Pines Rehab & Health Center

In the surveyor’s words

From the most serious findings on record at Pines Rehab & Health Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 11, 2026

  Based on staff interviews and observations, the facility failed to consistently store food in accordance with professional standards for food service. There is a potential to affect all residents. Findings include:Per observation and interview on 2/9/2026 at 10:25 AM, during an initial tour of the kitchen, the Kitchen Manager confirmed there were three loaves of bread on the counter that did not have discard by dates on them. She confirmed that all perishable foods removed from the freezer and stored in the refrigerator, or on the countertop for imminent use, are supposed to be labeled with a discard by date. She confirmed that all leftovers of food prepared in the kitchen are also supposed to be labeled with a discard by date. […]

• No harm, potential for more than minimal, widespreadF880Feb 11, 2026

  Based on interview and policy review, the facility failed to prevent contamination of laundry by leaving wet clean laundry in the washing machine overnight. This has the potential to affect all residents in the facility. Findings include: Per interview on 2/11/2026 at 9:25 AM, while observing the laundry room a member of the laundry staff stated that the night shift person usually places laundry in the washing machine when they leave at 8:00 PM and that the morning shift places the wet laundry in the dryer upon arrival at 5:30-6:00 AM the following day.Per interview on 2/11/2026 at 9:32 AM, a second laundry staff member confirmed that wet clean laundry is left in the washing machine overnight on a regular basis.Per interview on 2/11/2026 at 10:20 AM, the Infection Preventionist confirmed… […]

• No harm, potential for more than minimal, widespreadF812Feb 26, 2025

  Based on observation, record review, and interview, the facility failed to ensure that dinnerware was sanitized and failed to maintain a clean kitchen environment, which has the potential to impact all residents in the facility. Findings include: On 02/24/25, at 10:41 AM, it was observed that the shelf under steam table was covered in a greasy residue with crumbs and dust adhering to it. This shelf contained the clean steam table trays, which were stacked, opening side down, on the soiled shelf. Crumbs were observed on the counter near and under the toaster, and there were brown stains on the counter at the window used to pass food and beverages to the dining room. The facility uses a high temperature dishwasher (which uses heat for sanitization rather than chemicals). […]

• No harm, potential for more than minimal, widespreadF880Feb 26, 2025

  Based on interview, and record review, the facility failed to implement an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections related to Legionella prevention. Findings include: Per record review of the facility's water management program, there was no risk assessment to identify areas in the building that could grow and spread Legionella in the facility water system. Per the facility's Water Management for Legionella policy [effective date: 1/1/23] states, [NAME] kare locations will utilize water management practices to reduce the risk of growth of Legionella and other opportunities pathogens in building water systems .Core elements of the water management plan are: .describe the facilities water… […]

• No harm, potential for more than minimal, patternF656Apr 21, 2021

  Based upon interview and record review, the facility failed to ensure Care Plan interventions were implemented for 1 resident [Res. #29] of 2 residents with indwelling catheters regarding catheter care and treatment. Findings include: A review of Res. #29's medical record reveals the resident's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of Res. #29's Care Plan includes the resident identified as requires the use of a Suprapubic Catheter secondary to retention due to Bladder Outlet Obstruction, history of [CONDITION(S)] and End Stage Renal Disease requiring [CONDITION(S)]. Care Plan interventions for the resident include: Medications as ordered, Irrigation per MD orders, and Care/changing of urinary catheter per facility policy. 1. […]