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Strong Medicare quality ratings; public reviewers often praise compassionate and attentive nursing staff. Still worth an in-person visit.
based on 17 Google reviews
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Flagstone has a strong overall Medicare rating. RN hours meet the EveryPlace reference benchmark, which is one useful staffing signal to discuss during a visit. Public reviewers frequently mention: compassionate and attentive nursing staff and diverse and engaging social activities. Review the component ratings and current source records before deciding.
Flagstone is generally regarded as a warm, community-focused facility with residents and families praising the compassionate staff, diverse activities, and high-quality culinary services. However, a serious safety concern regarding fall management and communication was raised in a critical review, suggesting potential lapses in oversight for residents requiring higher levels of care.
Quality Themes
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Concerns
Rating Trends
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Distribution · 19 analyzed
This facility actively engages with reviewer feedback.
Personalized based on this facility's data
Key Review Excerpts
“The nursing and other staff are excellent--very competent and extremely caring. Our questions are always thoughtfully answered. The activities for Flagstone care center residents are plentiful, fun, and diverse, with special activities for each of the seasons.”
“When he passed, the staff held a touching send-off service that truly honored his life, and we were moved that two Flagstone representatives attended his funeral. We cannot recommend Flagstone highly enough.”
“She was found on the floor two mornings in a row in her room in the care center. She was assessed as not needing care. I found her in her room 5 hours after receiving a call from the nurse that she was found on the floor.”
This facility meets both EveryPlace staffing reference benchmarks. Higher staffing is generally associated with stronger day-to-day care.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
8
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Flagstone has recurring deficiencies across multiple surveys, with families filing complaints that triggered inspections for care quality and infection control issues. The facility shows persistent problems in fire safety systems, medication management, and care planning that continue across surveys from 2023 to 2025. While all deficiencies show correction dates, the pattern of repeated violations in critical safety and care areas suggests ongoing operational challenges that families should carefully consider.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Electrical Deficiencies
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Flagstone
nonprofit
Presbyterian Homes & Services
21 facilities nationwide
Chain avg rating: 4.3/5 · Rank 14 of 20
Owners
Presbyterian Homes and Services
Owner · Organization
Key personnel
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Google Reviews
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