HEARTHSTONE HEALTH AND REHABILITATION
HEARTHSTONE HEALTH AND REHABILITATION is a 125-bed nursing home in SPARKS, Nevada. CMS has certified it for Medicare and Medicaid since 1989-04-06. It averages 109.9 residents a day.
What harm was found in the violations cited at HEARTHSTONE HEALTH AND REHABILITATION?
CMS lists 59 health-inspection deficiencies for HEARTHSTONE HEALTH AND REHABILITATION, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-03-05.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-03-05 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E |
| 2026-03-05 | F0600, F0609, F0610, F0641, F0656, F0658, F0677, F0690, F0695, F0880 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program. | D |
| 2025-03-03 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | F |
| 2025-03-03 | F0550, F0641, F0656, F0684, F0697, F0730, F0740, F0835, F0842, F0865, F0942, F0944, F0946 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate pain management for a resident who requires such services. / Observe each nurse aide's job performance and give regular training. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Have a plan that describes the process for conducting QAPI and QAA activities. / Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide training in compliance and ethics. | D |
| 2025-03-03 | F0732 | Post nurse staffing information every day. | C |
| 2024-03-25 | F0552, F0561, F0726, F0814, F0835, F0880 | Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Dispose of garbage and refuse properly. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Provide and implement an infection prevention and control program. | F |
| 2024-03-25 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E |
| 2024-03-25 | F0583, F0600, F0623, F0625, F0655, F0657, F0684, F0688, F0697, F0698, F0755, F0757, F0761, F0806, F0842, F0883, F0940 | Keep residents' personal and medical records private and confidential. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide safe, appropriate pain management for a resident who requires such services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D |
| 2024-01-24 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2023-11-16 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2023-11-16 | F0675 | Honor each resident's preferences, choices, values and beliefs. | E |
| 2023-11-16 | F0602, F0657, F0689, F0812, F0842 | Protect each resident from the wrongful use of the resident's belongings or money. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2023-11-16 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | C |
Why was HEARTHSTONE HEALTH AND REHABILITATION fined?
| Date | Type | Amount |
|---|---|---|
| 2023-11-16 | Fine | $48,721 |
How is HEARTHSTONE HEALTH AND REHABILITATION staffed relative to the NV average?
| Measure | This facility | NV average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.80534 | 4.30047 |
| Total nursing staff turnover (%) | 34.7 | 45.1 |
| Average number of residents per day | 109.9 | 94.3 |
Who owns HEARTHSTONE HEALTH AND REHABILITATION, and what chain is it in?
HEARTHSTONE HEALTH AND REHABILITATION is registered with CMS as For profit - Limited Liability company, operates under the legal business name TRUCKEE MEADOWS HEALTHCARE, INC. and belongs to the THE ENSIGN GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | MILESTONE HEALTHCARE LLC | since 10/20/2023 |
| CORPORATE DIRECTOR | FARNSWORTH, STEPHEN | since 01/01/2024 |
| CORPORATE OFFICER | BURNAM, SOON, FITCH, CRAIG, HOOPES, TYLER, SATO, AMI | since 01/01/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | MAGLUILO, SUSAN | since 01/01/2024 |
| ADP OF THE SNF | MAGLUILO, SUSAN, MILLER, DENVER | since 04/04/2025 |
Were you or a family member harmed at HEARTHSTONE HEALTH AND REHABILITATION?