Pinewood Healthcare Center

In the surveyor’s words

From the most serious findings on record at Pinewood Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 12, 2026

  Based on observation, staff interview, record review, and review of the facility's policy titled Date Marking for Food Safety, the facility failed to ensure that food items were properly dated, labeled, and discarded in the refrigerator, freezers, and dry storage. These deficient practices had the potential to place the 47 residents who received meals from the kitchen at risk of foodborne illness. Findings include:Review of the facility's policy titled Date Marking for Food Safety, with a review date of 01/01/2026, indicated that the facility adheres to a date-marking system to ensure the safety of ready-to-eat, time/temperature control for safety foods. The Policy Explanation and Compliance Guidelines for Staffing section included, . 2. […]

• No harm, potential for more than minimal, widespreadF812Mar 14, 2025

  Based on observations, staff interviews, record review, and review of the facility's policies titled Manual Warewashing-3 Compartment Sink and Dishwasher Temperature, the facility failed to ensure all dishes, pots, pans and cooking utensils were properly sanitized to decrease the risk of spread of infection and cross contamination. This was evidenced by the facility staff not having the proper method to check the sanitizer solution concentration levels for the dish machine and three compartment sink. […]

• No harm, potential for more than minimal, widespreadF835Mar 14, 2025

  Based on staff interviews and record review, the facility Administration failed to ensure oversight of the kitchen to ensure proper sanitation of pots, pans, dishes, utensils and countertop surfaces. This was evidenced by the Administration not being aware the dish machine and three-compartment sink did not have proper sanitation; and was not aware that the thermostat on the dish machine was inoperable. Also, the Dietary Manager did not have a Certified Dietary Manager (CDM) certification or equivalent. […]

• No harm, potential for more than minimal, widespreadF812Apr 29, 2021

  Based on observations and staff interviews the facility failed to maintain two clean and sanitize ice machines which is used for resident hydration and for meal service. The deficient practice had the potential to affect 60 of 64 residents that utilized the ice from both operating ice machines. Findings include: Review of facility policy entitled Ice dated 9/2017 revealed under procedures number two (2) The Dinning Service Director will coordinate with the Maintenance Director to ensure that the ice machine will be disconnected, cleaned and sanitized quarterly and as needed, or according to manufacturer guidelines. Number three (3) The exterior of the ice machine will be cleaned weekly, number four (4) ice bins will be cleaned monthly and as needed. Observation on 4/27/21 at 8:10 a.m. […]

• No harm, potential for more than minimal, patternF880Mar 14, 2025

  Based on observation, staff interviews, record review, and review of facility's policies titled Hand Hygiene, and Enhanced Barrier Precautions, the facility failed to perform hand hygiene between residents for six out of 21 residents observed during meal service, to prevent the spread of infection and communicable diseases. In addition, the facility failed to don gown prior to administering medications to one of three Residents (R) R53 with a gastrostomy (G-tube). Findings include: Review of the facility policy titled, Hand Hygiene, dated 1/1/2025 read, Policy: All staff will perform proper hand hygiene procedures to prevent the spread of infection to other personnel, residents, and visitors. This applies to all staff working in all locations within the facility. […]