A list of the most recent deficiencies for Pine Ridge Care Center. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-11 | 2023-10-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-21 | 2023-08-15 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-03-29 | 2023-04-14 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-11-01 | 2022-11-29 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-11-01 | 2022-11-29 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-21 | 2022-02-01 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-08-27 | 2021-11-12 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-08-27 | 2021-11-12 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-08-12 | 2021-10-13 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-08-12 | 2021-10-13 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-08-12 | 2021-10-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-12 | 2021-10-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-12 | 2021-10-13 | 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 | 2021-08-12 | 2021-10-13 | 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 necessary and PRN use is limited. | Health | 2021-08-12 | 2021-10-13 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-08-12 | 2021-10-13 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-08-12 | 2021-10-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-12 | 2021-10-13 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2021-08-12 | 2021-10-13 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-08-12 | 2021-10-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-08-12 | 2021-10-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-08-12 | 2021-10-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-12 | 2021-10-13 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-09-13 | 2021-10-07 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-08-11 | 2021-08-26 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-08-11 | 2021-08-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-11 | 2021-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-11 | 2021-08-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-11 | 2021-08-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-11 | 2021-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-02 | 2021-06-22 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-04-14 | 2021-04-26 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-04-06 | 2021-04-26 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-31 | 2019-08-20 | N |
| Use approved construction type or materials. | Fire Safety | 2019-07-31 | 2019-08-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-07-31 | 2019-08-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-31 | 2019-08-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-07-31 | 2019-08-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-31 | 2019-08-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-31 | 2019-08-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-07-31 | 2019-08-20 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-07-31 | 2019-08-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-31 | 2019-08-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-31 | 2019-08-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-31 | 2019-08-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-31 | 2019-08-20 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-05-24 | 2019-07-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-24 | 2019-07-02 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-05-24 | 2019-07-02 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-05-24 | 2019-07-02 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-05-24 | 2019-07-02 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-05-24 | 2019-07-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-24 | 2019-07-02 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-05-24 | 2019-07-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-16 | 2018-06-12 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-04-16 | 2018-06-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-16 | 2018-06-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-16 | 2018-06-12 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-04-16 | 2018-06-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-16 | 2018-06-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-05-29 | 2018-06-12 | N |
| Use approved construction type or materials. | Fire Safety | 2018-05-29 | 2018-06-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-05-29 | 2018-06-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-05-29 | 2018-06-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-05-29 | 2018-06-12 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-05-29 | 2018-06-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-29 | 2018-06-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-05-29 | 2018-06-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-29 | 2018-06-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-05-29 | 2018-06-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-29 | 2018-06-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-05-29 | 2018-06-12 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2018-05-29 | 2018-06-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-29 | 2018-06-12 | N |
