Golden Heart Group Home Care I
State licensed3413 Alpand Lane, Sparks, NV 89434
Assisted Living
Call for pricing
Prices not published
About Hearthstone
Hearthstone provides compassionate skilled nursing and rehabilitation services to Sparks, Nevada residents who need medical care during recovery or ongoing health management. Our team focuses on personalized treatment plans and supportive therapies to help you regain independence.
Community at a glance
Capacity
125 residents
Location
Sparks, NV
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1950 BARING BLVD, Sparks, Nevada 89434
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on March 5, 2026, state inspectors cited 11 health deficiencies (the Nevada average is 9.6).
Nurses and nurse aides spend 3 hours 48 minutes with each resident a day, below the Nevada average of 4 hours 20 minutes.
Medicare fined Hearthstone once in the last three years, $48,721 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 48 minutesBelow the Nevada average |
| Registered nurse time per resident, per day | 42 minutesBelow the Nevada average |
| Nursing staff who left in the past year | 35%Below the Nevada average |
1 administrator has left the home in the past year.
Inspections
59 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
March 5, 2026 · Standard inspection · 11 citations
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Apr 17, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Apr 17, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 17, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 17, 2026Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 17, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 17, 2026Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 17, 2026Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 17, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 17, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 17, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 17, 2026
March 3, 2025 · Standard inspection · 15 citations
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Risk of harm, no one hurt, widespread (level F)Quality of Life and CareCorrected Apr 5, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 5, 2025Provide safe, appropriate pain management for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 5, 2025Provide training in compliance and ethics.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Apr 5, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Apr 5, 2025Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 5, 2025Observe each nurse aide's job performance and give regular training.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Apr 5, 2025Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Apr 5, 2025Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Apr 5, 2025Have a plan that describes the process for conducting QAPI and QAA activities.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Apr 5, 2025Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 5, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 5, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 5, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 5, 2025Post nurse staffing information every day.
Minimal harm or risk, widespread (level C)Nursing and Physician ServicesCorrected Apr 5, 2025
March 25, 2024 · Standard inspection · 24 citations+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Apr 30, 2024Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Apr 30, 2024Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, widespread (level F)Resident RightsCorrected Apr 30, 2024Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Risk of harm, no one hurt, widespread (level F)Resident RightsCorrected Apr 30, 2024Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Apr 30, 2024Dispose of garbage and refuse properly.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Apr 30, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Apr 30, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 30, 2024Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Apr 30, 2024Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Apr 30, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 30, 2024Provide safe, appropriate pain management for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 30, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 30, 2024Ensure each resident’s drug regimen must be free from unnecessary drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 30, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 30, 2024Provide safe, appropriate dialysis care/services for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 30, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 30, 2024Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 30, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 30, 2024Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 30, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Apr 30, 2024Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 30, 2024Notify 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 30, 2024Provide 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 30, 2024
January 24, 2024 · Complaint investigation · 1 citation+
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 5, 2024
November 16, 2023 · Complaint investigation · 8 citations+
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Jan 8, 2024Honor each resident's preferences, choices, values and beliefs.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Dec 22, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 22, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Dec 22, 2023Protect each resident from the wrongful use of the resident's belongings or money.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Dec 22, 2023Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 22, 2023Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 22, 2023Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Minimal harm or risk, widespread (level C)Nursing and Physician ServicesFrom a complaintCorrected Dec 22, 2023
Fines and payment denials
1 fine totaling $48,721 in the last three years.
- November 16, 2023Fine: $48,721
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Truckee Meadows Healthcare, Inc.
- Medicare-certified beds
- 125
- Average residents per day
- 110
- Accepts
- Medicare and Medicaid
- First certified
- April 6, 1989
- Part of a chain
- The Ensign Group, 344 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 295044
Location
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1950 BARING BLVDSparks, NV 89434
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Questions about Hearthstone
How did Hearthstone do on its last inspection?+
State inspectors visited on March 5, 2026 and cited 11 health deficiencies. The Nevada average is 9.6.
How much nursing care does each resident get at Hearthstone?+
Nurses and aides spend 3 hours 48 minutes with each resident per day, including 42 minutes from registered nurses. 35% of nursing staff left over the past year.
Has Hearthstone been fined by Medicare?+
Yes. Medicare fined Hearthstone once in the last three years, totaling $48,721.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.