The Pines at Philadelphia Rehab and Healthcare CTR

In the surveyor’s words

From the most serious findings on record at The Pines at Philadelphia Rehab and Healthcare CTR, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 25, 2023

  Based on observations of the food and nutrition services department, it was determined that the facility failed to ensure that the main kitchen was storing, preparing, distributing and serving foods and fluids inaccordance with professional standards for food service safety. Findings include: Observations of the main kitchen revealed that the dish machine had not been functioning since December 21, 2022. This stand in place dish machine was covered inside and out with a thick, white, chalky film. This large piece of food service equipment had a heavy accumulation of dirt and food debris. The entire perimeter of the ceramic tiled flooring throughout the kitchen was soiled with dirt and discarded foods. […]

• No harm, potential for more than minimal, widespreadF908Jan 25, 2023

  Based on observations during an environmental tour of the main kitchen and interviews with staff, it was determined that the facility failed to ensure that essential mechanical equipment was in safe operating condition. Findings include: Observations of the main kitchen on January 23, 2023, in the presence of the director of food and nutrition services, Employee E5, and the maintenance director, Employee E13it was noted that the dish machine was being used to wash and sanitize the plates, bowls, cups, mugs, dome lids, thermal plate holders and utensils. […]

• No harm, potential for more than minimal, patternF677Sep 12, 2024

  Based on review of facility policy, review of clinical records, and staff and resident interviews, it was determined that the facility failed to provide necessary services to maintain adequate grooming for dependent residents for three of 13 residents reviewed (Resident R11, R22 and R95). Findings include: A review of the Bath(Bed/Shower) policy last updated November 30, 2018, indicated A bath is given to cleanse the skin and refresh the patient. Use whatever bath method is suitable to each patient, however, a bed bath is to be used only if it is impossible to bathe the patient in the tub or shower. […]

• No harm, potential for more than minimal, patternF726Sep 12, 2024

  Based on review of personnel files, facility documentation, policy review and interviews with staff, it was determined that the facility failed to ensure that nursing staff possessed the required skills to properly care for residents' needs for three of three personnel files reviewed related to skills competencies evaluations (Employees E8, E9, E10). Findings include: The facility policy titled Staff Training Policy last updated January 2024, revealed The facility is committed to providing high-quality care and services to its residents. To achieve this goal, the facility recognizes the importance of ongoing staff training and development. […]

• No harm, potential for more than minimal, patternF847Sep 12, 2024

  Based on a review of facility documents and resident clinical records and interviews with staff and residents, it was determined that the facility failed to ensure that residents had the capacity to understand the terms of a binding arbitration agreement for two of two residents reviewed (Resident R11, and Resident R38). Findings include: Review of the Resident Assessment Instrument 3.0 User's Manual effective October 2019, indicated that a Brief Interview for Mental Status (BIMS) is a screening test that aides in detecting cognitive impairment. […]