Deficiency Records for Pine Acres Rehabilitation and Care Center
Updated as of April 01, 2023
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? |
|---|---|---|---|---|
| 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 | 2022-05-31 | 2022-08-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-31 | 2022-08-05 | 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 | 2022-05-31 | 2022-08-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-31 | 2022-08-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-05-31 | 2022-08-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-31 | 2022-08-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-31 | 2022-08-05 | 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 | 2022-05-31 | 2022-08-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-31 | 2022-08-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-31 | 2022-08-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-31 | 2022-08-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-31 | 2022-08-05 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-05-31 | 2022-08-05 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-05-31 | 2022-08-05 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-05-25 | 2022-06-16 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-05-25 | 2022-06-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-25 | 2022-06-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-25 | 2022-06-03 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-05-25 | 2022-06-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-25 | 2022-06-01 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-05-25 | 2022-06-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-25 | 2022-06-01 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-05-25 | 2022-05-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-25 | 2022-05-26 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2022-05-25 | 2022-05-25 | 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 | 2021-03-16 | 2021-04-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-03-16 | 2021-04-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-03-16 | 2021-04-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-03-16 | 2021-03-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-16 | 2021-03-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-03-16 | 2021-03-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-02 | 2021-02-03 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-06-18 | 2020-07-02 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| Develop a communication plan. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-02 | 2019-08-02 | 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 | 2019-07-02 | 2019-08-02 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-02 | 2019-08-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-02 | 2019-08-02 | 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 | 2019-06-27 | 2019-06-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-27 | 2019-06-28 | 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 | 2019-06-27 | 2019-06-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-27 | 2019-06-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-27 | 2019-06-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-27 | 2019-06-28 | N |
| 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 | 2019-06-27 | 2019-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-27 | 2019-06-28 | N |
