89701

Record as of Jun 2026 · Updated monthly from CMS

Does NORTHSTAR POST ACUTE have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), NORTHSTAR POST ACUTE (CCN 295023), in CARSON CITY, NV, has federal inspection findings. CMS also lists the facility as a candidate for its Special Focus Facility program; a candidate is not on the active watch list.

In its current inspection cycle, CMS cited the facility for 30 deficiencies; the most severe is rated F — which CMS classifies as "potential for harm," a level below actual harm (risk, but no harm confirmed). The latest standard health inspection on file is dated 2026-02-02. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $70,296 in civil money penalties on file against the facility. The record also includes 8 abuse- or neglect-related citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series; most recent Feb 2026). This page restates the federal record and draws no conclusion of its own.

Abuse-, fall-, and care-related findings on the federal record

  • 8 citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Feb 2026.
  • 2 citations for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent Feb 2026.
  • 1 pressure-ulcer care citation (F686) — the consumer term is "bedsores"; most recent Feb 2024.
  • 8 findings on file from complaint-triggered inspections.

Every figure above restates CMS’s own dated record; this page draws no conclusion of its own. Strict state filing deadlines can apply to nursing-home injury claims — a licensed attorney in your state can review this record.

FOR FAMILIES

What brings you to this record?

The Federal Record

Federal abuse- or neglect-related citations on record (F600-series).

Below is this facility's federal inspection record as on file with CMS.

SFF Candidate

A candidate for the federal Special Focus Facility watch list

CMS lists this facility as a candidate for the Special Focus Facility program. It is not on the active watch list.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.

Civil money penalties on file

$70,296

Have a lawyer review this record →

About this record: Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

Deficiency timeline

How to read these codes ↓

Showing the 60 most recent of 78 federal records.

Citations are listed by scope/severity (most severe first), not chronologically; each entry is labeled current-cycle or historical.

2024-02-20
HISTORICAL
F697S/S G

Provide safe, appropriate pain management for a resident who requires such services.

2026-02-02
CURRENT CYCLE
F883S/S F

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2026-02-02
CURRENT CYCLE
F835S/S F

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

57 more citations on file — Abuse & neglect 6 · Accidents & supervision 1 · Medication & pharmacy 5 · Resident rights 4 · Other citations 36 (expand)
2026-02-02
CURRENT CYCLE
F755S/S E

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

2026-02-02
CURRENT CYCLE
F868S/S E

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

2026-02-02
CURRENT CYCLE
F759S/S E

Ensure medication error rates are not 5 percent or greater.

2026-02-02
CURRENT CYCLE
F943S/S E

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

2026-02-02
CURRENT CYCLE
F712S/S E

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

2026-02-02
CURRENT CYCLE
F942S/S D

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

2026-02-02
CURRENT CYCLE
F941S/S D

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

2026-02-02
CURRENT CYCLE
F600S/S D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2026-02-02
CURRENT CYCLE
F940S/S D

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

2026-02-02
CURRENT CYCLE
F605S/S D

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

2026-02-02
CURRENT CYCLE
F606S/S D

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

2026-02-02
CURRENT CYCLE
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2026-02-02
CURRENT CYCLE
F887S/S D

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.

2026-02-02
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2026-02-02
CURRENT CYCLE
F865S/S D

Have a plan that describes the process for conducting QAPI and QAA activities.

2026-02-02
CURRENT CYCLE
F656S/S D

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

2026-02-02
CURRENT CYCLE
F657S/S D

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

2026-02-02
CURRENT CYCLE
F761S/S D

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.

2026-02-02
CURRENT CYCLE
F610S/S D

Respond appropriately to all alleged violations.

2026-02-02
CURRENT CYCLE
F949S/S D

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

2026-02-02
CURRENT CYCLE
F946S/S D

Provide training in compliance and ethics.

2026-02-02
CURRENT CYCLE
F945S/S D

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

2026-02-02
CURRENT CYCLE
F944S/S D

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

2026-02-02
CURRENT CYCLE
F552S/S D

Ensure that residents are fully informed and understand their health status, care and treatments.

2026-02-02
CURRENT CYCLE
F584S/S D

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.

2026-02-02
CURRENT CYCLE
F744S/S D

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

2026-02-02
CURRENT CYCLE
F689S/S D

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

2026-02-02
CURRENT CYCLE
F732S/S C

Post nurse staffing information every day.

2024-12-19
HISTORICAL
F690S/S E

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2024-12-19
HISTORICAL
F761S/S E

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.

2024-12-19
HISTORICAL
F943S/S D

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

2024-12-19
HISTORICAL
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2024-12-19
HISTORICAL
F842S/S D

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

2024-12-19
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2024-12-19
HISTORICAL
F732S/S C

Post nurse staffing information every day.

2024-08-09
HISTORICAL
F684S/S D

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

2024-02-20
HISTORICAL
F941S/S F

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

2024-02-20
HISTORICAL
F656S/S F

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

2024-02-20
HISTORICAL
F583S/S E

Keep residents' personal and medical records private and confidential.

2024-02-20
HISTORICAL
F944S/S E

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

2024-02-20
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2024-02-20
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2024-02-20
HISTORICAL
F657S/S D

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

2024-02-20
HISTORICAL
F949S/S D

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

2024-02-20
HISTORICAL
F842S/S D

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

2024-02-20
HISTORICAL
F867S/S D

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2024-02-20
HISTORICAL
F655S/S D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2024-02-20
HISTORICAL
F868S/S D

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

2024-02-20
HISTORICAL
F552S/S D

Ensure that residents are fully informed and understand their health status, care and treatments.

2024-02-20
HISTORICAL
F635S/S D

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

2024-02-20
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2024-02-20
HISTORICAL
F881S/S D

Implement a program that monitors antibiotic use.

2024-02-20
HISTORICAL
F623S/S D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

2024-02-20
HISTORICAL
F883S/S D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2024-02-20
HISTORICAL
F887S/S D

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.

2024-02-20
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2024-02-20
HISTORICAL
F942S/S D

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Overall CMS star rating

This facility: 1  ·  CMS state average: 3.2

Both figures as published by CMS.

You may be reading this record for the first time.

If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.

Your federal record — tap to preview

Federal record

NORTHSTAR POST ACUTE — Federal Record

CMS overall 1/5 · 30 current-cycle deficiencies


Section 7 — Case Context

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SECTION 7 — CASE CONTEXT

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What happened

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If you believe a resident is in immediate danger, call 911. Care concerns can also be reported at no cost to your state survey agency or the Long-Term Care Ombudsman program (ltcombudsman.org) — independent of any legal inquiry.

How to read this record

Making sense of a CMS inspection record

CMS scores every citation on a grid from A to L, combining how widespread a finding was with how serious it was. A–C is a deficiency CMS classifies as no harm; D–F as the potential for harm; G–I as actual harm that reached a resident; and J–L as immediate jeopardy, CMS’s most serious level. Later letters mark more serious findings.

Three questions to ask on a tour

  • How is the home staffed on nights, weekends, and holidays?
  • What happens when a resident’s condition changes suddenly?
  • How, and how quickly, are families told about an incident?

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Download the full federal record (PDF) →