F
35/100

Pine Acres Center for Nursing and Rehabilitation Inspection Report, Violations & Safety Grade (Lexington, North Carolina)

279 Brian Center Drive, Lexington, North Carolina 27292

Phone: 3362497521

CMS Overall:1/5

Overview & Bed Count

Certified Beds
106
Avg Residents/Day
103.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Davidson
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing1/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityNorth Carolina AvgDifference
RN Hours per Resident per Day0.100.62-0.52
Total Nurse Hours per Resident per Day3.313.87-0.56
CMS Staffing Rating1/52.7/5-
Nursing Staff Turnover42.6%48.7%-

Health Citation History

26 health citations on record

DateCategoryDescriptionSeverity
2026-07-23Nursing 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
2026-01-22Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-01-22Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2025-05-22Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2025-05-22Nursing 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.G – Actual Harm
2025-05-22Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.E – Moderate Harm Potential
2025-05-22Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.E – Moderate Harm Potential
2025-05-22Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-05-22Quality of Life and Care DeficienciesEnsure 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.D – Moderate Harm Potential
2025-05-22Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2025-05-22Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.C – Minimal Harm Potential
2025-05-22Nursing and Physician Services DeficienciesPost nurse staffing information every day.B – Minimal Harm Potential
2024-03-28Freedom 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.K – Immediate Jeopardy
2024-03-28Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.K – Immediate Jeopardy
2024-03-28Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.K – Immediate Jeopardy
2024-03-28Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.J – Immediate Jeopardy
2024-03-28Resident Assessment and Care Planning DeficienciesPlan the resident's discharge to meet the resident's goals and needs.J – Immediate Jeopardy
2024-03-28Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.G – Actual Harm
2024-03-28Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.G – Actual Harm
2024-03-28Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.G – Actual Harm
2024-03-28Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.E – Moderate Harm Potential
2024-03-28Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.D – Moderate Harm Potential
2024-03-28Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2024-03-28Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2024-03-28Pharmacy 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.D – Moderate Harm Potential
2024-03-28Infection Control DeficienciesEducate 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.D – Moderate Harm Potential

Fire Safety Citation History

10 fire safety citations on record

DateCategoryDescriptionSeverity
2026-07-23Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2026-07-23Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2026-07-23Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2025-05-22Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2025-05-22Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2025-05-22Gas, Vacuum, and Electrical Systems DeficienciesEnsure electrical receptacles or cover plates have distinctive color or marking.D – Moderate Harm Potential
2024-03-28Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-03-28Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2024-03-28Gas, Vacuum, and Electrical Systems DeficienciesHave a battery powered remote alarm panel in a location accessible by operating personnel.D – Moderate Harm Potential
2024-03-28Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential

Total Penalties & Fines

$122,460
Total Fine Amount (CMS)
2
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2025-05-22Fine$15,028-
2024-03-28Fine$107,432-

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