Deficiency Records for Pine Grove Healthcare and Wellness Centre, LP
Updated as of October 01, 2019
This is not the most recent data for Pine Grove Healthcare and Wellness Centre, LP. For the most recent information, click here.
A list of the most recent deficiencies for Pine Grove Healthcare and Wellness Centre, LP. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2019-04-02 | 2019-04-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-09 | 2018-12-12 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-11-09 | 2018-12-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-09 | 2018-12-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-09 | 2018-12-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-09 | 2018-12-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-11-09 | 2018-12-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-11-09 | 2018-12-12 | N |
| Implement 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 ne | Health | 2018-11-09 | 2018-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-09 | 2018-12-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-09 | 2018-12-12 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-11-09 | 2018-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-09 | 2018-12-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-11-09 | 2018-12-12 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-11-09 | 2018-12-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-11-08 | 2018-12-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-11-08 | 2018-12-03 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-11-08 | 2018-12-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-11-08 | 2018-12-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-08 | 2018-12-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-08 | 2018-12-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-23 | 2018-06-18 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-29 | 2018-01-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-10-29 | 2018-01-08 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-10-29 | 2018-01-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-10-29 | 2018-01-08 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-29 | 2018-01-08 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-10-29 | 2018-01-08 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-10-29 | 2018-01-08 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-10-29 | 2018-01-08 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-10-29 | 2018-01-08 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-29 | 2018-01-08 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-10-29 | 2018-01-08 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-10-29 | 2018-01-08 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-10-31 | 2017-11-28 | N |
| Construct fire resistant interior walls. | Fire Safety | 2017-10-31 | 2017-11-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-10-31 | 2017-11-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-10-31 | 2017-11-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-10-31 | 2017-11-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-10-31 | 2017-11-28 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-11-06 | 2016-12-23 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-11-06 | 2016-12-23 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-06 | 2016-12-23 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-06 | 2016-12-23 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-11-06 | 2016-12-23 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-06 | 2016-12-23 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-11-06 | 2016-12-23 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-11-06 | 2016-12-23 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-11-06 | 2016-12-23 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-06 | 2016-12-23 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2016-11-06 | 2016-12-23 | N |
| Keep clinical record information safe. | Health | 2016-11-06 | 2016-12-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2016-11-05 | 2016-12-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2016-11-05 | 2016-12-14 | N |
