2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Standing tall among senior living communities in Sparks, Nevada, Hearthstone of Northern Nevada is renowned for exceptional nursing home care. This community is committed to providing superior care to its residents, particularly when they need it the most. Striking an effective balance between clinical outcomes and social well-being, Hearthstone operates under the principle of prioritizing resident needs, all in a homelike atmosphere.
Hearthstone extends an array of essential services, from certified wound care and skilled nursing care to short-term rehabilitation, long-term care, and varying levels of hospice-respite support, demonstrating an effective and inclusive approach to nursing home care. The community also offers cutting-edge nutritional and culinary support, ensuring residents’ wellbeing extends beyond just medical needs. Engaging with residents at their time of need, Hearthstone of Northern Nevada personifies a commitment to care and compassion.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 22nd out of 46 homes in Nevada for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
|
40m per day | ▼ 38% State avg: 1h 4m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
|
59m per day | ▲ 10% State avg: 54m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
|
1h 57m per day | ▼ 18% State avg: 2h 23m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
|
3h 6m per day | ▼ 20% State avg: 3h 51m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
|
6m per day | ▲ 13% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
|
19m per day | ▼ 62% State avg: 51m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
9% fewer staff per resident than Nevada average
0% compared with Nevada average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 13 RN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Assists with medical care and medications.
All 28 LPN Staff are full-time employees. No contractors work on this role.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Helps with daily care and mobility.
All 73 CNA Staff are full-time employees. No contractors work on this role.
73
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 73 | 0 | 73 | 20,083 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 28 | 0 | 28 | 9,580 | 92 | 100% | 9.6 |
| Registered Nurse | 13 | 0 | 13 | 4,587 | 92 | 100% | 9.6 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 1,677 | 66 | 72% | 8.9 |
| Dental Services Staff | 5 | 0 | 5 | 1,561 | 72 | 78% | 7.9 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,287 | 69 | 75% | 7.1 |
| Qualified Social Worker | 4 | 0 | 4 | 1,023 | 68 | 74% | 7.8 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 974 | 71 | 77% | 8.5 |
| Speech Language Pathologist | 2 | 0 | 2 | 798 | 78 | 85% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 585 | 65 | 71% | 9 |
| RN Director of Nursing | 2 | 0 | 2 | 582 | 64 | 70% | 8.9 |
| Physical Therapy Assistant | 4 | 0 | 4 | 581 | 74 | 80% | 6.8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Dietitian | 1 | 0 | 1 | 484 | 67 | 73% | 7.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 386 | 64 | 70% | 6 |
| Administrator | 1 | 0 | 1 | 368 | 46 | 50% | 8 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
130% higher than Nevada average
Nevada average: $34K
42% more fines than Nevada average
Nevada average: 1.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Nevada average
Nevada average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Nov 16, 2023 · $49K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 16, 2023
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.1
In line with Nevada average
Nevada average: 9.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.3
In line with Nevada average
Nevada average: 17.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
13.8%
11% better than Nevada average
Nevada average: 15.6%
Percent of long-stay residents whose ability to move independently worsened
24.5%
18% worse than Nevada average
Nevada average: 20.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.6%
In line with Nevada average
Nevada average: 16.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
25% worse than Nevada average
Nevada average: 2.5%
Percent of long-stay high risk residents with pressure ulcers
2.7%
50% better than Nevada average
Nevada average: 5.5%
Percent of long-stay residents with a urinary tract infection
1.6%
16% worse than Nevada average
Nevada average: 1.4%
Percent of long-stay residents who lose too much weight
6.4%
17% worse than Nevada average
Nevada average: 5.4%
Percent of long-stay residents who have depressive symptoms
5.5%
28% worse than Nevada average
Nevada average: 4.2%
Percent of long-stay residents who received an antipsychotic medication
5.4%
62% better than Nevada average
Nevada average: 14.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
7% better than Nevada average
Nevada average: 91.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.7%
In line with Nevada average
Nevada average: 89.6%
Number of hospitalizations per 1,000 long-stay resident days.
1.30
29% better than Nevada average
Nevada average: 1.82
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.75
17% worse than Nevada average
Nevada average: 1.50
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
69.4%
17% worse than Nevada average
Nevada average: 83.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.2%
90% better than Nevada average
Nevada average: 2.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.1%
11% worse than Nevada average
Nevada average: 80.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.7%
6% worse than Nevada average
Nevada average: 23.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.8%
41% worse than Nevada average
Nevada average: 9.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.4%
47% better than Nevada average
Nevada average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.7%
6% better than Nevada average
Nevada average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
46.0%
9% worse than Nevada average
Nevada average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
39% of new residents, usually for short-term rehab.
60% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
108
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Hearthstone of Northern Nevada from 2012–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #26 / 47Payroll — State benchmarkedThis home is ranked 26th out of 47 homes in Nevada. Shows total annual staff payroll benchmarked to the Nevada average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Nevada that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #11 / 47Payroll % — State benchmarkedThis home is ranked 11th out of 47 homes in Nevada. Shows payroll as a percentage of revenue versus the Nevada average. Well-run Nevada facilities typically land around 47–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Nevada that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (60% of admissions), and a typical private pay stay runs around 25 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.1 miles from city center
Estimated distance in miles from Sparks's city center to Hearthstone of Northern Nevada's address, calculated via Google Maps.
Add your location
The information below is reported by the Nevada Department of Health and Human Services, Bureau of Health Care Quality and Compliance.
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| Wingfield Skilled Nursing And Rehabilitation Center |
NH
|
Sparks (Saddlebrook) |
120
Facility
120
NV AVG
42
Rank
#42 / 321
|
94.2%
Facility
94.2%
NV AVG
81.5%
Rank
#66 / 267
| +16% |
3.77
Facility
3.77
NV AVG
4.03
Rank
#10 / 46
| +3% | -6% |
$75.7k
Facility
$75.7k
NV AVG
$34.1k
Rank
#47 / 48
|
56
Facility
56
NV AVG
36.2
Rank
#39 / 48
|
11.2
Facility
11.2
NV AVG
7.1
Rank
#44 / 48
| 3 | 118 | - |
13
Facility
13
NV AVG
45
Rank
#372 / 414
| - |
$14.2M
Facility
$14.2M
NV AVG
$18.7M
Rank
#22 / 47
|
$7.1M
Facility
$7.1M
NV AVG
$6.3M
Rank
#30 / 47
|
50.2%
Facility
50.2%
NV AVG
34.9%
Rank
#42 / 47
| 295088 | ||||
| Hearthstone of Northern Nevada |
NH
|
Sparks (Baring Boulevard) |
125
Facility
125
NV AVG
42
Rank
#36 / 321
|
91.3%
Facility
91.3%
NV AVG
81.5%
Rank
#75 / 267
| +12% |
3.50
Facility
3.50
NV AVG
4.03
Rank
#22 / 46
| -43% | -13% |
$48.7k
Facility
$48.7k
NV AVG
$34.1k
Rank
#43 / 48
|
72
Facility
72
NV AVG
36.2
Rank
#45 / 48
|
12.0
Facility
12.0
NV AVG
7.1
Rank
#45 / 48
| 3 | 112 | - |
40
Facility
40
NV AVG
45
Rank
#254 / 414
| - |
$8.5M
Facility
$8.5M
NV AVG
$18.7M
Rank
#33 / 47
|
$4.4M
Facility
$4.4M
NV AVG
$6.3M
Rank
#26 / 47
|
51.2%
Facility
51.2%
NV AVG
34.9%
Rank
#11 / 47
| 295044 |
Hearthstone of Northern Nevada is located in Sparks, Nevada.
Here are the financial assistance programs available to residents in Nevada.
Hearthstone of Northern Nevada is in the Baring Boulevard neighborhood.
Hearthstone of Northern Nevada has a walk score of 40. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Hearthstone of Northern Nevada's occupancy is 91.3%.
Hearthstone of Northern Nevada is registered as a for-profit.
Yes — there are 35 photos of Hearthstone of Northern Nevada in the photo gallery on this page.
Hearthstone of Northern Nevada is located at 1950 Baring Blvd, Sparks, NV 89434.
(775) 626-2224 will put you in contact with the team at Hearthstone of Northern Nevada.
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