All citations for Villa at Pine Place

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 Villa at Pine Place

Last standard health inspection on record

August 21, 2025

Showing 26 to 50 of 69 citations

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  2. 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.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

  3. 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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 28, 2023).

  4. 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 November 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

  5. 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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 28, 2023).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 28, 2023).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 28, 2023).

  8. 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.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 13, 2026. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (April 29, 2026).

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

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

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

    Health citation F-0557, Resident Rights Deficiencies. Inspection of August 21, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 9, 2025).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of August 21, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 9, 2025).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 9, 2025).

  12. 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.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 9, 2025).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 9, 2025).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of August 21, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 9, 2025).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of September 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of September 11, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of September 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of September 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of September 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  20. 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.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of September 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  21. 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 September 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 11, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of September 11, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

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

    Health citation F-0635, Resident Assessment and Care Planning Deficiencies. Inspection of June 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 19, 2024).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 24, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 14, 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.