All citations for Pine Ridge Health and Rehabilitation Center

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 Ridge Health and Rehabilitation Center

Last standard health inspection on record

August 6, 2026

Showing 1 to 25 of 31 citations

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of June 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 1, 2025).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of April 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2024).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of April 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2024).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of April 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2024).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of April 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2024).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of June 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 1, 2025).

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

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

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of June 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 1, 2025).

  8. 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 April 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of April 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

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

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

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

    Health citation F-0553, Resident Rights Deficiencies. Inspection of August 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 2, 2026).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of August 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 2, 2026).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 6, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 2, 2026).

  13. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of August 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 2, 2026).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of August 6, 2026. Found during a standard inspection.

    No plan of correction on record.

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of August 6, 2026. Found during a standard inspection.

    No plan of correction on record.

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

    Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.

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

    Fire safety citation K-0928, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 6, 2026. Found during a standard inspection.

    No plan of correction on record.

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of June 5, 2025. Found during a standard inspection.

    Past non-compliance: already corrected by the time of the inspection (May 22, 2025).

  18. 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 June 5, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 2025).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 5, 2025. Found during a standard inspection and a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (July 13, 2024).

  20. 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 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2024).

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

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

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

    Fire safety citation K-0352, Smoke Deficiencies. Inspection of April 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2024).

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2024).

  23. 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 April 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

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

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

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

    Health citation F-0553, Resident Rights Deficiencies. Inspection of April 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

  25. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of April 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.