B-
74/100

Pine Ridge Health and Rehabilitation Center Inspection Report, Violations & Safety Grade (Thomasville, North Carolina)

706 Pineywood Road, Thomasville, North Carolina 27360

Phone: 3364759116

CMS Overall:3/5

Overview & Bed Count

Certified Beds
140
Avg Residents/Day
91.9
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

Overall3/5
Health3/5
Staffing3/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityNorth Carolina AvgDifference
RN Hours per Resident per Day0.830.62+0.21
Total Nurse Hours per Resident per Day4.353.87+0.48
CMS Staffing Rating3/52.7/5-
Nursing Staff Turnover70.8%48.7%-

Health Citation History

19 health citations on record

DateCategoryDescriptionSeverity
2026-08-06Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.D – Moderate Harm Potential
2026-08-06Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2026-08-06Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2026-08-06Pharmacy 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
2025-06-05Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.E – Moderate Harm Potential
2025-06-05Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.E – Moderate Harm Potential
2025-06-05Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2025-06-05Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-06-05Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-06-05Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.C – Minimal Harm Potential
2025-06-05Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B – Minimal Harm Potential
2024-04-13Pharmacy 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
2024-04-13Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E – Moderate Harm Potential
2024-04-13Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-04-13Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.D – Moderate Harm Potential
2024-04-13Resident 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
2024-04-13Pharmacy 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
2024-04-13Infection 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
2024-04-13Resident Rights DeficienciesHonor 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.B – Minimal Harm Potential

Fire Safety Citation History

12 fire safety citations on record

DateCategoryDescriptionSeverity
2026-08-06Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2026-08-06Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2026-08-06Gas, Vacuum, and Electrical Systems DeficienciesEnsure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.D – Moderate Harm Potential
2025-06-05Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2024-04-13Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.F – Moderate Harm Potential
2024-04-13Smoke DeficienciesInstall corridor and hallway doors that block smoke.F – Moderate Harm Potential
2024-04-13Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.F – Moderate Harm Potential
2024-04-13Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2024-04-13Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2024-04-13Smoke DeficienciesProperly install and monitor supervisory attachments on automatic sprinkler systems.D – Moderate Harm Potential
2024-04-13Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2023-01-12Smoke 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

Total Penalties & Fines

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

No penalty records found.

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