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Hearthstone
CMS overall rating Info 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.
Aerial view of the Hearthstone facility entrance Exterior view of a senior living facility with gardens. Entrance of Hearthstone assisted living facility Exterior view of Hearthstone facility with landscaped area Aerial view of Hearthstone facility and surrounding area Signage for Hearthstone Skilled Medical and Rehabilitation Center Welcoming lobby area with comfortable seating Cozy common area with chairs and fireplace Private resident room with a hospital bed and chair Outdoor courtyard with seating and trees Common area with seating and large windows Bright common area with red table covers and flower arrangements Interior view of exercise equipment in a therapy room Interior view of a rehabilitation gym with equipment Private resident room with basic furnishings and lighting Interior view of a common area with a reception desk Interior common area with tables set for an event Interior view of a common area with seating Interior view of a fitness area with equipment Staff members posing in a therapy room Residents and staff engaged in a card game in a common area Group photo of staff members in the lobby A staff member assisting a resident in a therapy exercise area Staff members smiling at the reception desk Staff member posing with a resident in a common area A staff member with a resident and a dog in an activity room A group of staff posing together inside the facility

Hearthstone

CMS overall rating Info 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.
1950 Baring Boulevard, Sparks, NV 89434 View map Calculator: See prices in your area
Hearthstone accepts Medicare, Medicaid, and private pay.
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Hearthstone accepts Medicare, Medicaid, and private pay.

Overview of Hearthstone

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Hearthstone is a health and rehabilitation facility located in Sparks, Nevada. It offers skilled nursing and in-house therapy services, focusing on both short-term rehabilitation and long-term care. The facility features a variety of activities to engage residents and promote an active lifestyle.
Facility Direct Line (775) 626-2224
Facility Direct Line (775) 626-2224 contact-Hearthstone@ensignservices.net
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 33.7% Below NV avg. ▼ 33.7% Below NV avg.NV average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 64.9% Below NV avg. ▼ 64.9% Below NV avg.NV average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 28.6% Above NV avg. ▲ 28.6% Above NV avg.NV average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 37.9% Above NV avg. ▲ 37.9% Above NV avg.NV average: 3.6Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Nevada state averages

Total nursing care / resident Info 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.
3h 30m per day
Rank #22 / 46Nurse hours — State benchmarkedThis home is ranked 22nd out of 46 homes in Nevada. Shows adjusted nurse hours per resident per day benchmarked to the Nevada average, with a ranking across 46 Nevada facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
This facility Nevada avg (4h 2m per day)
vs Nevada avg
-13%

4 of 6 metrics below state avg

Standout metric Physical Therapist is +13% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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 Info 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 ▲ 8% State avg: 55m per day · National avg: 52m per day
Nurse Aide Info 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 22m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 Info 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 Info 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: 28m per day

Capacity and availability

Avg. Length of Stay
72 days
Bed community size
125-bed community Rank #36 / 321Bed count — State benchmarkedThis home is ranked 36th out of 321 homes in Nevada. Shows this facility's certified or reported bed count compared to other Nevada facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
2 years in operation Rank #242 / 277Years in operation — State benchmarkedThis home is ranked 242nd out of 277 homes in Nevada. Shows how long this facility has been in operation compared to other Nevada facilities. Longer operating histories may benefit residents, families, and staff.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.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 78 / 100 Rank #8 / 414Walk Score — State benchmarkedThis home is ranked 8th out of 414 homes in Nevada. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Nevada facilities. Higher scores benefit residents, families, and staff.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.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
86%
Rank #121 / 267Occupancy rate — State benchmarkedThis home is ranked 121st out of 267 homes in Nevada. Shows this facility's occupancy rate versus the Nevada average, with its Statewide rank out of 267. Higher occupancy signals strong local demand and financial stability.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.
Higher than the Nevada average: 81.5%
Occupied beds
108 / 125
Average occupied beds in Nevada homes 92 beds

License Details

Facility TypeFacility For Skilled Nursing
StatusActive
IssuanceJanuary 1, 2024
ExpirationDecember 31, 2026
License Number11474-SNF-2

Payment & Insurance

1 service
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

Specific ProgramsIn-House Therapy, Videos & Photos
Religious Services

Contact Hearthstone

Inspection History

In Nevada, the Department of Health and Human Services, Bureau of Health Care Quality and Compliance performs unannounced onsite surveys to evaluate resident safety and care quality.

Since 2025 · 1 year of data 10 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Nevada state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2025 vs. Nevada state average
Overall vs. NV average 0 Worse No metrics in this bucket. 2 Better Metrics better than Nevada average:
• Total deficiencies (84% below)
• Deficiencies per year (84% below)
Latest Inspection March 3, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNV Averagevs. NV Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1062 This facility has 84% fewer total deficiencies than a typical Nevada nursing home (10 vs. NV avg 62).↓ 84% better
Deficiencies per year Info Average deficiencies per year since 2025. 1062 This facility has 84% fewer deficiencies per year than a typical Nevada nursing home (10 vs. NV avg 62).↓ 84% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • March 3, 2025 complaint investigation found 8 deficiencies including resident abuse by staff, incomplete dialysis communication, and missing nursing training and documentation.
  • February 25, 2025 annual inspection cited 2 deficiencies for incomplete TB testing on 4 employees and delayed cultural competency training for 1 employee.
  • Several allegations from the March 2025 complaint investigation were unsubstantiated due to lack of evidence, with no immediate jeopardy or fines reported.
Show Inspection Reports

Penalties and fines

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Long-stay resident measures
Significantly above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.30
29% better than Nevada average

Nevada average: 1.82

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.75
17% worse than Nevada average

Nevada average: 1.50

Short-stay resident measures
Average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay Info 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%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 13.8%
41% worse than Nevada average

Nevada average: 9.8%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.4%
47% better than Nevada average

Nevada average: 0.8%

Ability to care for self at discharge Info 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%

Successful return to home or community Info 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.

Breakdown by payment type

Medicare

39% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

60% of new residents, often for short stays.

Typical stay 25 days

Medicaid

1% of new residents, often for long-term daily care.

Typical stay 19 years

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info 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."
$8.5M
Net patient income Info 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."
$155.0K
For-profit Operated by a single business entity.
Net patient revenue Info 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."
$8.5M Rank #33 / 47Revenue — State benchmarkedThis home is ranked 33rd out of 47 homes in Nevada. Shows this facility's annual revenue compared to the Nevada average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.
Net patient income Info 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."
$155.0K
Other income Info 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.
$299.4K
Payroll costs Info 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.
$4.4M 51.2% of net patient revenue Info 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.
Other operating costs Info 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).
$4.0M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$8.3M
How we calculate these figures

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 295044

Show certification details

Who this home usually serves

TYPE OF STAY

Primarily short stays

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.

Admissions
251 total

Coverage residents most often arrive under.

Medicare 39%
Private pay 60%
Medicaid 1%
Discharges
341 total

Coverage residents most often leave under.

Medicare 33%
Private pay 45%
Medicaid 22%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Hearthstone

Address 2.9 miles from city center Info Estimated distance in miles from Sparks's city center to Hearthstone's address, calculated via Google Maps.

Calculate Travel Distance to Hearthstone

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Address

Compare Nursing Homes around Sparks

The information below is reported by the Nevada Department of Health and Human Services, Bureau of Health Care Quality and Compliance.

2 facilities compared · CMS & NV Dept. of Health data

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
3118-
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
3112-
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
Nursing Home Explorer

Financial Assistance for
Nursing Home in Nevada

Hearthstone is located in Sparks, Nevada.
Here are the financial assistance programs available to residents in Nevada.

Get Financial aid guidance

Home and Community Based Waiver

Nevada Medicaid HCBW

Age 65+ or disabled
General Nevada resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
NV

High urban demand (e.g., Las Vegas); rural challenges.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Home modifications ($1,500 avg.) Meals ($6/meal)

Nevada Senior Services Program

NV SSP

Age 60+
General Nevada resident, at risk of decline.
Income Limits ~$1,800/month individual, varies
Asset Limits $5,000 individual
NV

Limited funding; rural focus.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Personal Care Services (PCS)

Nevada Personal Care Services

Age 19+ (65+ for seniors focus)
General Nevada resident, Medicaid-eligible, needs help with 1+ ADL.
Income Limits (2025) ~$967/month (individual); spenddown allowed.
Asset Limits $2,000 (individual), $3,000 (couple).
NV

Self-directed (family can be paid); statewide via DHHS.

Benefits
Personal care (4-6 hours/day) Limited homemaker services Respite (~200 hours/year)

Senior Rx Program

Nevada Senior Rx Program

Age 65+
General Nevada resident, enrolled in Medicare Part D, income below limit.
Income Limits (2025) ~$2,510/month (individual), ~$3,380/month (couple).
Asset Limits Not assessed.
NV

Covers up to $38.75/month premium; funded by tobacco settlement.

Benefits
Prescription drug premium assistance (~$465/year) Reducing out-of-pocket costs

Medicare Savings Program (MSP)

Nevada Medicare Savings Program

Age 65+ or disabled
General Nevada resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NV

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Nevada Caregiver Support Program (via NFCSP)

Nevada Caregiver Support Program

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; Nevada resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
NV

5 AAAs; prioritizes rural, low-income caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Nevada VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Nevada resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NV

High veteran demand in urban/rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Hearthstone

Is Hearthstone in a walkable area?

Hearthstone has a walk score of 78. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Hearthstone?

According to NV state health department records, Hearthstone's license number is 11474-SNF-2.

When does Hearthstone's license expire?

According to NV state health department records, Hearthstone's license expires on December 31, 2026.

What is the occupancy rate at Hearthstone?

Hearthstone's occupancy is 86%.

Does Hearthstone operate as a for-profit or non-profit?

Hearthstone is registered as a for-profit in NV.

How many beds does Hearthstone have?

Hearthstone has 125 beds.

Are there photos of Hearthstone?

Yes — there are 27 photos of Hearthstone in the photo gallery on this page.

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