Deficiency Records for Pines Nursing Home
Updated as of January 01, 2023
This is not the most recent data for Pines Nursing Home. For the most recent information, click here.
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? |
---|---|---|---|---|
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 |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-30 | 2019-01-07 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-11-30 | 2018-12-30 | N |
Provide activities to meet all resident's needs. | Health | 2018-11-30 | 2018-12-30 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-30 | 2018-12-30 | N |
Provide and implement an infection prevention and control program. | Health | 2018-11-30 | 2018-12-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-30 | 2018-12-30 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-30 | 2018-12-30 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-30 | 2018-12-30 | N |