Cascades of the Sierra

    275 Neighborhood Way, Spanish Springs, NV 89441
    • Independent Living
    • Assisted Living
    • Memory Care

    Compassionate dementia care, attentive staff

    I placed my dad here and am very satisfied - the staff are professional, caring and attentive, especially Amber, Jessi, Eileen and Chris, who made the transition smooth and comforting. The facility is spotless, homey, and offers expert dementia care, engaging activities and great amenities (pool, dining, fitness); leadership is hands-on and communication is clear. My loved one feels safe and well supported - a budget-friendly, compassionate choice I recommend to families.

    Loved one of resident
    Aug 2026

    Pricing

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

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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
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.30·(128)

    Overall rating

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

      4.1
    • Staff

      4.3
    • Meals

      3.7
    • Amenities

      4.4
    • Value

      2.6

    Pros

    • Friendly, attentive staff
    • Extensive on-site amenities (pool, salon, theater, bar)
    • Restaurant-style dining with menu selection
    • Robust activities program (fitness, arts, music, outings)
    • Memory-care expertise and dementia programming
    • Continuum of care (Independent, Assisted, Memory Care)
    • Modern, well-maintained building and grounds
    • Spacious apartment options with in-unit laundry and kitchens
    • Accessibility features (zero-entry showers, wide doorways, pool ramp)
    • Transportation to shopping and events
    • Cleanliness and housekeeping in common areas
    • 24/7 nursing availability in some units
    • Welcoming move-in and transition support
    • Proactive wellness and fitness offerings
    • Proximity to local shops and services

    Cons

    • High staff turnover and staffing shortages
    • Inconsistent care continuity for assisted-living residents
    • Variable housekeeping and laundry scheduling
    • Inconsistent dining leadership and variable food quality
    • Billing and pricing transparency issues
    • Management communication gaps and uneven responsiveness
    • Weekend and evening staffing inconsistencies
    • Medication-management practices
    • Perceived high cost relative to value
    • Customer-service professionalism variability
    • Allegations of financial misconduct and conflicts of interest

    Summary of reviews

    Cascades of the Sierra is described overall as a well-appointed, amenity-rich senior community with a broad continuum of care spanning independent living, assisted living and memory care. Strengths commonly cited include modern, well-maintained interiors and grounds, numerous on-site amenities (pool, salon, theater, exercise rooms, transportation), and apartment options that frequently include kitchens and in-unit laundry. Families and visitors repeatedly highlight a welcoming atmosphere during move-ins, good proximity to shopping and services, and a vibrant activities program featuring fitness, music, crafts, outings and frequent social events.

    Staff and caregiving receive mixed but substantive praise: many families commend compassionate, attentive caregivers, knowledgeable memory-care staff, and specific staff and leadership members by name for supportive transitions and hands-on assistance. The community’s dementia-care programming and training are noted as particular strengths where staff provide practical strategies and reassurance to families. At the same time, an important contrasting theme is staffing instability. Reviews point to high turnover and periodic shortages—especially in evenings and on weekends—which appear to affect response times, housekeeping frequencies, and consistency of everyday assistance in assisted-living units. Several accounts describe delays in bathing, laundry and meal assistance; these have been abstracted as operational consistency issues rather than isolated events.

    Dining and hospitality present a similar pattern of strengths and variability. Multiple reviewers praise a restaurant-style dining experience, strong chefs, and good meals when the kitchen is well-staffed. Other reviewers describe inconsistent food quality, long meal waits, consolidated dining rooms, and service delays tied to staffing and leadership changes in food service. Housekeeping and laundry schedules are another recurring operational concern: while common areas are often described as clean and well-kept, there are reports of inadequate in-apartment housekeeping frequency and laundry backlogs, which affect resident satisfaction in assisted living.

    Management and administration impressions range from highly responsive and proactive leadership to dissatisfaction with communication and follow-through. Positive notes reference attentive executive leadership, clear communication during transitions, and helpful admissions staff. Conversely, recurring critical themes include billing and pricing transparency problems, broken promises around raises or staffing commitments, variable front-desk/customer-service professionalism, and a perception by some families of profit-driven priorities. There are also serious, specific allegations raised about financial conduct and concerns around medication-management practices; these claims merit direct follow-up with the provider and, if appropriate, regulatory authorities.

    For prospective residents and families, the pattern suggests Cascades of the Sierra can offer a high-quality environment, strong amenities, and excellent dementia-care expertise when staffing and leadership are stable. Key due-diligence items before a move would be: confirm current staffing ratios (day/evening/weekend), review written housekeeping and laundry schedules, request recent dining leadership and menu plans, obtain a clear, itemized explanation of all fees and billing practices, and discuss medication-management protocols and oversight. Visiting during meal times and activity hours and speaking directly with current residents and family members about recent staffing continuity will help assess whether the facility’s operational risks have been addressed to your satisfaction.

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    Location

    Map showing location of Cascades of the Sierra

    Cascades of the Sierra is located at 275 Neighborhood Way, Spanish Springs, NV, 89441.

    About Cascades of the Sierra

    Cascades of the Sierra is a residential care facility that offers several types of care including independent living, assisted living, secure memory care, skilled nursing, respite care, home health, and adult day care, with support for both short-term and long-term needs, and you'll find the staff there known for being caring and attentive, plus there's a 6:1 staff-to-resident ratio which means there's usually someone around to help right away if someone needs assistance, whether that's help with daily activities like bathing, feeding, dressing, changing sheets, or medication management, and the care is set up to meet the needs of each person, especially for those living with dementia or Alzheimer's, with special programs and secure environments. The building itself looks like a rustic mountain lodge with stone, wood, a grand foyer, and plenty of comfortable seating near fireplaces where folks like to gather, you'll see large, airy dining and common rooms with soft lighting and plush chairs, a movie theater, a fitness center, a walk-in pool, and a bar area where a bartender serves visitors. There's a spacious courtyard outside, filled with gardens, water features, walking paths, a gazebo, an outdoor putting green, and places to sit, plus the secure memory care area has its own courtyard and kitchen to support activities for residents with memory loss. Apartments come in studio, one-bedroom, and two-bedroom floor plans, some with private patios or porches, and inside you'll find upgrades like safes, linen closets, washers and dryers, and upscale kitchens and bathrooms if that's something folks want, and each one has an emergency alert system for peace of mind. The facility stays clean and the setting feels welcoming, with plenty of social and recreational activities each week: residents join in programs for physical and mental wellness, live entertainment, movies, and even educational classes run by other residents, and memory care residents have the Mosaic Memory Care Program, which gives them special support and meaningful programs. Nursing, internal medicine, and general counseling services can be arranged, and there's always care available day or night, with support as health needs change over time. Licensed and verified by the state, Cascades of the Sierra lets residents pay through private pay insurance options, and it's organized as a Continuing Care Retirement Community, so a resident can stay as their care needs increase, with a focus on comfort, safety, and dignity all through the different stages of aging, surrounded by landscaped grounds and parks that make for a peaceful place to call home.

    About Cascade Living Group

    Cascades of the Sierra is managed by Cascade Living Group.

    Founded by four experienced partners, Cascade Living Group is a privately-owned senior living provider headquartered in Bothell, Washington. Operating 31 communities across Oregon, Nevada, California, Washington, and Arizona, they offer assisted living, independent living, and memory care services.

    People often ask...

    Cascades of the Sierra offers competitive pricing, with rates starting at a cost of $4,523 per month.

    Cascades of the Sierra offers independent living, assisted living, and memory care.

    There are 37 photos of Cascades of the Sierra on Mirador.

    Yes, Cascades of the Sierra allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 275 Neighborhood Way, Spanish Springs, NV 89441.

    No, Cascades of the Sierra 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 number5232
    StatusActive
    Facility typeResidential Facility for Groups
    Capacity150 residents
    EffectiveJuly 6th, 2009
    ExpiresDecember 31st, 2026
    Special certificationASSISTED LIVING SERVICES, ALZHEIMER DISEASE, RESIDENTIAL FACILITY FOR ELDERLY OR DISABLED PERSONS, MENTAL ILLNESS

    Inspection Reports

    10

    Reports

    70

    Citations

    0

    Complaints

    5

    Years

    09 Apr 2026Inspection
    Identified deficiencies in medication management, including OTC medications lacking proper orders or MAR documentation and MAR inaccuracies. Found medications missing from MAR or not administered as ordered for several residents.
    • NAC 449.2742Over-the-counter medications and dietary supplements; administration and documentation
    • NAC 449.2744Administration of medications: Records and MAR; administration as prescribed; changes and reconciliation
    • NAC 449.2744Administration of medications: MAR accuracy and documentation
    08 Oct 2025Inspection
    Found numerous deficiencies across personnel records, kitchen operations, medication management, oxygen storage, resident health documentation, and infection control practices.
    • NAC 449.217Personnel Files for Contract Labor Employees
    • NAC 449.217Kitchen
    • NAC 449.2712Oxygen Tank Storage
    • NAC 449.274Annual Health & Physical (H&P) Examination
    • NAC 449.27425Medication Label Matching the Physician’s Order
    • NAC 449.2746PRN Medications – Specific Symptoms/Frequency
    • NAC 449.2748Medication Storage for Self Administration & Memory Care
    • NAC 449.2749Initial & Annual ADL Assessment
    • NAC 449.2742Discontinued Medications Removed & Destroyed
    • R063-21 Sec. 4Unlicensed Caregiver Infection Control Training
    • NAC 449.0109Person Responsible for Infection Control
    17 Oct 2024Inspection
    Found lack of endorsement for mental illness and admitted a resident with an MI diagnosis; observed unsecured medications in a resident room fridge.
    • NAC 449.190Contents; issuance of more than one type
    • NAC 449.2748Medication: Storage
    30 Jul 2024Inspection
    Investigated complaints about resident safety and behavior; identified multiple regulatory deficiencies across rights, privacy, discrimination, TB testing, medication storage, and medical care.
    • NAC 449.268Rights of Residents; Procedure for Filing
    • NAC 449.274; R043-22Medical Care of Resident After Illness
    • NRS 449.101Discrimination prohibited
    • NRS 449.102Duties to protect privacy
    • NAC 449.2749; NRS 449.0302Maintenance and contents of separate file for each resident; confidentiality of information
    • NAC 449.2748Medication: Storage
    15 Sept 2023Inspection
    Identified multiple deficiencies across staff training, dementia care, elder abuse compliance, medication management, safety, and recordkeeping. Noted gaps in training, medication handling, and resident records.
    • NAC 449.196Qualifications and training of caregivers
    • NRS 449.093Training to recognize and prevent abuse of older persons (elder abuse training)
    • NAC 449.217; NAC 446Permits; compliance with food service standards
    • NAC 449.2742Administration of medication: Responsibilities of administrator, caregiver and employees of facility
    • NAC 449.2742Administration of medication: Responsibilities of administrator, caregiver and employees of facility
    • NRS 449.0302/NAC 449.2744Administration of medication: Maintenance and contents of logs and records
    • NAC 449.2746Administration of medication: Restrictions concerning PRN medications
    • NAC 449.2748Medication: Storage; duties upon discharge, transfer and return of resident
    • NAC 449.2749Maintenance and contents of separate file for each resident
    • NAC 449.2756Alzheimer's care standards for safety; personnel training
    • NAC 449.2756Alzheimer's care standards for safety; safety of residents
    • NRS 449.0302; NAC 449.2768Care to persons with dementia; dementia training for staff
    • NAC 449.2768Care to persons with dementia; additional dementia training
    • NAC 449.2768Continuing education in dementia care
    • NAC 449.103Cultural competency training
    • NRS 449.1845Annual assessment of history of each resident
    01 May 2023Inspection
    Identified multiple deficiencies across medication management, food service safety, resident assessments, and memory care safety, indicating violations of several NAC/RS regulatory requirements.
    • NAC 449.200Personnel files - First Aid & CPR
    • NAC 446; NAC 449.217Permits - comply with NAC 446 on Food Service and related NACs
    • NAC 449.2742Medication/OTCs, Supplements, Change Order - Administration of medication
    • NAC 449.2742Medication/OTCs, Supplements, Change Order - Administration of medication
    • NAC 449.2744Administration of Medication - Maintenance and records
    • NAC 449.2748Medication: Storage
    • NAC 449.2749Maintenance and Contents of Separate File
    • NAC 449.2756Alzheimer's Care Standards for Safety
    • NAC 449.2756Alzheimer's Care Standards for Safety
    • NRS 449.103 / R016-20 Section 14.1Cultural Competency Training
    • NAC 449.1845Annual Assessment of History of Each Resident
    05 Jan 2023Inspection
    Investigated deficiencies across safety, medications, admissions, dietary operations, and records, including expired certifications, unsecured oxygen, hospice documentation gaps, and incomplete resident assessments.
    • NAC 449.200Personnel files - first aid and CPR
    • NAC 449.205Advertising and promotional materials
    • NAC 446Kitchens; storage of food; permits; inspections
    • NAC 449.2702Written policy on admissions; eligibility for residency
    • Posting Requirements
    • NAC 449.2712Residents Requiring Use of Oxygen
    • NAC 449.2742Medication/OTCS, Supplements, Change Order
    • NAC 449.2742Medication - Destruction
    • NAC 449.2744Administration of Medication Maintenance
    • NAC 449.2748Medication: Storage
    • NAC 449.2749Maintenance and Contents of Separate File for each resident; confidentiality
    • NAC 449.275Hospice Care Responsibilities of Staff; retention of resident with special medical needs
    • NAC 449.2756Alzheimer's Care Standards for Safety - Standards for safety; personnel required; training
    • NAC 449.2756Alzheimer's Care Standards for Safety - Toxic substances inaccessible
    • Cultural Competency Training
    • Annual Physician Determination
    19 Oct 2022Inspection
    Investigated a complaint and found no deficiencies.
    21 Oct 2021Inspection
    Investigated identified multiple deficiencies across health and sanitation, food service, posting requirements, TB testing, and safety protections in memory care.
    • NAC 449.209; NRS 449.0302Health & Sanitation - Maintain interior and exterior cleanliness
    • NAC 446; NAC 449.217Permits - Comply with NAC 446 on Food Service
    • Posting Requirements
    • NAC 449.2749Maintenance and Contents of Separate File
    • NAC 449.2756Alzheimer's Care Standards for Safety
    21 Apr 2021Inspection
    Investigated a complaint and concluded no deficiencies were identified.

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

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