Inspection Reports for
Pine View Health and Rehabilitation Center

Complaint investigations MS #2965391 and MS #2744791 were conducted for neglect, environmental issues, ineffective pest control, Activities of Daily Living care, odors, and environment. The facility was found in compliance with no deficiencies cited.

During the survey, the State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

Complaint MS #2965391 was investigated for neglect, environmental, ineffective pest control, and Activities of Daily Living care. Complaint MS #2744791 was investigated for odors and environment. Both complaints were determined to be unsubstantiated with no deficiencies cited.

During the survey, the State Agency determined the facility was in compliance with the requirements of participation in Medicare and Medicaid and there were no deficiencies cited.

The SA is recommending that your facility be placed back in compliance effective 02/18/26.

The facility was found to be in compliance with the Life Safety Code requirements as of 02/11/26. No deficiencies were cited during the emergency preparedness survey conducted on 01/22/26.

The facility failed to ensure privacy curtains were clean and laundered for two of nineteen sampled residents. Observations and interviews confirmed that privacy curtains for Residents #9 and #20 were visibly soiled and had not been cleaned despite requests.

Complaint Investigation CI MS #2707861 was investigated related to an allegation of bed bugs and medication administration. There were no deficiencies cited related to the complaint.

The facility was found not in compliance with multiple requirements including maintaining a safe, clean, and homelike environment, developing and implementing comprehensive care plans, care plan timing and revision, meeting professional standards of care, tube feeding management, and accurate payroll-based journal staffing submissions.

CI MS #2707861 was investigated related to an allegation of bed bugs and medication administration. The State Agency determined the facility was in compliance with no deficiencies cited related to the complaint.

The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm related to the complaint investigation. One deficiency was cited related to the annual recertification survey regarding failure to document the date and time enteral feeding bags were hung, which is necessary to prevent contamination and infection.

Two deficiencies were cited related to smoke barrier construction and smoke barrier doors. The facility failed to provide the required half-hour fire resistance rating in the smoke barrier wall and had smoke barrier doors that did not properly close upon activation of the fire alarm and sprinkler systems.

The facility was found deficient in multiple areas including failure to maintain clean privacy curtains for residents, incomplete implementation of care plan interventions related to catheter care, failure to revise care plans to include all responsible disciplines, failure to follow physician orders for catheter anchoring, inadequate documentation of enteral feeding bag labeling, and inaccurate Payroll-Based Journal staffing data submitted to CMS.

Complaint MS #2579866 was related to falsification of tuberculosis records and complaint MS #2579812 was related to a bed bug infestation. Both complaints were investigated and the facility was found in compliance with no deficiencies cited.

During the survey, the State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

Complaint investigations MS #2579866 and MS #2579812 were conducted related to falsification of tuberculosis records and bed bug infestation. The facility was found in compliance with no deficiencies cited.

The survey determined the facility was in compliance with the requirements of participation in Medicare and Medicaid and there were no deficiencies cited.

The information provided by the facility confirmed the facility was in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm. The SA is recommending your facility be placed back in compliance effective 11/19/25.

The facility was found not in compliance with state licensure requirements, citing deficiencies in residents' rights, safe food handling procedures, and infection control practices.

Complaint number CI MS #2564229 was investigated for an allegation of abuse. The facility was found in compliance with no deficiencies cited.

The facility was found to be in compliance with Medicare and Medicaid requirements and no deficiencies were cited.

Complaint number CI MS#2564229 was investigated for an allegation of abuse. The SA determined the facility was in compliance with no deficiencies cited.

The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm. There were no deficiencies cited.

Complaint investigations MS #29114 and MS #29197 were conducted. The facility was found in compliance with no deficiencies cited.

During the survey, the State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

Complaint investigations MS #29114 and MS #29197 were conducted; no deficiencies were cited and the facility was found in compliance.

During the survey, the State Agency determined the facility was in compliance with the requirements of participation in Medicare and Medicaid and there were no deficiencies cited.

CI MS #27004 was investigated for misappropriation of property and fraud/false billing. The SA determined the facility was in compliance with no deficiencies cited.

The survey determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

CI MS#27004 was investigated for misappropriation of property and fraud/false billing. The SA determined the facility was in compliance with no deficiencies cited.

The facility was found in compliance with the requirements for participation in Medicare and Medicaid and there were no deficiencies cited.

CI MS #26278 was investigated related to abuse. The SA determined the facility was in compliance with no deficiencies cited.

The facility was found in compliance with Medicare and Medicaid requirements and no deficiencies were cited.

Complaint number CI MS#26278 was investigated related to abuse. The SA determined the facility was in compliance with no deficiencies cited.

The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

The State Agency is recommending that the facility be placed back in compliance effective 07/24/24. No deficiencies were cited in this desk review.

The information provided by the facility confirmed the facility was in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm. The State Agency is recommending that the facility be placed back in compliance effective 07/24/24.

The facility was found deficient in multiple areas including failure to ensure resident dignity by not covering urinary drainage bags, inaccurate Minimum Data Set coding for anticoagulant medication, failure to implement a nurse practitioner's recommendation for a specialty mattress for a resident with pressure ulcers, improper placement of urinary drainage tubing risking infection, and inadequate chemical sanitizer concentration in a low-temperature dishwasher.

The facility was found not in compliance with state licensure requirements, with deficiencies related to residents' rights, pressure sore treatment, urinary incontinence management, and dishwashing sanitation.

The facility was found not in compliance with several requirements including resident rights, accuracy of assessments, treatment of pressure ulcers, catheter care, and food safety. Deficiencies were cited for failure to maintain resident dignity, inaccurate MDS coding, failure to implement pressure ulcer treatment recommendations, improper catheter bag placement, and inadequate dishwasher sanitizer concentration.

The facility was found in compliance with all applicable Federal, State, and local emergency preparedness and Life Safety Code requirements.

Complaint number CI MS#21503 involved an allegation of verbal abuse. The complaint was investigated and found to be unsubstantiated with no deficiencies cited.

The survey determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

Complaint CI MS#21503 involved an allegation of verbal abuse. The complaint was investigated and found to be unsubstantiated with no deficiencies cited.

The survey determined the facility was in compliance with Medicare and Medicaid requirements and no deficiencies were cited.

The State Agency is recommending that the facility be placed back in compliance effective 01/24/23. No deficiencies were cited in this desk review.

Complaint (CI) #19736 related to a fall with injury was investigated but no deficient practice was cited.

The facility was found not in compliance with Medicare and Medicaid participation requirements and was cited for five deficiencies. No deficiencies were cited related to the complaint investigation for a fall with injury.

The facility failed to transmit an Annual Minimum Data Set (MDS) in a timely manner for one of 19 residents reviewed. Resident #7's MDS was completed in September 2022 but had not been transmitted as of December 15, 2022.

The facility failed to ensure residents had weekend access to personal funds, timely resolution of food-related grievances, accurate coding of Minimum Data Set (MDS) assessments, and proper posting of nurse staffing information. Multiple residents were affected by these deficiencies with minimal or potential for minimal harm.

The facility met the applicable provisions of the 2012 Edition of the Life Safety Code. There were no Life Safety Code deficiencies cited during this survey.

Complaint CI MS#16921 alleged staffing issues but was not substantiated and no deficiencies were cited.

The facility was found in compliance with the requirements of participation for the Minimum Standards of Institutions for the Aged and Infirm. No deficiencies were cited and the complaint for staffing was not substantiated.

Complaint number CI MS#16921 alleged staffing issues; the complaint was not substantiated and no deficiencies were cited.

The facility was found in compliance with Medicare and Medicaid participation requirements. The complaint for staffing was not substantiated and no deficiencies were cited.

The facility was found to be in compliance with 42 CFR 483.73 related to E-0024(b)(6).

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.

The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.

CI MS #16020 alleged residents had to wait several hours for the facility van to transfer them from dialysis back to the facility. The complaint was unsubstantiated by staff and resident interviews and record reviews, and no deficiencies were cited related to the complaint.

The facility was found not in compliance with Medicare and Medicaid participation requirements due to failure to refer Resident #2 for a Level II PASARR when the resident's status changed from Short Term Care to Long Term Care. No deficiencies were cited related to the complaint.

Complaint Investigation (CI) MS #15652 substantiated for failure to provide adequate supervision and assistance to prevent a fall resulting in major injury and death of Resident #4. Deficiencies were cited.

The facility was found not in compliance with Medicare and Medicaid participation requirements and cited deficiencies related to failure to provide adequate supervision and assistance to prevent falls and to report incidents. The facility was cited for Immediate Jeopardy and Substandard Quality of Care beginning 12/11/18 due to failure to prevent Resident #4's fall and subsequent death.

The facility was found not in compliance due to failure to transmit one resident's Minimum Data Set (MDS) assessment in a timely manner. No deficiencies were cited for Life Safety Code or Emergency Preparedness.