A list of the most recent deficiencies for Piners Nursing Home. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2023-09-12 | 2023-10-17 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-30 | 2023-03-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-01-30 | 2023-03-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-30 | 2023-03-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-01-30 | 2023-03-01 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-01-30 | 2023-03-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-30 | 2023-03-01 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-01-30 | 2023-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-30 | 2023-03-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-30 | 2023-03-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-01-30 | 2023-03-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-30 | 2023-03-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-01-30 | 2023-03-01 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-01-30 | 2023-03-01 | 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 | 2023-01-25 | 2023-02-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-25 | 2023-02-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-25 | 2023-02-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-25 | 2023-02-25 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-01-25 | 2023-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-12 | 2021-10-05 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-08-12 | 2021-10-05 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-08-28 | 2019-09-12 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-08-28 | 2019-09-12 | 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 | 2019-08-28 | 2019-09-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-28 | 2019-09-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-08-28 | 2019-09-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-28 | 2019-09-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-08-28 | 2019-09-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-28 | 2019-09-12 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-08-28 | 2019-09-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-16 | 2019-09-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-07-16 | 2019-09-05 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-07-16 | 2019-09-05 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-07-16 | 2019-09-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-16 | 2019-09-05 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-07-16 | 2019-09-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-16 | 2019-09-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-16 | 2019-09-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-16 | 2019-09-05 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-07-16 | 2019-09-05 | N |
| 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 | 2019-07-16 | 2019-09-05 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-07-16 | 2019-09-05 | 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 | 2019-07-16 | 2019-09-05 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2019-07-16 | 2019-09-05 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-07-16 | 2019-09-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-16 | 2019-09-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-16 | 2019-09-05 | N |
| Keep all essential equipment working safely. | Health | 2019-07-16 | 2019-09-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-27 | 2018-10-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-09-27 | 2018-10-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-09-27 | 2018-10-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-09-27 | 2018-10-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-27 | 2018-10-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-27 | 2018-10-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-09-27 | 2018-10-16 | 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 | 2018-07-20 | 2018-09-04 | 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 | 2018-07-20 | 2018-09-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-07-20 | 2018-09-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-20 | 2018-09-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-07-20 | 2018-09-04 | 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 | 2018-07-20 | 2018-09-04 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2018-07-20 | 2018-09-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-20 | 2018-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-20 | 2018-09-04 | N |
