Our Home Adult Living

    4180 Sierra Madre Dr, Reno, NV 89502
    • Assisted Living

    Kind management; clean, comfortable community

    I live here and appreciate the kind owner/manager; residents seem happy and the place is always well kept and clean. I feel comfortable and would recommend it.

    Current/former resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Tour Type

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management

    Healthcare staffing

    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    Reviews

    3.67·(3)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.0
    • Staff

      3.5
    • Meals

      3.7
    • Amenities

      3.7
    • Value

      3.7

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    Location

    Map showing location of Our Home Adult Living

    Our Home Adult Living is located at 4180 Sierra Madre Dr, Reno, NV, 89502.

    About Our Home Adult Living

    Our Home Adult Living sits at 4180 Sierra Madre Dr in Reno, Nevada, offering a quiet place for seniors who need some help as well as those who want to stay active and independent, and folks will find that this community only has 5 or 6 beds, making it a small place where staff can give more personal care and where residents can know one another, which helps some seniors feel comfortable. The community provides both assisted and independent living, along with care home and respite care options, so seniors can come for short stays or longer terms, and there are flexible room arrangements like private and semi-private rooms, plus some studio layouts to choose from, which many people find useful if their needs change.

    Housekeeping and maintenance are taken care of, and meals are cooked right on-site every day, so neither residents nor their families have to worry about cleaning or cooking, and if there's ever a problem in the building, on-site maintenance deals with it promptly. People get help with daily things like bathing, dressing, and taking medicine, and there's standby help available at all hours, so folks always have someone nearby if they need assistance at any time, day or night, and a nurse is on staff, with medical professionals visiting, so those who have special health needs can get extra care, including skilled nursing services such as rehabilitation and wound care if their health requires it.

    The staff puts a focus on personal care and dignity, and they make detailed care plans for each person to suit everyone's different needs and likes; this could mean more help for someone with memory trouble or a hands-off approach for someone who's healthier. For folks with Alzheimer's or dementia, there's a specific memory care program with supervised activities and safe spaces, and supervision is always available. Residents can have pets if they want, which brings comfort and companionship, and they can join in on daily activities, get help with transportation to things like doctor visits, and join community events that keep them active and involved, which helps to create a homelike, community feeling.

    There are big open common spaces for socializing, so people aren't stuck in their rooms, and they can enjoy social times or be quiet if that suits them better. The place has a review score of 6 out of 10, and the price is often lower than staying in a larger nursing home, which some find helpful. The facility takes pride in offering peace of mind to families and offers a homelike atmosphere. It's a pet-friendly place, and it's licensed as a Residential Facility for Groups, with the state license #5523-AGC-12 and certified as RES, with certified assisted living services provided.

    Our Home Adult Living accepts a variety of seniors, including those who are fairly independent and those needing more hands-on help, offering everything from help with daily activities and personal care to specialized care in memory programs, as well as respite care for short stays, always trying to keep folks comfortable and their families informed. The property doesn't accept Medicare unless specifically certified by Centers for Medicare & Medicaid Services, and the community provides resort-style perks and social opportunities without the pressure of a big facility, focusing instead on the needs of each person, keeping things simple, and making life easier for older adults who want a little extra support in their day-to-day routine.

    People often ask...

    Our Home Adult Living offers competitive pricing, with rates starting at a cost of $3,449 per month.

    Our Home Adult Living offers assisted living.

    The full address for this community is 4180 Sierra Madre Dr, Reno, NV 89502.

    No, Our Home Adult Living does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Nevada, the Health & Human Services Health Care Quality & Compliance bureau licenses care facilities and publishes the statements of deficiency from its inspections.

    License number5523
    StatusActive
    Facility typeResidential Facility for Groups
    Capacity6 residents
    EffectiveJanuary 1st, 2010
    ExpiresDecember 31st, 2026
    Special certificationRESIDENTIAL FACILITY FOR ELDERLY OR DISABLED PERSONS

    Inspection Reports

    10

    Reports

    73

    Citations

    0

    Complaints

    4

    Years

    03 Jul 2025Inspection
    Identified multiple deficiencies in medical care, medication labeling, TB testing, resident records, and annual service planning.
    • NAC 449.274; R043-22Medical care of resident after illness; periodic physical examination
    • NAC 449.2748Medication: Storage; labeling; original container
    • NAC 441ATuberculosis testing; records
    • NAC 449.011943Policies concerning preferred names and pronouns; records
    • NAC 449.259Supervision and treatment of residents; person-centered service plans
    27 Mar 2025Inspection
    Identified a deficiency in medication management training. Found that one caregiver did not complete the required annual medication management training for 2024 and 2025, leaving no qualified staff on site to administer medications.
    • NAC 449.196; NRS 449.0302Qualifications of Caregiver - Med Training
    19 Feb 2025Inspection
    Cited deficiencies across multiple areas, including staff qualifications and training, medication management, resident care planning, and recordkeeping.
    • NAC 449.196; LCB File No. R043-22; NRS 449.0302Qualifications and training of caregivers
    • NAC 449.200Personnel File - TB Screening
    • NAC 449.200Personnel File - 1st Aid & CPR
    • NAC 449.259 & R043-22Supervision and treatment of residents
    • NAC 449.2742Medication Administration - Accuracy & Report
    • NAC 449.2742; R043-22Medication Administration-Report Received
    • NAC 449.2742; R043-22Medication/OTCS, Supplements, Change Order
    • NAC 449.2742Medication - Destruction
    • NAC 449.2749Maintenance and Contents of Separate File
    • NRS 449.0302; NAC 449.275Hospice Care
    • NRS 449.0302; NAC 449.011943Policies concerning preferred names and pronouns
    • NRS 449.1845Annual Assessment of History of Each Resident
    • R063-21 Sec. 4Infection Control Training for Unlicensed Caregivers
    • R063-21 Sec. 4Infection Control Training Documentation
    26 Sept 2024Inspection
    Identified multiple deficiencies in staff training, TB screening, medication management, care planning, hospice documentation, and resident records.
    • NAC 449.196; LCB File No. R043-22Qualifications and training of caregivers
    • NAC 441A.375; NAC 449.200TB testing / tuberculosis screening
    • NAC 449.200First aid and CPR certification
    • NAC 449.259; R043-22Supervision and treatment of residents
    • NAC 449.2742; R043-22Medication administration: accuracy and reviews
    • NAC 449.2742; R043-22Six months medication review
    • NAC 449.2742; R043-22PRN medication orders
    • NAC 449.2742Medication destruction
    • NAC 449.2749Maintenance and contents of separate files
    • NAC 449.275Hospice care responsibilities
    • R016-20 Sec. 19Preferred name/pronoun policy
    • NRS 449.1845Annual assessment of history of each resident
    • LCB File No. R048-22 Sec. 5Infection control training
    • R063-21 Sec. 4Infection control training for unlicensed caregivers
    12 Apr 2024Inspection
    Found that one staff member did not complete the annual elder abuse prevention training for 2024.
    • NRS 449.093Elder Abuse Training
    28 Dec 2023Inspection
    Identified multiple deficiencies related to staff training, medication management, resident rights, and recordkeeping during a December 2023 survey.
    • NAC 449.196Qualifications and training of caregivers
    • NRS 449.093Training to recognize and prevent elder abuse
    • NAC 449.200Personnel File - TB Screening
    • NAC 449.209Health & Sanitation - Maintain Int/ext
    • NAC 449.260Activities for Residents
    • NAC 449.268Rights of Residents; Procedure for Filing
    • NAC 449.2742Medication Administration - Accuracy & Report
    • NAC 449.2742; NRS 449.0302Administration of medication: Responsibilities of administrator, caregiver and employees of facility
    • NAC 449.2748Medication: Storage
    • NAC 449.2749Maintenance and contents of separate file for each resident; confidentiality of information
    • NAC 449.2749Maintenance and contents of separate file for each resident; confidentiality of information
    • NRS 449.103Cultural Competency Training
    • Infection Control Required Training
    18 Oct 2023Inspection
    Identified multiple deficiencies across staff training, resident safety, medication management, activities, privacy, and recordkeeping, leading to cited violations.
    • NAC 449.196Qualifications and training of caregivers
    • NRS 449.093Elder Abuse Training
    • NAC 441A (TB testing requirements)TB Screening
    • NAC 449.209Health and sanitation
    • NAC 449.260Activities for residents
    • NAC 449.268Rights of Residents; Privacy
    • NAC 449.2742Medication Administration - Accuracy & Reporting
    • NAC 449.2748Medication: Storage
    • NAC 449.2749Maintenance and contents of separate file
    • NAC 449.2749Maintenance and contents of separate file
    • NRS 449.103Cultural Competency Training
    • Infection Control Required Training
    15 Jun 2023Inspection
    Investigated allegations that a resident eloped and that reporting to law enforcement or ombudsman within 24 hours did not occur; found no regulatory deficiencies.
    15 Feb 2023Inspection
    Identified deficiencies in caregiver training, medication management, admissions for residents needing 24-hour care, sanitation, and nondiscrimination posting.
    • NAC 449.196Qualifications and training of caregivers
    • NAC 449.209Health and sanitation
    • NAC 449.2702Written Policy on Admissions
    • NAC 449.2742Medication Administration-Accuracy & Report
    • NAC 449.2748Medication: Storage
    • NRS 449.101Discrimination prohibited
    07 Jul 2022Inspection
    Found deficiencies in TB testing, caregiver medication training, personnel health records, first aid/CPR training, medication regimen reviews, resident medical care documentation, and annual resident history assessments.
    • NAC 449.196; NRS 449.0302Qualifications and training of caregivers
    • NAC 449.200TB Screening - personnel files
    • NAC 449.231First aid & CPR
    • NAC 449.274; NRS 449.0302Medical care after illness; annual physicals
    • NAC 449.2742Medication administration – regimen reviews
    • NAC 449.2749Maintenance and contents of separate file; confidentiality
    • Annual Assessment of History of Each Resident

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Our Home Adult Living. The information above has not been verified or approved by the owner or operator. For exact information, please contact Our Home Adult Living directly. There is no cost for this service. We are compensated by the community you select.

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