HEARTHSTONE (Sparks, NV) has a 2 out of 5 overall rating, with a 1-star health inspection rating, 4-star staffing, and 5-star quality measures. Reported nurse staffing is 3.60 hours per resident per day, below the 4.1-hour federal benchmark, and there were $0 in fines in the last 24 months; recent inspection citations included treatment and care, abuse protection, and accident hazards/supervision.
Last inspection: March 5, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5992.
Staffing detail
Registered nurses
0.66
Licensed practical nurses
0.99
Nurse aides
1.95
Weekend nursing
3.09
Hours per resident per day.
Total staff turnover: 32%
Registered nurse turnover: 25%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
4.9%Improving
Residents with a fall causing major injury
2.9%Improving
Residents with pressure ulcers (bedsores)
1.9%Worsening
Residents with a urinary tract infection
0.7%Improving
Residents who lost too much weight
7.7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.7%Improving
Residents whose ability to walk got worse
15.6%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
28.7%Improving
Short-stay residents newly given an antipsychotic
0.6%Worsening
Residents with a long-term catheter
0.3%Worsening
Residents with new or worsening incontinence
16.1%Improving
Residents with depressive symptoms
6.7%Improving
Long-stay residents given the seasonal flu vaccine
90.7%Steady
Long-stay residents given the pneumonia vaccine
98.1%Improving
Short-stay residents given the seasonal flu vaccine
72.1%Steady
Short-stay residents given the pneumonia vaccine
76.8%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited May 2023 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2023 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited March 2025 — widespread issue, potential for harm.
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F-Tag 698 — 42 CFR §483.25(l) — S/S: F
The home failed to run its operations effectively and efficiently using its available resources. Cited March 2024 — widespread issue, potential for harm.
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F-Tag 835 — 42 CFR §483.70 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 11 health deficiencies.
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INSPECTION
Health inspection found 15 health deficiencies.
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INSPECTION
Health inspection found 24 health deficiencies.
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Penalties & enforcement
On record with Medicare: 1 fine · $48,721 in total fines.
Federal fine
Nov 16, 2023
$48,721
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
Occupancy
112 residents on an average day (90% of 125 beds)
Resident voice
Resident council
Medicare history
Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.