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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 residents are fully informed and understand their health status, care and treatments. | Health | 2024-12-18 | 2025-01-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-12-18 | 2025-01-17 | 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 | 2024-12-18 | 2025-01-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-12-18 | 2025-01-17 | 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 | 2024-12-18 | 2025-01-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-12-18 | 2025-01-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-12-18 | 2025-01-17 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-12-18 | 2025-01-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-18 | 2025-01-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-12-18 | 2025-01-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-18 | 2025-01-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-12-18 | 2025-01-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-12-18 | 2025-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-18 | 2025-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-18 | 2025-01-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-12-16 | 2025-01-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-12-16 | 2025-01-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-12-16 | 2025-01-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-16 | 2025-01-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-12-16 | 2025-01-16 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2024-12-16 | 2025-01-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-16 | 2025-01-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-12-16 | 2025-01-16 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-12-16 | 2025-01-16 | N |
| 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 |
| 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 |
| 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 |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-22 | 2022-03-30 | N |
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