HEARTHSTONE

Nursing Home Sparks, NV Medicare and Medicaid
1/5
Overall Rating
1/5
Certified Beds
125
Residents
102
Total Fines
$78,254

Ratings & Quality

Overall
1/5
Health Inspection
1/5
Staffing
3/5
Quality
4/5

Staffing Details

RN Hours per Resident per Day0.59
Total Nurse Hours per Resident per Day3.67
Number of Certified Beds125
Number of Residents102

Inspection Deficiencies (72)

0641 2025-03-03 D Not Corrected

Ensure each resident receives an accurate assessment.

Correction date: 2025-04-05

0656 2025-03-03 D Not Corrected

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

Correction date: 2025-04-05

0684 2025-03-03 D Not Corrected

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

Correction date: 2025-04-05

0697 2025-03-03 D Not Corrected

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

Correction date: 2025-04-05

0698 2025-03-03 F Not Corrected

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

Correction date: 2025-04-05

0730 2025-03-03 D Not Corrected

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

Correction date: 2025-04-05

0732 2025-03-03 C Not Corrected

Post nurse staffing information every day.

Correction date: 2025-04-05

0740 2025-03-03 D Not Corrected

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

Correction date: 2025-04-05

0835 2025-03-03 D Not Corrected

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

Correction date: 2025-04-05

0842 2025-03-03 D Not Corrected

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

Correction date: 2025-04-05

0865 2025-03-03 D Not Corrected

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

Correction date: 2025-04-05

0942 2025-03-03 D Not Corrected

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

Correction date: 2025-04-05

0944 2025-03-03 D Not Corrected

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

Correction date: 2025-04-05

0946 2025-03-03 D Not Corrected

Provide training in compliance and ethics.

Correction date: 2025-04-05

0550 2025-03-03 D Not Corrected

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

Correction date: 2025-04-05

0552 2024-03-25 F Not Corrected

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

Correction date: 2024-04-30

0561 2024-03-25 F Not Corrected

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

Correction date: 2024-04-30

0583 2024-03-25 D Not Corrected

Keep residents' personal and medical records private and confidential.

Correction date: 2024-04-30

0623 2024-03-25 D Not Corrected

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

Correction date: 2024-04-30

0625 2024-03-25 D Not Corrected

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.

Correction date: 2024-04-30

0655 2024-03-25 D Not Corrected

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

Correction date: 2024-04-30

0657 2024-03-25 D Not Corrected

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

Correction date: 2024-04-30

0658 2024-03-25 E Not Corrected

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

Correction date: 2024-04-30

0684 2024-03-25 D Not Corrected

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

Correction date: 2024-04-30

0688 2024-03-25 D Not Corrected

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.

Correction date: 2024-04-30

0697 2024-03-25 D Not Corrected

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

Correction date: 2024-04-30

0698 2024-03-25 D Not Corrected

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

Correction date: 2024-04-30

0726 2024-03-25 F Not Corrected

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.

Correction date: 2024-04-30

0755 2024-03-25 D Not Corrected

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

Correction date: 2024-04-30

0757 2024-03-25 D Not Corrected

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

Correction date: 2024-04-30

0761 2024-03-25 D Not Corrected

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.

Correction date: 2024-04-30

0806 2024-03-25 D Not Corrected

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

Correction date: 2024-04-30

0814 2024-03-25 F Not Corrected

Dispose of garbage and refuse properly.

Correction date: 2024-04-30

0835 2024-03-25 F Not Corrected

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

Correction date: 2024-04-30

0842 2024-03-25 D Not Corrected

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

Correction date: 2024-04-30

0880 2024-03-25 F Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2024-04-30

0883 2024-03-25 D Not Corrected

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

Correction date: 2024-04-30

0940 2024-03-25 D Not Corrected

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

Correction date: 2024-04-30

0600 2024-03-25 D Not Corrected

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

Correction date: 2024-04-30

0550 2024-01-24 D Not Corrected

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

Correction date: 2024-02-05

0602 2023-11-16 D Not Corrected

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

Correction date: 2023-12-22

0657 2023-11-16 D Not Corrected

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

Correction date: 2023-12-22

0675 2023-11-16 E Not Corrected

Honor each resident's preferences, choices, values and beliefs.

Correction date: 2023-12-22

0684 2023-11-16 J Not Corrected

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

Correction date: 2024-01-08

0689 2023-11-16 D Not Corrected

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

Correction date: 2023-12-22

0712 2023-11-16 C Not Corrected

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

Correction date: 2023-12-22

0812 2023-11-16 D Not Corrected

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

Correction date: 2023-12-22

0842 2023-11-16 D Not Corrected

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

Correction date: 2023-12-22

0600 2023-05-04 G Not Corrected

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

Correction date: 2023-06-09

0689 2023-05-04 G Not Corrected

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

Correction date: 2023-06-09

0552 2023-05-04 D Not Corrected

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

Correction date: 2023-06-09

0558 2023-05-04 D Not Corrected

Reasonably accommodate the needs and preferences of each resident.

Correction date: 2023-06-09

0656 2023-05-04 D Not Corrected

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

Correction date: 2023-06-09

0657 2023-05-04 D Not Corrected

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

Correction date: 2023-06-09

0685 2023-05-04 D Not Corrected

Assist a resident in gaining access to vision and hearing services.

Correction date: 2023-06-09

0695 2023-05-04 D Not Corrected

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

Correction date: 2023-06-09

0700 2023-05-04 D Not Corrected

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Correction date: 2023-06-09

0725 2023-05-04 E Not Corrected

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Correction date: 2023-06-09

0761 2023-05-04 D Not Corrected

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.

Correction date: 2023-06-09

0790 2023-05-04 D Not Corrected

Provide routine and 24-hour emergency dental care for each resident.

Correction date: 2023-06-09

0806 2023-05-04 D Not Corrected

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

Correction date: 2023-06-09

0812 2023-05-04 E Not Corrected

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

Correction date: 2023-06-09

0842 2023-05-04 D Not Corrected

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

Correction date: 2023-06-09

0849 2023-05-04 D Not Corrected

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Correction date: 2023-06-09

0865 2023-05-04 D Not Corrected

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

Correction date: 2023-06-09

0881 2023-05-04 E Not Corrected

Implement a program that monitors antibiotic use.

Correction date: 2023-06-09

0886 2023-05-04 D Not Corrected

Perform COVID19 testing on residents and staff.

Correction date: 2023-06-09

0888 2023-05-04 D Not Corrected

Ensure staff are vaccinated for COVID-19

Correction date: 2023-06-09

0943 2023-05-04 D Not Corrected

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Correction date: 2023-06-09

0609 2023-02-14 D Not Corrected

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

Correction date: 2023-03-14

0657 2023-02-14 D Not Corrected

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

Correction date: 2023-03-14

0689 2023-02-14 D Not Corrected

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

Correction date: 2023-03-14

Penalties & Fines

Date Type Fine Amount
2023-11-16 Fine $48,721
2023-05-04 Fine $29,533

About HEARTHSTONE

HEARTHSTONE is a medicare and medicaid certified nursing home in Sparks, Nevada. The facility has 125 certified beds and currently houses 102 residents. It has received an overall quality rating of 1 out of 5 stars from CMS. The facility has 72 inspection deficiencies on record. Total fines assessed: $78,254 across 2 penalties. Registered nurse hours are 0.59 per resident per day.