Hearthstone Health and RehabilitationCMS ratings, inspections and fines
- Address
- 1950 Baring Blvd, Sparks, NV 89434
- CCN
- 295044
- Ownership type
- For-profit, limited liability company
- Certified beds
- 125
- Chain
- The Ensign Group
- Residents per day
- 110
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Hearthstone Health and Rehabilitation an overall rating of 1 of 5 stars. The last standard survey was on 5 Mar 2026. The latest survey cycle has 11 health citations. The median for nursing homes in Nevada is 8. CMS lists 1 fine of $48,721 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Washoe County median | Nevada median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 9 homes in the county, 66 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Nevada median |
|---|---|---|---|
| Cycle 1 (latest) | 5 Mar 2026 | 11 | 8 |
| Cycle 2 | 3 Mar 2025 | 15 | 10 |
| Cycle 3 | No date | 33 | 11 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 17 Apr 2026 |
| 5 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 17 Apr 2026 |
| 5 Mar 2026 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 17 Apr 2026 |
| 5 Mar 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 17 Apr 2026 |
| 5 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 17 Apr 2026 |
| 5 Mar 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 17 Apr 2026 |
| 5 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 17 Apr 2026 |
| 5 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 17 Apr 2026 |
| 5 Mar 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 17 Apr 2026 |
| 5 Mar 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 17 Apr 2026 |
| 5 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Apr 2026 |
Survey cycle 2: 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 5 Apr 2025 |
| 3 Mar 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 5 Apr 2025 |
| 3 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 5 Apr 2025 |
| 3 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 5 Apr 2025 |
| 3 Mar 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 5 Apr 2025 |
| 3 Mar 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | F | Standard survey | 5 Apr 2025 |
| 3 Mar 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 5 Apr 2025 |
| 3 Mar 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 5 Apr 2025 |
| 3 Mar 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 5 Apr 2025 |
| 3 Mar 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Standard survey | 5 Apr 2025 |
| 3 Mar 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 5 Apr 2025 |
| 3 Mar 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard survey | 5 Apr 2025 |
| 3 Mar 2025 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | Standard survey | 5 Apr 2025 |
| 3 Mar 2025 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Standard survey | 5 Apr 2025 |
| 3 Mar 2025 | F0946 | Provide training in compliance and ethics. | D | Standard survey | 5 Apr 2025 |
Survey cycle 3: 33 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Mar 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | F | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | F | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 30 Apr 2024 |
| 25 Mar 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 30 Apr 2024 |
| 25 Mar 2024 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Standard survey | 30 Apr 2024 |
| 24 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 5 Feb 2024 |
| 16 Nov 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 22 Dec 2023 |
| 16 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 22 Dec 2023 |
| 16 Nov 2023 | F0675 | Honor each resident's preferences, choices, values and beliefs. | E | Complaint investigation | 22 Dec 2023 |
| 16 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 8 Jan 2024 |
| 16 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 Dec 2023 |
| 16 Nov 2023 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | C | Complaint investigation | 22 Dec 2023 |
| 16 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 22 Dec 2023 |
| 16 Nov 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 22 Dec 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 16 Nov 2023 | Fine | $48,721 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Nevada median | Nevada average (CMS) |
|---|---|---|---|
| All nurse staff | 3.81 | 3.90 | 4.30 |
| Registered nurses (RN) | 0.70 | 0.90 | 1.09 |
| Licensed practical nurses (LPN) | 1.00 | 0.84 | |
| Nurse aides | 2.11 | 2.37 | |
| All nurse staff, weekends | 3.25 | 3.50 | 3.83 |
- Nurse staff turnover in a year
- 34.7%
- Nurse staff turnover, Nevada median
- 45.1%
- RN turnover in a year
- 23.1%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Nevada median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.3% | 12.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.2% | 1.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.0% | 13.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.1% | 4.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.8% | 14.6% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Truckee Meadows Healthcare, Inc.
- Chain
- The Ensign Group (342 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Milestone Healthcare LLC | 5% or greater direct ownership interest | 100% | 20 Oct 2023 |
The site shows organisations only. It does not show the names of persons.
Other homes in Washoe County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Northern Nevada State Veterans Home | Sparks | 4 of 5 | 9 | $0 | 2 Apr 2026 | |
| Wingfield Skilled Nursing and Rehabilitation Cente | Sparks | 2 of 5 | 10 | $75,670 | 12 Feb 2026 | |
| Rosewood Rehabilitation Center | Reno | 1 of 5 | 23 | $0 | 11 Dec 2025 | |
| Advanced Health Care of Reno | Reno | 5 of 5 | 7 | $0 | 20 Nov 2025 | |
| Caremeridian LLC, DBA NeurorestorativeSpecial Focus candidate | Reno | 1 of 5 | 22 | $68,738 | 7 May 2026 | |
| Alpine Skilled Nursing and Rehabilitation Center | Reno | 2 of 5 | 9 | $0 | 2 Apr 2026 | |
| Alta Skilled Nursing and Rehabilitation Center | Reno | 2 of 5 | 13 | $0 | 25 Jun 2026 | |
| Life Care Center of RenoSpecial Focus candidate | Reno | 1 of 5 | 26 | $0 | 1 Jul 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Hearthstone Health and Rehabilitation (CCN 295044). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/hearthstone-health-and-rehabilitation-sparks-nv-295044/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Hearthstone Health and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 5 Mar 2026. It was a standard survey. It gave 11 citations. The standard survey before the last one was on 3 Mar 2025.
- Who operates Hearthstone Health and Rehabilitation?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain The Ensign Group. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Hearthstone Health and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Nevada as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.