Inspection Reports for
The Pines at Glens Falls Center for Nursing & Rehabilitation
170 Warren Street, Glens Falls, NY, 12801
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Inspection Report — Mar 18, 2026
Complaint Investigation State
Date: Mar 18, 2026
Visit Reason
State-compiled facility profile showing 7 inspections from 2022 to 2026 with citation and complaint history.
Complaint Details
The state logged 98 complaints about this facility; 8 led to on-site inspections. The facility received 87.4 complaints per 100 beds versus a statewide rate of 57.4. Two citations resulted from those complaints.
Findings
Across 7 inspections, 5 had no citations while 2 inspections resulted in 24 total citations, including 13 standard health and 11 life safety code violations. The facility had 98 complaints with 8 on-site inspections and no formal enforcement actions.
Citations (24)
Standard Health Citation — quality of care: Develop/implement Comprehensive Care Plan not yet corrected.
Standard Health Citation — quality of care: Food Procurement,store/prepare/serve-sanitary not yet corrected.
Standard Health Citation — quality of care: Free Of Medication Error Rts 5 Prcnt Or More not yet corrected.
Standard Health Citation — quality of care: Infection Prevention & Control not yet corrected.
Standard Health Citation — quality of care: Label/store Drugs And Biologicals not yet corrected.
Standard Health Citation — quality of care: Pharmacy Srvcs/procedures/pharmacist/records not yet corrected.
Standard Health Citation — quality of care: Quality Of Care not yet corrected.
Standard Health Citation — quality of care: Resident Rights/exercise Of Rights not yet corrected.
Standard Health Citation — quality of care: Safe/clean/comfortable/homelike Environment not yet corrected.
Standard Health Citation — quality of care: Sufficient Nursing Staff not yet corrected.
Life Safety Code Citation — NFPA requirements: Building Construction Type And Height not yet corrected.
Life Safety Code Citation — NFPA requirements: Exit Signage not yet corrected.
Life Safety Code Citation — NFPA requirements: Illumination Of Means Of Egress not yet corrected.
Life Safety Code Citation — NFPA requirements: Portable Fire Extinguishers not yet corrected.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Maintenance And Testing not yet corrected.
Standard Health Citation — quality of care: Dispose Garbage And Refuse Properly corrected May 16, 2023.
Standard Health Citation — quality of care: Food Procurement,store/prepare/serve-sanitary corrected May 16, 2023.
Standard Health Citation — quality of care: Pasarr Screening For Md & Id corrected May 16, 2023.
Life Safety Code Citation — NFPA requirements: Electrical Equipment - Testing And Maintenanc corrected May 16, 2023.
Life Safety Code Citation — NFPA requirements: Electrical Systems - Essential Electric Syste corrected May 16, 2023.
Life Safety Code Citation — NFPA requirements: Fire Alarm System - Installation corrected May 16, 2023.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Maintenance And Testing corrected May 16, 2023.
Life Safety Code Citation — NFPA requirements: Subdivision Of Building Spaces - Smoke Barrie corrected May 16, 2023.
Life Safety Code Citation — NFPA requirements: Vertical Openings - Enclosure corrected May 16, 2023.
Report Facts
Inspections on page: 7
Total violations/deficiencies cited: 24
Inspections with violations: 2
Inspections without violations: 5
Total complaints: 98
On-site complaint inspections: 8
Citations from complaints: 2
Total enforcement actions: 0
Inspection Report — Mar 22, 2023
Annual Inspection CMS
Date: Mar 22, 2023
Visit Reason
The inspection was conducted as a recertification survey to assess compliance with regulatory requirements for nursing home operations.
Findings
The facility was found deficient in ensuring proper preadmission screening for mental disorders, food service safety and sanitation in kitchens, and proper disposal of garbage and refuse.
Citations (3)
F 0645: The facility did not ensure a comprehensive Level 2 PASRR assessment was completed prior to admission for Resident #13 following a positive Level 1 determination on 11/16/2021.
F 0812: The facility did not ensure food was stored, prepared, distributed, or served in accordance with professional standards; multiple kitchen areas were soiled and had peeling surfaces and mold.
F 0814: The facility did not ensure garbage and refuse were disposed of properly; the large dumpster had holes and the small dumpster was missing a drain plug.
Report Facts
Residents reviewed for PASRR: 2
Resident unit kitchenettes inspected: 3
Deficiencies cited: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Social Work | Interviewed regarding PASRR screening process | |
| Director of Nursing | Interviewed regarding review of preadmission screens | |
| Clinical Evaluator | Responsible for initial review of preadmission screens | |
| Administrator | Interviewed regarding preadmission screen review and food service deficiencies | |
| Food Service Director | Interviewed regarding food service deficiencies |
Inspection Report — Nov 12, 2020
Annual Inspection CMS
Date: Nov 12, 2020
Visit Reason
The inspection was a recertification survey to assess compliance with regulatory requirements for nursing home care.
Findings
The facility failed to develop and implement comprehensive, person-centered care plans for multiple residents, did not ensure proper audiology referrals, failed to maintain acceptable nutritional parameters for a resident, did not limit PRN psychotropic medication orders to 14 days without documented rationale, and did not maintain food safety standards in the kitchen.
Citations (5)
F 0656: The facility did not develop and implement comprehensive care plans with measurable objectives and timeframes for 6 of 22 residents reviewed, including missing indications for therapies and lack of safety interventions.
F 0685: The facility did not provide proper treatment and assistive devices to maintain hearing ability for Resident #34, failing to arrange an audiologist consultation.
F 0692: The facility did not ensure acceptable nutrition parameters for Resident #87, failing to obtain re-weights per protocol, notify the physician of significant weight changes, and include person-centered nutritional goals in the care plan.
F 0758: The facility did not ensure PRN psychotropic medication orders were limited to 14 days unless justified; Resident #28's PRN lorazepam order lacked documented rationale for extension beyond 14 days.
F 0812: The facility failed to operate the automatic dishwashing machine within manufacturer specifications and maintain clean, intact kitchen floors, compromising food safety.
Report Facts
Residents reviewed for comprehensive care plans: 22
Residents affected by care plan deficiencies: 6
Residents reviewed for communication: 1
Residents reviewed for nutrition: 4
Residents affected by nutrition deficiency: 1
Residents reviewed for unnecessary medications: 5
Residents affected by psychotropic medication deficiency: 1
Dishwashing machine final rinse temperature: 160
Dishwashing machine final rinse water pressure: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse Unit Manager #4 | Interviewed regarding care plan deficiencies for Residents #71 and #91 | |
| Registered Nurse (RN) #2 | Interviewed regarding care plan maintenance and psychotropic medication orders | |
| Registered Nurse #1 (RN) | Interviewed regarding audiology appointment process for Resident #34 | |
| Director of Nursing (DON) | Interviewed regarding care plan deficiencies, audiology referral process, nutrition protocol, and psychotropic medication orders | |
| Director of Food Services | Interviewed regarding dishwashing machine operation and kitchen floor condition | |
| Registered Dietitian (RD) | Interviewed regarding nutritional care plan and weight monitoring for Resident #87 |
Inspection Report — Apr 5, 2019
Annual Inspection CMS
Date: Apr 5, 2019
Visit Reason
The inspection was a recertification survey to assess compliance with regulatory requirements for nursing home operations and resident care.
Findings
The facility was found deficient in multiple areas including failure to provide timely written notification of transfers and bed hold policies, incomplete baseline care plans, inadequate implementation of comprehensive care plans, insufficient individualized activities, improper pressure ulcer care and pain management, incorrect therapeutic diet provision, lack of food safety education for families, and outdated infection control policies.
Citations (10)
F 0623: The facility did not provide written notice of transfer to the resident or representative for two residents transferred to the hospital.
F 0625: The facility did not provide written notice of the bed hold and return policy to the resident or representative for three residents admitted to the hospital.
F 0655: The facility did not develop or provide baseline care plans with summaries to residents or representatives within 48 hours of admission for 12 residents reviewed.
F 0656: The facility failed to implement comprehensive care plans for positioning and pain management for three residents, resulting in residents being positioned contrary to care plans and inadequate pain control.
F 0679: The facility did not provide individualized activities for residents who could not or chose not to participate in group activities for two residents reviewed.
F 0686: The facility did not ensure appropriate pressure ulcer care and failed to reposition a resident with a Stage 4 pressure ulcer every two hours as ordered.
F 0697: The facility did not provide adequate pain management for a resident with a Stage 4 pressure ulcer, including failure to pre-medicate prior to dressing changes and inconsistent pain assessments.
F 0808: The facility did not ensure a resident received the correct therapeutic diet consistency as ordered, serving ground meat instead of pureed meat.
F 0813: The facility lacked a policy and education for families and visitors regarding safe use and storage of foods brought in from outside.
F 0880: The facility did not develop and implement an infection prevention and control program that was reviewed and updated annually as required.
Report Facts
Residents reviewed for hospitalization: 5
Residents reviewed for baseline care plans: 12
Residents reviewed for comprehensive care plans: 24
Residents reviewed for activities: 24
Residents reviewed for pressure ulcer care: 3
Residents reviewed for pain management: 3
Residents reviewed for diet consistency: 1
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