VA Sierra Nevada Health Care System

The VA Sierra Nevada Health Care System, located at 975 Kirman Avenue in Reno, NV, is dedicated to providing comprehensive and patient-centered care to Veterans. We offer a wide range of services, including primary care, mental health support, specialty medicine, and geriatrics, all delivered by experienced and compassionate health care teams. Our facilities include hospital beds, community living centers, and outpatient clinics, ensuring accessible care for Veterans across Northern Nevada and Northeastern California. We are committed to empowering Veterans to take charge of their health and well-being through our whole health approach, which includes self-care, complementary therapies, and conventional medical care. Manage your health online and discover the quality care you deserve at the VA Sierra Nevada Health Care System.

Identifiers

Hospital Name VA Sierra Nevada Health Care System
Facility ID 29002F

Location

Address 975 KIRMAN AVENUE
City/Town Reno
State NV
ZIP Code 89502
County/Parish WASHOE

Health System

Health System Department of Veterans Affairs
Health System Website Domain VA.gov
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 128
Health System Total Beds 73968
Health System Hospital Locations Alabama, Arkansas, Arizona, California, Colorado, Connecticut, NA, Delaware, Florida, Georgia, Iowa, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maryland, Maine, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Jersey, New Mexico, Nevada, New York, Ohio, Oklahoma, Oregon, Pennsylvania, NA, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Vermont, Washington, Wisconsin, West Virginia and Wyoming

Ownership & Characteristics

Hospital Type Acute Care - Veterans Administration
Hospital Ownership Veterans Health Administration
Ownership Details Department of Veterans Affairs
Emergency Services Yes

Thomas Talamante

Executive Director

Mr. Thomas Talamante was appointed Executive Director of the VA Sierra Nevada Health Care System (VASNHCS) on July 28, 2024. In this role, he oversees an operating budget of $553M and leads over 1,800 employees. VASNHCS provides care management and oversite of 69 acute inpatient beds offering comprehensive medical, surgical, and behavioral health care, along with skilled nursing and rehabilitation services in a 60-bed Community Living Center. The health care system encompasses six community-based outpatient clinics located in Gardnerville, NV; Fallon, NV; Winnemucca, NV; Susanville, CA; and east and north Reno, which account for 20 counties in northern Nevada and northeastern California and approximately 100,000 Veterans. VASNHCS is proud of their strong academic partnership with the University of Nevada-Reno School of Medicine. Mr. Talamante began his service at VASNHCS beginning in December of 2023 when he was selected as the Interim Director. Prior to that, he served as Deputy Director of the VA Eastern Colorado Health Care System in Aurora, CO. Mr. Talamante began his VA career in 2009, at the VA San Diego Healthcare System and has served in a broad range of leadership positions across multiple VA health care systems. Mr. Talamante graduated from San Diego State University with a Bachelor of Arts degree in Political Science and from National University in San Diego, California with a Master of Science in Organizational Leadership. Additionally, he holds a Master of Business Administration from University of Northern Colorado in Greeley, Colorado. Mr. Talamante is a certified Lean Six Sigma Black Belt and is an active member of the American College of Healthcare Executives (ACHE). He is a graduate of the VHA Executive Management Fellowship Program and the Excellence in Government Fellows Program. Mr. Talamante is a United States Marine Corps combat Veteran who served in various leadership roles in support of.

Jack Smith

Associate Director

NA

Joy Chesnut MD

Chief of Staff

NA

Lori Rawson MD

Deputy Chief of Staff

NA

Cami Strouse MSN

Associate Director Patient Care Services

NA

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs No
Pediatric Residency Program No

Capacity & Services

Licensed Beds 204

Staffing & Personnel

FTE Employees on Payroll NA
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) NA
Inpatient Days (Title XIX) NA
Total Inpatient Days NA
Bed Count NA
Available Bed Days NA
Discharges (Title V) NA
Discharges (Title XVIII) NA
Discharges (Title XIX) NA
Total Discharges NA

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) NA
Inpatient Days (Title XIX; Adults & Peds) NA
Total Inpatient Days (Adults & Peds) NA
Bed Count (Adults & Peds) NA
Available Bed Days (Adults & Peds) NA
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) NA
Discharges (Title XIX; Adults & Peds) NA
Total Discharges (Adults & Peds) NA

Quality Summary

Care Quality Stengths High overall patient satisfaction.
Care Quality Concerns

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 77%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients No Different Than National Average
Mortality Group – Death Rate for Heart Attack Patients No Different Than National Average
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients Better Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate No Different Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate No Different Than National Average
Mortality Group – Postoperative Wound Dehiscence Rate No Different Than National Average
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) NA

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients -7.5
Readmission Score Hospital Return Days for Heart Failure Patients -13.7
Readmission Score Hospital Return Days for Pneumonia Patients -4.4
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Not Available
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Not Available
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 13
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 17.2
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 18.8
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.3
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.6
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16
Readmission Group Hospital Return Days for Heart Attack Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Not Available
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Not Available
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement No Different Than the National Rate
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) NA
CAUTI SIR (Standardized Infection Ratio) NA
SSI SIR (Standardized Infection Ratio) NA
CDI SIR (Standardized Infection Ratio) NA
MRSA SIR (Standardized Infection Ratio) NA

Fiscal Period

Fiscal Year Begin NA
Fiscal Year End NA

Charity & Uncompensated Care ($ thousands)

Charity Care Cost
Bad Debt Expense
Uncompensated Care Cost
Total Uncompensated Care

Operating Expenses ($ thousands)

Total Salaries
Overhead Expenses (Non-Salary)
Depreciation Expense
Total Operating Costs

Charges ($ thousands)

Inpatient Charges
Outpatient Charges
Total Patient Charges

Wage-Related Details ($ thousands)

Core Wage Costs
Wage Costs (RHC/FQHC)
Adjusted Salaries
Contract Labor (Patient Care)
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances
Short-Term Investments
Notes Receivable
Accounts Receivable
Allowance for Doubtful Accounts
Inventory
Prepaid Expenses
Other Current Assets
Total Current Assets

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value
Building Value
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets
Total Other Assets
Total Assets

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable
Salaries & Wages Payable
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities
Total Current Liabilities

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities
Total Liabilities

Balance Sheet – Equity ($ thousands)

General Fund Balance
Total Fund Balances
Total Liabilities & Equity

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)
DRG (Post-Oct 1)
Outlier Payments
DSH Adjustment
Eligible DSH %
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue
Outpatient Revenue
Total Patient Revenue
Contractual Allowances & Discounts
Net Patient Revenue
Total Operating Expenses
Net Service Income
Other Income
Total Income
Other Expenses
Net Income

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio
Net Medicaid Revenue
Medicaid Charges
Net CHIP Revenue
CHIP Charges

EHR Information

EHR VistA/CPRS
EHR Version VistA/CPRS
EHR is Changing No

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No