Flagstone Senior Living

    3325 Columbia View Dr, The Dalles, OR 97058
    • Independent Living
    • Assisted Living
    • Memory Care

    Caring staff, clean and safe.

    I toured and moved my mom here and I'm very pleased - the staff are amazing, genuinely caring, and work as a team to keep residents safe and engaged. The community is clean and well-maintained with great activities, good meals, helpful management, and comfortable apartments; I feel reassured and would recommend it.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • 24-hour emergency response system
    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Incontinence care
    • Medication management
    • Mental wellness program
    • Personal care assistance
    • SafelyYou AI Anti-fall System

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Dining options

    • Chef-prepared cuisine
    • Multiple Dining Venues
    • Private dining

    Room

    • Air conditioning
    • Air-conditioning
    • Cable
    • Full-size kitchen
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Spa
    • Telephone
    • Walk-in-closet
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Courtyard
    • Dining room
    • Fitness center
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Pet friendly
    • Small library
    • Theater
    • Walking paths
    • Wellness center

    Community services

    • Apartment maintenance
    • Concierge services
    • Escorts to meals and activities
    • Fitness programs
    • Housekeeping
    • Laundry Services
    • Move-in coordination
    • Outdoor maintenance
    • Personal Laundry

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.87·(52)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.0
    • Staff

      3.6
    • Meals

      3.3
    • Amenities

      3.7
    • Value

      2.3

    Pros

    • Friendly, compassionate staff
    • Well-maintained grounds and landscaping
    • Bright, open memory-care unit
    • Engaging activity program
    • Good-quality meals and dining experience
    • In-apartment amenities (kitchen, washer/dryer, fireplace)
    • Recent interior renovations
    • Pet-friendly community
    • Secure but non-restrictive memory-care environment
    • Clean, tidy rooms in many cases
    • Accessible skilled-nursing and appointment assistance
    • Family-involvement and frequent communication (where present)
    • In-house salon and social programs
    • Cottage and two-bedroom housing options
    • Efficient automated reception/check-in systems

    Cons

    • Chronic understaffing and high staff turnover
    • Inconsistent staff training and competency, particularly in memory care
    • Gaps in medication administration and clinical monitoring
    • Inconsistent personal-care routines (bathing, mouth and denture care)
    • Inconsistent meal-delivery timing and dining-process management
    • Sanitation and odor concerns in some rooms and common areas
    • Weak fall-prevention and transfer-safety practices
    • Inadequate property maintenance creating trip hazards
    • Inconsistent financial and bookkeeping processes
    • Poor family communication and unresponsiveness from some managers
    • Service-delivery interruptions after ownership/leadership transitions
    • Allegations of theft and property loss

    Summary of reviews

    Overall impression: Reviews for this community are polarized. Many families and residents describe a welcoming, well-kept campus with engaged staff and a robust activity calendar; however, a substantial subset of accounts raises operational concerns that appear tied to staffing, training, and management consistency. Prospective families should weigh the facility’s physical and programmatic strengths against the pattern of service and clinical variability described by others.

    Care quality and clinical concerns: Several accounts describe attentive, hands-on caregiving and staff who know residents well, particularly in instances where long-tenured employees are present. Conversely, other accounts describe lapses in routine clinical care and monitoring — examples include delays in attending to personal-care needs, inconsistencies in mouth and denture care, missed meals or delayed meal delivery, and medication-administration problems. There are recurring descriptions of falls and insufficient fall-prevention practices; these concerns suggest gaps in transfer- and mobility-safety protocols and in ongoing clinical monitoring rather than isolated events.

    Staffing and training: Staffing adequacy is a central theme. Positive reviews highlight compassionate, helpful caregivers and effective appointment coordination. Negative reviews consistently cite chronic understaffing, high turnover, and uneven training—particularly in the memory-care unit—leading to inconsistent day-to-day care, variability in staff conduct, and challenges in communicating resident needs. Where leadership is stable and engaged, families report better coordination; where leadership turnover or unresponsiveness occurs, families note breakdowns in follow-up and problem resolution.

    Dining and activities: The community offers a wide range of activities and many reviewers praise the quality of meals, dining atmosphere, and ancillary services such as an in-house salon. These programmatic strengths contribute to social engagement and weight/stability improvements for some residents. At the same time, there are recurring complaints about dining processes (timing of meals, utensil handling, and occasional missed meals) and situations where paid services or advertised activities were not delivered consistently after operational changes.

    Facilities and environment: The campus and landscaping receive frequent praise; multiple reviews reference recent renovations, bright memory-care spaces, comfortable apartments, cottages with full kitchens, and outdoor areas that support resident engagement. Counterbalancing that, there are property-maintenance concerns such as sidewalk and trip hazards, vacant rooms, and localized sanitation or odor concerns in certain rooms or common areas. These maintenance and cleanliness issues appear to vary by unit and over time.

    Management, operations, and finances: Management experiences are mixed. Some families highlight clear communication, a responsive director of nursing, and efficient administrative systems. Others describe poor communication, cancelled meetings, bookkeeping inconsistencies, payment reconciliation issues with third-party payers, and service interruptions after ownership or leadership transitions. There are also allegations of theft and property loss; these are serious concerns that families should clarify with leadership and through the facility’s incident-resolution and security processes.

    Notable patterns and guidance: The pattern across reviews suggests the facility offers strong environmental and programmatic assets (grounds, activities, food, and some compassionate staff) but also exhibits operational vulnerabilities driven by staffing shortages, inconsistent training, and variable management follow-through. Prospective residents and families would benefit from focused due diligence: ask about current staffing ratios and turnover, fall-prevention protocols, medication-administration safeguards, sanitation procedures, how the facility handles missing-property incidents, how paid services are guaranteed during transitions, and recent quality or survey findings. Arrange a meal visit and a tour of the memory-care neighborhood during a typical day to observe staffing levels, dining operations, and resident engagement firsthand.

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    Location

    Map showing location of Flagstone Senior Living

    Flagstone Senior Living is located at 3325 Columbia View Dr, The Dalles, OR, 97058.

    About Flagstone Senior Living

    Flagstone Retirement and Assisted Living offers a warm and inviting environment where residents are encouraged to enjoy life on their own terms. With rental rates beginning at $2,900 per month, residents receive a wide array of amenities such as meals, transportation, housekeeping, events, and more, all designed to promote comfort and convenience. The community at Flagstone is thoughtfully designed to help residents connect, learn, and grow every day, whether they prefer socializing with neighbors or enjoying quiet moments in a peaceful setting.

    The atmosphere at Flagstone is centered on compassion, empathy, and strong support among team members and residents alike. This commitment to well-being is evident in the vibrant daily life offered at the community. Residents can look forward to chef-prepared meals, often shared with friends in an inviting dining area, making every dining experience both delicious and social. The culinary team is attentive to dietary needs and personal preferences, ensuring that each meal is enjoyable and nourishing.

    Flagstone Retirement and Assisted Living has been carefully crafted to include a variety of spaces and amenities recognized as resident favorites. The Rear View Salon offers opportunities for self-care and relaxation, while the on-site Art Studio provides a creative outlet and a place to foster artistic expression. Fitness enthusiasts can make use of the Fitness Center, encouraging an active lifestyle regardless of age or ability. The walking path meanders through the beautifully landscaped grounds, offering a tranquil setting for leisurely strolls, and the community is welcoming to dog owners, allowing residents to enjoy the companionship of their beloved pets.

    Residents at Flagstone can choose from a selection of thoughtfully designed floorplans to suit different lifestyles and preferences. These living spaces ensure both comfort and privacy, with each home tailored to meet individual needs. Opportunities abound to meet new friends, from group gatherings around the table for shared meals to quiet moments with a companion on a bench overlooking scenic views. At every turn, residents encounter a community defined by genuine kindness, neighborly support, and a shared commitment to well-being.

    The dedicated caregiving team at Flagstone Retirement and Assisted Living contributes to an atmosphere where residents not only feel cared for but are inspired to support one another in turn. This nurturing spirit helps foster optimal health and happiness, enabling residents to thrive both physically and emotionally. With a focus on creating meaningful connections and lasting memories, Flagstone stands as a community where each person can truly feel at home.

    People often ask...

    Flagstone Senior Living offers competitive pricing, with rates starting at a cost of $6,749 per month.

    Flagstone Senior Living offers independent living, assisted living, memory care, and continuing care retirement community.

    There are 28 photos of Flagstone Senior Living on Mirador.

    Yes, Flagstone Senior Living allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 3325 Columbia View Dr, The Dalles, OR 97058.

    No, Flagstone Senior Living does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.

    License number50R327
    StatusActive
    Facility typeResidential Care Facility
    Capacity33 residents
    LicenseeVop Flagstone, LLC
    EffectiveAugust 13th, 2004
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    107

    Reports

    0

    Type A Citations

    0

    Type B Citations

    1

    Complaints

    16

    Years

    10 Mar 2026Inspection
    Found that quarterly ABST evaluations were not updated or reviewed as required.
    • LicensingFailed to update staffing plan based on ABST
    25 Dec 2025Inspection
    Found a licensing violation for failing to administer ordered medication.
    • LicensingFailed to administer ordered medication
    17 Nov 2025Kitchen
    Found deficiencies in kitchen sanitation, with spills and debris in the main kitchen including the dish machine area.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    17 Nov 2025Kitchen
    Identified sanitation deficiencies in the kitchens and administration compliance concerns. Violations related to food sanitation and licensing requirements were noted.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    02 May 2025Licensure
    Investigated multiple failures in resident rights, health services, infection control, medication management, and governance, identifying numerous deficiencies across operations, care planning, and reporting.
    • DeficiencyFacility Administration: Operation
    • DeficiencyResident Rights and Protection - General
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Move-in & Evaluation: Res Evaluation
    • DeficiencyService Plan: Service Planning Team
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencyInfection Prevention & Control
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Medication Administration
    • DeficiencyAcuity Based Staffing Tool - ABST Time
    • DeficiencyAcuity Based Staffing Tool - Updates & Staffing Plan
    • DeficiencyStaffing Requirements and Training – Pre-service
    • DeficiencyTraining Within 30 Days of Hire – Direct Care Staff
    • DeficiencyAnnual and Biennial Inservice for All Staff
    • DeficiencyFire and Life Safety: Training for Residents
    02 May 2025License Condition
    Found violations for failing to provide a safe environment.
    • Regulatory ActionFailed to provide safe environment
    21 Apr 2025Abuse: Neglect
    Investigated allegations of neglect related to fall prevention; found inadequate fall-risk care planning and interventions after multiple falls, with a fine assessed.
    • AbuseFailed to properly plan care
    16 Apr 2025Licensure
    Identified multiple deficiencies in infection control, resident safety training, privacy, and staff training.
    • DeficiencyInfection Prevention & Control
    • DeficiencyFire and Life Safety: Training for Residents
    • DeficiencyIndividual Privacy: Own Unit
    • DeficiencyAdministration Compliance
    • DeficiencyStaff Training Requirements
    27 Mar 2025Abuse: Neglect
    Determined abuse by neglect occurred due to failure to provide a safe environment for a resident. Unreasonable discomfort resulted.
    • AbuseFailed to provide safe environment
    18 Dec 2024Complaint
    Found that an acuity-based staffing tool was not fully implemented or updated. Multiple resident profiles had not been updated in the last quarter.
    • DeficiencyAcuity Based Staffing Tool - Updates & Plan
    18 Dec 2024Abuse: Neglect
    Investigated abuse by neglect due to lack of supervision, resulting in a resident being grabbed and hurt while no staff were assigned to supervise at the time.
    • AbuseFailed to provide safe environment
    09 Dec 2024Inspection
    Found a safety deficiency in medication administration related to failure to administer medication as ordered.
    • LicensingFailed to administer medication as ordered
    30 Nov 2024Inspection
    Investigated a medication administration failure and identified rule violations with potential for harm.
    • LicensingFailed to administer medication as ordered
    25 Nov 2024Inspection
    Investigated and found a violation related to updating the Acuity-Based Staffing Tool to reflect resident care needs. Inconsistencies were identified between the roster, care plans, and ABST data.
    • LicensingFailed to use an ABST
    22 Nov 2024Inspection
    Identified a violation due to an outdated ABST not reflecting resident needs, with inconsistencies between roster, care plans, and ABST data.
    • LicensingFailed to use an ABST
    20 Sept 2024Inspection
    Identified deficiencies due to an outdated ABST not reflecting resident needs, with inconsistencies between the roster, care plans, and ABST data.
    • LicensingFailed to use an ABST
    31 Aug 2024Inspection
    Investigated a licensing allegation and found that the Acuity-Based Staffing Tool was not updated to reflect resident care needs, with inconsistencies between the roster, care plans, and ABST data.
    • LicensingFailed to use an ABST
    28 Aug 2024Kitchen
    Found extensive cleaning and repair deficiencies in the kitchen and related areas, indicating noncompliance with food sanitation requirements.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    28 Aug 2024Kitchen
    Found extensive cleanliness and repair deficiencies in the kitchen and related areas, violating food sanitation rules, and administration compliance failures regarding licensing rules.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    25 Aug 2024Inspection
    Determined that the Acuity-Based Staffing Tool was not updated to reflect resident needs, with inconsistencies between the roster, care plans, and ABST data.
    • LicensingFailed to use an ABST
    30 Jul 2024Abuse: Neglect
    Found a deficiency for failing to provide a safe medication administration system, resulting in a $500 fine.
    • AbuseFailed to provide a safe medication administration system
    24 Jun 2024Abuse: Neglect
    Investigated an allegation of failure to follow the care plan for Geri-sleeves, resulting in a skin tear. A $500 fine was assessed.
    • AbuseFailed to follow care plan
    31 May 2024Inspection
    Found that the Acuity-Based Staffing Tool (ABST) evaluation was not updated and reviewed quarterly for each resident as required.
    • LicensingFailed to update staffing plan based on ABST
    21 May 2024Inspection
    Found violations for unsafe medication administration, including half-dosing of pain medication and gaps in the medication system and staff training.
    • LicensingFailed to provide a safe medication administration system
    27 Apr 2024Inspection
    Found a deficiency in the medication administration system that did not ensure meds were given as ordered, though no harm occurred to the resident.
    • LicensingFailed to provide a safe medication administration system
    25 Apr 2024Inspection
    Found a violation for not providing a safe medication administration system, with no harm to the resident.
    • LicensingFailed to provide a safe medication administration system
    16 Apr 2024Abuse: Neglect
    Found failure to properly plan care for safety, leading to two wheelchair-related falls with injuries.
    • AbuseFailed to properly plan care
    15 Apr 2024Inspection
    Found ABST evaluations were not updated quarterly for each resident, leading to a licensing violation.
    • LicensingFailed to update staffing plan based on ABST
    08 Apr 2024Abuse: Neglect
    Found inadequate supervision that allowed an individual to elope from the secured area, placing them at risk of harm. The finding notes abuse and neglect and a sanction was imposed.
    • AbuseFailed to provide safe environment
    04 Apr 2024Inspection
    Found a deficiency in the medication administration system that could lead to improper administration of a resident's medication.
    • LicensingFailed to provide a safe medication administration system
    19 Mar 2024Abuse: Neglect
    Investigated allegations found a failure to provide a safe medication administration system, resulting in missed medications and risk of serious harm.
    • AbuseFailed to provide a safe medication administration system
    19 Mar 2024Inspection
    Determined that a safe medication administration system was not provided as ordered, indicating a deficiency.
    • LicensingFailed to provide a safe medication administration system
    08 Mar 2024Abuse: Neglect
    Investigated found a resident on the floor with dried feces; oversight failed to monitor change of condition and update the care plan, placing the resident at risk for harm, and a fine was assessed.
    • AbuseFailed to provide oversight and monitoring of change of condition
    19 Feb 2024Inspection
    Investigated the allegation of a missing safe medication administration system and found the system was not provided as ordered, risking harm.
    • LicensingFailed to provide a safe medication administration system
    10 Feb 2024Inspection
    Found a failure to provide a safe medication administration system, risking harm to a resident.
    • LicensingFailed to provide a safe medication administration system
    31 Jan 2024License Condition
    Determined that the provider failed to provide a safe environment, placing residents at risk and prompting a license condition.
    • Regulatory ActionFailed to provide safe environment
    12 Jan 2024Inspection
    Found a violation for failing to update and review ABST evaluations quarterly for each resident.
    • LicensingFailed to update staffing plan based on ABST
    11 Jan 2024Inspection
    Investigated the allegation and determined that emotional abuse and neglect occurred, violating state rules.
    • LicensingFailed to protect resident from mental or emotional abuse
    03 Jan 2024Inspection
    Investigated a complaint and found that a call system delay resulted in a 90-minute response to a resident's call light, placing the resident at risk of harm.
    • LicensingFailed to provide service
    21 Dec 2023Inspection
    Investigated a complaint alleging failure to protect a resident from physical abuse; found that a staff member used excessive force during transfers and did not stop after the resident expressed pain, constituting neglect and abuse.
    • LicensingFailed to protect resident from physical abuse
    07 Dec 2023Inspection
    Investigated and found that a staff member physically abused a resident on two occasions and failed to protect the resident from emotional abuse, constituting neglect of care.
    • LicensingFailed to protect resident from mental or emotional abuse
    20 Nov 2023Abuse: Neglect
    Found failure to follow the resident's care plan for showers, resulting in about five showers and loss of dignity; a fine was assessed.
    • AbuseFailed to follow care plan
    06 Oct 2023Inspection
    Investigated the complaint and found a failure to timely respond to transfer assistance, creating risk of harm.
    • LicensingFailed to provide service
    28 Jul 2023Inspection
    Found inconsistencies between the resident roster, care plans, and the Acuity-Based Staffing Tool data, indicating a deficiency in staffing data accuracy due to an outdated ABST.
    • LicensingFailed to use an ABST
    21 Jun 2023Inspection
    Investigated an allegation of improper care planning; the falls-related claim was not substantiated, but there was a service plan update deficiency.
    • LicensingFailed to properly plan care
    01 Feb 2023Inspection
    Found a failure to submit timely or adequate staffing documentation and to report weekly vaccination data for residents and staff; a $7500 fine was assessed.
    • LicensingFailed to submit timely or adequate staffing documentation
    18 Jan 2023Inspection
    Found failure to submit timely weekly reporting of vaccinated individuals, residents, and staff to the proper authority for December 2022, with a subsequent fine assessed.
    • LicensingFailed to submit timely or adequate staffing documentation
    16 Nov 2022Abuse: Neglect
    Found neglect and abuse due to failure to follow the care plan and provide supervision, resulting in injury to a resident and destruction of a room; a $500 fine was assessed.
    • AbuseFailed to properly plan care
    28 Sept 2022Abuse: Neglect
    Found failure to provide a safe medication administration system, with multiple injectable medication errors risking serious harm.
    • AbuseFailed to provide a safe medication administration system
    01 Sept 2022Inspection
    Found a violation for failing to submit timely weekly reporting of vaccinated individuals, residents, and staff to the proper authority. The finding covered August 2022.
    • LicensingFailed to submit timely or adequate staffing documentation
    29 Aug 2022Validation
    Found numerous deficiencies across administration, resident care, medications, safety, and staffing, including several repeat citations from prior inspections.
    • DeficiencyComment
    • DeficiencyFacility Administration: Operation
    • DeficiencyFacility Administration: Policy & Procedure
    • DeficiencyFacility Administration: Quality Improvement
    • DeficiencyReasonable Precautions
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyResident Move-In and Eval: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencyRn Delegation and Teaching
    • DeficiencyRes Hlth Srvc: On- and Off-Site Health Srvc
    • DeficiencySystems: Medications and Treatments
    • DeficiencySystems: Tracking Control Substances
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Resident Right to Refuse
    • DeficiencySystems: Medication Administration
    • DeficiencyAdministrator Qualification and Requirements
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity-Based Staffing Tool
    • DeficiencyStaffing Requirements and Training – Pre-Serv
    • DeficiencyTraining Within 30 Days: Direct Care Staff
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyGeneral Building Exterior
    • DeficiencyGeneral Building: Doors-Walls, Cleanable
    • DeficiencyResident Units
    • DeficiencyCommon Use Areas: Social
    • DeficiencyHouse Keeping and Sanitation
    • DeficiencyHeating and Ventilation
    29 Aug 2022Validation
    Investigated licensure actions revealed deficiencies in abuse reporting, health services, nutrition, activity planning, and safety; subsequent follow-ups achieved substantial compliance.
    • DeficiencyComment
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyResident Move-In and Eval: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyService Plan: Service Planning Team
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencyRn Delegation and Teaching
    • DeficiencySystems: Medications and Treatments
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Medication Administration
    • DeficiencyAdministrator Qualification and Requirements
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyGeneral Building Exterior
    • DeficiencyDoors, Walls, Elevators, Odors
    • DeficiencyResident Units
    • DeficiencyHousekeeping and Laundry
    • DeficiencyHeating and Ventilation
    • DeficiencyCall Sys, Exit Dr Alarm, Phones, Tv, Or Cable
    • DeficiencyAdministration Compliance
    • DeficiencyStaff Training Requirements
    • DeficiencyCompliance With Rules Health Care
    • DeficiencyNutrition and Hydration
    • DeficiencyActivities
    • DeficiencyBehavior
    • DeficiencyOutside Area
    • DeficiencySecure Outdoor Recreation Area
    • DeficiencyResident Rooms
    08 Jun 2022Inspection
    Found that a resident was not protected from financial exploitation, and two rings disappeared during hospitalization, suggesting theft. The finding noted abuse/neglect related to financial exploitation under state rules.
    • LicensingFailed to protect resident from financial exploitation
    16 Mar 2022Inspection
    Found a violation for failing to protect a resident from financial exploitation.
    • LicensingFailed to protect resident from financial exploitation
    15 Mar 2022Inspection
    Found a violation for failing to protect a resident from financial exploitation after a wallet with $1,000 disappeared.
    • LicensingFailed to protect resident from financial exploitation
    11 Apr 2021Inspection
    Investigated a financial exploitation case and found that a resident was not protected. Two rings were missing after discharge.
    • LicensingFailed to protect resident from financial exploitation
    30 Mar 2021Abuse: Neglect
    Investigated and found failure to provide a safe environment, resulting in a fall and fracture. A $169 fine was assessed.
    • AbuseFailed to provide safe environment
    16 Mar 2021Inspection
    Found that medication orders were not carried out as prescribed, with residents receiving medications late.
    • LicensingFailed to administer medication as ordered
    07 Mar 2021Inspection
    Found that a staff member verbally abused a resident and the facility failed to protect the resident from verbal/emotional abuse and neglect of care.
    • LicensingFailed to protect resident from verbal abuse
    25 Dec 2020Abuse: Neglect
    Investigated and found a deficiency in safe medication administration that left a resident at risk due to not receiving scheduled pain medication.
    • AbuseFailed to provide a safe medication administration system
    23 Nov 2020Inspection
    Investigated an allegation of not administering medications as ordered and confirmed the orders were not carried out as prescribed.
    • LicensingFailed to administer medication as ordered
    16 Nov 2020Inspection
    Investigated an allegation of unsafe medication management and verified a deficiency in the safe medication administration system.
    • LicensingFailed to provide a safe medication administration system
    20 Feb 2020Abuse: Neglect
    Found abuse and neglect due to failure to provide a safe environment. A resident was punched in the forehead during a dispute over a walker.
    • AbuseFailed to provide safe environment
    15 Feb 2020Inspection
    Investigated unsafe medication administration that led to a resident receiving the wrong medication and requiring hospital evaluation. Found neglect and violations of resident rights due to an unsafe medication system.
    • LicensingFailed to provide a safe medication administration system
    19 Nov 2019Abuse: Neglect
    Investigated a resident-to-resident incident and found failure to provide a safe environment that constitutes abuse and neglect.
    • AbuseFailed to provide safe environment
    13 Oct 2019Abuse: Neglect
    Investigated found evidence of abuse/neglect by a staff member toward a resident, resulting in a $225 fine.
    • AbuseFailed to protect resident from physical abuse
    11 Oct 2019Abuse: Neglect
    Found a neglect/abuse violation due to failing to provide a safe environment and not following the care plan, resulting in a $338 fine.
    • AbuseFailed to provide safe environment
    09 Oct 2019Abuse: Neglect
    Found a failure to provide a safe environment that resulted in abuse and neglect, with a $338 fine assessed.
    • AbuseFailed to provide safe environment
    09 Oct 2019Abuse: Neglect
    Found a failure to provide a safe environment that led to resident-to-resident aggression and harm.
    • AbuseFailed to provide safe environment
    09 Oct 2019Abuse: Neglect
    Investigated a resident safety allegation and found a staff member grabbed a resident's hair and pulled, causing distress and a failure to provide a safe environment. The finding was classified as abuse and neglect with a $338 fine assessed.
    • AbuseFailed to provide safe environment
    22 Apr 2019Abuse: Neglect
    Investigated an allegation of neglect due to failing to respond to a resident's changing condition. A $375 fine was assessed.
    • AbuseFailed to intervene when resident's condition changed
    19 Oct 2018Abuse: Neglect
    Investigated the allegation of neglect for failing to follow the care plan. Findings indicate neglect and a $338 fine was assessed.
    • AbuseFailed to follow care plan
    17 Sept 2018Abuse: Financial abuse
    Found financial exploitation through unexplained loss of medications that had been discontinued.
    • AbuseFailed to administer medication as ordered
    23 Aug 2018Inspection
    Found failure to report suspected abuse and assessed a $750 fine.
    • LicensingFailed to report potential or suspected abuse
    23 Aug 2018Abuse: Neglect
    Cited neglect for failing to provide a safe environment, resulting in a skin tear from improper lifting; a $250 fine assessed.
    • AbuseFailed to provide safe environment
    28 May 2018Inspection
    Investigated a licensing allegation and found failure to prevent a resident-to-resident altercation.
    • LicensingFailed to follow care plan
    27 Apr 2018Inspection
    Determined that the allegation of failing to follow the care plan and failing to prevent a resident-to-resident altercation were sustained, and assessed a $500 fine.
    • LicensingFailed to follow care plan
    15 Nov 2017Inspection
    Concluded that a safe environment was not provided, resulting in a resident-on-resident physical altercation.
    • LicensingFailed to provide safe environment
    08 Nov 2017Inspection
    Found a licensing violation for failing to provide a safe environment, resulting in a physical altercation with no injuries. A $300 fine was assessed.
    • LicensingFailed to provide safe environment
    15 Oct 2017Inspection
    Found a safety violation from failure to provide a safe environment, resulting in a resident-to-resident incident.
    • LicensingFailed to provide safe environment
    06 Oct 2017Abuse: Neglect
    Identified neglect due to a physical resident-to-resident altercation.
    • AbuseFailed to provide safe environment
    18 Aug 2017Inspection
    Found a failure to provide a safe environment. A $300 fine was assessed.
    • LicensingFailed to provide safe environment
    08 Aug 2017Abuse: Neglect
    Investigated the allegation of neglect and found that a safe environment was not provided.
    • AbuseFailed to provide safe environment
    09 Jul 2017Inspection
    Investigated the allegation of neglect due to resident-on-resident altercations and found a licensing violation for failing to provide a safe environment.
    • LicensingFailed to provide safe environment
    27 Apr 2017Inspection
    Investigated a complaint about gifts or money from residents and found a deficiency in policy development on employees not receiving gifts from residents.
    • LicensingFailed to provide service
    21 Mar 2017Inspection
    Investigated a complaint and found a failure to provide a safe environment.
    • LicensingFailed to provide safe environment
    09 Mar 2017Inspection
    Found failure to provide a safe environment, resulting in a $300 fine.
    • LicensingFailed to provide safe environment
    27 Feb 2017Inspection
    Found a failure to provide a safe environment.
    • LicensingFailed to provide safe environment
    21 Feb 2017Inspection
    Found a failure to provide a safe environment that led to a resident-to-resident altercation.
    • LicensingFailed to provide safe environment
    13 Feb 2017Inspection
    Investigated the allegation and substantiated neglect related to a safe environment, including an unreported fall and injury.
    • LicensingFailed to provide safe environment
    02 Dec 2016Abuse: Verbal/Mental abuse
    Investigated an allegation of verbal/mental abuse and found that residents were verbally abused by staff.
    • AbuseFailed to protect resident from verbal abuse
    02 Dec 2016Abuse: Physical Abuse
    Determined abuse occurred involving staff and that residents were not protected from rough treatment.
    • AbuseFailed to protect resident from rough treatment
    14 Mar 2016Inspection
    Investigated an allegation of failing to maintain a functional door alarm or call system. Found failure to provide a call system connecting residents' units to care staff.
    • LicensingFailed to maintain functional door alarm or call system
    11 Mar 2015Abuse: Financial abuse
    Investigated the financial abuse allegation and found a safety failure to protect a resident from theft.
    • AbuseFailed to provide safe environment
    05 Feb 2015Abuse: Neglect
    Found deficiencies in basic care, including failure to administer ordered medication.
    • AbuseFailed to administer ordered medication
    21 Jan 2015Abuse: Neglect
    Found that the allegation that staff failed to address a resident's behavior led to violations of multiple rules protecting residents.
    • AbuseFailed to address resident's behavior
    09 Sept 2014Inspection
    Found that residents were not protected, indicating a failure to provide a safe environment.
    • LicensingFailed to provide safe environment
    30 Aug 2014Abuse: Verbal/Mental abuse
    Found deficiencies for failing to protect residents from verbal/mental abuse.
    • AbuseFailed to protect resident from mental or emotional abuse
    09 Aug 2014Inspection
    Found deficiencies related to protecting residents.
    • LicensingFailed to assure resident rights
    05 Jun 2013Abuse: Neglect
    Found a failure to maintain a safe medication administration system.
    • AbuseFailed to have medication available
    18 May 2013Abuse: Sexual abuse
    Investigated an allegation of sexual abuse and found a failure to protect residents, with a $2,500 fine assessed.
    • AbuseFailed to protect resident from inappropriate sexual contact
    05 Mar 2013Inspection
    Substantiated a medication-record-keeping violation. Blood glucose data were not recorded accurately.
    • LicensingFailed to keep medication record current or accurate
    05 Mar 2013Abuse: Neglect
    Found inadequate care, including failure to administer ordered medication.
    • AbuseFailed to administer ordered medication
    03 Jan 2013Inspection
    Investigated an allegation of unsafe medication administration and failure to protect a resident. Identified deficiencies related to medication safety and resident protection.
    • LicensingFailed to provide a safe medication administration system
    05 Sept 2012Abuse: Neglect
    Investigated an abuse/neglect allegation; found a failure to provide adequate care and assessed a $300 fine.
    • AbuseFailed to follow care plan
    19 Sept 2010Abuse: Neglect
    Investigated an abuse/neglect allegation and found resident safety was not ensured.
    • AbuseFailed to provide safe environment
    03 Aug 2010Abuse: Neglect
    Found that the provider failed to provide appropriate care, with minor harm or potential for moderate harm.
    • AbuseFailed to provide service

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    Mirador Living is not affiliated with the owner or operator(s) of Flagstone Senior Living. The information above has not been verified or approved by the owner or operator. For exact information, please contact Flagstone Senior Living directly. There is no cost for this service. We are compensated by the community you select.

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