Deficiency Records for Pine Acres Center For Nursing and Rehabilitation
Updated as of April 01, 2024
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? |
|---|---|---|---|---|
| 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 |
