Pines of Dekalb, the

In the surveyor’s words

From the most serious findings on record at Pines of Dekalb, the, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 5, 2025

  Based on observation, interview and record review, the facility failed to store and label leftover foods and maintain kitchen sanitation for 68 of 68 residents served food prepared in the kitchen.Findings include:During an observation, on 07/30/2025 9:28 AM, a 2 foot by 24 foot section of floor was missing tile and the surface was a rough textured cement. The missing tile spanned the majority of the length of the floor, was underneath a prep table, refrigerator and a flat top grill.During an interview, on 07/30/2025 at 9:29 AM , the Dietary Manager (DM) indicated the facility experienced a sewer problem about two months prior and the floor had been removed to repair a pipeline. […]

• No harm, potential for more than minimal, patternF921Oct 21, 2022

  Based on observation, interview, and record review, the facility failed to ensure maintained environment affecting 12 of 12 residents. Findings include: During an observation on 10/17/22 at 10:16 AM room 104 had several large chips in the windowsill, exposing a chipped, flaking particle board. The chips were about 3 inches by 2 inches and 2 inches by 6 inches in size. A large tear in the drywall on the wall near the window was about 4 inches by 4 inches in size with chalky drywall plaster chipped and exposed. An additional chipped area that was about 6 inches by 1/2 inch was observed on the side of the window. […]

• No harm, potential for more than minimal, patternF880Nov 16, 2021

  Based on observations, interviews and record reviews, the facility failed to properly prevent and/or contain COVID-19 related to Personal Protective Equipment (PPE) during 17 of 17 observations. This affected 8 randomly observed residents (Resident 1, Resident 3, Resident 4, Resident 5, Resident 8, Resident 9, Resident 10, Resident 11, Resident 13, and Resident 14). Findings include 1. During observation on 11/16/21 at 3:15 P.M., Certified Nursing Aide (CNA) 6 entered room [ROOM NUMBER] (Resident 8, Resident 9) to answer the call light. The 300 hall was designated as a yellow zone with contact precautions. […]

• No harm, potential for more than minimal, isolatedF684Aug 5, 2025

  Based on interview and record review the facility failed to ensure timely treatment of an infection for 1 of 1 resident reviewed. (Resident 6)Findings include:Resident 6's record was reviewed on 8/4/25 at 1:05 PM. Diagnoses included MDS indicated renal insufficiency, diabetes mellitus, and depression.A review of Resident 6's current quarterly MDS indicated their BIMS (Basic Interview for Mental Status) score was 14 (cognitively intact). The MDS indicated the resident had frequent stool incontinence and intermittent urinary catheterization,A review of physician orders, dated 7/28/25, indicated Macrobid Oral Capsule 100 MG (Nitrofurantoin Monohydrous Macro) Give 100 mg by mouth two times a day for for a urinary tract infection until 08/04/2025 at 20:00.A review of the Medication… […]

• No harm, potential for more than minimal, isolatedF684Sep 4, 2024

  Based on observation, interview and record review, the facility failed to ensure physician orders were obtained and followed regarding dressing changes for 1 of 7 residents reviewed (Resident 74). Findings include: On 9/3/24 at 9:07 AM, Resident 74 was observed with a dressing on their left below the knee amputation site. The date on the dressing was observed to be 8/22/24. In an interview on 9/3/24 at 9:09AM, Certified Nurse Aide (CNA) 25 indicated they observed the date on the dressing as 8/22/24. […]