Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 165350

Pine Acres Rehabilitation And Care Center

107 federal citations on record , including 7 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $353,109.

Special Focus Status 7 Immediate Jeopardy

Record summary

Federal record · Q1 2026
107
Total citations
99
Last 3 years
12
Actual harm+
4
Federal penalties
$353,109
Total fines
—
Overall ★ rating

Most common violation categories here

Quality of Care33 Resident Rights17 Care Planning17 Nursing & Physician Services9 Medication & Pharmacy8

Most common F-tags at this facility

F6898 F7257 F6846 F8805 F6585

Citation history

107 on record
SurveyF-TagViolationSeveritySource
Jan 8, 2026F760Ensure that residents are free from significant medication errors.DComplaint
Jan 8, 2026F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DComplaint
Jan 8, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 8, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 8, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Nov 25, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Nov 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Aug 26, 2025F880Provide and implement an infection prevention and control program.EComplaint
Aug 26, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Aug 26, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Aug 26, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint
Jun 9, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.EComplaint
Jun 9, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 9, 2025F880Provide and implement an infection prevention and control program.EStandard
Jun 9, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Jun 9, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Jun 9, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jun 9, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jun 9, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Jun 9, 2025F641Ensure each resident receives an accurate assessment.DStandard
Jun 9, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
May 1, 2025F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.DComplaint
May 1, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 19, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard
Dec 19, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Dec 19, 2024F880Provide and implement an infection prevention and control program.DStandard
Dec 19, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 19, 2024F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EStandard
Dec 19, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard
Dec 19, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Dec 19, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Dec 19, 2024F687Provide appropriate foot care.JStandard
Dec 19, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DStandard
Dec 19, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Dec 19, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 19, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Oct 31, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Oct 10, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jun 19, 2024F778Help the resident make transportation arrangements to and from radiology services.DComplaint
Jun 19, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Jun 19, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Jun 19, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 19, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Apr 3, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Apr 3, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Dec 20, 2023F880Provide and implement an infection prevention and control program.EComplaint
Dec 20, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
Dec 20, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EComplaint
Dec 20, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DComplaint
Dec 20, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Dec 20, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 20, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Oct 25, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EComplaint
Oct 25, 2023F730Observe each nurse aide's job performance and give regular training.DComplaint
Oct 25, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Oct 25, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Oct 25, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Oct 25, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Oct 25, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Oct 25, 2023F610Respond appropriately to all alleged violations.JComplaint
Oct 25, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 25, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Oct 25, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Aug 16, 2023F759Ensure medication error rates are not 5 percent or greater.DComplaint
Aug 16, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Aug 16, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Aug 16, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Aug 16, 2023F692Provide enough food/fluids to maintain a resident's health.DComplaint
Aug 16, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 16, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Aug 16, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Aug 16, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Aug 16, 2023F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Aug 16, 2023F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint
Aug 16, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Aug 16, 2023F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DComplaint
Aug 16, 2023F567Honor the resident's right to manage his or her financial affairs.DComplaint
Aug 16, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Aug 16, 2023F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.DStandard
Aug 16, 2023F880Provide and implement an infection prevention and control program.DStandard
Aug 16, 2023F839Employ staff that are licensed, certified, or registered in accordance with state laws.DStandard
Aug 16, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Aug 16, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
Aug 16, 2023F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Aug 16, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Aug 16, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Aug 16, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Aug 16, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Aug 16, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 16, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Aug 16, 2023F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Aug 16, 2023F641Ensure each resident receives an accurate assessment.DStandard
Aug 16, 2023F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Aug 16, 2023F610Respond appropriately to all alleged violations.LStandard
Aug 16, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.LStandard
Aug 16, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Aug 16, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.LStandard
Aug 16, 2023F578Honor 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.DStandard
Aug 16, 2023F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Apr 4, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DComplaint

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $353,109 and 1 payment-denial actions spanning 16 days.

DateTypeFinePayment denial
Dec 19, 2024Fine$121,006—
Oct 10, 2024Fine$71,169—
Oct 10, 2024Payment Denial—Nov 1, 2024 · 16 days
Aug 16, 2023Fine$160,934—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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