A list of the most recent deficiencies for The Pines at Blue Hill. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2023-12-28 | 2024-01-26 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2023-12-28 | 2024-01-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-03 | 2023-06-13 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-05-03 | 2023-06-13 | 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 | 2023-05-03 | 2023-06-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-03 | 2023-06-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-03 | 2023-06-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-03 | 2023-06-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-03 | 2023-06-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-03 | 2023-06-13 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-05-03 | 2023-06-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-05-02 | 2023-06-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-02 | 2023-06-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-02 | 2023-06-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-02 | 2023-06-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-02 | 2023-06-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-02 | 2023-06-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-05-02 | 2023-06-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-21 | 2023-04-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-21 | 2023-04-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-04 | 2022-11-04 | 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 | 2022-10-04 | 2022-11-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-04 | 2022-11-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-04 | 2022-11-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-04 | 2022-11-04 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-23 | 2021-12-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-23 | 2021-12-31 | 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 | 2021-11-23 | 2021-12-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-23 | 2021-12-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-23 | 2021-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-23 | 2021-12-31 | 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 | 2021-11-18 | 2021-12-31 | 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 | 2021-11-18 | 2021-12-31 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2021-11-18 | 2021-12-31 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-11-18 | 2021-12-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-18 | 2021-12-31 | 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 | 2020-08-20 | 2020-10-02 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-08-20 | 2020-10-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-08-20 | 2020-10-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-08-20 | 2020-10-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-08-20 | 2020-10-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-08-20 | 2020-10-02 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2020-08-20 | 2020-10-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-08-24 | 2020-10-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-08-24 | 2020-10-02 | N |
| Construct fire resistant interior walls. | Fire Safety | 2020-08-24 | 2020-10-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-08-24 | 2020-10-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-08-24 | 2020-10-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-08-24 | 2020-10-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-08-24 | 2020-10-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-08-24 | 2020-10-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-08-24 | 2020-10-02 | N |
