Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 295044

Hearthstone

69 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $78,254.

Special Focus Status 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
69
Total citations
69
Last 3 years
3
Actual harm+
2
Federal penalties
$78,254
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care16 Care Planning12 Resident Rights10 Administration8 Nursing & Physician Services5

Most common F-tags at this facility

F8424 F6843 F6573 F6562 F6972

Citation history

69 on record
SurveyF-TagViolationSeveritySource
Mar 3, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Mar 3, 2025F946Provide training in compliance and ethics.DStandard
Mar 3, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.DStandard
Mar 3, 2025F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.DStandard
Mar 3, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.DStandard
Mar 3, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Mar 3, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard
Mar 3, 2025F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Mar 3, 2025F732Post nurse staffing information every day.CStandard
Mar 3, 2025F730Observe each nurse aide's job performance and give regular training.DStandard
Mar 3, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.FStandard
Mar 3, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Mar 3, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Mar 3, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 3, 2025F641Ensure each resident receives an accurate assessment.DStandard
Mar 25, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Mar 25, 2024F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.DStandard
Mar 25, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Mar 25, 2024F880Provide and implement an infection prevention and control program.FStandard
Mar 25, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Mar 25, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard
Mar 25, 2024F814Dispose of garbage and refuse properly.FStandard
Mar 25, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Mar 25, 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.DStandard
Mar 25, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Mar 25, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Mar 25, 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.FStandard
Mar 25, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Mar 25, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Mar 25, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Mar 25, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Mar 25, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Mar 25, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Mar 25, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Mar 25, 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
Mar 25, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Mar 25, 2024F583Keep residents' personal and medical records private and confidential.DStandard
Mar 25, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.FStandard
Mar 25, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.FStandard
Jan 24, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Nov 16, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Nov 16, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint
Nov 16, 2023F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.CComplaint
Nov 16, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Nov 16, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Nov 16, 2023F675Honor each resident's preferences, choices, values and beliefs.EComplaint
Nov 16, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Nov 16, 2023F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
May 4, 2023F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard
May 4, 2023F888Ensure staff are vaccinated for COVID-19DStandard
May 4, 2023F886Perform COVID19 testing on residents and staff.DStandard
May 4, 2023F881Implement a program that monitors antibiotic use.EStandard
May 4, 2023F865Have a plan that describes the process for conducting QAPI and QAA activities.DStandard
May 4, 2023F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
May 4, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 4, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 4, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
May 4, 2023F790Provide routine and 24-hour emergency dental care for each resident.DStandard
May 4, 2023F761Ensure 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.DStandard
May 4, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
May 4, 2023F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
May 4, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 4, 2023F685Assist a resident in gaining access to vision and hearing services.DStandard
May 4, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
May 4, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 4, 2023F558Reasonably accommodate the needs and preferences of each resident.DStandard
May 4, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
May 4, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
May 4, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $78,254 .

DateTypeFinePayment denial
Nov 16, 2023Fine$48,721—
May 4, 2023Fine$29,533—
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.

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