Pine Meadows Post Acute

In the surveyor’s words

From the most serious findings on record at Pine Meadows Post Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 5, 2025

  Based on observation, interview, record review, review of a U.S. Food and Drug Administration document, and review of the facility's policies, the facility failed to provide a safe, sanitary environment for food production and storage, which could affect 117 of the 117 current residents that received food from the kitchen.During the initial kitchen tour on 09/02/2025, observations revealed staple food bins unlabeled and undated, other commercial mixes out of the original packaging with no opened date, and personal items, including backpack and jacket, stored in the dry storage room on top of canned and packaged foods. Also, temperatures were missing on the logs for the tray line and for the walk-in refrigerator and freezer. […]

• No harm, potential for more than minimal, widespreadF812Aug 12, 2022

  Based on observation, interview, and review of the facility's policy, it was determined the facility failed to serve and store food under sanitary conditions. Observations, on 08/08/2022 and 08/09/2022, revealed dry storage with dented cans; no label on a can; ingredient bins with food thickener, lids not closed; vents in dry storage with dust accumulation; vents in kitchen ceiling with dust and dripping water in front of the walk-in refrigerator and walk-in freezer. Further observations, on 08/11/2022, of the nourishment refrigerator on Unit 1, revealed it was not clean on the lower shelf; no identification on a frozen resident meal, and the boxed cookies were not dated. […]

• No harm, potential for more than minimal, widespreadF880Aug 12, 2022

  Based on observation, interview, record review, review of the Centers for Disease Control and Prevention guidelines, and review of the facility's policies, it was determined the facility failed to establish and maintain an infection prevention and control (IPC) program designed to provide a safe, sanitary, and comfortable environment and to help prevent and control the development and transmission of communicable diseases, including COVID-19. Review of the facility's testing results revealed from 07/11/2022 to 08/05/2022, seven (7) staff members tested positive for COVID-19. Observations throughout the survey revealed multiple breaches in Infection Prevention and Control (IPC) practices and protocols. […]

• No harm, potential for more than minimal, widespreadF886Aug 12, 2022

  Based on observation, interview, record review, review of the Department of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) QSO-20-38-NH Memo, review of the Centers for Disease Control and Prevention (CDC) recommendations and guidelines, review of the Kentucky Department for Public Health's (KDPH) Long-Term Care Facility COVID-19 bi-weekly County Indicator Map, review of the BinaxNOW Covid-19 Ag Card Instructions, and review of the facility's policies, it was determined the facility failed to conduct COVID-19 testing, twice weekly, for unvaccinated staff based on the community's COVID-19 transmission levels and the facility's COVID-19 outbreak status. […]

• No harm, potential for more than minimal, patternF576Aug 12, 2022

  Based on interview and review of the facility's policy, it was determined the facility failed to ensure residents had the right to receive mail delivered to the facility on Saturdays. The findings include: Review of the facility's policy titled, Resident Rights, not dated, revealed residents had the right to send and receive mail, and the facility was responsible for protecting and facilitating the resident's right to communicate with individuals and entities within and external to the facility. During the Resident Group Interview, on 08/09/2022 at 2:00 PM, the State Survey Agency (SSA) Surveyor interviewed the residents to see if they received mail at the facility, to include mail on Saturdays. […]