Nursing HomeInspections

Hearthstone Health and Rehabilitation

Nursing home in Sparks, NV

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
1950 Baring Blvd, Sparks, NV 89434
Phone
(775) 626-2224
Listed under
For-profit
Medicare CCN
295044
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
125
Average residents per day
110
Ownership
For-profit, limited Liability company
Legal business name
Truckee Meadows Healthcare, INC.
Chain
The Ensign Group (347 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 6, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 295044. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Mar 5, 2026. CMS lists 59 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 16, 2023 to Mar 5, 2026): 11 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Mar 5, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Mar 5, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Mar 5, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Mar 5, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 5, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 5, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		E
Potential for more than minimal harm, pattern
Mar 3, 2025Post nurse staffing information every day.
Nursing and Physician Services		C
Potential for minimal harm, widespread

Showing the 12 most recent of 59. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $48,721 in the last three years.

Nov 16, 2023Fine: $48,721

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.60 hours
Registered nurse (RN) time per resident per day
0.63 hours
Nurse aide time per resident per day
1.96 hours
Total nurse staffing on weekends
3.17 hours
Nursing staff turnover (yearly)
29%
RN turnover (yearly)
31%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Sparks

Northern Nevada State Veterans Home36 Battleborn Way · Sparks, NV 89431 · (763) 537-5700 · For-profit49 health citations in 3 inspection cycles · last standard inspection Apr 2, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)CMS abuse icon
Wingfield Skilled Nursing and Rehabilitation Cente2350 Wingfield Hills Rd · Sparks, NV 89436 · (775) 335-8275 · For-profit42 health citations in 3 inspection cycles · last standard inspection Feb 12, 2026 · $75,670 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

All 3 in Sparks →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error