| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D45 | E2 | F1 |
| Minimal | A· | B1 | C2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Feb 12, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Feb 12, 2026 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Dec 5, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Dec 5, 2024 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Feb 27, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Dec 14, 2023 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Dec 14, 2023 | Health | Health Complaint, Health Standard | 16 | Actual harm | — | Open → |
| Nov 15, 2023 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Dec 14, 2023 | Civil money penalty (fine) | $75,670 | — | 295088|Fine|133766 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D45 | E2 | F1 |
| Minimal | A· | B1 | C2 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.72 (case-mix index 1.13).
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Gray Estate Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2022 |
| Zachary Gray | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2022 |
| Chelsey Gray | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Gray Estate Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2022 |
| Zachary Gray | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2022 |
| Chelsey Gray | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2022 |
| Chelsey Gray | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 1, 2022 |
| Zachary Gray | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 1, 2022 |
| Marie Nadora | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 1, 2022 |
| Joseph Nasrawy | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 1, 2022 |
| Revive Health Senior Care Management LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2022 |
| Chelsey Gray | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2022 |
| Zachary Gray | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2022 |
| Irtqa Ilyas | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2024 |
| Kaitlyn Modina | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 2, 2022 |
| Marie Nadora | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2022 |
| Joseph Nasrawy | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2022 |
| Zachary Gray | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2022 |
| Asl Realty LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Feb 1, 2022 |
| Gray Estate Holdings LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Feb 1, 2022 |
| Wingfield Hills Rd. LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Feb 1, 2022 |
| Zachary Gray | Individual | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Feb 1, 2022 |
| Andrew Lebowitz | Individual | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Feb 1, 2022 |
| Asl Realty LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2022 |
| Gray Estate Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2022 |
| Revive Health Senior Care Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 16, 2025 |
| Wingfield Hills Rd. LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2022 |
| Chelsey Gray | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2022 |
| Zachary Gray | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2022 |
| Irtqa Ilyas | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2023 |
| Kaitlyn Modina | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 2, 2022 |
| Marie Nadora | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2022 |
| Joseph Nasrawy | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2022 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Hearthstone Health and Rehabilitation 1950 Baring Blvd, Sparks, NV 89434 CCN 295044 | 5.9 km | 125 | Mar 5, 2026 | 871 IJ | $49k | |
| Northern Nevada State Veterans Home 36 Battleborn Way, Sparks, NV 89431 CCN 295105Abuse icon | 7.4 km | 96 | Apr 2, 2026 | 57 | — | |
| Rosewood Rehabilitation Center 2045 Silverada Blvd, Reno, NV 89512 CCN 295020 | 9.7 km | 99 | Dec 11, 2025 | 90 | — | |
| Advanced Health Care of Reno 961 Kuenzli Street, Reno, NV 89502 CCN 295096 | 12.6 km | 42 | Nov 20, 2025 | 29 | — | |
| Caremeridian LLC, DBA Neurorestorative 3980 Lake Placid Drive Ste 2, Reno, NV 89511 CCN 295103SFF CandidateAbuse icon | 12.6 km | 36 | May 7, 2026 | 951 harm | $69k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 295088 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 295088 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction