Sierra Basin Post Acute
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About Sierra Basin Post Acute
Sierra Basin Post Acute is a 80-bed for-profit nursing home in Carson City, NV. Medicare rates it 5 out of 5 stars overall (much above average); the average in Nevada is 3.1. At its last full inspection (Mar 2026), inspectors found 10 problems, close to the Nevada average of 9.7. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 36 min a day with each resident, about the same as the Nevada average of 4 hr 21 min. About 50% of its nursing staff left in the past year. It has had no federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
2 strengths and nothing that stands out as a concern in Medicare's inspection, fine and staffing records for this home.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Mar 2026.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
About average
- Health citations at last inspection10 (Mar 2026)Nevada average: 9.7. Most citations are minor and corrected within weeks.About average
- Nurse staffing per resident4 hr 36 min a dayNevada average: 4 hr 21 minAbout average
- Registered nurse time per resident1 hr 09 min a dayNevada average: 1 hr 07 minAbout average
- Nursing staff turnover50% a yearNevada average: 45%About average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Nevada average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital25.8%State average: 23.2%About average
- Needed an emergency room visit9.5%State average: 9.6%About average
- Newly given antipsychotic drugs0.6%State average: 1.8%Better than average
Physical therapist time: about 11 minutes per resident a day. That is more than the state average of 6 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Source: Medicare (CMS) quality measures, compared with the Nevada average. Lower is better for every rate shown.
Who pays, and how full it is
Medicare pays for much of the care here, typically short rehab stays. In Nevada, Medicaid pays for 64% of resident days at a typical home.
- 0% Medicaid
- 62% Medicare
- 37% Private pay, insurance and other
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 5 stars now, the same as 5 stars in July 2021. It has stayed at 5 stars the whole time.
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jul 2021 | 5 | 5 | 5 | 5 | 5.7 |
| Jan 2022 | 5 | 5 | 5 | 5 | 5.8 |
| Jan 2023 | 5 | 5 | 4 | 5 | 5.7 |
| Jan 2024 | 5 | 4 | 5 | 5 | 5.5 |
| Feb 2025 | 5 | 4 | 4 | 5 | 4.9 |
| Feb 2026 | 5 | 4 | 3 | 5 | 5.1 |
| Sep 2026 | 5 | 4 | 3 | 5 | 4.6 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.