Nevada ›Sparks

Hearthstone Health and Rehabilitation

1950 Baring Blvd, Sparks, NV 89434 · Washoe County · 125 certified beds · avg 110 residents/day · certified since Apr 6, 1989

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

1/5
Health inspection rating (on-site)
1
Serious findings on record
$48,721
Fines, last 3 years
3.87
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Nov 16, 2023 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Jan 8, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (59)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Mar 5, 2026E · Potential for harm, repeatedThe facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Mar 5, 2026D · Potential for harm, one-offThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Mar 5, 2026D · Potential for harm, one-offThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Mar 5, 2026D · Potential for harm, one-offThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Mar 5, 2026D · Potential for harm, one-offThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 5, 2026D · Potential for harm, one-offThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 5, 2026D · Potential for harm, one-offThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 5, 2026D · Potential for harm, one-offThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Mar 5, 2026D · Potential for harm, one-offThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Mar 5, 2026D · Potential for harm, one-offThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 5, 2026D · Potential for harm, one-offThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 3, 2025F · Potential for harm, facility-wideThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Mar 3, 2025D · Potential for harm, one-offThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Mar 3, 2025D · Potential for harm, one-offThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 3, 2025D · Potential for harm, one-offThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 3, 2025D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 3, 2025D · Potential for harm, one-offThe facility did not provide safe and appropriate pain management for a resident who needed it.
Mar 3, 2025D · Potential for harm, one-offThe facility did not observe each nurse aide's job performance or provide regular training as required.
Mar 3, 2025D · Potential for harm, one-offThe facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Mar 3, 2025D · Potential for harm, one-offThe facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Mar 3, 2025D · Potential for harm, one-offThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Mar 3, 2025D · Potential for harm, one-offThe facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Mar 3, 2025D · Potential for harm, one-offThe facility did not educate its staff on residents' rights and the facility's responsibilities toward residents. Staff can only respect rights they've been taught about.
Mar 3, 2025D · Potential for harm, one-offThe facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better.
Mar 3, 2025D · Potential for harm, one-offThe facility did not provide its staff with training in compliance and ethics — teaching employees the laws and ethical standards that govern how residents must be treated.
Mar 3, 2025C · Minimal risk, facility-wideThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Mar 25, 2024F · Potential for harm, facility-wideThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Mar 25, 2024F · Potential for harm, facility-wideThe facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Mar 25, 2024F · Potential for harm, facility-wideThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Mar 25, 2024F · Potential for harm, facility-wideThe facility did not dispose of garbage and refuse properly.
Mar 25, 2024F · Potential for harm, facility-wideThe facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Mar 25, 2024F · Potential for harm, facility-wideThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 25, 2024E · Potential for harm, repeatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 25, 2024D · Potential for harm, one-offThe facility did not keep residents' personal and medical information private and confidential.
Mar 25, 2024D · Potential for harm, one-offThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Mar 25, 2024D · Potential for harm, one-offThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Mar 25, 2024D · Potential for harm, one-offThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Mar 25, 2024D · Potential for harm, one-offThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Mar 25, 2024D · Potential for harm, one-offThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Mar 25, 2024D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 25, 2024D · Potential for harm, one-offThe facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Mar 25, 2024D · Potential for harm, one-offThe facility did not provide safe and appropriate pain management for a resident who needed it.
Mar 25, 2024D · Potential for harm, one-offThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Mar 25, 2024D · Potential for harm, one-offThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 25, 2024D · Potential for harm, one-offThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Mar 25, 2024D · Potential for harm, one-offThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 25, 2024D · Potential for harm, one-offThe facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Mar 25, 2024D · Potential for harm, one-offThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Mar 25, 2024D · Potential for harm, one-offThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Mar 25, 2024D · Potential for harm, one-offThe facility did not develop, carry out, or maintain an effective training program for all new and existing staff members.
Jan 24, 2024D · Potential for harm, one-offThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Nov 16, 2023▲ J · Immediate jeopardy, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Nov 16, 2023E · Potential for harm, repeatedThe facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care. · from a complaint
Nov 16, 2023D · Potential for harm, one-offThe facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Nov 16, 2023D · Potential for harm, one-offThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Nov 16, 2023D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Nov 16, 2023D · Potential for harm, one-offThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Nov 16, 2023D · Potential for harm, one-offThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Nov 16, 2023C · Minimal risk, facility-wideThe facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (15 → 11).

YearCitationsSerious (G–L)Worst severity that year
202381J ▲
2024250F
2025150F
2026110E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $48,721.

DateTypeAmount / length
Nov 16, 2023Fine$48,721

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityNevada avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.874.053.95top 43% in Nevada; top 45% in the U.S.
Registered Nurse hours0.710.980.69bottom 33% in Nevada; top 35% in the U.S.
Weekend total nurse staffing3.303.613.50bottom 40% in Nevada; bottom 47% in the U.S.
Weekend RN hours (not acuity-adjusted)0.370.870.48bottom 19% in Nevada; bottom 46% in the U.S.
Total nursing staff turnover (%)34.745.145.8top 21% in Nevada; top 23% in the U.S.
RN turnover (%)23.143.442.9top 16% in Nevada; top 18% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.81, RN 0.70, weekend 3.25. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Milestone Healthcare LLCOrganization5% or Greater Direct Ownership Interest100%10/20/2023
Burnam, SoonIndividualCorporate OfficerNOT APPLICABLE10/20/2023
Farnsworth, StephenIndividualCorporate DirectorNOT APPLICABLE01/01/2024
Fitch, CraigIndividualCorporate OfficerNOT APPLICABLE10/20/2023
Hoopes, TylerIndividualCorporate OfficerNOT APPLICABLE01/01/2024
Magluilo, SusanIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2024
Magluilo, SusanIndividualADP of the SNFNOT APPLICABLE04/04/2025
Miller, DenverIndividualADP of the SNFNOT APPLICABLE04/04/2025
Sato, AmiIndividualCorporate OfficerNOT APPLICABLE09/09/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Northern Nevada State Veterans Home1.3 miSparks, NV★★★★☆2/5abuse
Wingfield Skilled Nursing and Rehabilitation Cente3.7 miSparks, NV★★☆☆☆2/5
Rosewood Rehabilitation Center3.8 miReno, NV★☆☆☆☆1/5
Advanced Health Care of Reno5.2 miReno, NV★★★★★4/5
Caremeridian LLC, DBA Neurorestorative5.6 miReno, NV★☆☆☆☆1/5abuseSFF
Alpine Skilled Nursing and Rehabilitation Center6.9 miReno, NV★★☆☆☆2/5
Alta Skilled Nursing and Rehabilitation Center7.3 miReno, NV★★☆☆☆2/5
Life Care Center of Reno8.7 miReno, NV★☆☆☆☆1/5SFF

Compare this facility with the 3 closest →

All facilities in Sparks →

Facility data as of CMS processing date 2026-08-01. CCN 295044.