Hearthstone
1950 Baring Blvd · Sparks, NV · 89434 · 7756262224
125 certified beds For profit - Limited Liability company Chain: The Ensign Group
- Inspection results have improved across recent cycles.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar; CMS rates its health inspections "much below average". That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.60 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.66 | 0.55–0.75 |
| Weekend hours / resident-day | 3.09 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | 1 · $48,721 |
Inspection citations (59 in the current record)
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Potential for harm · D March 5, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 17, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 5, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 17, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 5, 2026
Respond appropriately to all alleged violations.
Corrected April 17, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 5, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 17, 2026 · Resident Rights
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Potential for harm · D March 5, 2026
Ensure each resident receives an accurate assessment.
Corrected April 17, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 17, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 17, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 17, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
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 April 17, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 17, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
Provide and implement an infection prevention and control program.
Corrected April 17, 2026 · Infection Control
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Potential for harm · D March 3, 2025
Ensure each resident receives an accurate assessment.
Corrected April 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 3, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 3, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 5, 2025 · Quality of Life and Care
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Potential for harm · D March 3, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 5, 2025 · Quality of Life and Care
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Potential for harm · F March 3, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 5, 2025 · Quality of Life and Care
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Potential for harm · D March 3, 2025
Observe each nurse aide's job performance and give regular training.
Corrected April 5, 2025 · Nursing and Physician Services
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Potential for harm · D March 3, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected April 5, 2025 · Quality of Life and Care
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Potential for harm · D March 3, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected April 5, 2025 · Administration
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Potential for harm · D March 3, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 3, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected April 5, 2025 · Administration
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Potential for harm · D March 3, 2025
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected April 5, 2025 · Resident Rights
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Potential for harm · D March 3, 2025
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected April 5, 2025 · Administration
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Potential for harm · D March 3, 2025
Provide training in compliance and ethics.
Corrected April 5, 2025 · Administration
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Potential for harm · D March 3, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 5, 2025 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 16, 2023 | Fine | $48,721 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 295044 · certified since April 6, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.