A list of the most recent deficiencies for Pine Meadows Post Acute. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-30 | 2023-12-23 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-30 | 2023-12-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-30 | 2023-12-23 | N |
| Provide activities to meet all resident's needs. | Health | 2023-11-30 | 2023-12-23 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-08-12 | 2022-09-16 | 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 | 2022-08-12 | 2022-09-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-12 | 2022-09-16 | 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 | 2022-08-12 | 2022-09-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-12 | 2022-09-16 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-08-12 | 2022-09-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-12 | 2022-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-12 | 2022-09-16 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-12 | 2022-09-16 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-08-12 | 2022-09-16 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-08-09 | 2022-09-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-08-09 | 2022-09-16 | 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 | 2022-08-09 | 2022-09-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-09 | 2022-09-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-09 | 2022-09-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-09 | 2022-09-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-09 | 2022-09-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-23 | 2019-10-02 | 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 | 2019-08-23 | 2019-10-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-23 | 2019-10-02 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-08-23 | 2019-10-02 | 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 | 2019-08-20 | 2019-10-02 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-08-20 | 2019-10-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-20 | 2019-10-02 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-08-20 | 2019-08-22 | N |
