The Pines Healthcare & Rehabilitation Centers Olea

In the surveyor’s words

From the most serious findings on record at The Pines Healthcare & Rehabilitation Centers Olea, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF604Mar 7, 2025

  Based on observation, interview, and record review conducted during the Standard survey completed on 3/7/25, the facility did not ensure residents were free from physical restraints imposed for purposes of discipline or convenience that were not required to treat the resident's medical symptoms, used for the least amount of time and document ongoing re-evaluation of the need for restraints for one (1) (Resident #19) of two (2) residents reviewed for physical restraints. Specifically, Resident #19 did not have a physician's order for the use of a wheelchair trunk restraint and there was no evidence quarterly assessment/evaluation was completed for its use. Additionally, there was no documented evidence the trunk restraint was released every two hours. […]

• No harm, potential for more than minimal, isolatedF609Mar 7, 2025

  Based on interview and record review conducted during a Complaint investigation (#NY00343645) during a Standard survey completed on 3/7/25, the facility did not ensure that all alleged violations involving abuse or mistreatment were reported immediately, but not later than two hours after the allegation is made, if the events that cause the allegation involve abuse, to the administrator of the facility and to other officials (including to the State Survey Agency) for one (Resident #99) of two residents reviewed for abuse. Specifically, facility staff did not immediately, or no later than two hours, report an allegation of verbal abuse to the Administrator. […]

• No harm, potential for more than minimal, isolatedF686Mar 7, 2025

  Based on observation, interview, and record review conducted during a Complaint investigation (#NY00363844) during a Standard survey completed on 3/7/25, the facility did not ensure residents with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing for one (1) (Resident #16) of three (3) residents reviewed. Specifically, Resident #16 lacked pressure ulcer assessments that included accurate pressure ulcer staging, and there was the lack of medical provider documentation to include the resident's pressure ulcer and treatment plan. […]

• No harm, potential for more than minimal, isolatedF700Mar 7, 2025

  Based on observation, interview, and record review conducted during the Standard survey completed 3/7/25, the facility did not ensure residents were assessed for risk of entrapment from bed rails prior to installation, review the risks and benefits of bed rails with the resident or resident representative, and obtain informed consent prior to the installation of bed rails for one (1) (Resident #18) of one (1) resident reviewed for bed rails. Specifically, Resident #18 was not assessed for risk of entrapment from bed rails, the risks and benefits of bed rails were not reviewed with the resident or their representative, and no consents were obtained prior to bed rail use. […]

• No harm, potential for more than minimal, isolatedF600Mar 3, 2023

  Based on observation, interview and record review conducted during a Complaint Investigation (NY00286248 and NY00283680) completed during the Standard survey completed 3/3/23, the facility did not ensure the resident's right to be free from abuse for three (Resident #30, #34 and #77) of four residents reviewed for abuse. Specifically, Licensed Practical Nurse (LPN) #5 verbally abused Resident #34 in the presence of their roommate (Resident #77). The incident was witnessed by a Certified Nurse Aide (CNA) who did not immediately report the abuse to facility staff; Resident #30 had an allegation of abuse against CNA #3, who had multiple disciplinary notices for neglect and abuse allegations and continued to work with residents. […]