Hearthstone
Nursing Home & Skilled Nursing · Sparks, NV
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.

Hearthstone

Nursing Home & Skilled Nursing · Sparks, NV
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.
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Hearthstone accepts Medicare, Medicaid, and private pay.

Overview of Hearthstone

Hearthstone sits at 1950 Baring Boulevard in Sparks, Nevada, a 125-bed nursing home and skilled nursing facility in one of the more walkable corners of the city. A Walk Score of 78 means most errands, a pharmacy run, a coffee stop, don’t require a car. Right now, 108 of the home’s 125 beds are filled, putting occupancy at 86%.

Total nursing care runs about 3 hours and 30 minutes per resident per day, split across registered nurses (roughly 40 minutes), nurse aides (about 1 hour and 57 minutes), and LPNs or LVNs (around 59 minutes). In-house therapy is offered directly on the property, and 24-hour staffing backs up the rehabilitation services the facility runs. Families paying for care have options too: Hearthstone accepts Medicare, Medicaid, and private pay.

Outside of medical care, residents can take part in religious services, a detail that speaks to the kind of daily rhythm the facility supports beyond clinical treatment. Nevada’s Department of Health and Human Services has, through its inspections, tended to focus on staffing and staff credentials, care planning and documentation, and resident rights and protections.

Between the staffing hours, the on-site therapy, and the range of accepted payment types, Hearthstone comes across as a facility set up for residents who need real day-to-day nursing support, whether they’re passing through for rehab or settling in for longer term skilled care.

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.
▼ 66.8% Below NV avg. ▼ 66.8% 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.
▲ 10.3% Above NV avg. ▲ 10.3% 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 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 vs Nevada averages

Rank #9 / 41Nurse hours — State benchmarkedThis home is ranked 9th out of 41 homes we track in Nevada for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Nevada average, with a ranking across 41 Nevada facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nevada that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 9th out of 41 homes we track 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 52m

4% below state avg
Staff type
Hours / day / resident
vs 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.
43m
−33% 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.
1h 1m
+11% 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.
2h 8m
−10% 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 18m
−14% 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.
4m
−20% 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.
22m
−57% State avg: 51m per day · National avg: 28m per day

5 of 6 metrics below state avg

Capacity and availability

Residents per day
108
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
72 days
Bed community size
125-bed community Rank #35 / 319Bed count — State benchmarkedThis home is ranked 35th out of 319 homes we track in Nevada for bed count. 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nevada that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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 #245 / 278Years in operation — State benchmarkedThis home is ranked 245th out of 278 homes we track in Nevada for years in operation. Shows how long this facility has been in operation compared to other Nevada facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nevada that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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 / 403Walk Score — State benchmarkedThis home is ranked 8th out of 403 homes we track in Nevada for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Nevada facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nevada that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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 #118 / 259Occupancy rate — State benchmarkedThis home is ranked 118th out of 259 homes we track in Nevada for occupancy. Shows this facility's occupancy rate versus the Nevada average, with its Statewide rank out of 259. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nevada that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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

Additional Policies & Features

Pets not allowed

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 These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 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. 1 Better Metrics better than Nevada average:
• Total deficiencies (80% below)

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. 1050 This facility has 80% fewer total deficiencies than a typical Nevada nursing home (10 vs. NV avg 50).↓ 80% better

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%

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 the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.

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."
$11.7M
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."
-$1.3M
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."
$11.7M
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."
-$1.3M
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.
$6.5M 56% 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.
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).
$6.4M
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).
$13.0M

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%

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

Info below is compiled from CMS reports & the NV Dept. of Health & Human Services, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Nevada average is: 52.4% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Northern Nevada State Veterans Home
NH
MC
SNF
Sparks
96
Facility 96
NV AVG 41
Rank #64 / 319
95.8%
Facility 95.8%
NV AVG 80.2
Rank #58 / 259
+19%
6.52
Facility 6.52
NV AVG 4.03
Rank #1 / 41
-2%+62%
$0
Facility $0
NV AVG $34.1k
Rank #1 / 42
57
Facility 57
NV AVG 36.2
Rank #34 / 42
7.1
Facility 7.1
NV AVG 7.1
Rank #24 / 42
192-
74
Facility 74
NV AVG 46
Rank #26 / 403
Avalon Veterans Services, L.l.c
$18.3MFiscal year ending 06/2024
Facility $18.3MFiscal year ending 06/2024
NV AVG $17.4M
Rank #16 / 36
$9.3MFiscal year ending 06/2024
Facility $9.3MFiscal year ending 06/2024
NV AVG $8.9M
Rank #17 / 36
50.9%Fiscal year ending 06/2024
Facility 50.9%Fiscal year ending 06/2024
NV AVG 52.4%
Rank #20 / 36
295105
Wingfield Skilled Nursing And Rehabilitation Center
NH
SNF
Sparks (Saddlebrook)
120
Facility 120
NV AVG 41
Rank #41 / 319
94.2%
Facility 94.2%
NV AVG 80.2
Rank #64 / 259
+17%
3.64
Facility 3.64
NV AVG 4.03
Rank #20 / 41
+3%-10%
$75.7k
Facility $75.7k
NV AVG $34.1k
Rank #41 / 42
56
Facility 56
NV AVG 36.2
Rank #33 / 42
11.2
Facility 11.2
NV AVG 7.1
Rank #38 / 42
3113-
13
Facility 13
NV AVG 46
Rank #371 / 403
-
$14.2MFiscal year ending 12/2023
Facility $14.2MFiscal year ending 12/2023
NV AVG $17.4M
Rank #25 / 36
$7.1MFiscal year ending 12/2023
Facility $7.1MFiscal year ending 12/2023
NV AVG $8.9M
Rank #27 / 36
50.2%Fiscal year ending 12/2023
Facility 50.2%Fiscal year ending 12/2023
NV AVG 52.4%
Rank #22 / 36
295088
Hearthstone of Northern Nevada
NH
SNF
Sparks
125
Facility 125
NV AVG 41
Rank #35 / 319
87.9%
Facility 87.9%
NV AVG 80.2
Rank #105 / 259
+10%
3.87
Facility 3.87
NV AVG 4.03
Rank #9 / 41
-43%-4%
$48.7k
Facility $48.7k
NV AVG $34.1k
Rank #37 / 42
72
Facility 72
NV AVG 36.2
Rank #39 / 42
12.0
Facility 12.0
NV AVG 7.1
Rank #39 / 42
3110-
40
Facility 40
NV AVG 46
Rank #253 / 403
-$11.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$6.5M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.56%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.295044

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%.

How long has Hearthstone been in business?

Hearthstone has been operating for approximately 2 years, based on available licensing and registration records.

Are pets allowed at Hearthstone?

No, Hearthstone has a no-pet policy.

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

Hearthstone is registered as a for-profit in NV.

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