The Pines Healthcare & Rehab CTRS Machias Campus

In the surveyor’s words

From the most serious findings on record at The Pines Healthcare & Rehab CTRS Machias Campus, in the surveyor’s own words.

• Actual harm, isolatedF600Feb 3, 2025

  Based on observation, interview, and record review conducted during a Complaint investigation (#NY00359779, and #NY00363581) during an Extended Standard survey completed on 2/3/2025, the facility failed to protect residents from abuse by other residents for three (3) (Resident #17, #71, and #75) of 12 residents reviewed. Specifically, on 11/4/2024, Resident #68 struck Resident #71 in the face with their walker, resulting in a laceration across the bridge of Resident #71's nose, and skin tears to their right cheek and chin. Additionally, on 12/5/2024, 12/10/2024, and 12/11/2024, physical altercations occurred between Residents #17 and #75, who were roommates and remained roommates until after the third altercation on 12/11/2024. […]

• No harm, potential for more than minimal, widespreadF607Feb 3, 2025

  Based on interview and record review conducted during an a Complaint investigation (#NY00330289, #NY00331807, #NY00341814, #NY00354482, #NY00357719, #NY00359779, #NY00363581, and #NY00363961) during the extended Standard survey completed on 2/3/25, the facility did not implement written policies and procedures for screening employees, that would prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property. In addition the facility did not ensure their abuse reporting policy and procedures were updated to include current regulations and guidance. Specifically, the facility did not ensure their policy for abuse reporting was current. This affected 10 (Residents #17, 30, 42, 47, 68, 71, 72, 75, 95, and #161) of 12 residents reviewed. […]

• No harm, potential for more than minimal, widespreadF609Feb 3, 2025

  Based on interviews and record review conducted during a Complaint investigations (#NY00330289, #NY00359779, #NY00363581, #NY00341814, #NY00354482, #NY00331807, #NY00357719, #NY00363961) completed during an extended Standard survey on 2/3/25, the facility did not ensure that all alleged violations involving abuse, neglect, mistreatment, including injuries of unknown source are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to administrator of the facility and to other officials (including to the State Survey Agency) for 10 (#17, #30, #42,… […]

• No harm, potential for more than minimal, widespreadF835Feb 3, 2025

  Based on interview and record review conducted during an extended Standard survey completed on 2/3/2025, the facility was not administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. The facility must operate and provide services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards and principles that apply to professionals providing services in such a facility. […]

• No harm, potential for more than minimal, patternF880Mar 3, 2021

  Based on interview and record review conducted during the COVID-19 Infection Control Focus Survey completed on 3/3/21, the facility did not establish and maintain an Infection Control Program to ensure the health and safety of residents to help prevent the transmission of COVID-19. Specifically, the facility did not ensure three of three employees (Certified Nurse Aide (CNA) #1, Licensed Practical Nurse (LPN) #s1, 2) reviewed were screened for COVID-19 symptoms (e.g., fever, cough, difficulty breathing, or other respiratory symptoms), including temperature checks every 12 hours while on duty. […]