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Assisted Living

Saint Paul Home Care II

4900 Koenig Road, Reno, NV 89506 · Map
Licensed for 10 residents

State license active
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Saint Paul Home Care II is a state-licensed assisted living community in Reno, Nevada. It is licensed for 10 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.

Assisted LivingCare offered
10 residentsLicensed capacity
State licensedResidential facility for groups, since 2005
$3,500 to $5,300/moTypical assisted living start in Nevada, from 28 communities that publish prices

Prices

This community does not publish its prices.

Area costs

Assisted Living in Nevada typically starts at $3,500 to $5,300 a month. Based on 28 communities that publish prices. These are area figures, not this community's price.

Lilisity’s independent report

What the public record shows

Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.

State inspections

34Deficiencies cited
0Substantiated complaints

Last state inspection: Aug 5, 2026. See the record

License

Active, 10 residents

RESIDENTIAL FACILITY FOR GROUPS 4234-AGC-26, licensed since Feb 8, 2005.

Nearest emergency room

2.9 miles

Saint Mary'S Regional Medical Center, rated 4 of 5 stars by CMS.

Side by side with nearby communities

The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.

CommunityDistanceLicensed capacityPublished starting priceLicenseInspection citations
Saint Paul Home Care II this community10Not publishedActive34 deficiencies, 0 substantiated complaints
Saint Pauls Home Care III0.0 mi10Not publishedActive55 deficiencies, 1 substantiated complaint
Grandmothers Crib1.0 mi8Not publishedActive19 deficiencies, 0 substantiated complaints
Pleasant Care Group Home III1.1 mi6Not publishedActive28 deficiencies, 1 substantiated complaint
The Sienna Arbour1.3 mi8Not publishedActiveNo record
State inspection record34 deficiencies, 0 substantiated complaints
Last state inspection
August 5, 2026 Annual licensure survey
State inspections
9
Deficiencies cited
34
Most recent grade from the state
B August 5, 2026
Complaints investigated
1: 0 substantiated, 1 not substantiated
State sanctions
0
  • License active since 2005

Most recent inspections with deficiencies

  • August 5, 2026, annual licensure survey: 4 deficiencies, grade B
    • Health And Sanitation-Garbage (NAC 449.209): Based on observation and interview, facility failed to ensure the exterior of the premises were well maintained. severity 2 (potential for harm), scope 3 (widespread); correction date August 14, 2026
    • Kitchens- Equipment Works; Clean And Sanitary (NAC 449.217): Based on observation, interview and document review, the facility failed to ensure the oven was clean. severity 2 (potential for harm), scope 3 (widespread); correction date August 12, 2026
    • Administration of Medication Restrictions (NAC 449.2746): Based on observation, record review, and interview the facility failed to ensure an as needed (PRN) medication included written instructions indicating a specific symptom for which the medication was to be given and did not require an assessment to determine if the medication was appropriate to administer for 1 of 8 residents (Resident #8). severity 2 (potential for harm), scope 1 (isolated); correction date August 10, 2026
    • Medication: Storage (NAC 449.2748): Based on observation, interview, record review and document review, the facility failed to ensure an over-the-counter (OTC) medication was labeled with the prescriber's name and/or the resident's name for whom the medication was prescribed for 3 of 8 residents (Resident #1, #7 and #8). severity 2 (potential for harm), scope 2 (pattern)
  • July 23, 2025, annual licensure survey: 4 deficiencies, grade A
    • Personnel File - TB Screening (NAC 449.200): Based on employee record review and interview, the facility failed to ensure a Caregiver obtained a pre-employment physical examination for 1 of 5 employees (Employee #4). severity 2 (potential for harm), scope 1 (isolated); correction date August 1, 2025
    • Personnel Files - Background Checks (NAC 449.200): Based on employee record review and interview, the facility failed to ensure a 1 of 5 employees obtained fingerprints and a background check clearance per the background check requirements of Nevada Revised Statute (NRS) 449.122 to 449.125 (Employee #4). severity 2 (potential for harm), scope 1 (isolated); correction date July 23, 2025
    • Health & Sanitation - Maintain Int/ext (NAC 449.209): Based on observation and interview, the Administrator failed to ensure windows coverings in a resident room were maintained. severity 2 (potential for harm), scope 1 (isolated); correction date August 28, 2025
    • Storage of Food - Adequate Storage; Packaging (NAC 449.217): Based on observation and interview, the facility failed to ensure expired canned foods were discarded. severity 2 (potential for harm), scope 3 (widespread); correction date July 23, 2025
  • March 3, 2025, complaint investigation, annual licensure survey: 3 deficiencies
    • Health& Sanitation-odors-hazards-insects-dirt (NAC 449.209): Based on observation and interview, the facility failed to ensure the facility was free from safety hazards. severity 2 (potential for harm), scope 2 (pattern); correction date March 3, 2025
    • Health & Sanitation - Maintain Int/ext (NAC 449.209): Based on observation and interview, the facility failed to ensure the railing around the second floor deck was free from peeling varnish. severity 2 (potential for harm), scope 1 (isolated); correction date March 3, 2025
    • Bathrooms and Toilet Facilities (NAC 449.222): Based on observation and interview, the facility failed to ensure a resident bathroom door was equipped with a single motion lock. severity 2 (potential for harm), scope 2 (pattern); correction date March 19, 2025
  • September 26, 2024, annual licensure survey: 5 deficiencies, grade B
    • Health And Sanitation-Garbage (NAC 449.209): Based on observation and interview, the facility failed to ensure a garbage can was covered and a garbage bag was not overflowing the top of the garbage can. severity 2 (potential for harm), scope 3 (widespread); correction date October 15, 2024
    • Health & Sanitation - Screens (NAC 449.209): Based on observation and interview, the facility failed to ensure all windows capable of being opened in the facility to provide ventilation for the facility were screened to prevent the entry of insects. severity 2 (potential for harm), scope 1 (isolated); correction date October 15, 2024
    • Medication Administration (NRS 449.0302): Based on record review and interview, the Administrator failed to ensure an Ultimate User Agreement was dated upon resident admission for 1 of 10 sampled residents (Resident #3). severity 2 (potential for harm), scope 1 (isolated); correction date October 15, 2024
    • Discrimination prohibited (NRS 449.101): Based on observation and interview, the facility failed to post prominently in the facility the State contact information to file a complaint for a resident who may have experienced prohibited discrimination. severity 1 (no harm likely), scope 3 (widespread); correction date October 30, 2024
    • Annual Assessment of History of Each Resident (NRS 449.1845): Based on record review and interview, the facility failed to obtain an initial and an annual Standard Physician Assessment and Placement Determination for 2 of 10 residents (Resident #3 and #8). severity 2 (potential for harm), scope 1 (isolated); correction date October 15, 2024

Read every report on the state’s site → Search license 4234-AGC-26, then choose View Detail and SOD/POC for each inspection.

What these terms mean

Nevada grades each residential facility for groups after a survey: the Bureau adds the severity and scope scores of all deficiencies found. 0 to 15 points is an A; 16 to 24 a B; 25 to 34 a C; 35 or more a D. A single very serious deficiency can also set a lower grade (NAC 449.27702). The facility must post its grade where the public can see it.

Severity levels (NAC 449.99861): level 1 concerns administrative requirements and no harm is likely; level 2 is a potential for harm not yet realized; level 3 means a negative impact has occurred or is likely; level 4 has resulted in, or is likely to result in, death or serious harm.

Scope levels (NAC 449.9986): level 1 is isolated (20 percent or less of residents sampled); level 2 is a pattern (more than 20 and up to 50 percent); level 3 is widespread (more than 50 percent).

HCQC investigates each complaint and finds each allegation substantiated (resulting in a citation) or unsubstantiated (no citation). Some reports say an allegation was substantiated with no deficient practice cited.

When deficiencies are cited, the facility must return an approved plan of correction within 10 days. The completion date is the date the facility gave for the correction.

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 10 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.

License and ownershipActive license
License type
RESIDENTIAL FACILITY FOR GROUPS
License number
4234-AGC-26
License status
Active
Licensed since
2005-02-08
Licensed capacity
10
Administrator
Eleanor G Monzon

Source: Nevada state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.

Administrator name from the Nevada licensing record, as of Sep 9, 2026.

Paying with Medicaid and other programsHow Medicaid pays for care in Nevada, and other programs

How Medicaid pays for care in Nevada

  • Waiver for the Frail Elderly (FE). Yes, for some people. Nevada Medicaid's Waiver for the Frail Elderly offers Augmented Personal Care in residential facilities for groups or assisted living settings, for people 65 and older who need nursing home level care. (state page)
  • Waitlist. Nevada's December 2024 caseload report counts people waiting for the Frail Elderly waiver (1,684 that month). (source)

Ask the community whether it accepts Medicaid.

Location and nearby careNearest hospital 2.9 mi, nursing home 2.8 mi, pharmacy 1.9 mi
Nearest hospital with an emergency room
Saint Mary'S Regional Medical Center, Reno. 2.9 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
Nearest Medicare nursing home
Caremeridian LLC, DBA Neurorestorative, Reno. 2.8 miles away, straight line.
Nearest home health agency office
Choice Health At Home, Reno. 4.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
University Pharmacy. 1.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 89506 as metropolitan (metropolitan core).
Dialysis within 15 miles
Davita Reno Dialysis Center, Reno, 3.8 miles away, straight line (CMS rating 3 of 5 stars)
292541 Liberty Dialysis - Northwest Reno, Reno, 4.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Davita Sierra Rose Dialysis Center, Reno, 7.0 miles away, straight line (CMS rating 3 of 5 stars)
Hospice
13 Medicare hospices tell CMS they serve ZIP code 89506.
Eden Hospice, office in Reno, 3.3 miles away, straight line (CMS family survey rating 4 of 5 stars)
A+ Hospice Care, office in Reno, 3.3 miles away, straight line
Hospice Services Of Reno, office in Sparks, 4.8 miles away, straight line
Nearest geriatric medicine practice
Hometown Health Management Company, Reno. 3.8 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard riskFEMA overall risk relatively low; outside FEMA's high-risk flood areas

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
Wildfire risk to homes
In Reno, NV, risk to homes is greater than 75% of communities in Nevada and 98% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
FEMA National Risk Index
Overall: relatively low. By hazard: inland flooding very low, wildfire relatively moderate, tornado very low, heat wave very low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

Questions to ask on a tour10 questions picked for this community from its record

Picked for this community from its record. Ask them in person and write down the answers.

  1. The state recorded a finding in August 2026. What was it, and how was it fixed?
  2. What does the base rate include, and when did rates last go up?
  3. How many caregivers are on duty during the day and at night?
  4. What happens if care needs increase? When would someone need to move?
  5. What fees are charged at move-in?
  6. How do you tell families about falls, illness or changes?
  7. How long have the executive director and the head of care been here?
  8. Who gives medications, and what training do they have?
  9. For what reasons can a resident be asked to leave?
  10. Is the apartment held during a hospital stay, and at what cost?
What we checked11 public sources we searched, with dates

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
Nevada Health Authority, Health Care Quality and Compliance (formerly DPBH, Bureau of Health Care Quality and Compliance) inspection recordsOct 15, 2026See above
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026See above
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
Common questionsAnswers to 4 questions families ask
What type of care does Saint Paul Home Care II provide?

Saint Paul Home Care II is licensed by the state of Nevada for assisted living in Reno, Nevada. Its licensed capacity is 10 residents.

Does Lilisity rate Saint Paul Home Care II?

No. We publish state licensing details for Saint Paul Home Care II but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.

How much does Saint Paul Home Care II cost?

Assisted Living in Nevada typically starts at $3,500 to $5,300 a month. Based on 28 communities that publish prices. These are area figures, not this community's price. Saint Paul Home Care II does not publish its prices.

How do I contact Saint Paul Home Care II?

Visit Saint Paul Home Care II at 4900 Koenig Road, Reno, NV 89506.

Choosing assisted livingOur care guide: what to look for, what it costs, how families pay, and more questions to ask (PDF)

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How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid