Pine View Transitional Rehab

In the surveyor’s words

From the most serious findings on record at Pine View Transitional Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF886Jul 7, 2021

  Based on interview and record review it was determined, for 1 of 13 sampled resident, that the facility did not test residents and facility staff based on the identification of any individual identified as diagnosed with COVID-19 in the facility. Specifically, a resident was identified as COVID-19 positive after admission and outbreak testing of all staff and residents was not conducted. Resident identifier 1. Findings include: Resident 1 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . On 7/7/21 resident 1's medical records were reviewed. Resident 1's immunization record documented that resident 1 had received the Pfizer vaccine, first dose on 2/4/21 and the second dose on 3/1/21. […]

• No harm, potential for more than minimal, patternF880Jul 7, 2021

  Based on observation, interview and record review it was determined that the facility did not maintain an infection control program designed to provide a safe, sanitary environment to prevent the development and transmission of communicable diseases and infections. Specifically, personal protective equipment (PPE) was used by multiple staff members without the proper disinfection between staff use. Findings include: On 7/7/21 at 1:15 PM, an observation was made of resident rooms throughout the facility. Multiple face shields were observed to be hanging outside each door throughout the facility. The face shields were observed to have a foam headpiece. None of the face shields were observed to be labeled with staff names. […]

• No harm, potential for more than minimal, isolatedF558Apr 16, 2025

  Based on observation, interview and record review the facility failed to provide reasonable accommodations of needs and preferences except when to do so would endanger the health or safety of resident or other residents for 1 of 15 sampled residents. Specifically, a resident was not provided assistive devices for bed mobility. Resident identifier: 13. Findings include: Resident 13 was admitted to the facility on ,d+[DATE]//25 with diagnoses which included type 2 diabetes mellitus, chronic wounds and wedge compression fracture of second lumbar vertebra. On 4/14/25 at 9:32 AM, an interview was conducted with resident 13. Resident 13 stated he used a rail at another facility that helped him with repositioning in bed. […]

• No harm, potential for more than minimal, isolatedF609Apr 16, 2025

  Based on interview and record review the facility failed to report an allegation abuse or neglect to the State Survey Agency immediately, for 1 of 15 sampled residents. Specifically, an allegation was not reported when a resident reported a nurse yelled at him. Resident identifier: 13. Findings include: Resident 13 was admitted to the facility on [DATE] with diagnoses which included type 2 diabetes mellitus, chronic wounds, osteomyelitis, and wedge compression fracture of second lumbar vertebra. On 4/14/25 at 9:32 AM, an interview was conducted with resident 13. Resident 13 stated he had to wait for an hour for assistance one night and he was yelling out as loud as he could to get staff attention to assist him in changing his brief. […]

• No harm, potential for more than minimal, isolatedF610Apr 16, 2025

  Based on interview and record review the facility failed to thoroughly investigate an allegation of abuse or neglect, for 1 of 15 sampled residents. Specifically, an allegation of a nurse yelling at a resident was not investigated. Resident identifier: 13. Findings include: Resident 13 was admitted to the facility on [DATE] with diagnoses which included type 2 diabetes mellitus, chronic wounds, osteomyelitis, and wedge compression fracture of second lumbar vertebra. On 4/14/25 at 9:32 AM, an interview was conducted with resident 13. Resident 13 stated he had to wait for an hour for assistance one night and he was yelling out as loud as he could to get staff attention to assist him in changing his brief. […]