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Data / Nursing homes / Nevada / Hearthstone Health and Rehabilitation

Hearthstone Health and Rehabilitation, Sparks, NV: 2 star rating, fined $48,721 across 1 fine

Hearthstone Health and Rehabilitation in Sparks, NV is owned by Milestone Healthcare LLC, is rated 2 of 5 stars by Medicare, and was fined $48,721 across 1 fine in the three years to October 1, 2026. CMS lists 59 health citations from inspections in that time, the latest survey on March 5, 2026, and 1 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Nevada
Address
1950 Baring Blvd, Sparks, NV 89434
Overall rating
2 of 5 stars
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measure rating
5 of 5
Certified beds
125
Residents per day
110 on average
Ownership type
For profit, limited liability company
Legal business name
Truckee Meadows Healthcare, Inc.
Chain
The Ensign Group, 347 facilities
Fines
$48,721 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
59, of which 1 with actual harm or immediate jeopardy
Latest survey
March 5, 2026
CMS Certification Number
295044
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
November 16, 2023Fine$48,721Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
March 5, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
March 5, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
March 5, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
March 5, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
March 5, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
March 5, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
March 5, 2026F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
March 5, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
March 5, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
March 5, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
March 5, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
March 3, 2025F946Provide training in compliance and ethics.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 5, 2025data.cms.gov
March 3, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 5, 2025data.cms.gov
March 3, 2025F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 5, 2025data.cms.gov
March 3, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 5, 2025data.cms.gov
March 3, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 5, 2025data.cms.gov
March 3, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 5, 2025data.cms.gov
March 3, 2025F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 5, 2025data.cms.gov
March 3, 2025F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedApril 5, 2025data.cms.gov
March 3, 2025F730Observe each nurse aide's job performance and give regular training.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 5, 2025data.cms.gov
March 3, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 5, 2025data.cms.gov
March 3, 2025F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 5, 2025data.cms.gov
March 3, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 5, 2025data.cms.gov
March 3, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 5, 2025data.cms.gov
March 3, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 5, 2025data.cms.gov
March 3, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 5, 2025data.cms.gov
March 25, 2024F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F814Dispose of garbage and refuse properly.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F761Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F726Ensure 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: widespread, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F688Provide 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: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F625Notify 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: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
March 25, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
January 24, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 5, 2024data.cms.gov
November 16, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J: isolated, immediate jeopardyCorrectedJanuary 8, 2024data.cms.gov
November 16, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2023data.cms.gov
November 16, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2023data.cms.gov
November 16, 2023F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.C: widespread, minimal harm potentialCorrectedDecember 22, 2023data.cms.gov
November 16, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2023data.cms.gov
November 16, 2023F675Honor each resident's preferences, choices, values and beliefs.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2023data.cms.gov
November 16, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2023data.cms.gov
November 16, 2023F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 8 individual or personal trusts (1 managers, 5 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Milestone Healthcare LLCDirect owner100%October 20, 2023data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.