A list of the most recent deficiencies for Pines Nursing Home. 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2023-12-07 | 2024-01-23 | 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 | 2023-12-07 | 2024-01-23 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-12-07 | 2024-01-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-07 | 2024-01-23 | N |
| Dispose of garbage and refuse properly. | Health | 2023-12-07 | 2024-01-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-12-07 | 2024-01-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-07 | 2024-01-23 | Y |
| 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 | 2023-12-07 | 2024-01-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-07 | 2024-01-23 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-07 | 2024-01-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-07 | 2024-01-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-07 | 2023-08-08 | Y |
| 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 | 2022-10-06 | 2022-11-06 | 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 | 2022-10-06 | 2022-11-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-06 | 2022-11-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-06 | 2022-11-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-10-06 | 2022-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-06 | 2022-11-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-06 | 2022-11-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-06 | 2022-11-06 | 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 | 2022-10-06 | 2022-11-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-10-06 | 2022-11-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-06 | 2022-11-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-06 | 2022-11-06 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2022-10-06 | 2022-11-06 | N |
| 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 | 2022-09-13 | 2022-10-07 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-13 | 2022-10-07 | Y |
| Maintain 15 months of resident assessments in the resident's active clinical record. | Health | 2022-09-13 | 2022-10-07 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-09-13 | 2022-10-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-13 | 2022-10-07 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-09-13 | 2022-10-07 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-09-13 | 2022-10-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-13 | 2020-03-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-13 | 2020-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-03-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-13 | 2020-03-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-13 | 2020-03-14 | N |
