Caremeridian LLC, DBA Neurorestorative
3980 Lake Placid Drive Ste 2 · Reno, NV · 89511 · 7024999523
36 certified beds For profit - Corporation Chain: Neurorestorative
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$68,738 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 8.70 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 2.04 | 0.55–0.75 |
| Weekend hours / resident-day | 8.67 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | 1 · $68,738 |
Inspection citations (50 in the current record)
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Potential for harm · D March 16, 2026 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected April 17, 2026 · Resident Rights
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Potential for harm · D March 16, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 17, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 16, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 17, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 16, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected April 17, 2026 · Resident Rights
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Potential for harm · D March 16, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 17, 2026 · Resident Rights
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Potential for harm · D March 16, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 17, 2026 · Resident Assessment and Care Planning
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Actual harm · G February 21, 2025 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected April 7, 2025 · Resident Rights
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Potential for harm · D February 21, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 7, 2025 · Resident Rights
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Potential for harm · D February 21, 2025
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.
Corrected April 7, 2025 · Resident Rights
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Potential for harm · E February 21, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected April 7, 2025 · Resident Rights
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Potential for harm · D February 21, 2025
Ensure each resident receives an accurate assessment.
Corrected April 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 21, 2025
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected April 7, 2025 · Quality of Life and Care
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Potential for harm · D February 21, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected April 7, 2025 · Pharmacy Service
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Potential for harm · E February 21, 2025
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.
Corrected April 7, 2025 · Pharmacy Service
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Potential for harm · D February 21, 2025
Provide or get specialized rehabilitative services as required for a resident.
Corrected April 7, 2025 · Quality of Life and Care
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Potential for harm · F February 21, 2025
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.
Corrected April 7, 2025 · Administration
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Potential for harm · D February 21, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · F February 21, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected April 7, 2025 · Administration
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Potential for harm · F February 21, 2025
Provide and implement an infection prevention and control program.
Corrected April 7, 2025 · Infection Control
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Potential for harm · D February 21, 2025
Implement a program that monitors antibiotic use.
Corrected April 7, 2025 · Infection Control
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Potential for harm · E February 21, 2025
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected April 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 21, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected April 7, 2025 · Nursing and Physician Services
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Potential for harm · D February 21, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 21, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 21, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 21, 2025 | Fine | $68,738 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 295103 · certified since April 10, 2019. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.