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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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 17th out of 34 homes in Nevada.| Staff type | Hours / day | 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.
| 35m per day | ▼ 45% 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.
| 1h 6m per day | ▲ 20% State avg: 55m 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 58m per day | ▼ 17% State avg: 2h 22m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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 15m per day | ▼ 16% 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.
| 5m per day | ■ Avg State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 20m per day | ▼ 61% State avg: 51m per day · National avg: 28m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #30 / 36Payroll — state benchmarkedThis home is ranked 30th out of 36 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Nevada average: 81.5%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.
This scorecard compares key inspection, citation, 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.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | NV Average | vs. NV Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 10 | 62 | This facility has 84% fewer total deficiencies than a typical Nevada nursing home (10 vs. NV avg 62).↓ 84% better |
|
Deficiencies per year
Average deficiencies per year since 2025.
| 10 | 62 | This facility has 84% fewer deficiencies per year than a typical Nevada nursing home (10 vs. NV avg 62).↓ 84% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on March 3, 2025, identified deficiencies related to dialysis care, resident rights, behavior monitoring, medication administration, and nursing staff training. Earlier inspections also noted issues with personnel records, including incomplete tuberculosis testing and delayed cultural competency training. Inspectors cited problems with documentation, care planning, and staff training, as well as a substantiated case of verbal abuse by a licensed practical nurse. Complaint investigations included some unsubstantiated allegations, but the facility was found deficient in several areas affecting resident care and staff compliance. The pattern of findings suggests ongoing challenges with staff training and care coordination, with no clear improvement indicated between the two inspections.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHearthstone is located in Sparks, Nevada.
Here are the financial assistance programs available to residents in Nevada.
2.9 miles from city center
Estimated distance in miles from Sparks's city center to Hearthstone's address, calculated via Google Maps.
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These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
1.30
29% better than Nevada averageNevada average: 1.82
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.75
17% worse than Nevada averageNevada average: 1.50
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.7%
6% worse than Nevada averageNevada average: 23.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.8%
41% worse than Nevada averageNevada average: 9.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.4%
47% better than Nevada averageNevada average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.7%
6% better than Nevada averageNevada average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
46.0%
9% worse than Nevada averageNevada average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
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Hearthstone has a walk score of 78. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to NV state health department records, Hearthstone's license number is 11474-SNF-2.
According to NV state health department records, Hearthstone's license expires on December 31, 2026.
Hearthstone's occupancy is 86%.
Hearthstone has 125 beds.
Yes — there are 31 photos of Hearthstone in the photo gallery on this page.
Hearthstone is located at 1950 Baring Boulevard, Sparks, NV 89434.
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