Facility profile · CCN 265828
Pine Grove Manor
25 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $22,155.
Record summary
Federal record · Q1 202625
Total citations
12
Last 3 years
3
Actual harm+
2
Federal penalties
$22,155
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
25 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 22, 2025 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| Dec 22, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Dec 22, 2025 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint |
| Dec 22, 2025 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint |
| Apr 3, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Apr 3, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Apr 3, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Apr 3, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Standard |
| Apr 3, 2024 | F680 | Ensure the activities program is directed by a qualified professional. | E | Standard |
| Apr 3, 2024 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Nov 29, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Oct 13, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Jun 10, 2022 | F909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Standard |
| Jun 10, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jun 10, 2022 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Jun 10, 2022 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Standard |
| Jun 10, 2022 | F584 | Honor 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. | E | Standard |
| Jun 10, 2022 | F570 | Assure the security of all personal funds of residents deposited with the facility. | C | Standard |
| Sep 9, 2019 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Sep 9, 2019 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Sep 9, 2019 | F732 | Post nurse staffing information every day. | B | Standard |
| Sep 9, 2019 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Sep 9, 2019 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Sep 9, 2019 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard |
| Sep 9, 2019 | F584 | Honor 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. | B | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $22,155 and 1 payment-denial actions spanning 13 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 3, 2024 | Fine | $22,155 | — |
| Apr 3, 2024 | Payment Denial | — | May 15, 2024 · 13 days |
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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