Pine Creek Rehabilitation and Nursing

This section preserves official CMS inspection text matched to this facility from the current provider page source.

B6-INSP Inspections and official narratives P1 DIFF
CMS Health Deficiencies rows stay the citation spine. CMS Form 2567 inspection content is shown for this facility's cited F-tags and survey dates.
CMS scope and severity
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
No harm, potential
D 3
E 2
F 1
Minimal harm
A
B
C
Shaded cells were cited in the latest survey cycle. Down and right is more serious.
Deficiency trend
Health deficiencies by cycle: 6, then 28, then 7 . Latest survey date: 2025-10-09.
Repeat citations
Tag Plain English Previous Latest Sev F0609 Timely report suspected resident-safety incidents or theft and report the results of the investigation to proper authorities. prior cycle latest cycle D F0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. prior cycle latest cycle E CMS data shows 2 repeat deficiency tags between the latest two cycles.
Recent citations
Date Tag Category Sev Found how Corrected 2025-10-09 F0602 Resident protection deficiencies D complaint 2025-11-14 2025-10-09 F0609 Resident protection deficiencies D complaint 2025-11-14 2025-10-09 F0628 Resident Rights Deficiencies E standard 2025-11-14 2025-10-09 F0727 Nursing and Physician Services Deficiencies F standard 2025-11-14 2025-10-09 F0757 Pharmacy Service Deficiencies E standard 2025-11-14 2025-10-09 F0840 Administration Deficiencies D standard 2025-11-14
Official CMS inspection narrative
F0602 · 2025-10-09 · severity D
Official inspection narrative not available for this citation.
F0609 · 2025-10-09 · severity D
Official inspection narrative not available for this citation.
F0628 · 2025-10-09 · severity E
Official inspection narrative not available for this citation.
F0727 · 2025-10-09 · severity F
Official inspection narrative not available for this citation.
F0757 · 2025-10-09 · severity E
Official inspection narrative not available for this citation.
F0840 · 2025-10-09 · severity D
Official inspection narrative not available for this citation.
CMS Form 2567 inspection report text
The inspection text below is attributed to CMS Form 2567 records when a matching official source is available.
Inspection Report:
2025-10-09
This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection.
Each
6
is a federal standard the facility failed to meet.
Read the full inspection report
Survey: 2025-10-09 | Tag F0628 | Resident Rights Deficiencies | Severity: E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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Survey: 2025-10-09 | Tag F0727 | Nursing and Physician Services Deficiencies | Severity: F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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Survey: 2025-10-09 | Tag F0757 | Pharmacy Service Deficiencies | Severity: E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Survey: 2025-10-09 | Tag F0840 | Administration Deficiencies | Severity: D
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
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Survey: 2025-10-09 | Tag F0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Protect each resident from the wrongful use of the resident's belongings or money.
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Survey: 2025-10-09 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2024-10-03 | Tag F0550 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Survey: 2024-10-03 | Tag F0580 | Resident Rights Deficiencies | Severity: D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Survey: 2024-10-03 | Tag F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Survey: 2024-10-03 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2024-10-03 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Respond appropriately to all alleged violations.
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Survey: 2024-10-03 | Tag F0622 | Resident Rights Deficiencies | Severity: E
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
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Survey: 2024-10-03 | Tag F0644 | Resident Assessment and Care Planning Deficiencies | Severity: D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Survey: 2024-10-03 | Tag F0740 | Quality of Life and Care Deficiencies | Severity: G
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Survey: 2024-10-03 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Survey: 2024-10-03 | Tag F0757 | Pharmacy Service Deficiencies | Severity: D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Survey: 2024-10-03 | Tag F0758 | Pharmacy Service Deficiencies | Severity: D
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.
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Survey: 2024-10-03 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D
Ensure medication error rates are not 5 percent or greater.
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Survey: 2024-10-03 | Tag F0761 | Pharmacy Service Deficiencies | Severity: E
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.
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Survey: 2024-10-03 | Tag F0770 | Administration Deficiencies | Severity: E
Provide timely, quality laboratory services/tests to meet the needs of residents.
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Survey: 2024-10-03 | Tag F0773 | Administration Deficiencies | Severity: D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
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Survey: 2024-10-03 | Tag F0775 | Administration Deficiencies | Severity: D
Keep complete, dated laboratory records in the resident's record.
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Survey: 2024-10-03 | Tag F0779 | Administration Deficiencies | Severity: D
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
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Survey: 2024-10-03 | Tag F0804 | Nutrition and Dietary Deficiencies | Severity: D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Survey: 2024-10-03 | Tag F0842 | Resident Assessment and Care Planning Deficiencies | Severity: E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Survey: 2024-10-03 | Tag F0868 | Administration Deficiencies | Severity: D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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Survey: 2024-10-03 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2024-10-03 | Tag F0881 | Infection Control Deficiencies | Severity: D
Implement a program that monitors antibiotic use.
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Survey: 2024-10-03 | Tag F0887 | Infection Control Deficiencies | Severity: E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
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Survey: 2024-10-03 | Tag F0948 | Nursing and Physician Services Deficiencies | Severity: D
Ensure that paid feeding assistants have the training they need.
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Survey: 2024-10-03 | Tag F0584 | Resident Rights Deficiencies | Severity: D
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.
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Survey: 2024-10-03 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Survey: 2024-10-03 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2024-10-03 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2023-03-02 | Tag F0578 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Survey: 2023-03-02 | Tag F0584 | Resident Rights Deficiencies | Severity: E
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.
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Survey: 2023-03-02 | Tag F0644 | Resident Assessment and Care Planning Deficiencies | Severity: D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Survey: 2023-03-02 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2023-03-02 | Tag F0757 | Pharmacy Service Deficiencies | Severity: D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Survey: 2023-03-02 | Tag F0883 | Infection Control Deficiencies | Severity: D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Survey: 2023-03-02 | Tag F0887 | Infection Control Deficiencies | Severity: D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Source: U.S. Centers for Medicare & Medicaid Services. Data reflects the most recent available inspection.
Source rule. Official inspection text is quoted verbatim only when an official CMS Form 2567 source matches the CMS citation row. Citations without a matching official narrative remain labeled as not available.