All citations for Tierra Pines 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 Tierra Pines Center

Last standard health inspection on record

January 30, 2025

Showing 1 to 25 of 32 citations

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of January 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

  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 January 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

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

    Keep all essential equipment working safely.

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

    Health citation F-0908, Environmental Deficiencies. Inspection of April 15, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

  4. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of October 31, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 17, 2023).

  5. 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 December 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2023).

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

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

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

    Health citation F-0847, Administration Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2023).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2023).

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

    Make sure that a working call system is available in each resident's bathroom and bathing area.

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

    Health citation F-0919, Environmental Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2023).

  9. 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 January 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

  11. 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 January 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

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

    Include a process for Emergency Preparedness collaboration.

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

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of January 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

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

    Establish policies and procedures including evacuation.

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

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of January 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

  14. 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 January 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of January 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 30, 2025. Found during a standard inspection.

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

  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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2023).

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

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

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2023).

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

    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

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

    Health citation F-0741, Quality of Life and Care Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2023).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2023).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2023).

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

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

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

    Fire safety citation K-0225, Egress Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2023).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2023).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2023).

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.