Pine Acres Rehabilitation And Healthcare

Based on observation, interview, and review of facility policies, it was determined that the facility failed to maintain proper kitchen sanitation practices in a manner to prevent food borne illness.On 1/11/26 at 9:28 AM, the surveyor in the presence of the Food Service Director (FSD) observed the following during the kitchen tour:1. In the three-door standing freezer, the surveyor observed an open bag of French Fries, vegetable burgers, all-beef hamburger and shrimp; all missing open and use-by labels. The FSD stated all items that have been opened should have open and use-by dates.2. In the ice cream freezer, the surveyor did not observe a thermometer. The FSD stated they would put a new thermometer in the freezer immediately. 3. In the beverage preparation area, the surveyor observed the juice dispenser with 4 of 7 tubes noted with a sticky build up on the tubing. The FSD stated the tubing would be cleaned immediately.4. In the milk refrigerator, the surveyor did not observe a thermometer. The FSD stated they would put a new thermometer in the milk refrigerator immediately.5. On…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Complaint # 2707766 Based on observation, interview, record review, and review of facility-provided documentation, it was determined that the facility failed to ensure that incontinence care was provided to dependent residents in a timely manner for 6 of 6 residents (Resident #1, #13, #16, #41, #68 and #83) observed for incontinence care on 1 of 3 units (First floor nursing unit). This deficient practice was evidenced by the following: 1. On 1/11/26 at10:39 AM, the surveyor was touring the 1st floor unit and smelled a strong odor of urine throughout the unit. On 1/11/26 at 11:15 AM, the surveyor interviewed Resident #1, who was sitting in their wheelchair next to their bed. The surveyor observed an adult brief laying on the top of the Resident #1's bed that was statured with urine. Resident #1 stated the brief had been there for 45 minutes and they had removed the adult brief themselves because a Certified Nursing Assistant (CNA) had not checked on them. A review of Resident #1's admission Record (AR) reflected…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and review of facility policy, it was determined that the facility failed to provide a homelike environment in resident rooms. The deficient practice was observed in 1 of 3 units during the initial tour. The deficient practice was evidenced by the following:On 01/13 /2026 at 10:00 AM, the surveyor toured the 1st floor nursing unit and observed the following:1. In room [ROOM NUMBER], the heater cover in the bathroom was broken. The surveyor also observed that the wall behind the door bed had chipped paint, exposing the wallboard, and the wall by the window bed had chipped paint across the entire wall, exposing the wallboard.2. In the shower room, there were broken floor tiles and a broken toilet seat. The shower mat was heavily soiled, and the floor beneath it was covered in a thick brown substance. On 1/14/26 at 10:55 AM, during an interview with the surveyor, the Director of Housekeeping (DHK) stated that the housekeeping staff were responsible for cleaning and mopping the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, record review, and review of facility policies it was determined that the facility failed to provide safety measures, nursing orders and follow interventions for a resident who has a history of falls. This deficient practice was identified for 3 of 3 residents (Resident #3, #5, and #66) reviewed for falls.The deficient practice was evidenced by the following: 1. On 1/11/26 at 10:55 AM, the surveyor observed Resident #3 in their room sitting in a medical reclining chair with a call bell in hand. Resident #3 was unable to participate in an interview related cognition. On 1/11/26 at 11:30 AM, the surveyor reviewed the hybrid medical record (combination of the electronic medical record (e-MAR) and the physical medical chart). The admission Record (AR) revealed that the resident had been admitted to the facility with diagnosis that included but were not limited to; hemiplegia and hemiparesis (one-sided paralysis), aphasia (disorder that results from damage usually from a stroke or traumatic brain injury to areas of the brain that are responsible for…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to administer Oxygen Therapy according to the physician's order for 1 of 3 Residents (Resident # 83), reviewed for respiratory therapy. This deficient practice was evidenced by the following: Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. Nursing Board. The Nurse Practice Act for the state of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual or potential physical and emotional health problems, through such services as case finding, health teaching, health counseling and provision of care supportive to or restorative of life and wellbeing, and executing medical regimes as prescribed by a licensed or otherwise legally authorized physician or dentist. Reference: New Jersey Statutes Annotated, Title 45, Chapter 11. Nursing Board. The Nurse Practice Act for the State of New…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Complaint # 2707766 Based on observation, interview, and review of pertinent facility documentation, it was determined the facility failed to ensure that sufficient and competent staff were available to provide appropriate incontinence care to dependent residents for 5 of 6 residents (Resident #13, #16, #41, #68 and #83) on 1 of 3 units (1st -floor Nursing Unit). This deficient practice was evidenced by the following: Refer to F6771.On 1/13/2026 at 7:25 AM, during an interview with the surveyor, the Licensed Practical Nurse/ Unit Manager (LPN/UM) identified residents as being incontinent and dependent on staff for care. On 1/13/26 at 7:30 AM, the surveyor conducted an incontinence tour on the 1st floor East Nursing Unit and observed the following: a. On 1/13/26 at 7:30 AM, the surveyor accompanied by the LPN/UM observed Resident #13 in bed. The LPN/UM exposed Resident #13's incontinence brief and the surveyor observed that the incontinence brief was saturated with urine. The LPN/UM confirmed that the brief was…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, it was determined that the facility failed to develop and implement a person-centered comprehensive care plan (CP) to meet the resident's needs. This deficient practice was observed for 2 of 19 residents reviewed, Resident #30 and #15, as evidenced by the following: 1. On 08/26/24 at 08:22 AM, the surveyor observed Resident #30 in the dining room eating, using their left hand. The resident stated to the surveyor that their right hand was weak. The resident further stated that the facility provided something for their right hand, but they refused to wear it. On 08/27/24 at 10:05 AM, the surveyor interviewed the Certified Nurse Assistant #2 (CNA#2) who was assigned to Resident #30. CNA #2 stated the resident used the left arm most of the time due to the weakness of the right arm. On 08/27/24 at 12:01 PM, the surveyor interviewed the Licensed Practical Nurse #3 (LPN#3) assigned to Resident #30, who stated that the resident refused to wear the right-hand splint.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and review of medical records, it was determined that the facility failed to a.) follow appropriate hand hygiene practices to prevent the potential spread of infection observed during care for Resident #15 and b.) provide urinary care in a sanitary manner for 1 of 2 for Resident #59. This deficient practice was evidenced by the following: According to the CDC Clinical Safety: Hand Hygiene for Healthcare Workers dated 02/27/24 revealed: Healthcare personnel should use an alcohol-based hand rub (ABHR) or wash with soap and water for the following clinical indications: Immediately before touching a patient . Before moving from work on a soiled body site to a clean body site for the same patient, After touching a patient or the patient's immediate environment After contact with blood, body fluids, or contaminated surfaces Immediately after glove removal. A review of the U.S. Centers for Disease Control and Prevention (CDC) guidelines, Clean Hands Count for Healthcare Providers,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, interviews, record review, and policy review, the facility failed to ensure staff followed sanitation procedures for the sanitizing of dishware through the dishwasher and failed to label and date residents' food and monitor the freezer temperatures for the residents' refrigerators located at the nursing stations. These failures had the potential for 86 out of 89 residents to be at risk for food-borne illness (three residents received nutrition via feeding tubes). Findings include: 1.The kitchen inspection was conducted on 08/22/22 from 10:42 AM to 11:23 AM. The following observations and interviews revealed the dish machine rinse temperature did not meet the minimum temperature specification of 180 F. Staff did not follow their policy to ensure adequate sanitizing of the dishware: At approximately 10:45 AM, the Dietary Aide (DA) was washing breakfast dishes and indicated the minimum required temperatures were 150 degrees F for wash and 180 degrees F for rinse as she pointed to the dish machine instructions that were posted on the wall next to the dish machine.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation and interview, the facility failed to ensure the dumpster area was maintained in a sanitary manner on two of two days in which a significant amount of garbage was on the ground around the dumpster creating the potential for harborage of pests. Findings include: 1. During the initial dietary inspection on 08/22/22 from 10:42 AM - 11:23 AM, the dumpster area revealed two dumpsters on a concrete pad located next to a parking area. The dumpsters lids were closed; however, there were approximately 30 pieces of garbage on the concrete pad behind the dumpsters and in the grass adjacent to the dumpster extending approximately 25 feet in front of four parked cars. The garbage consisted of used latex gloves, disposable face masks, plastic cups, paper debris, plastic bottles and lids, cans, cardboard pieces, and a gallon jug of a cleaning product. 2. A second observation of the dumpster area was made on 8/24/22 at 10:01 AM with the Corporate Food Service Director (CFSD). The dumpster lids remained closed with masks, gloves, plastic debris, cups, bottles, paper, cardboard,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.