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 12 of 12 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of October 22, 2019. Found during a standard inspection.

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

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 22, 2019. Found during a standard inspection.

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

  10. 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 22, 2019. Found during a standard inspection.

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

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

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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

    Health citation F-0806, 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).

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

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

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

    Fire safety citation K-0926, 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).

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.