All citations for Pine Creek Rehabilitation and Nursing

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Pine Creek Rehabilitation and Nursing

Last standard health inspection on record

October 9, 2025

Showing 1 to 25 of 29 citations

  1. Immediate jeopardy to resident health or safety

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 3, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  2. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 3, 2024. Found during a standard inspection and a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (August 1, 2023).

  3. Harm to a resident

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0740, Quality of Life and Care Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  4. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  5. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 3, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  6. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  7. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  8. No harm, with potential for more than minimal harm

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0622, Resident Rights Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  9. No harm, with potential for more than minimal harm

    Ensure 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  10. No harm, with potential for more than minimal harm

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0770, Administration Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  11. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  12. No harm, with potential for more than minimal harm

    Educate 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0887, Infection Control Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  13. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2024).

  14. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  15. No harm, with potential for more than minimal harm

    Honor 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of October 3, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  16. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  17. No harm, with potential for more than minimal harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  18. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  19. No harm, with potential for more than minimal harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  20. No harm, with potential for more than minimal harm

    Implement 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  21. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  22. No harm, with potential for more than minimal harm

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0773, Administration Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  23. No harm, with potential for more than minimal harm

    Keep complete, dated laboratory records in the resident's record.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0775, Administration Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  24. No harm, with potential for more than minimal harm

    Keep signed and dated reports of x-rays and other diagnostic services in the residents record.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0779, Administration Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  25. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.