ORMSBY POST ACUTE REHABILITATION

Special Focus Facility · CMS abuse icon · Carson City · NV · For profit - Limited Liability company · EVERGREEN HEALTHCARE GROUP chain · 120 certified beds · CCN 295067 · ORMSBY SNF OPERATIONS LLC


ORMSBY POST ACUTE REHABILITATION operates 120 certified beds in CARSON CITY, Nevada. Its Medicare and Medicaid certification dates to 1999-03-25. It averages 92.8 residents a day.

What harm was found in the violations cited at ORMSBY POST ACUTE REHABILITATION?

CMS lists 88 health-inspection deficiencies for ORMSBY POST ACUTE REHABILITATION, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-05-14.

Survey dateTagDeficiencySeverity
2026-05-14F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-05-14F0880Provide and implement an infection prevention and control program.E
2026-05-14F0550, F0552, F0558, F0561, F0600, F0610, F0656, F0678, F0684, F0697, F0699, F0730, F0761, F0800, F0805, F0814, F0838, F0849, F0865, F0868, F0908, F0943Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate pain management for a resident who requires such services. / Provide care or services that was trauma informed and/or culturally competent. / Observe each nurse aide's job performance and give regular training. / 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. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Dispose of garbage and refuse properly. / Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Have a plan that describes the process for conducting QAPI and QAA activities. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Keep all essential equipment working safely. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D
2026-05-14F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.B
2026-03-26F0600, F0610Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations.D
2025-03-27F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-03-27F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.E
2025-03-27F0582, F0640, F0641, F0656, F0757, F0761, F0842, F0940Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Develop, implement, and/or maintain an effective training program for all new and existing staff members.D
2024-09-18F0600, F0602, F0658, F0757Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Protect each resident from the wrongful use of the resident's belongings or money. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure each resident’s drug regimen must be free from unnecessary drugs.D
2024-05-29F0610Respond appropriately to all alleged violations.J
2024-05-29F0726, F0812, F0835, F0865, F0881, F0946Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Have a plan that describes the process for conducting QAPI and QAA activities. / Implement a program that monitors antibiotic use. / Provide training in compliance and ethics.F
2024-05-29F0658, F0761, F0883, F0942, F0944, F0945, F0949Ensure services provided by the nursing facility meet professional standards of quality. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. / Provide behavior health training consistent with the requirements and as determined by a facility assessment.E
2024-05-29F0552, F0558, F0600, F0602, F0609, F0622, F0656, F0657, F0677, F0678, F0684, F0686, F0691, F0695, F0698, F0712, F0725, F0755, F0759, F0842, F0851, F0880, F0887, F0941, F0943Ensure that residents are fully informed and understand their health status, care and treatments. / Reasonably accommodate the needs and preferences of each resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Protect each resident from the wrongful use of the resident's belongings or money. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. / Provide and implement an infection prevention and control program. / 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. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D
2024-05-29F0839, F0841Employ staff that are licensed, certified, or registered in accordance with state laws. / Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.C
2024-02-16F0552, F0600, F0656, F0657, F0689Ensure that residents are fully informed and understand their health status, care and treatments. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-10-16F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D

Why was ORMSBY POST ACUTE REHABILITATION fined?

DateTypeAmount
2024-05-29Fine$60,464

Has ORMSBY POST ACUTE REHABILITATION had payment denied by Medicare?

Payment denial startLength in days
2024-07-186

How is ORMSBY POST ACUTE REHABILITATION staffed relative to the NV average?

MeasureThis facilityNV average
Total nurse staffing hours per resident per day2.813864.30047
Total nursing staff turnover (%)58.045.1
Average number of residents per day92.894.3

Who owns ORMSBY POST ACUTE REHABILITATION, and what chain is it in?

ORMSBY POST ACUTE REHABILITATION is registered with CMS as For profit - Limited Liability company, operates under the legal business name ORMSBY SNF OPERATIONS LLC and belongs to the EVERGREEN HEALTHCARE GROUP chain.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTPACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (NV) LLCsince 08/31/2023
INDIRECT OWNERSHIP INTERESTCH PACIFIC NORTHWEST HOLDINGS LLC, PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLC, WITZCORP GLOBAL LLC, HERZKA, YISROEL, YENOWITZ, YITZCHOKsince 08/31/2023
MANAGING CONTROL - GOVERNING BODYEARL, STEVEN, RIKER, MICHELLEsince 08/31/2023
OPERATIONAL/MANAGERIAL CONTROLCOUVE FINANCIAL SERVICES LLC, COUVE HEALTHCARE CONSULTING LLC, NEVADA SNF CONSULTING LLC, ORMSBY SNF OPERATIONS LLC, PACIFIC NORTHWEST OPCO MANAGEMENT LLC, EARL, STEVEN, GOODIE, ANTOINE, PERLMAN, HAROLD, PORTERFIELD, KELLY, RIKER, MICHELLE, ROJAS, ALELI, SPIELMAN, SHIMON, YENOWITZ, YITZCHOKsince 03/03/2025
ADP OF THE SNFCH PACIFIC NORTHWEST HOLDINGS LLC, COUVE FINANCIAL SERVICES LLC, COUVE HEALTHCARE CONSULTING LLC, NEVADA SNF CONSULTING LLC, ORMSBY SNF OPERATIONS LLC, ORMSBY SNF REALTY LLC, PACIFIC NORTHWEST OPCO MANAGEMENT LLC, WITZCORP GLOBAL LLC, EARL, STEVEN, GOODIE, ANTOINE, HERZKA, YISROEL, PERLMAN, HAROLD, PORTERFIELD, KELLY, RIKER, MICHELLE, ROJAS, ALELI, SPIELMAN, SHIMON, YENOWITZ, YITZCHOKsince 03/03/2025

Were you or a family member harmed at ORMSBY POST ACUTE REHABILITATION?