Deficiency Records for Pine Acres Center For Nursing and Rehabilitation

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Updated as of May 01, 2024

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Deficiency Records for Pine Acres Center For Nursing and Rehabilitation

A list of the most recent deficiencies for Pine Acres Center For Nursing and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Pine Acres Center For Nursing and Rehabilitation. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-03-28 2024-04-23 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-03-28 2024-04-23 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2024-03-28 2024-04-23 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-03-28 2024-04-23 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-03-28 2024-04-23 Y
Ensure that residents are free from significant medication errors. Health 2024-03-28 2024-04-23 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-03-28 2024-04-23 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-03-28 2024-03-28 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-07-14 2022-07-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-14 2022-07-25 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-03-08 2022-03-28 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-09-23 2021-10-13 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2021-09-23 2021-10-13 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2021-03-18 2021-05-05 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 2021-03-18 2021-05-05 N
Assess the resident when there is a significant change in condition Health 2021-03-18 2021-05-05 N
Ensure each resident receives an accurate assessment. Health 2021-03-18 2021-05-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-03-18 2021-05-05 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 2021-03-18 2021-05-05 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2021-03-18 2021-05-05 N
Ensure medication error rates are not 5 percent or greater. Health 2021-03-18 2021-05-05 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 2021-03-18 2021-05-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-03-18 2021-05-05 N
Provide and implement an infection prevention and control program. Health 2021-03-18 2021-05-05 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 2021-05-05 2021-05-05 Y
Establish an Emergency Preparedness Program (EP). Fire Safety 2021-03-18 2021-05-05 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2021-03-18 2021-04-27 N
Post nurse staffing information every day. Health 2021-03-18 2021-04-27 N
Have exits that are accessible at all times. Fire Safety 2019-12-09 2019-12-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-12-09 2019-12-28 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2019-11-20 2019-12-18 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 2019-11-20 2019-12-18 N
Ensure each resident receives an accurate assessment. Health 2019-11-20 2019-12-18 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 2019-11-20 2019-12-18 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-11-20 2019-12-18 N

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