Flagstone
Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.
based on 18 Google reviews

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What this means for your family
Flagstone is highly regarded for its vibrant social calendar and compassionate staff, making it a strong choice for those seeking an active community. However, given the serious report regarding fall management, we strongly recommend that families of residents with mobility issues ask specific questions about the facility's fall prevention protocols and communication procedures during medical incidents.
Google Reviews
Google Reviews
18 reviews on Google“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
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Diverse and engaging social activities
- High-quality culinary services
- Welcoming and community-focused atmosphere
Concerns
- Inadequate fall prevention and follow-up care
Rating Trends
Tap a year to see what changed
Distribution · 19 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed Flagstone is very active in responding to feedback online; how do you incorporate that family input into your daily operations?
- 2With a 5-star staffing rating, how does your team prioritize one-on-one interaction during the busy morning and evening routines?
- 3Given the 11 recent state violations, what specific steps has the leadership team taken to address those findings and improve the inspection outcomes?
- 4I’ve heard wonderful things about your culinary program; could you walk me through how you accommodate individual dietary needs while keeping mealtimes social?
- 5What is your specific protocol for fall prevention and the follow-up process if a resident does have an incident?
- 6Since you offer such a diverse range of social activities, how do you help new residents integrate into the community and find activities that match their personal interests?
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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
7
measures
3
measures
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Mar 20, 2026Routine14
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.
Mar 20, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 17, 2025Complaint2
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.
Jan 29, 2025Routine10
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.
Mar 20, 2024Routine11
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.
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.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Ownership & Operations
Who Operates This Facility
Flagstone
nonprofit
Chain Affiliation
Presbyterian Homes & Services
21 facilities nationwide
Chain avg rating: 4.3/5 · Rank 14 of 20
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
18 reviews from families & visitors
Official Website
Visit preshomes.org
Medicare data downloads
Original nursing home datasets
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