Pine Haven Rehabilitation and Wellness Center

In the surveyor’s words

From the most serious findings on record at Pine Haven Rehabilitation and Wellness Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF761Jun 8, 2021

  Based on observations, interviews, and review of the facility's policy titled EXPIRATION DATING & DOCUMENT REQUIREMENTS, the facility failed to ensure expired mediation and medical supplies were discarded after the expiration date. This deficient practice was observed in four of four medication storage areas in the facility. Findings include: The facility's policy titled EXPIRATION DATING & DOCUMENT REQUIREMENTS dated January 2015, documented POLICY: Time frames for expiration of medications / solutions are to be followed per manufacturer's recommendation . RESPONSIBILITY All Licensed Nursing Personnel . PROCEDURE: 1. […]

• No harm, potential for more than minimal, widespreadF925Jun 8, 2021

  Based on observations and interview, the facility failed to have an effective pest control program so that flying insects were not observed in the kitchen. This deficient practice had the potential to affect all residents who received food from the kitchen. The RESIDENT CENSUS AND CONDITIONS OF RESIDENTS (Form CMS-672) completed by Employee Identifier (EI) #3, the Director of Nursing and dated 6/7/2021 indicated the facility had a total of 126 residents; 12 of which received nutrition by way of a tube feeding. Findings include: During a tour of the kitchen on 6/6/2021 at 9:47 AM, with EI #9, the Certified Dietary Manager (CDM), there were a small number of flying insets observed near the back door. […]

• No harm, potential for more than minimal, patternF584Oct 19, 2022

  Based on observations, interviews and a copy of the facility's RESIDENT BILL OF RIGHTS, the facility failed to ensure 26 of 89 residents' rooms were found in a homelike condition. This affected 26 of 89 rooms observed during the survey. Findings Include: A review of the RESIDENT BILL OF RIGHTS with a most recent review date of 11/17, revealed, Each resident has a right to a dignified existence, . and in an environment that promotes maintenance or enhancement of (his or her) quality of life, . A. Facility residents have the right to: . 33. […]

• No harm, potential for more than minimal, isolatedF600May 31, 2024

  Based on interviews, resident record review, review of a facility policy titled ABUSE PREVENTION, review of Facility Reported Incidents (FRIs) received by the State Agency, and review of the facility's investigative file, the facility failed to protect residents from abuse. On 02/08/2023 Resident Identifier (RI) #5's was verbally abused by RI #6. On 02/09/2023 RI #3 was physically abused by RI #2. On 05/21/2024 RI #8 and RI #9 were each verbally abused by the other. The facility further failed to substantiate the occurrences as abuse. These deficient practices affected RI #'s 3, 5, 8 and 9, four of 14 sampled residents. This deficiency was cited as a result of the investigation of complaint/report numbers AL00043323, AL00043305 and AL00047916. […]

• No harm, potential for more than minimal, isolatedF561Oct 19, 2022

  Based on an observation, interviews and review of facility policies titled, . SMALL VOLUME NEBULIZER THERAPY and . SELF ADMINISTRATION PROTOCOL ., the facility failed to ensure the licensed nurse remained with (Resident Identifier) RI #55, a resident not assessed to self-administer his/her nebulizer breathing treatment, when RI #55 received a nebulizer treatment on 10/11/2022. This deficient practice affected RI #55; one of one sampled resident observed receiving a nebulizer breathing treatment. Findings Include: Review of facility policy titled, . SMALL VOLUME NEBULIZER THERAPY, with a revision date of 8/16, revealed the following: .RESPONSIBILITY: All Licensed Nursing Personnel/Respiratory Therapist . PROCEDURE: . 10. Assist/instruct resident to close lips around the mouthpiece. 11. […]