Deficiency Records for Pinewood Manor Nursing Home and Rehabilitation Cntr
Updated as of April 01, 2024
A list of the most recent deficiencies for Pinewood Manor Nursing Home and Rehabilitation Cntr. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-24 | 2023-08-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-24 | 2023-08-28 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-07-24 | 2023-08-28 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-25 | 2023-01-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-25 | 2023-01-03 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-10-27 | 2022-12-11 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-10-27 | 2022-12-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-27 | 2022-12-11 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-10-27 | 2022-12-11 | N |
| Provide activities to meet all resident's needs. | Health | 2022-10-27 | 2022-12-11 | 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 | 2022-10-25 | 2022-12-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-10-25 | 2022-12-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-25 | 2022-12-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-25 | 2022-12-11 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-10-25 | 2022-12-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-29 | 2021-06-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-29 | 2021-06-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-04-27 | 2021-06-13 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-08-16 | 2018-09-30 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-08-16 | 2018-09-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-16 | 2018-09-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-16 | 2018-09-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-08-16 | 2018-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-16 | 2018-09-30 | 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 | 2018-08-16 | 2018-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-16 | 2018-09-30 | N |
