A list of the most recent deficiencies for Pinecrest Manor. 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 that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-05-09 | 2023-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-09 | 2023-07-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-09 | 2023-07-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-05-09 | 2023-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-28 | 2023-06-26 | 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 | 2023-04-28 | 2023-06-26 | 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 | 2022-06-06 | 2022-07-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-06 | 2022-07-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-06 | 2022-07-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-06-06 | 2022-07-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-06 | 2022-07-30 | 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 | 2021-08-19 | 2021-09-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-19 | 2021-09-20 | Y |
| Meet other general requirements. | Fire Safety | 2021-07-07 | 2021-09-05 | 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 | 2021-07-07 | 2021-09-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-07 | 2021-09-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-07 | 2021-09-05 | 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 | 2021-07-07 | 2021-09-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-07 | 2021-09-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-07 | 2021-09-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-07 | 2021-09-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-07 | 2021-09-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-07 | 2021-09-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-07 | 2021-09-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-07 | 2021-09-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-07-07 | 2021-09-05 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-07-07 | 2021-09-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-07 | 2021-09-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-25 | 2021-08-16 | 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 | 2021-06-25 | 2021-08-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-25 | 2021-08-16 | N |
