All citations for Pine Haven Home

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 Haven Home

Last standard health inspection on record

April 1, 2025

Showing 1 to 25 of 34 citations

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

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of April 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2025).

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

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of April 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2025).

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

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of April 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2025).

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

    Have exits that are accessible at all times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of April 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2025).

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

    Install proper backup exit lighting.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of April 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2025).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2025).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of April 1, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

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

    Provide emergency officials' contact information.

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

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of April 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 27, 2025).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of April 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 27, 2025).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of April 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2025).

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

    Have elevators that firefighters can control in the event of a fire.

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

    Fire safety citation K-0531, Services Deficiencies. Inspection of April 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2025).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of April 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

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

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

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

    Health citation F-0813, Nutrition and Dietary Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 27, 2022).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 27, 2022).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 27, 2022).

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

    Ensure that testing and maintenance of electrical equipment is performed.

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

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 27, 2022).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of October 22, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2019).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 22, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2019).

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

    Establish policies and procedures for medical documentation.

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

    Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of October 22, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2019).

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

    Establish staff and initial training requirements.

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

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of October 22, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2019).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of October 22, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2019).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of October 22, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 13, 2020).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 22, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2019).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of April 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2025).

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.