Hearth Record

Hearthstone Health and Rehabilitation

A nursing home in Sparks, Nevada 89434

1950 Baring Blvd, Sparks, Nevada 89434. (775) 626-2224.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 51 citations in 4 months of the last 36. Last cited Mar 2026. Most serious: no actual harm, potential for more than minimal harm (D). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy
CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

11 health citations at the latest inspection cycle

The Nevada average is 9.4.

Last standard inspection Mar 5, 2026.

Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Nov 16, 2023

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

51 citations in 4 months of the last 36. Last cited Mar 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.

51 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 59 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 11 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Mar 5, 2026: standard inspection11 citations

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

  • Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.

    Rule F0628. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

Mar 3, 2025: standard inspection14 citations

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 5, 2025.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 5, 2025.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 5, 2025.

  • Provide safe, appropriate pain management for a resident who requires such services.

    Rule F0697. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 5, 2025.

  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Rule F0698. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 5, 2025.

  • Observe each nurse aide’s job performance and give regular training.

    Rule F0730. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 5, 2025.

  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Rule F0740. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 5, 2025.

  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Rule F0835. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 5, 2025.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 5, 2025.

  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Rule F0865. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 5, 2025.

  • Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    Rule F0942. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 5, 2025.

  • Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Rule F0944. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 5, 2025.

  • Provide training in compliance and ethics.

    Rule F0946. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 5, 2025.

  • Post nurse staffing information every day.

    Rule F0732. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Apr 5, 2025.

Mar 3, 2025: standard and complaint inspection1 citation

  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 5, 2025.

Mar 25, 2024: standard inspection23 citations

  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Rule F0552. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Rule F0561. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Keep residents’ personal and medical records private and confidential.

    Rule F0583. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Rule F0623. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Rule F0625. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

    Rule F0655. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Rule F0688. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Provide safe, appropriate pain management for a resident who requires such services.

    Rule F0697. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Rule F0698. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.

    Rule F0726. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Rule F0757. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Rule F0806. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Dispose of garbage and refuse properly.

    Rule F0814. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Rule F0835. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Rule F0883. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

  • Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Rule F0940. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2024.

Mar 25, 2024: standard and complaint inspection1 citation

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 30, 2024.

Jan 24, 2024: complaint inspection1 citation

  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 5, 2024.

Nov 16, 2023: complaint inspection8 citations

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Jan 8, 2024.

  • Protect each resident from the wrongful use of the resident’s belongings or money.

    Rule F0602. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 22, 2023.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 22, 2023.

  • Honor each resident’s preferences, choices, values and beliefs.

    Rule F0675. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 22, 2023.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 22, 2023.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 22, 2023.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 22, 2023.

  • Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Rule F0712. C: no actual harm, potential for minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 22, 2023.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Apr 6, 1989.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 125 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 1 fine in the last three years, $48,721 in all.
  • No Medicare payment denials in the last three years.
  • 11 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Nov 16, 2023Fine$48,721

Who does the caring?

3.60 nurse hours per resident per day

The Nevada average is 4.33.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeNevada average
Nurse hours per resident per day3.604.33
Of which registered nurses0.631.13
At weekends3.173.80
Nursing staff turnover28.9%43%
Registered nurse turnover31.3%39.3%
Administrators who left1Not given

Who owns it?

  • Milestone Healthcare LLC owns 100% directly since Oct 20, 2023.
  • 8 owners or officers are people: Denver Miller (additional disclosable party (controls, leases property to, or provides services to the home)); Susan Magluilo (runs it (operational or managerial control)); Susan Magluilo (additional disclosable party (controls, leases property to, or provides services to the home)); Ami Sato (corporate officer); Stephen W Farnsworth (corporate director); Tyler Hoopes (corporate officer); Craig Fitch (corporate officer, 0%); Soon Burnam (corporate officer, 0%).
  • Part of The Ensign Group (347 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
The Ensign Group Inc.Owns 5% or more through other companies100%Oct 20, 2023
Milestone Healthcare LLCOwns 5% or more directly100%Oct 20, 2023

How do residents fare?

  • CMS rates its quality measures 5 of 5 (Nevada average 4.1).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating2 of 5
Health inspections1 of 5
Staffing3 of 5
Quality measures5 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 27.0 miles, this one had the 6th most health citations at the latest inspection cycle (11; the middle value was 10.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Hearthstone Health and Rehabilitation This nursing home11
Northern Nevada State Veterans Home1.39
Wingfield Skilled Nursing and Rehabilitation Cente3.710
Rosewood Rehabilitation Center3.823
Advanced Health Care of Reno5.27
Caremeridian LLC, DBA Neurorestorative5.622
Alpine Skilled Nursing and Rehabilitation Center6.99
Alta Skilled Nursing and Rehabilitation Center7.313
Life Care Center of Reno8.77
Ormsby Post Acute Rehabilitation25.927
Northstar Post Acute26.530
Sierra Basin Post Acute27.08

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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