Pineville Rehabilitation and Living Center

In the surveyor’s words

From the most serious findings on record at Pineville Rehabilitation and Living Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Aug 25, 2026

  Based on record review, review of recorded transcripts, and interviews with staff, Nurse Practitioner, and Medical Director, the facility failed to notify the physician and/or medical provider of all relevant information to ensure the necessary follow up care was provided following a fall with head injury. Resident #116 was receiving antiplatelet medications (an antiplatelet prevents blood clots and increases the risk of bleeding). On [DATE] at approximately 1:07 AM, Resident #116 experienced an unwitnessed fall his room and Nurse #1's assessment identified a quarter-sized hematoma (collection of blood outside of a blood vessel caused by bleeding into surrounding tissue) to the right side of his head. […]

• Immediate jeopardy, isolatedF684Aug 25, 2026

  Based on observations, record review, review of recorded transcripts, and interviews with staff, Responsible Party (RP), Nurse Practitioner, and Medical Director, the facility failed to recognize the seriousness of an unwitnessed fall with a head injury for a resident that was prescribed an antiplatelet medication daily which can cause an increased bleeding risk or identify the urgent need for medical attention. On 09/14/25 at 1:07 AM, Resident #116 experienced an unwitnessed fall in his room while attempting to adjust his packaged terminal air conditioner (PTAC) unit (a self-contained heating and cooling system). Resident #116 was observed with his head on the PTAC unit and his bottom on the floor. […]

• Immediate jeopardy, isolatedF624Apr 3, 2023

  Based on record review and staff, resident, Nurse Practitioner, Medical Director, Home Health Director, Dialysis Center, Clinical Manager and Equipment Company Manager interviews the facility failed to provide a safe and orderly discharge for 2 of 5 residents reviewed for discharge (Resident #1 and #2). Resident #1 was transported to a medical appointment on 3/16/23 and was informed by the Facility Transporter she was being discharged that day. When they returned to the facility, Nurse #6 and the Administrator came out to the van to give Resident #1 her discharge paperwork and she expressed her concern about not being able to get up and down her steps in her wheelchair to the parking lot to access transportation for dialysis services. […]

• Immediate jeopardy, isolatedF835Apr 3, 2023

  Based on record review, staff, resident, Nurse Practitioner and Medical Director, Home Health Director, Dialysis Center, Clinical Manager and Equipment Company Manager interviews the facility Administration failed to provide leadership and oversight to facility staff to ensure effective systems were in place for a safe and orderly discharge. The Interdisciplinary Team (IDT) failed to communicate effectively, and review preparations made for Resident #1's discharge and ensure referrals for home health services post-discharge to include nursing services for dressing changes and assistance for bathing were confirmed prior to discharge. […]

• Actual harm, isolatedF604Nov 26, 2024

  Based on record review, and responsible party (RP), staff, nurse practitioner (NP), and physician assistant (PA) interviews, the facility failed to protect a resident's right to be free of physical restraints for 1 of 3 residents (Resident #1) reviewed for restraints. Resident #1 was found to have his wrists restrained using a pillowcase wrapped in a figure eight [NAME] and then covered with a top sheet. The reasonable person concept was applied as no reasonable person would expect to have their wrists restrained with a pillowcase, restricting their movement, unable to use their call bell for assistance, and making the person feel restricted and/or belittled. […]