Facility profile · CCN 675177
Pine Tree Lodge Nursing Center
43 federal citations on record , including 3 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $225,502.
Record summary
Federal record · Q1 202643
Total citations
34
Last 3 years
5
Actual harm+
2
Federal penalties
$225,502
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
43 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 15, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Jan 15, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jan 15, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jan 15, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Jan 15, 2025 | F761 | Ensure 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. | E | Standard |
| Jan 15, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Jan 15, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Jan 15, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| Jan 15, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jan 15, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jan 15, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jan 15, 2025 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Oct 31, 2024 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Complaint |
| Oct 3, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint |
| Jul 31, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Jun 19, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Jan 23, 2024 | F808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Complaint |
| Jan 23, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Jan 23, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Jan 23, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Dec 20, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Dec 20, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Dec 20, 2023 | F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Standard |
| Dec 20, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Dec 20, 2023 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Dec 20, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Dec 20, 2023 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Dec 20, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Dec 20, 2023 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Nov 6, 2023 | F760 | Ensure that residents are free from significant medication errors. | K | Complaint |
| Nov 6, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | Complaint |
| May 18, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | J | Complaint |
| Apr 25, 2023 | F728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | E | Complaint |
| Apr 25, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Sep 15, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Sep 15, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Sep 15, 2022 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard |
| Sep 15, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Sep 15, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard |
| Sep 15, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Sep 15, 2022 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Sep 15, 2022 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Sep 15, 2022 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $225,502 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Nov 6, 2023 | Fine | $210,600 | — |
| May 18, 2023 | Fine | $14,902 | — |
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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