Pine View Health and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF851Jan 14, 2026

  Based on staff interview, record review, and facility policy review, the facility failed to ensure Payroll-Based Journal (PBJ) staffing information was accurate and corrected prior to submission to the Centers for Medicare and Medicaid Services (CMS) for one (1) of four (4) quarters reviewed in 2025. FY (Fiscal Year) Quarter 3 2025 (April 1 - June 30) Findings include:A review of the facility's policy, Payroll Based Journal dated 6/1/2025, revealed, .It is the policy of this facility to electronically submit timely to CMS complete and accurate direct care staffing information, including information for agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS. […]

• No harm, potential for more than minimal, patternF641Jun 20, 2024

  Based on staff interview, record review and facility policy review, the facility failed to accurately code a Minimum Data Set (MDS) regarding anticoagulant medication for one (1) of 18 residents reviewed. Resident #10 Findings include: A record review of the facility's policy MDS with a revision date of 09/25/2017 revealed Policy: The center conducts initial and periodic standardized, comprehensive and reproducible assessments .Procedure .Each person completing a section or portion of a section of the MDS signs the Attestation Statement indicating its accuracy . Record review of the Quarterly MDS with an Assessment Reference Date (ARD) of 05/15/24 indicated Resident #10 received anticoagulant medication for seven (7) days during the look back period. […]

• No harm, potential for more than minimal, patternF585Dec 16, 2022

  Based on Interview and Record Review, the facility failed to ensure resident grievances regarding food were resolved in a timely manner for nine (9) of 9 residents who regularly attended resident council meetings (Resident #8, Resident#12, Resident #13, Resident #14, Resident #15, Resident #19, Resident #20, Resident #53, and Resident #62) and a grievance regarding missing money for one (1) sampled resident. Resident #8. Findings Include: A record review of the facility's policy Complaint/Grievance with a revised date of 08/09/2018 revealed . Purpose: To support each resident's right to voice grievances; resulting in a follow-up and resolution while keeping the resident apprised of its progress toward resolution . […]

• No harm, potential for more than minimal, isolatedF584Jan 14, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents' rights to a safe, clean, and homelike environment by not ensuring privacy curtains were clean and laundered for two (2) of (19) sampled residents. Residents #9 and #20.Findings include:A review of the facility's policy, Resident Rights, (undated) revealed, Resident rights. The resident has the right to a dignified existence.8. Safe environment. The resident has a right to a safe, clean, comfortable and homelike environment.A record review of the facility's document, Environmental Services Cleaning Procedure for Common Items (undated) revealed for Walls, Blinds and Curtains the Cleaning Procedure was When visibly dusty or soiled.On 1/12/26 at 11:11 AM, during an observation and interview, Resident… […]

• No harm, potential for more than minimal, isolatedF656Jan 14, 2026

  Based on observation, interviews, record review, and facility policy review, the facility failed to ensure comprehensive care plan interventions were implemented related to anchoring indwelling catheter tubing for one (1) of 19 sampled residents. Resident #85. Findings include:A review of the facility's policy, Comprehensive Care Plans, dated 6/4/25, revealed, .It is the policy of this facility to.implement a comprehensive person-centered care plan for each residents.that includes measurable objectives and timeframes to meet a resident's medical, nursing.needs and.meet professional standards of quality.Policy Explanation and Compliance Guidelines.3. The comprehensive care plan will describe, at a minimum, the following: a. […]