Scottish Pines Rehabilitation and Nursing Center

In the surveyor’s words

From the most serious findings on record at Scottish Pines Rehabilitation and Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Dec 18, 2025

  Based on observations, record review, and staff interviews, the facility failed to discard expired food and milk available for use and to label opened food items with the date opened and expiration date in 1 of 1 walk-in refrigerator in the kitchen. These practices had the potential to affect the food served to 73 of 77 residents.The findings included:An initial observation of the kitchen was conducted with the [NAME] on 12/15/25 at 10:34 AM. Observation of the walk-in refrigerator revealed an opened plastic bag labeled diced potatoes with an expiration date of 12/11/25, 98 eight ounce containers of 2% milk in 2 racks with an expiration date of 12/14/25, a half full box of white mushrooms with gray and white fuzz growing on top of them and with black parts with a received date of 11/11/25… […]

• No harm, potential for more than minimal, patternF757Oct 24, 2024

  Based on record review, staff, the Medical Director, and the Consultant Pharmacist interviews the facility failed to hold two antihypertensive medications (Amlodipine Besylate and Carvedilol) that included parameters to hold the medication if the systolic blood pressure was less than 120 mm/hg ( millimeters of mercury). This resulted in a resident receiving 5 additional doses of Amlodipine Besylate 5 milligram (mg) tablets and 4 additional doses of Carvedilol 6.25 milligram tablets. There was no outcome from receiving the medications. This occurred for 1 of 5 residents (Resident #99) reviewed for medication administration. Findings included. Resident #99 was admitted to the facility on [DATE] with diagnoses that included Hypertension. […]

• No harm, potential for more than minimal, patternF641Aug 10, 2023

  Based on record review and staff interviews, the facility failed to code Minimum Data Set (MDS) assessments accurately for 4 of 22 residents whose MDS assessments were reviewed (Resident #59, Resident #19, Resident #5, and Resident #108). Findings included: 1. Resident #59 was admitted to the facility on [DATE] with a diagnosis of end stage renal disease. Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE] documented that Resident #59 had not received dialysis treatments. In an interview with Resident #59 he stated he went to dialysis every Monday, Wednesday, and Friday morning at 6:00 AM. In an interview with MDS Nurse #1 on 08/09/23 at 2:40 PM she stated Resident #59 had been going to dialysis every Monday, Wednesday, and Friday since his admission in 2019. […]

• No harm, potential for more than minimal, patternF761Aug 10, 2023

  Based on record review, observations, and staff interviews the facility failed to store medications securely when 1. a cognitively impaired resident's (Resident #65) medications were observed on her bedside table, and 2. controlled substances were not stored in a permanently affixed compartment of the refrigerator in the only refrigerator used to store controlled medications (100, 200, 300 Hall medication storage room). Findings included: 1. Resident #65 was admitted to the facility on [DATE] with diagnoses to include hemiplegia (paralysis on one side of the body) and hemiparesis (muscle weakness on one side of the body) following cerebral infarction (stroke) affecting right dominant side, and vascular dementia. […]

• No harm, potential for more than minimal, patternF812Mar 31, 2022

  Based on observations and staff interviews the facility failed to remove food items stored ready for use by the use by date in 1 of 1 reach-in cooler, 1of 1 dry goods storage area and 1 of 1 walk-in refrigerator. This practice had the potential to affect the food served to the residents. The findings included: 1. A. Initial observation of the kitchen reach in cooler on [DATE] at 11:57 AM revealed: · a 46-ounce bottle of nectar thick water with a sticker labeled use by [DATE]. · A 46-ounce bottle of honey thick water with a sticker labeled use by [DATE]. 2. Initial observation of the dry storage on [DATE] at 12:00 PM revealed: · a case of 1.5-ounce packages of raisins with an expiration date of [DATE] 3. […]