A list of the most recent deficiencies for The Pines Healthcare 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? |
|---|---|---|---|---|
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-02 | 2023-10-18 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-09-14 | 2023-10-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-14 | 2023-10-18 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-09-14 | 2023-10-18 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-09-14 | 2023-10-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-14 | 2023-10-18 | 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 scheduled meal times. | Health | 2023-09-14 | 2023-10-18 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-12 | 2023-10-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-12 | 2023-10-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-12 | 2023-10-18 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-09-12 | 2023-10-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-14 | 2023-05-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-09 | 2023-03-22 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-05-26 | 2022-05-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-22 | 2022-05-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-22 | 2022-05-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-28 | 2022-05-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-28 | 2022-05-27 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-12-21 | 2022-01-15 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-12 | 2020-02-28 | 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 | 2020-02-12 | 2020-02-28 | 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 | 2020-02-12 | 2020-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-12 | 2020-02-28 | 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 | 2020-02-12 | 2020-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-12 | 2020-02-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-09 | 2020-02-28 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-02-09 | 2020-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-09 | 2020-02-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-09 | 2020-02-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-09 | 2020-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-09 | 2020-02-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-09 | 2020-02-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-09 | 2020-02-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-04 | 2019-01-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-04 | 2019-01-21 | 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 | 2019-01-04 | 2019-01-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-04 | 2019-01-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-04 | 2019-01-21 | 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 | 2019-01-04 | 2019-01-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-04 | 2019-01-21 | N |
| Develop a communication plan. | Fire Safety | 2019-01-04 | 2019-01-21 | 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 | 2019-01-04 | 2019-01-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-01-04 | 2019-01-21 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-01-04 | 2019-01-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-04 | 2019-01-21 | N |
