NeuroRestorative Reno: Sleep Disorder Resident Kept Awake - NV
The resident who lived next to that door had a diagnosed circadian rhythm sleep disorder and an unspecified sleep disorder. The resident had told the facility about the problem in December 2024, filing a formal grievance. By the time federal inspectors arrived on February 19, 2025, two months had passed. The door still slammed. The grievance had not been resolved.
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See the Derila Pillow"The resident verbalized the facility had yet to address the resident's grievance," the inspection report states.
The following afternoon, on February 20, the resident told inspectors the same thing a second time: woken up every night, door slamming, no fix. The resident described how difficult it had been to sleep through the night given the noise and the sleep disorders.
The Director of Nursing confirmed that afternoon that staff regularly used the door next to the resident's room as an exit from the facility.
Then the Administrator walked over to the door in the 200 Hall and let it close on its own. The Administrator confirmed it closed hard and was loud enough to wake residents in the hall. The Administrator also told inspectors it was the first time they had been made aware the door was a noise concern for any resident.
That statement is difficult to square with the December grievance. A resident formally complained about the door two months before the inspection. The Director of Nursing knew staff used that door. Yet the Administrator said they were hearing about it for the first time on February 20.
The inspection report does not explain how the grievance was handled, who received it, or whether anyone reviewed it before inspectors arrived. What it documents is the outcome: a resident with diagnosed sleep disorders, living next to a door that the facility's own administrator acknowledged was loud enough to wake people up, who filed a formal complaint and waited two months without a response.
NeuroRestorative Reno, operated by CareMeridian LLC, serves residents who require treatment and support for daily living. The facility is located on Lake Placid Drive in Reno.
Inspectors also reviewed the facility's written policies. The policy on resident rooms, last revised in September 2019, contained no language addressing environmental noise or other considerations for residents' living environment. When asked what policies the facility had related to a homelike environment, the Administrator said that resident room policy was the only one.
The deficiency was cited under the standard requiring facilities to provide a comfortable, homelike environment. CMS classified the level of harm as minimal harm or potential for actual harm.
The classification captures the regulatory category. It does not capture what the resident described: woken up several times a night, every night, for at least two months, while living with a disorder that already disrupts the body's ability to maintain a normal sleep cycle.
Circadian rhythm sleep disorder, free running type, is a condition in which the body's internal clock fails to synchronize with a standard 24-hour cycle. People with the disorder often struggle to fall asleep and stay asleep under ordinary conditions. Repeated nighttime disruptions compound that difficulty.
The inspection report does not say whether the door was fixed after the administrator tested it on February 20. It does not say whether the resident's sleep improved. It records what inspectors found on the days they were present: a grievance filed in December, a door that slammed, and a resident who was still being woken up every night when February arrived.
The resident told inspectors the same thing on two separate days. The answer, both times, was the same.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Caremeridian LLC, Dba Neurorestorative from 2025-02-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 14, 2026 · Our methodology
CAREMERIDIAN LLC, DBA NEURORESTORATIVE in RENO, NV was cited for violations during a health inspection on February 21, 2025.
The resident who lived next to that door had a diagnosed circadian rhythm sleep disorder and an unspecified sleep disorder.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.