Deficiency Records for Pines Nursing and Rehab
Updated as of August 01, 2019
This is not the most recent data for Pines Nursing and Rehab. For the most recent information, click here.
A list of the most recent deficiencies for Pines Nursing and Rehab. 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 share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-10-25 | 2018-12-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-25 | 2018-12-01 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-10-25 | 2018-12-01 | 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 | 2018-10-25 | 2018-12-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-25 | 2018-12-01 | 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 | 2018-10-25 | 2018-12-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-25 | 2018-12-01 | 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 | 2018-10-25 | 2018-12-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-25 | 2018-12-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-25 | 2018-12-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-25 | 2018-12-01 | 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 | 2018-10-25 | 2018-12-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-25 | 2018-12-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-25 | 2018-12-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-25 | 2018-12-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-25 | 2018-12-01 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-10-25 | 2018-12-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-10-25 | 2018-12-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-25 | 2018-12-01 | 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 ne | Health | 2018-10-25 | 2018-12-01 | N |
| Provide or obtain dental services for each resident. | Health | 2018-10-25 | 2018-12-01 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedul | Health | 2018-10-25 | 2018-12-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-25 | 2018-12-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-25 | 2018-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-25 | 2018-12-01 | N |
| Keep all essential equipment working safely. | Health | 2018-10-25 | 2018-12-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-10-25 | 2018-12-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-10-25 | 2018-10-25 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-03-27 | 2018-03-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-01-09 | 2018-02-23 | 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 | 2017-11-20 | 2017-12-21 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-11-20 | 2017-12-21 | Y |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2017-11-20 | 2017-12-21 | Y |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2017-07-21 | 2017-10-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-07-28 | 2017-09-07 | N |
| Provide housekeeping and maintenance services. | Health | 2017-07-28 | 2017-09-07 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-28 | 2017-09-07 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-07-28 | 2017-09-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-28 | 2017-09-07 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-07-28 | 2017-09-07 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-28 | 2017-09-07 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-07-21 | 2017-08-31 | 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 | 2017-07-21 | 2017-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-21 | 2017-08-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-21 | 2017-08-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-07-21 | 2017-08-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-07-21 | 2017-08-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-07-21 | 2017-08-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-09-30 | 2016-12-01 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-05-26 | 2016-06-30 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-05-26 | 2016-06-30 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-05-26 | 2016-06-30 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-05-26 | 2016-06-30 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-05-26 | 2016-06-30 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-05-26 | 2016-06-30 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-05-26 | 2016-06-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-05-26 | 2016-06-30 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-05-26 | 2016-06-30 | N |
| Provide housekeeping and maintenance services. | Health | 2016-05-26 | 2016-06-30 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-05-26 | 2016-06-30 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-26 | 2016-06-30 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-05-26 | 2016-06-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-26 | 2016-06-30 | N |
| 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 | 2016-05-26 | 2016-06-30 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2016-05-26 | 2016-06-30 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-05-26 | 2016-06-30 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-05-26 | 2016-06-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-05-26 | 2016-06-30 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-05-26 | 2016-06-30 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-05-26 | 2016-06-30 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-26 | 2016-06-30 | N |
