Hearthstone Health and Rehabilitation: Staffing, Turnover, and Inspection Record
Hearthstone Health and Rehabilitation is a 125-bed for-profit nursing home in Sparks, Nevada, part of The Ensign Group. In the CMS August 2026 release it reported 2.11 nurse aide hours per resident per day, 11% below the Nevada average of 2.37, and 34.7% nursing staff turnover (Nevada average 45.1%).
Hearthstone Health and Rehabilitation
1950 Baring BlvdSparks, NV 89434
Washoe County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Hearthstone Health and Rehabilitation, nurse aides logged 2.11 hours per resident per day, 11% below the Nevada average. With about 110 residents a day, that works out to roughly 232 aide hours a day, or about 29 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Nevada avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.11 | 2.37 | 2.32 |
| Licensed practical nurses | 1.00 | 0.84 | 0.86 |
| Registered nurses | 0.70 | 1.09 | 0.69 |
| All nursing staff | 3.81 | 4.30 | 3.86 |
| All nursing staff, weekends | 3.25 | 3.83 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
34.7% of nursing staff at Hearthstone Health and Rehabilitation left over the year CMS measured, against a Nevada average of 45.1% and a US average of 45.8%. Registered nurse turnover was 23.1%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 5, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 11 health deficiencies (Nevada average 9.6). CMS lists 1 fine totaling $48,721 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 16, 2023 | Fine | $48,721 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Hearthstone Health and Rehabilitation holds 1 of 5 overall; the Nevada average is 3.2.
About Hearthstone Health and Rehabilitation
- Ownership: For profit - Limited Liability company
- Chain: The Ensign Group, 342 homes
- Legal name: Truckee Meadows Healthcare, Inc.
- Medicare and Medicaid certified since: Apr 6, 1989
- Councils: resident council
- Area: urban
Nursing homes near Hearthstone Health and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Northern Nevada State Veterans Home Sparks · abuse citation | 1.3 | 96 | 3.37 | 5.37 | 51.9% | 4 | None |
| Wingfield Skilled Nursing and Rehabilitation Cente Sparks | 3.7 | 120 | 1.69 | 3.02 | 45.3% | 2 | $75,670 |
| Rosewood Rehabilitation Center Reno | 3.8 | 99 | 1.68 | 3.09 | 58.0% | 1 | None |
| Advanced Health Care of Reno Reno | 5.2 | 42 | 2.82 | 5.12 | 40.8% | 5 | None |
| Caremeridian LLC, DBA Neurorestorative Reno · SFF candidate · abuse citation | 5.6 | 36 | 4.33 | 7.86 | 60.3% | 1 | $68,738 |
| Alpine Skilled Nursing and Rehabilitation Center Reno | 6.9 | 189 | 1.53 | 3.01 | 53.8% | 2 | None |
| Alta Skilled Nursing and Rehabilitation Center Reno | 7.3 | 180 | 1.88 | 3.29 | 44.5% | 2 | None |
| Life Care Center of Reno Reno · SFF candidate | 8.7 | 198 | 2.02 | 3.91 | 31.3% | 1 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.