Deficiency Records for The Pines at Blue Hill
Updated as of February 01, 2021
This is not the most recent data for The Pines at Blue Hill. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-12-10 | 2021-01-10 | 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 |
| Be properly staffed | 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 |
| 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-07-16 | 2020-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-07-16 | 2020-09-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-12 | 2019-07-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-12 | 2019-07-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-12 | 2019-07-09 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2019-03-20 | 2019-05-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-20 | 2019-05-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-20 | 2019-05-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-20 | 2019-05-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-20 | 2019-05-05 | N |
| Be properly staffed | Fire Safety | 2019-03-20 | 2019-05-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-20 | 2019-05-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-20 | 2019-05-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-03-20 | 2019-05-05 | 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 | 2019-03-21 | 2019-04-24 | 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 | 2019-03-21 | 2019-04-24 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-03-21 | 2019-04-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-03-21 | 2019-04-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-21 | 2019-04-24 | 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 | 2019-03-21 | 2019-04-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-21 | 2019-04-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-03-21 | 2019-04-24 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-03-21 | 2019-04-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-21 | 2019-04-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-03-21 | 2019-04-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-24 | 2018-09-05 | 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 | 2017-12-28 | 2018-02-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-12-28 | 2018-02-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-12-28 | 2018-02-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-12-28 | 2018-02-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-12-28 | 2018-02-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-12-28 | 2018-02-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-02 | 2018-02-16 | 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 | 2018-01-02 | 2018-02-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-01-02 | 2018-02-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-01-02 | 2018-02-16 | 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 | 2018-01-02 | 2018-02-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-01-02 | 2018-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-02 | 2018-02-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-01-02 | 2018-02-16 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2018-01-02 | 2018-02-16 | N |
