Inspection Reports for The Pines at Utica Center for Nursing & Rehabilitation

1800 Butterfield Ave, Utica, NY, 13501

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Inspection Report Summary

The most recent inspection on July 22, 2025, identified multiple quality of care and life safety deficiencies, most of which were level 2 severity and many corrected by September 20, 2025. Earlier inspections showed a pattern of similar issues involving quality of care, medication management, infection control, and safety concerns such as accident hazards and building systems. Inspectors cited deficiencies related to resident care plans, food sanitation, supervision, and emergency egress, with no fines or enforcement actions listed in the available reports. Complaint investigations were not substantiated or not noted in the reports. The facility has shown some correction of deficiencies over time, but issues have recurred across inspections without a clear pattern of sustained improvement.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 8.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

71% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

12 9 6 3 0
2023
2024
2025

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 12 Date: Jul 22, 2025

Visit Reason
Multiple quality of care and life safety deficiencies identified, mostly level 2 severity, many corrected by September 20, 2025.

Findings
Multiple quality of care and life safety deficiencies identified, mostly level 2 severity, many corrected by September 20, 2025.

Deficiencies (12)
ADL care provided for dependent residents
Develop/implement comprehensive care plan
Food procurement,store/prepare/serve-sanitary
Free of accident hazards/supervision/devices
Inappropriate discharge
Infection prevention & control
Label/store drugs and biologicals
Nutrition/hydration status maintenance
Resident allergies, preferences, substitutes
Electrical systems - essential electric syste
Means of egress - general
Vertical openings - enclosure

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 3 Date: Feb 20, 2025

Visit Reason
Quality of care deficiencies including actual harm related to physician visits and medication errors, all corrected by April 21, 2025.

Findings
Quality of care deficiencies including actual harm related to physician visits and medication errors, all corrected by April 21, 2025.

Deficiencies (3)
Free of accident hazards/supervision/devices
Physician visits - review care/notes/order
Residents are free of significant med errors

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 7 Date: Jan 12, 2024

Visit Reason
Quality of care and life safety deficiencies identified, mostly level 2 severity, corrected by February 20, 2024.

Findings
Quality of care and life safety deficiencies identified, mostly level 2 severity, corrected by February 20, 2024.

Deficiencies (7)
ADL care provided for dependent residents
Food procurement,store/prepare/serve-sanitary
Quality of care
Resident allergies, preferences, substitutes
Building construction type and height
Electrical equipment - power cords and extens
Illumination of means of egress

Inspection Report

Capacity: 60 Deficiencies: 1 Date: May 2, 2023

Visit Reason
Covid-19 survey identified a level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.

Findings
Covid-19 survey identified a level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Apr 24, 2023

Visit Reason
Covid-19 survey identified a level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.

Findings
Covid-19 survey identified a level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Apr 17, 2023

Visit Reason
Covid-19 survey identified a level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.

Findings
Covid-19 survey identified a level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Apr 3, 2023

Visit Reason
Covid-19 survey identified a level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.

Findings
Covid-19 survey identified a level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.

Deficiencies (1)
Reporting - national health safety network

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