Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

NORTHSTAR POST ACUTE

CARSON CITY, NV · 73 certified beds · Last Life Safety survey February 2, 2026

CMS Certification Number 295023 · first certified January 1973

Ownership

Operated by PACS GROUP · For profit - Corporation

  • New ownershipOwnership changed August 1, 2025 (change of ownership)from COVENANT CARE CARSON, LLC
28
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within NV

28 citations — more than 57% of the 66 certified nursing homes in NV. Compared within NV rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 12 citations; the earlier surveys in the window averaged 8. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 3 months from now. This facility’s last Life Safety survey was February 2026. Facilities in NV are typically surveyed 11–13 months after the last one (median 12), measured over 117 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

6 of the 28 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 28 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in NV, and nationally. Surveyors differ markedly between states, so the NV figure is the meaningful one.

This facility28NV median26National median11
Citations on file over three years, compared
MeasureCitations
This facility28
Median facility in NV26
Median facility nationally11

Survey history

Citations at each Life Safety survey
112024-0252024-12122026-02
Citations at each Life Safety survey
Survey dateCitations
February 20, 202411
December 19, 20245
February 2, 202612

Most-cited tags

Most-cited tags at this facility
K-05113K-07122K-09202K-03532E-00372E-00351K-03631E-00311
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0511Have properly installed electrical wiring and gas equipment.32026-02-02
K-0712Have simulated fire drills held at unexpected times.22026-02-02
K-0920Ensure proper usage of power strips and extension cords.22026-02-02
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-02-02
E-0037Establish staff and initial training requirements.22026-02-02
E-0035Provide family notifications of emergency plan.12024-02-20
K-0363Install corridor and hallway doors that block smoke.12024-12-19
E-0031Provide emergency officials' contact information.12026-02-02

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 7
  • Emergency Preparedness Deficiencies 6
  • Smoke Deficiencies 4
  • Egress Deficiencies 4
  • Other 7
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies7
Emergency Preparedness Deficiencies6
Smoke Deficiencies4
Egress Deficiencies4
Miscellaneous Deficiencies4
Services Deficiencies3

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 2, 2026 — 12 citations

Citations issued on February 2, 2026
TagWhat the surveyor checksStatus
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (March 17, 2026)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (March 17, 2026)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (March 17, 2026)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (March 17, 2026)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (March 17, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 17, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (March 17, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 17, 2026)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (March 17, 2026)
K-0917Ensure electrical receptacles or cover plates have distinctive color or marking.Deficient, Provider has date of correction (March 17, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 17, 2026)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (March 17, 2026)

December 19, 2024 — 5 citations

Citations issued on December 19, 2024
TagWhat the surveyor checksStatus
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (January 29, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 29, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 29, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (January 29, 2025)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (January 29, 2025)

February 20, 2024 — 11 citations

Citations issued on February 20, 2024
TagWhat the surveyor checksStatus
E-0034Provide a means of sharing information on occupancy/needs.Deficient, Provider has date of correction (April 1, 2024)
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (April 1, 2024)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (April 1, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 10, 2024)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (April 1, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 1, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 1, 2024)
K-0751Have restrictions on the use of flammable curtains.Deficient, Provider has date of correction (April 1, 2024)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (April 1, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 1, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 1, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.