A list of the most recent deficiencies for Pinewood Nursing 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? |
|---|---|---|---|---|
| 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 | 2023-12-13 | 2024-01-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-13 | 2023-07-28 | 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 | 2022-10-20 | 2022-11-16 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-10-20 | 2022-11-16 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-10-20 | 2022-11-16 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-10-20 | 2022-11-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-10-20 | 2022-11-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-20 | 2022-11-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-20 | 2022-11-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-20 | 2022-11-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-20 | 2022-11-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-20 | 2022-11-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-28 | 2021-12-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-10-28 | 2021-12-02 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-04-12 | 2021-05-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-12 | 2021-05-08 | Y |
| 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 | 2021-04-12 | 2021-05-08 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-11-22 | 2020-01-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-11-22 | 2020-01-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-11-22 | 2020-01-06 | 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 | 2019-11-22 | 2020-01-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-22 | 2020-01-06 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-11-22 | 2020-01-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-22 | 2020-01-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-22 | 2020-01-06 | 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 | 2019-11-22 | 2020-01-06 | 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 | 2019-11-22 | 2020-01-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-22 | 2020-01-06 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-11-22 | 2020-01-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-11-22 | 2020-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-22 | 2020-01-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-11-22 | 2020-01-06 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2019-11-22 | 2020-01-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-28 | 2019-12-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-28 | 2019-12-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-28 | 2019-12-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-28 | 2019-12-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-28 | 2019-12-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-28 | 2019-12-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-28 | 2019-12-19 | 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 | 2018-07-13 | 2018-08-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-07-13 | 2018-08-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-13 | 2018-08-14 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-07-13 | 2018-08-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-13 | 2018-08-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-13 | 2018-08-14 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2018-07-13 | 2018-08-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-07-13 | 2018-08-14 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-07-10 | 2018-08-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-07-10 | 2018-08-14 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-07-10 | 2018-08-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-07-10 | 2018-08-14 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-07-10 | 2018-08-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-10 | 2018-08-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-10 | 2018-08-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-07-10 | 2018-08-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-10 | 2018-08-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-07-10 | 2018-08-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-10 | 2018-08-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-10 | 2018-08-14 | N |
