Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

HEARTHSTONE HEALTH AND REHABILITATION

SPARKS, NV · 125 certified beds · Last Life Safety survey March 5, 2026

CMS Certification Number 295044 · first certified April 1989

Ownership

Operated by THE ENSIGN GROUP · For profit - Limited Liability company

  • Ownership changed January 1, 2024 (change of ownership)from THI OF NEVADA AT HEARTHSTONE, LLC
28
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within NV

28 citations — more than 57% of the 66 certified nursing homes in NV. Compared within NV rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 15 citations; the earlier surveys in the window averaged 6.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 4 months from now. This facility’s last Life Safety survey was March 2026. Facilities in NV are typically surveyed 11–13 months after the last one (median 12), measured over 117 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

9 of the 28 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 28 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in NV, and nationally. Surveyors differ markedly between states, so the NV figure is the meaningful one.

This facility28NV median26National median11
Citations on file over three years, compared
MeasureCitations
This facility28
Median facility in NV26
Median facility nationally11

Survey history

Citations at each Life Safety survey
92024-0342025-03152026-03
Citations at each Life Safety survey
Survey dateCitations
March 25, 20249
March 3, 20254
March 5, 202615

Most-cited tags

Most-cited tags at this facility
K-09203K-05113K-03633K-03532K-07122K-03541K-02221E-00351
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.32026-03-05
K-0511Have properly installed electrical wiring and gas equipment.32026-03-05
K-0363Install corridor and hallway doors that block smoke.32026-03-05
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-03-05
K-0712Have simulated fire drills held at unexpected times.22026-03-05
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.12026-03-05
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12026-03-05
E-0035Provide family notifications of emergency plan.12026-03-05

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Emergency Preparedness Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Services Deficiencies 3
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Emergency Preparedness Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies4
Services Deficiencies3
Miscellaneous Deficiencies2
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 5, 2026 — 15 citations

Citations issued on March 5, 2026
TagWhat the surveyor checksStatus
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (April 17, 2026)
E-0023Establish policies and procedures for medical documentation.Deficient, Provider has date of correction (April 17, 2026)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (April 17, 2026)
E-0033Establish methods for sharing information.Deficient, Provider has date of correction (April 17, 2026)
E-0034Provide a means of sharing information on occupancy/needs.Deficient, Provider has date of correction (April 17, 2026)
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (April 26, 2026)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (April 25, 2026)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (April 25, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 25, 2026)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (April 25, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 25, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 25, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 15, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 25, 2026)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 25, 2026)

March 3, 2025 — 4 citations

Citations issued on March 3, 2025
TagWhat the surveyor checksStatus
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (April 5, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 5, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 5, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 5, 2025)

March 25, 2024 — 9 citations

Citations issued on March 25, 2024
TagWhat the surveyor checksStatus
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (April 30, 2024)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (April 30, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 30, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 30, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 30, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 30, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 30, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 30, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 30, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.