All citations for Flagstone

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Flagstone

Last standard health inspection on record

March 20, 2026

Showing 1 to 25 of 38 citations

  1. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2026).

  2. No harm, with potential for more than minimal harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of March 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2026).

  3. No harm, with potential for more than minimal harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of March 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2026).

  4. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2026).

  5. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 4, 2025).

  6. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of March 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2024).

  7. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2024).

  8. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of March 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2024).

  9. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2024).

  10. No harm, with potential for more than minimal harm

    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0901, Electrical Deficiencies. Inspection of March 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2024).

  11. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2026).

  12. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of July 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

  13. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

  14. No harm, with potential for more than minimal harm

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0565, Resident Rights Deficiencies. Inspection of January 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 4, 2025).

  15. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 4, 2025).

  16. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0552, Resident Rights Deficiencies. Inspection of March 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2026).

  17. No harm, with potential for more than minimal harm

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2026).

  18. No harm, with potential for more than minimal harm

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of March 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2026).

  19. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of March 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2026).

  20. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of March 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2026).

  21. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 20, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 21, 2026).

  22. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of March 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2026).

  23. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of March 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2026).

  24. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of March 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2026).

  25. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 23, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.