Deficiency Records for Pine Ridge Rehabilitation and Healthcare Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Pine Ridge Rehabilitation and Healthcare 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 and implement an infection prevention and control program. | Health | 2022-09-15 | 2022-10-14 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-09-28 | 2022-10-11 | N |
| Respond appropriately to all alleged violations. | Health | 2022-09-15 | 2022-10-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-15 | 2022-10-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-15 | 2022-10-06 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-09-15 | 2022-10-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-15 | 2022-10-05 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-09-15 | 2022-10-05 | N |
| Ensure 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. | Health | 2022-09-15 | 2022-10-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-09-15 | 2022-10-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-28 | 2022-10-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-15 | 2022-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-30 | 2021-07-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-30 | 2021-07-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-30 | 2021-07-25 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-06-30 | 2021-07-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-30 | 2021-07-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-10 | 2021-07-02 | N |
| Respond appropriately to all alleged violations. | Health | 2021-06-10 | 2021-07-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-10 | 2021-07-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-10 | 2021-07-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-12 | 2021-04-02 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-12 | 2019-09-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-20 | 2019-08-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-07-12 | 2019-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-12 | 2019-08-13 | N |
| Honor 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. | Health | 2019-06-20 | 2019-07-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-20 | 2019-07-08 | 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 | 2019-06-20 | 2019-07-08 | N |
| Ensure 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. | Health | 2019-06-20 | 2019-07-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-20 | 2019-07-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-06-20 | 2019-07-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-20 | 2019-07-08 | N |
