Nursing homeFAID #7728
Hearthstone Health and Rehabilitation
★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare
Photo via Google · Hearthstone Health & Rehab
Public record summary
What we can show you for free.
Bed capacity
125
CMS facility ID
295044
Care type
Nursing home
County
Washoe
Facility name
Hearthstone Health and Rehabilitation
Street address
1950 BARING BLVD
City / state / ZIP
Sparks, NV 89434
Phone
(775) 626-2224
Website
About this facility — Hearthstone Health and Rehabilitation
Hearthstone Health and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Sparks, Nevada. It is licensed for 125 beds — above the median for skilled nursing facilities in Nevada (102 beds).
It is one of 20 senior care facilities in Sparks and 66 skilled nursing facilities across Nevada. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Hearthstone Health and Rehabilitation 87 times across 10 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $48,721 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
The Ensign Group
Ownership type
For profit - Limited Liability company
Registered owners & officers
Milestone Healthcare Llc
Direct owner — 100% stake — since 2023
Burnam, Soon
Officer — since 2023
Farnsworth, Stephen
Director — since 2024
Fitch, Craig
Officer — since 2023
Hoopes, Tyler
Officer — since 2024
Magluilo, Susan
Operational control · Additional disclosable party — since 2024
Miller, Denver
Additional disclosable party — since 2025
Sato, Ami
Officer — since 2024
Regulatory standing
Federal court records
11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1989-04-06
CMS overall rating
1 of 5 stars
Health deficiencies
11 at the last standard inspection
Federal fines
$48,721 total
Last standard inspection
2026-03-05
Nurse staffing
3.8 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$387 per day (≈ $11,760/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
72% Medicaid · 13% Medicare · 16% private/other
Occupancy
91% (fiscal year 2023)
Vs. state median
29% below the NV median of $547/day — full state cost breakdown
Services & coverage
Licensed beds
125
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Monday: 8:30 AM – 5:00 PM · Tuesday: 8:30 AM – 5:00 PM · Wednesday: 8:30 AM – 5:00 PM · Thursday: 8:30 AM – 5:00 PM · Friday: 8:30 AM – 5:00 PM · Saturday: Closed · Sunday: Closed
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-05Health inspection11 citations
F-0600
D · No harm found
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-04-17
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-04-17
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2026-04-17
F-0628
E · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-04-17
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-04-17
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-04-17
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-04-17
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-04-17
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-04-17
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-04-17
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-04-17
2025-03-03Health inspectionComplaint-triggered15 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-05
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-04-05
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-05
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-05
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-04-05
F-0698
F · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-04-05
F-0730
D · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2025-04-05
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2025-04-05
F-0740
D · No harm found
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-04-05
F-0835
D · No harm found
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-04-05
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-05
F-0865
D · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-04-05
F-0942
D · No harm found
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected 2025-04-05
F-0944
D · No harm found
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2025-04-05
F-0946
D · No harm found
Provide training in compliance and ethics.
Corrected 2025-04-05
6 earlier / fire-safety inspections (61 citations)
2024-03-25Health inspectionComplaint-triggered24 citations
F-0552
F · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-04-30
F-0561
F · No harm found
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-04-30
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2024-04-30
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-04-30
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-04-30
F-0625
D · No harm found
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.
Corrected 2024-04-30
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-04-30
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-04-30
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-30
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-30
F-0688
D · No harm found
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.
Corrected 2024-04-30
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-04-30
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-04-30
F-0726
F · No harm found
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.
Corrected 2024-04-30
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-04-30
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-04-30
F-0761
D · No harm found
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.
Corrected 2024-04-30
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-04-30
F-0814
F · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2024-04-30
F-0835
F · No harm found
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-04-30
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-04-30
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-04-30
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-04-30
F-0940
D · No harm found
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2024-04-30
2024-01-24Health inspectionComplaint-triggered1 citation
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-05
2023-11-16Health inspectionComplaint-triggered8 citations
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-12-22
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-12-22
F-0675
E · No harm foundFrom a complaint
Honor each resident's preferences, choices, values and beliefs.
Corrected 2023-12-22
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-08
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-22
F-0712
C · No harm foundFrom a complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2023-12-22
F-0812
D · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-22
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-12-22
2026-03-05Fire-safety inspection15 citations
E-0018
F · No harm found
Establish procedures for tracking staff and patients during an emergency.
Corrected 2026-04-17
E-0023
F · No harm found
Establish policies and procedures for medical documentation.
Corrected 2026-04-17
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2026-04-17
E-0033
F · No harm found
Establish methods for sharing information.
Corrected 2026-04-17
E-0034
F · No harm found
Provide a means of sharing information on occupancy/needs.
Corrected 2026-04-17
E-0035
F · No harm found
Provide family notifications of emergency plan.
Corrected 2026-04-26
K-0222
D · No harm found
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.
Corrected 2026-04-25
K-0346
C · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2026-04-25
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-04-25
K-0354
C · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2026-04-25
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2026-04-25
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2026-04-25
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-05-15
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-04-25
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2026-04-25
2025-03-03Fire-safety inspection4 citations
K-0341
E · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-04-05
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-04-05
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-05
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-05
2024-03-25Fire-safety inspection9 citations
E-0036
D · No harm found
Establish emergency prep training and testing.
Corrected 2024-04-30
E-0037
D · No harm found
Establish staff and initial training requirements.
Corrected 2024-04-30
E-0039
E · No harm found
Conduct testing and exercise requirements.
Corrected 2024-04-30
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-04-30
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-30
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-04-30
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-04-30
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-04-30
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-30
Federal penalties
2023-11-16Fine$48,721
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 295044.
Visitor reviews
What people say on Google.
3.5★★★★★29 ratings on Google
★★★★★Gidget Collins · 2026-04-14 · via Google“My husband is the patient and he's gotten good care. Their nurses are well trained and when his condition became serious they knew exactly what to do and I watched them immediately become a team for his best health care. Everyone is friendly and I enjoy the company. Meals are good and we enjoy the activities plus sitting in the patio. Wonderful physical therapy staff plus if I ever have questi…”
★★★★★Kristi Littleton · 2026-06-08 · via Google“When my 92 year-old father was being discharged from Northern Nevada Medical Center, my family and I needed to find a rehabilitation facility so my father could gain enough strength to go home. I am so grateful to Keriann and the entire staff at Hearthstone for taking care of my father and working with him to build up his strength. I truly appreciate the physical therapy staff and again want to th…”
★★★★★Kelley Johnson · 2026-05-11 · via Google“Well, this team is so caring, professional and dynamic that we have three loved ones who call it home! Over the past few years we have had such amazing connections with the loving and personable staff of nurses/administrators/food service/transportation/maintenance and all the team 💖. The medical care and therapy has been so specific and exceptional! ❤️🩹 We couldn’t be more pleased!”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 87 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered