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Deficiency Records for Pine Acres Center For Nursing and Rehabilitation
A list of the most recent deficiencies for Pine Acres Center For Nursing and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Pine Acres Center For Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-17 | 2024-06-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-17 | 2024-06-16 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-04-17 | 2024-06-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-17 | 2024-06-16 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-03-28 | 2024-04-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-28 | 2024-04-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-28 | 2024-04-23 | 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 | 2024-03-28 | 2024-04-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-28 | 2024-04-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-28 | 2024-04-23 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-03-28 | 2024-04-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-28 | 2024-04-23 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-28 | 2024-04-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-28 | 2024-04-23 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-28 | 2024-04-23 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-28 | 2024-03-28 | 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 | 2024-03-28 | 2024-03-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-28 | 2024-03-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-14 | 2022-07-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-14 | 2022-07-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-08 | 2022-03-28 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-03-18 | 2021-05-05 | 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 | 2021-03-18 | 2021-05-05 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-03-18 | 2021-05-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-18 | 2021-05-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-18 | 2021-05-05 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-03-18 | 2021-05-05 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-03-18 | 2021-05-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-03-18 | 2021-05-05 | 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 | 2021-03-18 | 2021-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-18 | 2021-05-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-18 | 2021-05-05 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2021-03-18 | 2021-05-05 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-03-18 | 2021-04-27 | N |
| Post nurse staffing information every day. | Health | 2021-03-18 | 2021-04-27 | N |
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