Provider Name: PINES REHAB & HEALTH CTR
Address: 601 RED VILLAGE ROAD, LYNDONVILLE, VT 05851
Phone: (802) 626-3367
County: Caledonia (020)
Ownership Type: For profit - Corporation
Certified Beds: 60
Average Residents Per Day: 48.8 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: PINE KNOLL NURSING HOME, INC
First Approved Date: April 1, 1994
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 3 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.76943, LPN Staff Hours Per Day: 0.8487, RN Staff Hours Per Day: 0.6224, Licensed Staff Hours Per Day: 1.4711
Total Nurse Staff Hours Per Day, per resident: 4.24058
Weekend Nurse Staff Hours: 3.36831, Weekend RN Staff Hours: 0.4232
PT Staff Hours Per Day, per resident: 0.0784
Nurse Staff Turnover: 54.5, Nurse Turnover Note:
RN Turnover: 16.7, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0706, Case Mix LPN Hours Per Day: 0.7999, Case Mix RN Hours Per Day: 0.4650
Adjusted Nurse Aide Hours Per Day, per resident: 2.72477, Adjusted LPN Hours Per Day: 0.7829, Adjusted RN Hours Per Day: 0.5043
Total Adjusted Nurse Hours Per Day, per resident: 4.00719
Adjusted Weekend Nurse Hours Per Day, per resident: 3.18292
Health Survey Dates and Scores: Cycle 1: 2023-11-15 (Score: 0), Cycle 2: 2022-11-30 (Score: 0), Cycle 3: 2021-11-03 (Score: 20)
Total Weighted Health Score: 3.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 1
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 9750.00, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 601 RED VILLAGE ROAD,LYNDONVILLE,VT,05851 (44.5134, -71.996)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-04-10
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-12-03
Type: Health, Deficiency: Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-12-03
Type: Health, Deficiency: Observe each nurse aide's job performance and give regular training.
Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-12-03
Type: Health, Deficiency: 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.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-12-03
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0222, Version: New
Description: 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.
Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has no plan of correction on