Deficiency Records for Pineville Rehabilitation and Living Ctr
Updated as of April 01, 2024
A list of the most recent deficiencies for Pineville Rehabilitation and Living Ctr. 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? |
|---|---|---|---|---|
| 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 | 2024-02-20 | 2024-03-13 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-02-20 | 2024-03-13 | 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 | 2024-02-20 | 2024-03-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-20 | 2024-03-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-20 | 2024-03-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-20 | 2024-03-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-01-25 | 2024-02-21 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-01-25 | 2024-02-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-25 | 2024-02-21 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-25 | 2024-02-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-25 | 2024-02-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-25 | 2024-02-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-25 | 2024-02-21 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-01-25 | 2024-02-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-25 | 2024-02-21 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-25 | 2024-02-21 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-04-03 | 2023-04-27 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-03 | 2023-04-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-03 | 2023-04-27 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-04-03 | 2023-04-27 | Y |
| 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 | 2023-04-03 | 2023-04-27 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-04-03 | 2023-04-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-03 | 2023-04-27 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-04-03 | 2023-04-27 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-04-03 | 2023-04-27 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-08 | 2022-10-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-08 | 2022-10-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-08 | 2022-10-22 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-07-29 | 2022-08-21 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-07-29 | 2022-08-21 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-29 | 2022-08-21 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-07-29 | 2022-08-21 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-07-29 | 2022-08-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-29 | 2022-08-21 | Y |
| Dispose of garbage and refuse properly. | Health | 2022-07-29 | 2022-08-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-29 | 2022-08-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-29 | 2022-08-21 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-07-29 | 2022-08-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-29 | 2022-08-21 | Y |
| 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 | 2022-07-29 | 2022-08-21 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-07-29 | 2022-08-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-29 | 2022-08-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-29 | 2022-08-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-29 | 2022-08-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-29 | 2022-08-21 | Y |
| Provide appropriate foot care. | Health | 2022-07-29 | 2022-08-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-29 | 2022-08-21 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-29 | 2022-08-21 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-29 | 2022-08-21 | Y |
| 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 | 2022-07-29 | 2022-08-21 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-29 | 2022-08-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-29 | 2022-08-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-29 | 2022-08-21 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-07-29 | 2022-08-21 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-29 | 2022-08-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-07-25 | 2022-08-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-26 | 2021-11-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-08 | 2021-10-26 | N |
