Inspection Reports for Hearthstone
1950 Baring Boulevard, Sparks, NV 89434, Sparks, NV
Back to Facility ProfileInspection Report Summary
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.
Deficiencies (last 1 years)
Deficiencies (over 1 years)
10 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
41% worse than Nevada average
Nevada average: 7.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
108 residents
Based on a March 2025 inspection.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 108
Deficiencies: 8
Date: Mar 3, 2025
Visit Reason
The inspection was conducted as a result of a Medicare Recertification survey and Facility Reported Incident (FRI) investigations from 02/24/2025 through 02/27/2025, and an extended survey on 03/03/2024.
Complaint Details
The visit was complaint-related, investigating allegations including resident injury during resident-to-resident altercation, abuse by staff, and quality of care concerns related to dialysis and medication administration. Several allegations were not substantiated due to lack of evidence.
Findings
Substandard Quality of Care was identified related to dialysis, resident rights, behavior monitoring, medication administration, and nursing staff training. Several residents had incomplete or missing dialysis communication forms and care plans, and staff failed to complete required training and documentation.
Deficiencies (8)
Resident #251 was verbally abused by an LPN who used derogatory language and treated the resident without respect.
Resident #99 had an inaccurate Minimum Data Set (MDS) assessment which did not reflect the resident's status, potentially depriving the resident of necessary care.
Resident #83 was not provided with an order for furosemide 20 mg daily for edema and had notable edema without proper care planning or medication administration.
Resident #78 exhibited threatening behaviors toward staff which were not included in the care plan or behavior monitoring.
Dialysis communication forms were incomplete or missing for multiple residents, resulting in lack of coordination of care between the facility and dialysis center.
Facility failed to ensure nursing staff received annual performance evaluations and required training on resident rights and compliance.
Facility failed to post current nursing staffing data daily as required.
Facility failed to maintain complete and accurate medical records for residents receiving dialysis, including documentation of assessments, medication administration, and communication with dialysis center.
Report Facts
Census: 108
Sample size: 22
Closed records reviewed: 3
FRIs investigated: 5
Deficiencies cited: 8
Resident weight loss: 24
Resident weight loss percent: 10.12
Meal consumption percent: 25
Meal consumption percent: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Executive Director | Did not receive annual QAPI training in 2025 |
| Employee #3 | Activity Director | Did not receive annual QAPI training in 2025 |
| Employee #4 | Registered Dietitian | Did not receive annual QAPI training in 2025 |
| Employee #6 | Dietary Supervisor | Did not receive annual QAPI training in 2025 |
| Employee #7 | Certified Nursing Assistant | Did not receive annual QAPI training in 2025; did not receive resident rights training upon hire |
| Employee #8 | Certified Nursing Assistant | Did not receive annual QAPI training in 2025; did not receive resident rights training upon hire |
| Employee #9 | Licensed Practical Nurse | Did not receive annual QAPI training in 2025; did not receive resident rights training upon hire |
Inspection Report
Annual Inspection
Census: 108
Deficiencies: 2
Date: Feb 25, 2025
Visit Reason
This inspection was conducted as a State Licensure Survey in conjunction with a Federal Recertification survey at the facility from February 24, 2025 through March 3, 2025, to assess compliance with Nevada Administrative Code Chapter 449 for Skilled Nursing Facilities.
Findings
The facility was found deficient in maintaining complete personnel records, specifically failing to complete Tuberculosis (TB) testing for 4 of 18 sampled employees and failing to ensure timely cultural competency training for 1 of 18 sampled employees. The deficiencies were cited with severity level 2 and scope 1.
Deficiencies (2)
Facility failed to complete Tuberculosis (TB) testing for 4 of 18 sampled employees (Employees #8, #12, #16, and #18).
Facility failed to ensure cultural competency training was completed timely for 1 of 18 sampled employees (Employee #12).
Report Facts
Census: 108
Sample size: 18
Employees with incomplete TB testing: 4
Employees with delayed cultural competency training: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Magluilo | Executive Director | Signed the inspection report |
| Employee #8 | Certified Nursing Assistant | Named in TB testing deficiency |
| Employee #12 | Licensed Practical Nurse | Named in TB testing and cultural competency training deficiencies |
| Employee #16 | Cook | Named in TB testing deficiency |
| Employee #18 | Housekeeper | Named in TB testing deficiency |
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