Federal inspection record · CMS data as of October 1, 2026
Hearthstone Health And Rehabilitation
1950 Baring Blvd, Sparks, NV · (775) 626-2224
- Certified beds
- 125
- Residents per day
- 110
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 6, 1989
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nevada.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nevada homes
Hearthstone Health And Rehabilitation carries 81.75 inspection points. That is fewer than 14% of Nevada's 65 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nevada: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–16 pts
- 4★ 16–29 pts
- 3★ 29–46 pts
- 2★ 46–74 pts
- 1★ over 74 pts
Bars show every rated home in Nevada by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
59 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care13F
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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
Provide safe and appropriate respiratory care for a resident when needed.
- F
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Honor each resident's preferences, choices, values and beliefs.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning12E
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights9F
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
- F
Ensure that residents are fully informed and understand their health status, care and treatments.
- F
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Keep residents' personal and medical records private and confidential.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Administration6F
- D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- D
Have a plan that describes the process for conducting QAPI and QAA activities.
- D
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- D
Provide training in compliance and ethics.
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- D
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Freedom from Abuse, Neglect, and Exploitation5D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Nursing and Physician Services4F
- D
Observe each nurse aide's job performance and give regular training.
- C
Post nurse staffing information every day.
- F
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.
- C
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Infection Control3F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nutrition and Dietary3F
- F
Dispose of garbage and refuse properly.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service3D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
Inspection history
2026-03-05
11 health deficiencies · 15 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2025-03-03
15 health deficiencies · 4 fire-safety deficiencies
Top issue: Administration (4 deficiencies)
2024-03-25
33 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 36 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
3 h 36 min
Nevada average
4 h 20 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 29% of nursing staff and 31% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$48,721 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2023-11-16 | Fine | $48,721 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.3 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 0.9 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.1 pts better | 98.8% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine10.7 pts worse | 82.1% | 92.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts better | 1.8% | 1.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.5 pts worse | 6.5% | 5.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts better | 3.9% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.6 pts worse | 22.5% | 21.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication14.1 pts better | 3.0% | 17.1% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.4 pts worse | 17.8% | 12.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.9 pts better | 6.6% | 12.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.1 pts better | 0.3% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 1.2% | 1.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.6 pts worse | 16.1% | 15.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts better | 3.1% | 5.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.7 pts worse | 72.3% | 85.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.6 pts worse | 13.7% | 9.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better | 0.4% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.8 pts worse | 66.7% | 82.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.2 pts worse | 30.1% | 21.9% | 23.4% |
·
Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Milestone Healthcare LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 5 facilities |
| Burnam, Soon | Corporate Officer · Individual | 0% | 353 facilities |
| Farnsworth, Stephen | Corporate Director · Individual | 0% | 38 facilities |
| Fitch, Craig | Corporate Officer · Individual | 0% | 9 facilities |
| Hoopes, Tyler | Corporate Officer · Individual | 0% | 3 facilities |
| Magluilo, Susan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Magluilo, Susan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Miller, Denver | Adp Of The SNF · Individual | 0% | 2 facilities |
| Sato, Ami | Corporate Officer · Individual | 0% | 151 facilities |
·
Fire safety
28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness9F
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures for medical documentation.
- F
List the names and contact information of those in the facility.
- F
Establish methods for sharing information.
- F
Provide a means of sharing information on occupancy/needs.
- F
Provide family notifications of emergency plan.
- E
Conduct testing and exercise requirements.
- D
Establish emergency prep training and testing.
- D
Establish staff and initial training requirements.
Smoke9E
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- C
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- C
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Install a fire alarm system that can be heard throughout the facility.
- E
Install corridor and hallway doors that block smoke.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems4E
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
- E
Ensure proper usage of power strips and extension cords.
- D
Ensure proper usage of power strips and extension cords.
Services3E
- E
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
Miscellaneous2E
- E
Have simulated fire drills held at unexpected times.
- D
Have simulated fire drills held at unexpected times.
Egress1D
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
·
Other homes nearby
-
Northern Nevada State Veterans Home
Sparks, NV · Health Dimensions Group · Abuse icon
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 29 min
- Fines
- $0
-
★★★★★
- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 1 min
- Fines
- $75,670
-
Rosewood Rehabilitation Center
Reno, NV · The Ensign Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 25 min
- Fines
- $0