Hearthstone Health and Rehabilitation
Nursing Home · Sparks, NV
CMS certification number295044
Contact & location
1950 Baring BlvdSparks, NV 89434
Washoe County
- Phone
- (775) 626-2224
- ZIP code
- 89434 – all care providers
Facility details
- Certified beds
- 125
- Residents per day
- 109.9 (88% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Truckee Meadows Healthcare, INC.
- Chain
- The Ensign Group (342 facilities, avg 3.2★)
- Medicare certified since
- April 6, 1989
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.81 (state 4.30 · U.S. 3.86)
- Registered nurses (RN)
- 0.70 (state 1.09 · U.S. 0.69)
- Licensed practical nurses
- 1.00 (state 0.84 · U.S. 0.86)
- Nurse aides
- 2.11 (state 2.37 · U.S. 2.32)
- Weekend total
- 3.25 (state 3.83 · U.S. 3.42)
- Nursing staff turnover
- 34.7 (state 45.1 · U.S. 45.8)%
- RN turnover
- 23.1 (state 43.4 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- March 5, 2026
- Health deficiencies (last cycle)
- 11.0 (state 9.6 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 52 health · 28 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-05 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-03-05 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-03-05 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-03-05 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-03-05 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-03-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-03-05 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-03-05 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-03-05 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-03-05 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-03-05 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2025-03-03 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-05 |
| 2025-03-03 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-05 |
| 2025-03-03 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-05 |
| 2025-03-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-05 |
| 2025-03-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-05 |
| 2025-03-03 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-05 |
| 2025-03-03 | Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-05 |
| 2025-03-03 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-05 |
| 2025-03-03 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-05 |
| 2025-03-03 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-05 |
| 2025-03-03 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-05 |
| 2025-03-03 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. F0942 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-05 |
| 2025-03-03 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-05 |
| 2025-03-03 | Provide training in compliance and ethics. F0946 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-05 |
| 2025-03-03 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2025-04-05 |
| 2024-03-25 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | 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. F0726 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | 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. F0625 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | 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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-03-25 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. F0940 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $48,721 in fines.
| Date | Type | Amount |
|---|---|---|
| 2023-11-16 | Fine | $48,721 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Milestone Healthcare LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Magluilo, Susan (individual) | Administrator · NOT APPLICABLE | |
| Miller, Denver (individual) | Administrator · NOT APPLICABLE | |
| Farnsworth, Stephen (individual) | Corporate Director · NOT APPLICABLE | |
| Burnam, Soon (individual) | Corporate Officer · NOT APPLICABLE | |
| Fitch, Craig (individual) | Corporate Officer · NOT APPLICABLE | |
| Hoopes, Tyler (individual) | Corporate Officer · NOT APPLICABLE | |
| Sato, Ami (individual) | Corporate Officer · NOT APPLICABLE | |
| Magluilo, Susan (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Hearthstone Health and Rehabilitation?
Hearthstone Health and Rehabilitation has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Nevada.
How many beds does Hearthstone Health and Rehabilitation have?
It has 125 certified beds and cares for about 110 residents per day.
Has Hearthstone Health and Rehabilitation been fined?
Yes. CMS lists 1 penalty totaling $48,721 in the last three years.
Who owns Hearthstone Health and Rehabilitation?
It is part of The Ensign Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Hearthstone Health and Rehabilitation?
(775) 626-2224. The facility is located at 1950 Baring Blvd, Sparks, NV 89434.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.