Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 385091

Hearthstone Nursing & Rehabilitation Center

72 federal citations on record , including 4 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $230,522.

Abuse Icon 4 Immediate Jeopardy

Record summary

Federal record · Q1 2026
72
Total citations
72
Last 3 years
6
Actual harm+
5
Federal penalties
$230,522
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care20 Resident Rights12 Abuse & Neglect9 Care Planning8 Nursing & Physician Services8

Most common F-tags at this facility

F6894 F6004 F6844 F7253 F5523

Citation history

72 on record
SurveyF-TagViolationSeveritySource
Nov 25, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 23, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 23, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
May 23, 2025F791Provide or obtain dental services for each resident.DStandard
May 23, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
May 23, 2025F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Dec 7, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DComplaint
Dec 7, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 7, 2024F761Ensure 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.EStandard
Dec 7, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 7, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Dec 7, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 7, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Dec 7, 2024F625Notify 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.DStandard
Dec 7, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Dec 7, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Nov 5, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Jun 28, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Jun 28, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
Jun 28, 2024F880Provide and implement an infection prevention and control program.EStandard
Jun 28, 2024F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DStandard
Jun 28, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jun 28, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Jun 28, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Jun 28, 2024F730Observe each nurse aide's job performance and give regular training.DStandard
Jun 28, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jun 28, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 28, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Jun 28, 2024F584Honor 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.EStandard
Jun 28, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Jun 28, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Jun 28, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Jun 28, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Jun 28, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
May 31, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FComplaint
May 31, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FComplaint
May 31, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
May 31, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint
May 31, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
May 31, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.JComplaint
May 31, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
May 31, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Feb 27, 2024F880Provide and implement an infection prevention and control program.DComplaint
Feb 27, 2024F761Ensure 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.EComplaint
Feb 27, 2024F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FComplaint
Feb 27, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Feb 27, 2024F699Provide care or services that was trauma informed and/or culturally competent.DComplaint
Feb 27, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Feb 27, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Feb 1, 2024F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DComplaint
Feb 1, 2024F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint
Feb 1, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Feb 1, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Feb 1, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Feb 1, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Feb 1, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Nov 8, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Nov 8, 2023F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EComplaint
Nov 8, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Nov 8, 2023F697Provide safe, appropriate pain management for a resident who requires such services.GComplaint
Nov 8, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Nov 8, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Nov 8, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Nov 8, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Nov 8, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.FComplaint
Nov 8, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Nov 8, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Oct 23, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Oct 23, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EComplaint
Oct 23, 2023F610Respond appropriately to all alleged violations.DComplaint
Jun 20, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jun 20, 2023F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint

Federal enforcement history

Federal regulators have imposed 5 enforcement actions against this facility, including 3 civil money penalties totaling $230,522 and 2 payment-denial actions spanning 55 days.

DateTypeFinePayment denial
May 31, 2024Fine$88,282—
May 31, 2024Payment Denial—Jun 30, 2024 · 48 days
Feb 1, 2024Fine$82,274—
Feb 1, 2024Payment Denial—May 1, 2024 · 7 days
Oct 23, 2023Fine$59,966—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

Concerned about care at Hearthstone Nursing & Rehabilitation Center?

An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.

  • Consultation is free and confidential
  • You pay nothing unless there is a recovery
  • Your note is shared only with vetted plaintiff attorneys
Free · Confidential · Nationwide network
Free Consultation Request
Tell us about your family's situation
A plaintiff attorney will review your note and respond within one business day.