Inspection Reports for
The Pines at Glens Falls Center for Nursing & Rehabilitation
170 Warren Street, Glens Falls, NY, 12801
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
76% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Annual Inspection
Deficiencies: 3
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.
Deficiencies (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
Complaint Investigation
Capacity: 60
Deficiencies: 9
Date: Mar 22, 2023
Visit Reason
Inspection history and complaint-related citations summary for The Pines at Glens Falls Center for Nursing & Rehabilitation
Complaint Details
7 complaints received from November 1, 2021 to October 31, 2025; 8 complaint-related inspections completed with 0 citations during the reporting period.
Findings
Multiple deficiencies were cited across complaint-related inspections, including issues with food sanitation, garbage disposal, PASARR screening, and various life safety code violations related to electrical equipment, fire alarm systems, sprinkler systems, and building space subdivisions. All deficiencies were corrected as of May 16, 2023. No citations related to actual harm or immediate jeopardy were reported.
Deficiencies (9)
Dispose garbage and refuse properly
Food procurement,store/prepare/serve-sanitary
Pasarr screening for md & id
Electrical equipment - testing and maintenanc
Electrical systems - essential electric syste
Fire alarm system - installation
Sprinkler system - maintenance and testing
Subdivision of building spaces - smoke barrie
Vertical openings - enclosure
Report Facts
Total inspections: 9
Inspection Report
Annual Inspection
Deficiencies: 5
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.
Deficiencies (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
Annual Inspection
Deficiencies: 10
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.
Deficiencies (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
Viewing
Loading inspection reports...
