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Facility profile · CCN 235637

Plainwell Pines Nursing And Rehabilitation Communi

52 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $194,994.

Abuse Icon 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
52
Total citations
52
Last 3 years
5
Actual harm+
3
Federal penalties
$194,994
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

52 on record
SurveyF-TagViolationSeveritySource
Dec 17, 2025F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.FComplaint
Dec 17, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Dec 17, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Sep 17, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DComplaint
Sep 17, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Sep 17, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Sep 17, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Sep 17, 2025F558Reasonably accommodate the needs and preferences of each resident.EComplaint
Sep 17, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
May 8, 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
May 8, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
May 8, 2025F887Educate 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
May 8, 2025F880Provide and implement an infection prevention and control program.EStandard
May 8, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 8, 2025F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
May 8, 2025F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.CStandard
May 8, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
May 8, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
May 8, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
May 8, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
May 8, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 8, 2025F679Provide activities to meet all resident's needs.DStandard
May 8, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
May 8, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard
May 8, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
May 8, 2025F578Honor 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
May 8, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Sep 4, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jun 27, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FStandard
Jun 27, 2024F880Provide and implement an infection prevention and control program.DStandard
Jun 27, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jun 27, 2024F761Ensure 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 27, 2024F758Implement 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
Jun 27, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jun 27, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard
Jun 27, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Jun 27, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jun 27, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
May 16, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint
May 16, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
May 16, 2024F610Respond appropriately to all alleged violations.GComplaint
May 16, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.HComplaint
May 10, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
May 10, 2023F887Educate 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.EStandard
May 10, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
May 10, 2023F880Provide and implement an infection prevention and control program.EStandard
May 10, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 10, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 10, 2023F759Ensure medication error rates are not 5 percent or greater.EStandard
May 10, 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
May 10, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
May 10, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $194,994 and 1 payment-denial actions spanning 22 days.

DateTypeFinePayment denial
Jun 27, 2024Fine$33,638
Jun 27, 2024Payment DenialJul 23, 2024 · 22 days
May 16, 2024Fine$161,356
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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