A list of the most recent deficiencies for Pine Creek Care 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 services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-19 | 2023-11-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-09 | 2023-08-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-22 | 2022-12-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-31 | 2022-09-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-31 | 2022-09-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-14 | 2022-07-15 | Y |
| 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 | 2022-07-14 | 2022-07-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-12 | 2022-05-20 | Y |
| 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 | 2022-05-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-15 | 2022-05-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-15 | 2022-05-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-15 | 2022-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-15 | 2022-05-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-04-20 | 2022-05-09 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-04-20 | 2022-05-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-04-20 | 2022-05-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-04-20 | 2022-05-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-04-20 | 2022-05-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-20 | 2022-05-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-20 | 2022-05-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-20 | 2022-05-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-20 | 2022-05-09 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2022-04-06 | 2022-04-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-10 | 2022-01-11 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2021-12-07 | 2021-12-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-23 | 2021-09-28 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Use approved construction type or materials. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-03-27 | 2019-04-25 | 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 | 2019-03-27 | 2019-04-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-02-08 | 2019-03-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-08 | 2019-03-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-08 | 2019-03-19 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-02-08 | 2019-03-19 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-02-08 | 2019-03-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-08 | 2019-03-19 | 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 | 2019-02-08 | 2019-03-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-08 | 2019-03-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-02-08 | 2019-03-19 | 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 | 2019-02-08 | 2019-03-19 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-02-08 | 2019-03-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-08 | 2019-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-08 | 2019-03-19 | N |
| Develop a communication plan. | Fire Safety | 2018-03-29 | 2018-04-16 | 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 | 2018-03-29 | 2018-04-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-03-29 | 2018-04-16 | 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 | 2018-03-29 | 2018-04-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-03-29 | 2018-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-29 | 2018-04-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-03-29 | 2018-04-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-29 | 2018-04-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-03-08 | 2018-04-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-08 | 2018-04-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-08 | 2018-04-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-08 | 2018-04-09 | 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 | 2018-03-08 | 2018-04-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-08 | 2018-04-09 | N |
