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Pinecrest Medical Care Facility Inspection Report, Violations & Safety Grade (Powers, Michigan)

N15995 Main Street, Powers, Michigan 49874

Phone: 9064975244

CMS Overall:4/5

Overview & Bed Count

Certified Beds
120
Avg Residents/Day
79.5
Ownership
Government - County
Provider Type
Medicare and Medicaid
County
Menominee
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing4/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityMichigan AvgDifference
RN Hours per Resident per Day0.450.78-0.33
Total Nurse Hours per Resident per Day3.554.03-0.48
CMS Staffing Rating4/53.6/5-
Nursing Staff Turnover31.3%44.6%-

Health Citation History

40 health citations on record

DateCategoryDescriptionSeverity
2025-07-17Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2025-07-17Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2025-07-17Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.D – Moderate Harm Potential
2024-07-25Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2024-07-25Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E – Moderate Harm Potential
2024-07-25Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E – Moderate Harm Potential
2024-07-25Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2024-07-25Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2024-07-25Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-07-25Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2024-07-25Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D – Moderate Harm Potential
2024-07-25Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-07-25Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2024-07-25Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2024-07-25Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D – Moderate Harm Potential
2024-07-25Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2024-07-25Nutrition and Dietary DeficienciesProvide special eating equipment and utensils for residents who need them and appropriate assistance.D – Moderate Harm Potential
2024-01-16Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2023-07-27Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm
2023-07-27Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F – Moderate Harm Potential
2023-07-27Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.F – Moderate Harm Potential
2023-07-27Nursing and Physician Services DeficienciesHave 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.F – Moderate Harm Potential
2023-07-27Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.F – Moderate Harm Potential
2023-07-27Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2023-07-27Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.E – Moderate Harm Potential
2023-07-27Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E – Moderate Harm Potential
2023-07-27Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.E – Moderate Harm Potential
2023-07-27Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.E – Moderate Harm Potential
2023-07-27Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2023-07-27Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2023-07-27Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2023-07-27Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.D – Moderate Harm Potential
2023-07-27Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D – Moderate Harm Potential
2023-07-27Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2023-07-27Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2023-07-27Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D – Moderate Harm Potential
2023-07-27Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2023-07-27Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.D – Moderate Harm Potential
2023-07-27Pharmacy Service DeficienciesImplement 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.D – Moderate Harm Potential
2023-07-27Administration DeficienciesProvide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.D – Moderate Harm Potential

Fire Safety Citation History

13 fire safety citations on record

DateCategoryDescriptionSeverity
2025-07-17Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-07-17Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.F – Moderate Harm Potential
2025-07-17Egress DeficienciesHave properly located and lighted "Exit" signs.E – Moderate Harm Potential
2024-07-25Construction DeficienciesMeet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.F – Moderate Harm Potential
2024-07-25Egress DeficienciesAdd 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.E – Moderate Harm Potential
2024-07-25Gas, Vacuum, and Electrical Systems DeficienciesEnsure that sources of ignition are removed from patients receiving respiratory therapy.D – Moderate Harm Potential
2023-07-27Egress DeficienciesAdd 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.F – Moderate Harm Potential
2023-07-27Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2023-07-27Services DeficienciesHave elevators that firefighters can control in the event of a fire.F – Moderate Harm Potential
2023-07-27Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2023-07-27Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2023-07-27Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2023-07-27Gas, Vacuum, and Electrical Systems DeficienciesEnsure that sources of ignition are removed from patients receiving respiratory therapy.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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