Cascades of the Sierra

Last state inspection

April 9, 2026 Complaint investigation, Grading re-survey

State inspections

9

Deficiencies cited

62

Most recent grade from the state

A April 9, 2026

Complaints investigated

9: 3 substantiated, 6 not substantiated

State sanctions

0

• License active since 2009

Most recent inspections with deficiencies

• April 9, 2026, complaint investigation, grading re-survey: 2 deficiencies, grade A
  • Medication/OTCS, Supplements, Change Order (NAC 449.2742): Based on observation, clinical record review, interview, and document review, the facility failed to ensure 1) medications were onsite and available for administration for 2 of 15 sampled residents (Resident #4 and #5), and 2) medications were administered as prescribed for 2 of 15 sampled residents (Resident #4 and #15). severity 2 (potential for harm), scope 1 (isolated); correction date May 15, 2026
  • Administration of Medication Maintenance (NAC 449.2744): Based on observation, document review, and interview, the facility failed to ensure a resident's medication was included on the resident’s Medication Administration Record (MAR) for 1 of 15 sampled residents (Resident#12). severity 1 (no harm likely), scope 1 (isolated); correction date May 15, 2026
• October 8, 2025, complaint investigation, annual licensure survey: 11 deficiencies, grade D
  • Personnel File (NAC 449.200): Based on observation and interview, the facility failed to ensure 3 of 23 sampled employees had a personnel file. severity 2 (potential for harm), scope 1 (isolated); correction date January 15, 2026
  • Kitchens- Equipment Works; Clean And Sanitary (NAC 449.217): Based on observation, interview and document review, the facility failed to ensure the ice machine was maintained, kitchen floor was cleaned, sanitizer solution had the required level of sanitizer, a kitchen employee wore a hairnet or hair covering while in the kitchen, a refrigerator temperature log had been completed, and stored food had been dated upon receiving. severity 2 (potential for harm), scope 3 (widespread); correction date November 24, 2025
  • Residents Requiring Use of Oxygen (NAC 449.2712): Based on record review, observation, interview, and document review, the facility failed to ensure 1) oxygen tanks were secured for 1 of 11 residents with oxygen cylinders. severity 2 (potential for harm), scope 1 (isolated); correction date December 31, 2025
  • Medical Care of Resident After Illness (NAC 449.274): Based on record review and interview, the facility failed to ensure a physical examination was completed annually for 1 of 25 residents (Resident #2). severity 2 (potential for harm), scope 1 (isolated); correction date December 31, 2025
  • Medication/OTCS, Supplements, Change Order (NAC 449.2742) severity 2 (potential for harm), scope 1 (isolated); correction date March 31, 2026
  • Medication - Destruction (NAC 449.2742): Based on observation, interview, clinical record review and document review, the facility failed to ensure a medication which had been discontinued for 1 of 25 sampled residents (Resident #25) was removed from a medication cart and destroyed. correction date February 28, 2026
  • and 5 more in the report
• October 17, 2024, annual licensure survey: 2 deficiencies, grade A
  • Contents of License - Multiple Types (NAC 449.190): Based on clinical record review and interview, the facility failed to obtain an endorsement for Mental Illness (MI) and admitted and retained a resident with a MI diagnosis (Resident #9). severity 2 (potential for harm), scope 1 (isolated); correction date December 31, 2024
  • Medication: Storage (NAC 449.2748): Based on observation, document review, and interview, the facility failed to ensure resident medications were kept secured in the facility for 1 of 12 resident rooms with a resident self-administering medications (Room #248). correction date October 31, 2024
• July 30, 2024, annual licensure survey: 6 deficiencies, grade D
  • Rights of Residents; Procedure for Filing (NAC 449.268): Based on record review and interview, the administrator failed to ensure a resident's care was not neglected (Resident #21) and a resident was kept safe from sexual abuse by another resident (Resident #15) for 2 of 16 residents residing in the memory care unit. severity 3 (harm occurred or likely), scope 1 (isolated); correction date July 6, 2024
  • Medical Care of Resident After Illness (NAC 449.274): Based on clinical record review and interview, the facility failed to ensure an annual general physical examination was completed timely for 1 of 20 sampled residents (Resident #8). severity 2 (potential for harm), scope 1 (isolated); correction date July 31, 2024
  • Medication: Storage (NAC 449.2748): Based on observation, document review, and interview, the facility failed to ensure resident medications were kept secured in the facility for 2 of 25 resident rooms with a resident self-administering medications (Room #362B, and #248). severity 2 (potential for harm), scope 1 (isolated); correction date August 18, 2024
  • Maintenance and Contents of Separate File (NAC 449.2749): Based on document review, clinical record review and interview, the facility failed to ensure 1 of 20 sampled residents met the requirements concerning tuberculosis (TB) testing in accordance with Nevada Administrative Code (NAC) 441A (Resident #11). severity 2 (potential for harm), scope 1 (isolated); correction date May 18, 2024
  • Discrimination prohibited (NRS 449.101): Based on observation, document review, and interview, the facility failed to have a policy to document, investigate, and resolve a report of discrimination, or to ensure a non-discrimination statement was posted. correction date May 18, 2024
  • Duties of licensed facility to protect (NRS 449.0303) severity 1 (no harm likely), scope 3 (widespread)

Complaints with substantiated allegations

• October 8, 2025: 1 complaint substantiated
• July 30, 2024: 2 complaints substantiated (some allegations)

Read every report on the state’s site → Search license 5232-AGC-20, then choose View Detail and SOD/POC for each inspection.

Deficiency names and findings are quoted from the state’s Statements of Deficiencies. Fine amounts are read from the state’s scanned sanction notices. This community is licensed for 150 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Nevada Health Authority, Health Care Quality and Compliance (formerly DPBH, Bureau of Health Care Quality and Compliance), data as of October 15, 2026, showing the last five years. The state’s search shows active licenses only. Always visit in person and ask the community about anything listed here.