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Deficiency Records for Pine Ridge Post Acute
A list of the most recent deficiencies for Pine Ridge Post Acute. 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 Ridge Post Acute. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-23 | 2024-05-13 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-02-08 | 2024-02-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-02-08 | 2024-02-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-08 | 2024-02-16 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Meet other general requirements. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-24 | 2023-09-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-28 | 2023-09-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-28 | 2023-09-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-28 | 2023-09-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-28 | 2023-09-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-28 | 2023-09-26 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-28 | 2023-09-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-28 | 2023-09-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-28 | 2023-09-26 | Y |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-08-24 | 2023-09-12 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-22 | 2022-07-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-22 | 2022-07-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-31 | 2022-04-29 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-31 | 2022-04-29 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-31 | 2022-04-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-31 | 2022-04-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-31 | 2022-04-29 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-31 | 2022-04-29 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-31 | 2022-04-29 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-03-31 | 2022-04-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-31 | 2022-04-29 | 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 | 2022-03-31 | 2022-04-29 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-22 | 2022-03-30 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-07-22 | 2019-09-11 | 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 | 2019-07-22 | 2019-09-11 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-07-22 | 2019-09-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-22 | 2019-09-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-07-22 | 2019-09-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-07-22 | 2019-09-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-22 | 2019-09-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-22 | 2019-09-11 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-07-22 | 2019-09-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-22 | 2019-09-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-22 | 2019-09-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-22 | 2019-09-11 | N |
| Provide or obtain dental services for each resident. | Health | 2019-07-22 | 2019-09-11 | 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 | 2019-07-22 | 2019-09-11 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-07-25 | 2019-08-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-07-25 | 2019-08-22 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-07-25 | 2019-08-22 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-07-25 | 2019-08-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-25 | 2019-08-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-25 | 2019-08-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-25 | 2019-08-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-07-25 | 2019-08-22 | N |
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