A list of the most recent deficiencies for Pine Village. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-10-03 | 2023-10-10 | 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 | 2023-10-03 | 2023-10-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-03 | 2023-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-03 | 2023-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-03 | 2023-10-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-03 | 2023-10-10 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-08-31 | 2023-09-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-31 | 2023-09-15 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-08-31 | 2023-09-15 | Y |
| 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 | 2023-08-31 | 2023-09-15 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-02-03 | 2022-03-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-03 | 2022-03-11 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-02-03 | 2022-03-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-03 | 2022-03-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-03 | 2022-03-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-03 | 2022-03-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-03 | 2022-03-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-12-21 | 2022-01-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-12-21 | 2022-01-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-21 | 2022-01-26 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-12-21 | 2022-01-26 | 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 | 2021-12-21 | 2022-01-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-26 | 2021-10-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-26 | 2021-10-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-02 | 2020-03-13 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-01-08 | 2020-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-08 | 2020-01-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-08 | 2020-01-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-08 | 2020-01-15 | N |
