Sierra Basin Memory Care

    1001 Mountain Street, Carson City, NV, 89703
    4.2 · 26 reviews
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    4.0

    Caring staff but inconsistent management

    I toured and moved my mother into a bright, very clean, new community with warm, attentive caregivers who quickly felt like family - calm atmosphere, lots of activities, and personalized rooms. The front-line staff are superb and genuinely caring, but the place can be understaffed, meals and medical oversight are sometimes inconsistent, and management's communication and rules need improvement. I'm grateful for the caregivers' dedication and would recommend it with reservations - check staffing, meal/medical support, and visiting policies before deciding.

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    Amenities

    4.19 · 26 reviews

    Overall rating

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

      4.1
    • Staff

      4.3
    • Meals

      2.6
    • Amenities

      4.1
    • Value

      1.3

    Pros

    • New, modern facility
    • Homelike, not hospital-like environment
    • Personalized and comfortable resident rooms
    • Apartment climate control
    • Clean, bright, cheery décor and thoughtful decorations
    • Local artwork and seasonal/event décor
    • Attentive, caring and affectionate caregiving staff
    • Staff who become like family and provide comforting support
    • Well-trained/educated caregiving team
    • Compassionate transition support and informative admissions staff
    • Memory-care focused expertise and calming approaches for anxious residents
    • Safe, secure environment with controlled entry
    • Multiple common/lounge areas and many sitting rooms
    • Varied activities offered (manicures, crafts, sing‑alongs, music, movies, puzzles, outdoor walks, karaoke)
    • Laundry service and lounge snacks
    • Above-average or delicious meals and dietary accommodations (per several reviewers)
    • Good cleanliness and maintenance throughout the building
    • Helpful escorts and ease of access (doorbell system, elevator escorts)
    • Routine and structure for meals and showers
    • Positive recommendations from multiple families and staff morale (awesome place to work)

    Cons

    • Chronic understaffing and frequent short-staffing incidents
    • Management seen as unresponsive, curt, or unfriendly to families
    • Inconsistent activity offerings — some report few or no activities
    • Mixed dining quality and limited menu variety (some reviewers report poor meals)
    • Concerns about meal assistance leading to weight loss for some residents
    • Lack of on-site medical staff and unclear medical information/communication
    • Reported rude or unhelpful office coordinator/administrative staff
    • Restrictive visiting policies and some unusual bathroom/visitation rules
    • Security concerns reported (theft mentioned by at least one reviewer)
    • Pet policy misrepresentation — not truly pet-friendly according to some families
    • Administrative miscommunication, poor follow-up, and difficult reachability
    • Limited phone access or a single shared phone reported
    • High cost relative to some families' perceived value
    • Reports of residents isolated, bedridden, or “waiting to pass” in some accounts
    • COVID restrictions and reported coronavirus cases
    • No name tags on staff making identification harder
    • Vitamins requiring doctor prescriptions (inconvenience cited)

    Summary review

    Overall sentiment across the reviews for Sierra Basin Memory Care is mixed but leans positive about the day-to-day caregiving and physical environment while raising consistent operational and administrative concerns. Many reviewers praise the facility as new, clean, bright, and homelike rather than institutional. Positive comments repeatedly highlight personalized, comfortable rooms, apartment climate control, local artwork and seasonal decorations, and thoughtful common areas (multiple sitting rooms, lounges, and a movie area). Numerous families and visitors emphasize the warmth of the caregiving staff — describing them as attentive, affectionate, patient, and in many cases becoming like family — and credit staff with providing calm, compassionate support during difficult transitions. Several reviews specifically call out the admissions and transition support as informative and non‑pressured, and multiple people recommend the facility based largely on staff quality and the memory-care focus.

    Care quality receives generally favorable marks from many reviewers: staff are described as gentle in redirection, good at calming anxious residents, and engaged in personal interactions (puzzles, music, crafts). Reviewers often cite a reliable routine for meals and showers and point to activities such as manicures, crafts, sing‑alongs, outdoor walks, movies, karaoke, and puzzles that keep residents engaged. Some families report above-average food and reasonable dietary accommodations, plus conveniences like laundry service and snacks in the lounge. The facility’s security features (controlled entry, escorts to elevators) and cleanliness are commonly praised, and several reviewers explicitly recommend Sierra Basin for memory-care needs.

    However, a recurring theme across many reviews is understaffing. Multiple families report lean staffing levels or occasional short‑staffing that affects meal assistance, activity participation, and staff responsiveness. Specific consequences mentioned include delayed or absent assistance at mealtimes, resulting in weight loss for some residents, and periods when residents appear isolated or spent much of their time sitting in front of a TV. In some accounts this contributes to a perception that clinical oversight and direct care can be inconsistent. Alongside this are concerns about medical oversight: a number of reviewers noted an absence of clear medical staff presence or medical information, and one reviewer mentioned that vitamins required a doctor’s prescription, which families found inconvenient.

    Management and administrative communication present a clear pattern of mixed experiences. Several reviews praise individual staff members and say management improved after a leadership change, whereas others describe management or office coordinators as curt, unhelpful, or poor communicators. Families reported difficulties reaching administrators, inconsistent follow‑up, and what felt like biased or insensitive responses in some cases. There are also complaints about specific policies — restrictive visiting rules, bathroom policies, limited phone access or a single shared phone — which some families found unnecessarily limiting. A few serious issues were raised by individual reviewers, including a reported theft and claims that the facility’s pet policy was misrepresented; these are isolated but important to investigate during a tour.

    Dining and activities are areas of clear divergence among reviewers. While several families applaud above‑average meals and a range of activities, others report limited dining options, lack of fresh fruit/vegetables, little variety, or poor meal quality. Similarly, some reviewers describe a lively activity program (music, crafts, walks, movies), while others say there are very few activities and residents are left with little stimulation. This inconsistency suggests variability in programming and meal delivery that may depend on staffing levels, scheduling, or differing expectations among families.

    Safety and infection control are mentioned in mixed terms: multiple reviewers appreciated the facility’s efforts to keep residents safe during the COVID pandemic, though some noted strict COVID rules and reported that the facility experienced coronavirus cases. Cleanliness and order are frequently cited as strengths, but one report of theft and other administrative lapses temper the otherwise positive impressions of security.

    Recommendations for prospective families: many reviewers recommend Sierra Basin primarily for the caring, compassionate direct care staff and the pleasant, new facility environment. At the same time, families should go into the tour and decision process with specific questions about staffing ratios, how meal assistance is handled, medical oversight, management accessibility and complaint escalation, the actual pet policy, and how activities are scheduled and staffed. Ask to observe a typical mealtime and an activity period, meet both front‑line caregivers and the current manager, and inquire about recent staffing stability and how the facility handles short‑staffing. Doing so will help reconcile the strong positives around staff compassion, cleanliness, and environment with the real operational and communication concerns raised by multiple reviewers.

    Location

    Map showing location of Sierra Basin Memory Care

    About Sierra Basin Memory Care

    Sierra Basin Memory Care sits in Carson City, NV, and was built in 2019, so everything feels pretty new, with 54 apartments that include private, semi-private, and studio options, all set up for adults aged 55 and older. The whole place is made specifically for people with memory issues like Alzheimer's or dementia, and the team there works around the clock, offering 24/7 care, support, and supervision. The facility's got a strong focus on safety; there are advanced security features, custom-designed bathrooms and common areas, and secure outdoor spaces like a rooftop patio with mountain views, gardens, and safe walking paths, all to help limit confusion or wandering.

    The staff have special training in memory care, and they try to build trust and maintain positive relationships with residents, using a lot of empathy, support, and even a sense of humor when they can. Life at Sierra Basin Memory Care includes personal care aides, medication management, on-site pharmacy services, and physical, occupational, and speech therapies. There are also specialized services for stroke rehab, joint replacement, diabetes care, and even palliative and hospice care, along with help for activities of daily living. Residents can take part in many activities, such as gardening, arts and crafts, music, recreation room games, book clubs, story time, and even pet therapy-though the pet policy doesn't allow pets to live with residents.

    Housekeeping, laundry for linens and dry cleaning, and weekly cleaning all come standard, along with in-house religious services and salon options like onsite haircuts. Meals are served in dining rooms that are easy to move around in, offering three family-style meals a day, plus options for different diets-kosher, vegetarian, low-fat, low-salt, diabetic, and others. Everyone has access to guest meals too, and there's an "Anytime Menu" for more flexibility.

    The community has an activity center, a spa with a hot tub, and cable TV and internet in both private rooms and shared areas. Entertainment centers and outdoor patios with gardens make it easier for residents to relax or socialize, and there's a social events calendar full of activities for a range of interests. Staff regularly review personalized care plans so each person's needs are met as they change, and the programming is built from current research and training from Alzheimer's experts, including Memory Care Circle meetings for residents' families.

    There's a parking area for guests, general transportation available, and the facility offers long-term care, respite care for short stays, and rehabilitation as needed. The facility is licensed by the state, has earned an AHCA Bronze National Quality Award, holds a 5-star CMS rating, and keeps a solid reputation with a community review score averaging 4.1 out of 5 from 24 reviews. The place takes both credit card and check payments and accepts insurance. Privacy, safety, and keeping residents comfortable and engaged are clear priorities, with plenty of ways for families to stay involved in their loved ones' care.

    About PACS Senior Living

    Sierra Basin Memory Care is managed by PACS Senior Living.

    Founded in 2013 and headquartered in Farmington, Utah, PACS Senior Living operates over 30 communities across multiple states. The company provides assisted living, memory care, skilled nursing, and independent living services. PACS elevates senior care by empowering local teams with operational support.

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