Deficiency Records for Pine Ridge Health and Rehabilitation Center
Updated as of April 01, 2020
This is not the most recent data for Pine Ridge Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Pine Ridge Health and Rehabilitation Center. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-06-22 | 2019-07-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-22 | 2019-07-20 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-20 | 2019-04-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-02-20 | 2019-04-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-02-20 | 2019-04-05 | 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 | 2019-02-20 | 2019-04-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-02-20 | 2019-04-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-20 | 2019-04-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-20 | 2019-04-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-20 | 2019-04-05 | N |
| Be properly staffed | Fire Safety | 2019-02-20 | 2019-04-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-20 | 2019-04-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-20 | 2019-04-05 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-31 | 2019-02-28 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-01-31 | 2019-02-28 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2019-01-31 | 2019-02-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-31 | 2019-02-28 | 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 | 2019-01-31 | 2019-02-28 | 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 | 2019-01-31 | 2019-02-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-31 | 2019-02-28 | N |
| Post nurse staffing information every day. | Health | 2019-01-31 | 2019-02-28 | 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 | 2019-01-31 | 2019-02-28 | N |
| Provide or obtain dental services for each resident. | Health | 2019-01-31 | 2019-02-28 | N |
| Dispose of garbage and refuse properly. | Health | 2019-01-31 | 2019-02-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-01-31 | 2019-02-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-01-31 | 2019-02-28 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-01-31 | 2019-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-31 | 2019-02-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-13 | 2018-05-14 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-04-13 | 2018-05-14 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-04-13 | 2018-05-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-13 | 2018-05-14 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-04-13 | 2018-05-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-04-13 | 2018-05-14 | Y |
| Post nurse staffing information every day. | Health | 2018-04-13 | 2018-05-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-13 | 2018-05-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-13 | 2018-05-14 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-02-01 | 2018-05-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-01 | 2018-05-14 | 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 | 2018-02-01 | 2018-05-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-02-01 | 2018-05-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-02-01 | 2018-05-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-02-01 | 2018-05-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-02-01 | 2018-05-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-03-01 | 2018-05-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-01 | 2018-05-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-03-01 | 2018-05-14 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-03-01 | 2018-05-14 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-02-01 | 2018-04-13 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-02-01 | 2018-04-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-01 | 2018-04-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-01 | 2018-04-13 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-02-01 | 2018-04-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-02-01 | 2018-04-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-02-01 | 2018-04-13 | Y |
| 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 | 2018-02-01 | 2018-04-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-01 | 2018-04-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-01 | 2018-04-13 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedul | Health | 2018-02-01 | 2018-04-13 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-01 | 2018-04-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-01 | 2018-04-13 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2018-02-21 | 2018-04-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-02-21 | 2018-04-06 | 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 | 2018-02-21 | 2018-04-06 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-09-20 | 2017-12-01 | Y |
| Make sure that paid feeding assistants 1) completed training; 2) work under the supervision of a RN or LPN; and 3) feed only residents who have no complicated feeding problems. | Health | 2017-09-20 | 2017-12-01 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-09-20 | 2017-12-01 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-07 | 2017-12-01 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-09-20 | 2017-11-13 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-09-20 | 2017-11-13 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-09-20 | 2017-11-13 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-09-20 | 2017-11-13 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-09-20 | 2017-11-13 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-09-20 | 2017-11-13 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-08-07 | 2017-11-13 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-08-07 | 2017-11-13 | Y |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-09-20 | 2017-10-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-07 | 2017-09-20 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2017-08-07 | 2017-09-20 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-08-07 | 2017-09-20 | 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 | 2017-02-28 | 2017-04-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-02-28 | 2017-04-14 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-02-28 | 2017-04-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-02-28 | 2017-04-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-02-28 | 2017-04-14 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-02-28 | 2017-04-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-02-28 | 2017-04-14 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-01-27 | 2017-02-20 | N |
| Provide housekeeping and maintenance services. | Health | 2017-01-27 | 2017-02-20 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-01-27 | 2017-02-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-27 | 2017-02-20 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-01-27 | 2017-02-20 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-01-27 | 2017-02-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-27 | 2017-02-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-01-27 | 2017-02-20 | N |
