Deficiency Records for Pine Creek Rehabilitation and Nursing

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Updated as of March 01, 2024

A list of the most recent deficiencies for Pine Creek Rehabilitation and Nursing. 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?
Conduct testing and exercise requirements. Fire Safety 2023-02-27 2023-04-28 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-02-27 2023-04-28 N
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 2023-02-27 2023-04-20 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 2023-02-27 2023-04-20 N
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 2023-03-02 2023-04-06 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 2023-03-02 2023-04-06 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-03-02 2023-04-06 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-02 2023-04-06 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-03-02 2023-04-06 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-03-02 2023-04-06 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2023-03-02 2023-04-06 N
Meet other general requirements. Fire Safety 2023-02-27 2023-03-07 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-02-27 2023-03-02 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-02-27 2023-03-02 N
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 2021-08-18 2021-10-06 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-08-18 2021-10-06 N
Provide and implement an infection prevention and control program. Health 2021-08-18 2021-10-06 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-08-18 2021-10-06 N
Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. Health 2021-08-18 2021-10-06 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-08-24 2021-09-24 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-08-24 2021-09-24 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 2021-08-24 2021-08-26 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2019-07-02 2019-08-16 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-07-02 2019-08-16 N
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 2019-07-02 2019-08-16 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-07-02 2019-08-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-07-02 2019-08-16 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-07-02 2019-08-16 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 2019-07-02 2019-08-16 N
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2019-07-02 2019-08-16 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-07-02 2019-08-16 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 2019-07-02 2019-08-16 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-07-02 2019-08-16 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 2019-07-02 2019-08-16 N
Ensure medication error rates are not 5 percent or greater. Health 2019-07-02 2019-08-16 N
Ensure that residents are free from significant medication errors. Health 2019-07-02 2019-08-16 N
Keep complete, dated laboratory records in the resident's record. Health 2019-07-02 2019-08-16 N
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Health 2019-07-02 2019-08-16 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-07-02 2019-08-16 N
Conduct testing and exercise requirements. Fire Safety 2019-07-09 2019-07-23 N
Provide properly protected cooking facilities. Fire Safety 2019-07-09 2019-07-23 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-07-09 2019-07-23 N
Provide a written emergency evacuation plan. Fire Safety 2019-07-09 2019-07-23 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 2019-07-09 2019-07-22 N