Deficiency Records for Pine Acres Rehabilitation and Care Center
Updated as of September 01, 2018
This is not the most recent data for Pine Acres Rehabilitation and Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Pine Acres Rehabilitation and Care 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? |
|---|---|---|---|---|
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-03-27 | 2018-04-27 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-03-27 | 2018-04-27 | N |
| Develop a communication plan. | Fire Safety | 2018-03-27 | 2018-04-27 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-03-27 | 2018-04-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-27 | 2018-04-27 | 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 | 2018-03-27 | 2018-04-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-03-27 | 2018-04-27 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-03-27 | 2018-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-27 | 2018-04-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-03-27 | 2018-04-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-03-27 | 2018-04-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-27 | 2018-04-27 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-03-22 | 2018-03-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-03-22 | 2018-03-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-03-22 | 2018-03-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-22 | 2018-03-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-22 | 2018-03-23 | 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 | 2018-03-22 | 2018-03-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-22 | 2018-03-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-22 | 2018-03-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-22 | 2018-03-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-22 | 2018-03-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-22 | 2018-03-23 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-03-22 | 2018-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-22 | 2018-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-22 | 2018-03-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-22 | 2018-03-23 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-04 | 2017-10-05 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-04 | 2017-10-05 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-10-04 | 2017-10-05 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-28 | 2017-08-29 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-04-25 | 2017-05-19 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-04-25 | 2017-05-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-25 | 2017-05-19 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-04-25 | 2017-05-19 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-25 | 2017-05-19 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-03-27 | 2017-04-06 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-27 | 2017-04-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-01-24 | 2017-01-25 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-01-24 | 2017-01-25 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-01-24 | 2017-01-25 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-24 | 2017-01-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-01-24 | 2017-01-25 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-01-24 | 2017-01-25 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-24 | 2017-01-25 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-01-24 | 2017-01-25 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-01-24 | 2017-01-25 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-01-24 | 2017-01-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-24 | 2017-01-25 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-01-24 | 2017-01-25 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-01-24 | 2017-01-25 | Y |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2017-01-24 | 2017-01-25 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-24 | 2017-01-25 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-24 | 2017-01-25 | Y |
| 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe | Health | 2017-01-24 | 2017-01-25 | Y |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-01-24 | 2017-01-25 | Y |
| Keep clinical record information safe. | Health | 2017-01-24 | 2017-01-25 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-01-24 | 2017-01-25 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-12-27 | 2017-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-12-27 | 2016-12-29 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-09-23 | 2016-10-12 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-09-23 | 2016-10-12 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-09-23 | 2016-10-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-09-23 | 2016-10-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-09-23 | 2016-10-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-04-12 | 2016-05-09 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-04-12 | 2016-05-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-12 | 2016-05-09 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-03-02 | 2016-03-23 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-03-02 | 2016-03-23 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-01-14 | 2016-03-23 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-01-14 | 2016-03-23 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-01-14 | 2016-03-23 | N |
| Provide housekeeping and maintenance services. | Health | 2016-01-14 | 2016-03-23 | N |
| Maintain comfortable and safe temperature levels. | Health | 2016-01-14 | 2016-03-23 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-01-14 | 2016-03-23 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-01-14 | 2016-03-23 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-01-14 | 2016-03-23 | N |
| Hire sufficient dietary support personnel. | Health | 2016-01-14 | 2016-03-23 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-01-14 | 2016-03-23 | N |
| Ensure laboratory services, blood blanks and transfusion services provided on site meet requirements for certified laboratories; or have an agreement to obtain services from an offsite laboratory, that meets the same requirements. | Health | 2016-01-14 | 2016-03-23 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-01-15 | 2016-03-17 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-01-15 | 2016-03-17 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-01-15 | 2016-03-17 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-01-15 | 2016-03-17 | N |
