Pine Trail Nursing and Rehab Center

In the surveyor’s words

From the most serious findings on record at Pine Trail Nursing and Rehab Center, in the surveyor’s own words.

• Actual harm, isolatedF689Dec 20, 2024

  Based on observation, interview and record review, the facility failed to ensure adequate supervision and assistive devices to prevent accidents and injuries, and ensure a safe environment, failed to ensure a complete investigation and follow up were completed for 1 of 2 sampled residents reviewed for falls, Resident #32. The findings included: Record review revealed Resident #32 was initially admitted to the facility on [DATE] and readmitted on [DATE], with diagnoses that included Unspecified Intracapsular Fracture of left femur, Hypertension, and Major Depression. […]

• No harm, potential for more than minimal, widespreadF803Sep 28, 2023

  Based on observation, record review, and menu review, the facility failed to follow approved menus for 39 of 40 residents who consume foods orally, and failed to follow the fortified food menu for 5 of 5 sampled residents who had orders for fortified foods (Residents #13, #14, #35, #10, and #4). The findings included: 1) Review of the approved menu for Week 4 documented the Monday lunch menu included Turkey Tortilla Bake, Roasted Corn, and Fruited Gelatin. Review of the approved recipe for the Turkey Tortilla Bake included the use of cooked seasoned turkey thigh meat, cottage cheese, shredded mozzarella cheese, and frozen chopped spinach. Review of the Roasted Corn recipe included the use of whole kernel corn. […]

• No harm, potential for more than minimal, widespreadF812Sep 28, 2023

  Based on observation and interview, the facility failed to store, prepare, and serve food in a sanitary manner, as evidenced by open and expired food, ceiling and walls in disrepair, rust-laden surfaces, not holding cold foods at required minimum temperature of 41 degrees Fahrenheit, lack of hand hygiene, and observation of pests, potentially affecting 39 of 40 residents who consume food orally. The findings included: 1) During the initial kitchen tour on [DATE] at 9:25 AM, the following was observed (Photographic Evidence Obtained): a) Dented cans of creamed corn in the dry storage area, with no designated area identified for the storage of dented cans to be returned. b) Two bags of au gratin potatoes being stored in open zip lock bags, and expired as of [DATE]. […]

• No harm, potential for more than minimal, widespreadF925Sep 28, 2023

  Based on observation, interview, and review of exterminator service inspection reports, the facility failed to maintain an effective pest control program, as evidenced by observed crawling insects in the kitchen and guest bathroom, documented roach activity by the exterminator during the past six months, and voiced resident confirmation during the resident council meeting. The findings included: During the initial kitchen tour on 09/25/23 beginning at 9:25 AM, live crawling insects were noted throughout the kitchen, to include on the floors, walls, shelving, food preparation and serving surfaces, and inside of old ovens that were out of service. […]

• No harm, potential for more than minimal, widespreadF812Apr 22, 2021

  Based on observation and interview, it was determined that the facility failed to store, prepare, distribute, and served food in accordance with professional standards for food service safety that include: wearing of facial hair coverings, maintenance of refrigeration units, properly cleaning and replacement of food preparation equipment, proper labeling and dating of leftover foods, and holding of hot and cold foods at regulatory required temperatures. The findings included: During the initial kitchen/food service observation tour conducted on 04/19/21 at 7:30 AM, the following were noted: 1) The facility cook (Staff G) was noted to have a long beard and was standing over food during breakfast meal preparation . […]