Deficiency Records for Pine Haven Home
Updated as of June 01, 2021
This is not the most recent data for Pine Haven Home. For the most recent information, click here.
A list of the most recent deficiencies for Pine Haven Home. 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? |
|---|---|---|---|---|
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-22 | 2020-01-13 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-10-22 | 2019-12-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-10-22 | 2019-12-13 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-10-22 | 2019-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-22 | 2019-12-13 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-10-22 | 2019-12-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-22 | 2019-12-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-22 | 2019-12-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-22 | 2019-12-06 | 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 | 2019-10-22 | 2019-12-06 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-10-22 | 2019-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-22 | 2019-12-06 | N |
| Keep all essential equipment working safely. | Health | 2019-06-10 | 2019-06-12 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-07-25 | 2018-10-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-07-25 | 2018-10-01 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-07-25 | 2018-09-27 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-07-25 | 2018-09-27 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-07-25 | 2018-09-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-07-25 | 2018-09-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-25 | 2018-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-25 | 2018-09-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-25 | 2018-09-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-25 | 2018-09-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-07-25 | 2018-09-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-07-25 | 2018-09-07 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-07-25 | 2018-09-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-25 | 2018-09-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-25 | 2018-09-07 | 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 | 2018-07-25 | 2018-09-07 | 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 | 2018-07-25 | 2018-09-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-25 | 2018-09-07 | N |
| Dispose of garbage and refuse properly. | Health | 2018-07-25 | 2018-09-07 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-07-25 | 2018-09-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-25 | 2018-09-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-25 | 2018-09-07 | N |
| Keep all essential equipment working safely. | Health | 2018-07-25 | 2018-09-07 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2016-12-12 | 2017-02-10 | 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 | 2016-12-12 | 2017-02-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2016-12-12 | 2017-02-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2016-12-12 | 2017-02-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2016-12-12 | 2017-02-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2016-12-12 | 2017-02-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-12 | 2017-02-10 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-12-12 | 2017-02-10 | 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 | 2016-12-12 | 2017-02-10 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-12-12 | 2017-02-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-12 | 2017-02-10 | N |
