Deficiency Records for The Pines at Poughkeepsie Ctr For Nursing and Rehab
Updated as of March 01, 2024
A list of the most recent deficiencies for The Pines at Poughkeepsie Ctr For 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? |
|---|---|---|---|---|
| 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 | 2021-10-12 | 2021-12-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-12 | 2021-12-24 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-10-12 | 2021-12-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-12 | 2021-12-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-10-12 | 2021-12-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-12 | 2021-12-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-12 | 2021-12-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-06 | 2019-02-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-06 | 2019-02-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-06 | 2019-02-07 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-12-06 | 2019-02-07 | 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 | 2018-12-06 | 2019-02-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-12-06 | 2019-02-07 | 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 | 2018-12-06 | 2019-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-06 | 2019-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-06 | 2019-02-07 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-03-20 | 2017-04-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-03-20 | 2017-04-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-03-20 | 2017-04-21 | N |
