Deficiency Records for Piney Forest Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Piney Forest 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-16 | 2023-08-07 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-09 | 2022-12-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-09 | 2022-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-09 | 2022-10-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-09 | 2022-10-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-09 | 2022-06-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-09 | 2022-06-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-09 | 2022-06-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-15 | 2022-05-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-15 | 2022-05-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-15 | 2022-05-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-15 | 2022-05-17 | 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 | 2022-04-15 | 2022-05-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-15 | 2022-05-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-15 | 2022-05-17 | 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 | 2022-04-15 | 2022-05-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-15 | 2022-05-17 | 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 | 2022-04-15 | 2022-05-17 | 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 | 2022-04-15 | 2022-05-17 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-04-15 | 2022-05-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-15 | 2022-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-15 | 2022-05-17 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-04-15 | 2022-05-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-15 | 2022-05-17 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-26 | 2019-04-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-26 | 2019-04-16 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-02-26 | 2019-04-16 | 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 | 2019-02-07 | 2019-03-18 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-02-07 | 2019-03-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-02-07 | 2019-03-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-07 | 2019-03-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-07 | 2019-03-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-02-07 | 2019-03-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-11-02 | 2017-12-27 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2017-11-02 | 2017-12-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-11-02 | 2017-12-27 | N |
| Provide housekeeping and maintenance services. | Health | 2017-10-05 | 2017-11-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-10-05 | 2017-11-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-05 | 2017-11-09 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-10-05 | 2017-11-09 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-10-05 | 2017-11-09 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-10-05 | 2017-11-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-05 | 2017-11-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-05 | 2017-11-09 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-10-05 | 2017-11-09 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-05 | 2017-11-09 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2017-10-05 | 2017-11-09 | N |
