Inspection Results » Pine Creek Manor Skilled Nursing & Rehab Center

Health Inspection on November 28, 2018 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (Corrected 2019-01-29)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-01-29)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure meals and snacks are served at times in accordance with residentÂ’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedu (Corrected 2019-01-29)
   • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Corrected 2019-01-29)
   • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2019-01-29)
   • Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. (Corrected 2019-01-29)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-03-12)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2019-01-29)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-01-29)
   • Have enough outside ventilation via a window or mechanical ventilation, or both. (Corrected 2019-01-29)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-01-29)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-01-29)
   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2019-01-29)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-01-29)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-01-29)
   • Ensure that residents are free from significant medication errors. (Corrected 2019-01-29)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2019-01-29)

4. Pattern: No actual harm with potential for minimal harm

   • Give the resident's representative the ability to exercise the resident's rights. (Corrected 2019-03-28)