Pine Forest Health and Rehabilitation

    1116 Forest Ave, Jackson, MS
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Professional warm staff excellent care

    I moved my sister in and have had an overall positive experience: the staff (Will, Alexis, Patrick, Corri) are professional, warm and communicative, nursing and the in-house OT/PT teams went above and beyond after major surgery, and the interdisciplinary team kept me informed. The building is spotless, odor-free, well-stocked and secure, residents seem happy, meals are good, and the place feels welcoming and organized.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.53·(87)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.7
    • Staff

      4.5
    • Meals

      4.5
    • Amenities

      4.5
    • Value

      2.5

    Pros

    • Friendly, welcoming frontline staff
    • Compassionate nursing and caregiver teams
    • Strong in-house occupational and physical therapy
    • Clean, odor-free facility environment
    • Organized and supportive admission process
    • Attentive interdisciplinary care planning
    • Pleasing, well-liked meals
    • Secure visitor check-in and infection-screening protocols
    • Accessible social-work and administrative support
    • Comfortable, homelike atmosphere
    • Well-maintained common areas and rooms
    • Positive rehabilitation outcomes for complex cases

    Cons

    • Inconsistent responsiveness to resident requests and call bells
    • Variable staffing levels and shift understaffing
    • Inconsistent personal-care and bathing assistance
    • Gaps in wound and dressing management
    • Inadequate clinical escalation and hospital-transfer processes
    • Laundry and personal-property management lapses
    • Variable staff professionalism and communication tone
    • Sanitation and odor-control inconsistencies in isolated areas
    • Financial-administration and refund-processing delays

    Summary of reviews

    Reviews of Pine Forest Health and Rehabilitation present a mixed but generally positive picture with several notable strengths and recurring operational concerns. Positive commentary centers on the facility’s people and rehabilitation services: many families and visitors described staff as friendly, welcoming, and compassionate. Multiple accounts praise the in-house occupational and physical therapy teams for measurable recovery outcomes after complex neurological events. Reviewers also highlight an organized, supportive admissions process, attentive interdisciplinary care-planning meetings, pleasing meal service, and an overall clean, comfortable, and secure environment supported by formal check-in and screening procedures.

    At the same time, a set of operational weaknesses appears repeatedly. Several reviewers described delays in responding to resident requests and inconsistent assistance with personal care tasks such as bathing and dressing. There are recurring comments that staffing levels vary by shift and sometimes feel insufficient for the level of resident need. Related clinical process issues include inconsistent wound- and dressing-management practices and concerns about how clinical deterioration is escalated or handled, including hospital-transfer decision-making. A few reviewers referenced serious clinical outcomes and raised questions about clinical response; while these seem to be isolated, they point to the need for clear escalation protocols and family communication pathways.

    Other practical gaps noted across reviews concern ancillary operations and administration. Laundry and personal-property handling lapses were mentioned, as were occasional sanitation or odor-control inconsistencies in specific areas. Some families also reported variable staff tone or professionalism and delays in financial-administration matters such as refunds. Conversely, several accounts named administrators and social-work staff who were helpful and communicative, indicating that leadership involvement can be a positive differentiator.

    For prospective residents and families: Pine Forest demonstrates clear strengths in rehabilitation services, frontline caregiving, infection-screening procedures, and facility cleanliness in many areas. When evaluating the facility in person, consider asking specific questions about current staffing ratios by shift, processes for clinical escalation and hospital transfer, wound-care and dressing-change protocols, laundry/property safeguards, and how leadership follows up on family concerns. Those topics will help clarify whether the facility’s positive attributes align with the level of clinical oversight and operational consistency you require.

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    Medicare Ratings

    1·/ 5
    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Pine Forest Health and Rehabilitation

    Pine Forest Health and Rehabilitation is located at 1116 Forest Ave, Jackson, MS, .

    About Pine Forest Health and Rehabilitation

    Pine Forest Health and Rehabilitation sits within a quiet pine forest, offering a peaceful place for older adults in Jackson, MS, who need skilled nursing or rehab help, and you'll find the building at 1116 Forest Ave, tucked away in a calm spot that makes for a pretty view out the window. The facility holds up to 120 certified beds, usually sees about 93 residents a day, and serves folks who need short-term recovery after a hospital stay or longer-term care. Pine Forest Health and Rehabilitation carries a "B" overall rating, so while there's a commitment to high safety and wellness standards, there have been some documented problems over time in areas like infection control, abuse or neglect, and care planning-those issues are part of the public record.

    Owned by a for-profit company and affiliated with Vanguard Healthcare, Pine Forest Health and Rehabilitation takes both Medicare and Medicaid. Staff at the facility focus on providing comprehensive care, with physical, occupational, and speech therapy, as well as dental services, and they offer inpatient rehabilitation for people recovering from illness or surgery. The nurse hours per resident are a bit higher than average, at 5.08 hours compared to the state average of 4.2, but nurse turnover runs high at 66.7% compared to 46.4% for the state, so you might see new faces often. The healthcare team prepares personalized care plans for each person, tries to address physical, emotional, and spiritual needs, and offers support that includes not only typical nursing care, but also fun, recreational, and therapy programs.

    The facility makes efforts to involve families when planning care and uses both modern rehab and restorative nursing methods. Pine Forest provides transportation, and the activities list tries to offer something for everyone, since the goal is to meet the wide range of needs and interests among the residents. The Greater Jackson Chamber Partnership lists Pine Forest Health and Rehabilitation as a member, and its classification falls under nursing homes, with a steady focus on health, rehab, and helping people live with dignity as they age. Although there are peaceful grounds and efforts at compassionate care, people considering Pine Forest should also ask about past violations and current staff stability, since those factors matter in deciding if this quiet pine-shaded facility is a good fit.

    People often ask...

    Pine Forest Health and Rehabilitation offers assisted living, memory care, and skilled nursing.

    The full address for this community is 1116 Forest Ave, Jackson, MS.

    No, Pine Forest Health and Rehabilitation does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Mississippi, the State Department of Health licenses care facilities and publishes the survey, complaint, and infection-control reports from its inspections.

    License numbernh-255326
    Facility typeNursing Home
    Special certificationMedicaid/Medicare – Dually certified

    Inspection Reports

    106

    Reports

    2

    Type A Citations

    0

    Type B Citations

    69

    Complaints

    7

    Years

    01 May 2026Complaint
    Identified a deficiency in infection control due to improper hand hygiene during resident care, risking infection transmission.
    • 48.58.1Infection Control
    01 May 2026Complaint
    Identified an infection-control deficiency due to failure to perform proper hand hygiene and use clean gloves during resident ADL care.
    • CFR 483.80Infection control
    01 Apr 2026Complaint
    Investigated multiple complaints and found no deficiencies.
    01 Apr 2026Complaint
    Investigated complaints and found no deficiencies. No violations were cited.
    01 Feb 2026Complaint
    Found no deficiencies after a complaint investigation related to quality of care.
    01 Feb 2026Revisit
    Determined no deficiencies after the follow-up visit and that compliance was restored.
    01 Feb 2026Complaint
    Found no deficiencies.
    01 Feb 2026Revisit
    Verified compliance after a follow-up review; no deficiencies were found.
    01 Feb 2026Revisit
    Determined continued noncompliance with state age or infirm regulations after a follow-up visit; deficiencies identified on 01/08/26 remained.
    01 Feb 2026Revisit
    Investigated a follow-up related to a prior complaint; found earlier deficiencies corrected by 01/05/26, but deficiencies cited on 01/08/26 left the provider out of compliance.
    01 Jan 2026Complaint
    Investigated a complaint about fall-related notifications and post-fall care; found failures to notify the resident representative and to perform required post-fall assessments.
    • CFR §483.10(g)(14)Notify of Changes
    • CFR §483.25(d)Accidents
    01 Jan 2026Complaint
    Investigated a fall incident and found failure to perform post-fall assessments and timely notifications to the resident’s representative and primary healthcare provider.
    • 45.21.8Accidents
    01 Dec 2025Complaint
    Investigated a complaint about a transport incident and found that a wheelchair was not secured during van loading, resulting in a fall and serious injuries.
    • 45.21.8Accidents
    01 Dec 2025Complaint
    Investigated a complaint and found an accident hazard when a resident's wheelchair wheels were not secured during van loading, causing a fall with injuries including a shoulder and multiple rib fractures.
    • CFR 483.25(d)(1)-(2)Accidents
    01 Nov 2025Revisit
    Verified corrective measures were implemented and compliance was restored. The agency recommended placing back into compliance.
    01 Nov 2025Revisit
    Verified compliance with applicable standards after reviewing the complaint information; recommended returning to compliance.
    01 Sept 2025Complaint
    Found deficiencies in care planning and activity provision, with residents not engaged in planned activities or receiving care per their care plans.
    • 42 CFR 483.21(b)(1)-(3)Comprehensive Care Plans
    • 42 CFR 483.24(c)(1)Activities
    01 Sept 2025Complaint
    Found inadequate activity programming for two residents, with no structured activities or engagement observed.
    • 45.27.2Activity Program
    01 Jul 2025Revisit
    Found multiple deficiencies related to abuse prevention and protection. Also identified gaps in comprehensive care planning, skin integrity, safety, infection control, and the QAPI program.
    • CFR 483.12Freedom from Abuse, Neglect, and Exploitation
    • CFR 483.21Comprehensive Care Plans
    • CFR 483.25Skin Integrity
    • CFR 483.25(d)Accidents
    • CFR 483.75QAPI Program
    • CFR 483.80Infection Prevention and Control
    01 Jul 2025Revisit
    Identified deficiencies in comprehensive care planning, accident hazards/supervision, and continence care.
    • §483.21(b)(1)-(3)Develop/Implement Comprehensive Care Plans
    • §483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
    • §483.25(e)(1)-(3)Bowel/Bladder Incontinence, Catheter, UTI
    01 Jul 2025Revisit
    Found no deficiencies and confirmed compliance with the Minimum Standards after a follow-up visit.
    01 Jul 2025Revisit
    Found no deficiencies in emergency preparedness.
    01 Jul 2025Revisit
    Found no deficiencies after the follow-up review, confirming compliance with applicable standards.
    01 Jul 2025Revisit
    Confirmed corrective actions were implemented and the provider was placed back in compliance.
    01 Jul 2025Complaint
    Investigated the complaint alleging abuse and neglect; found no deficiencies related to the allegation. Concluded the provider remained out of compliance with Medicare/Medicaid participation due to deficiencies cited on a prior survey.
    01 Jul 2025Complaint
    Investigated a complaint alleging abuse and neglect and found ongoing noncompliance due to deficiencies cited in a prior survey.
    01 Jun 2025Complaint
    Investigated deficiencies in wound care, peri-care, incontinence care, and wandering/elopement monitoring that created an immediate jeopardy, which was subsequently removed.
    • 45.21.3Pressure sores
    • 45.21.4Urinary incontinence
    • 45.21.8Accidents
    01 Jun 2025Inspection
    Investigated a wandering/elopement incident and multiple care deficiencies, including failure to follow care plans, wound care lapses, infection control issues, and unsafe supervision.
    • CFR §483.12Freedom from Abuse and Neglect
    • CFR §483.21(b)(1)(3)Comprehensive Care Plan
    • CFR §483.25(b)(1)(i)(ii)Skin Integrity; Pressure Ulcers
    • CFR §483.25(d)(1)(2)Accidents; Safety/Supervision
    • CFR §483.75(a)Quality Assurance & Performance Improvement (QAPI)
    • CFR §483.80Infection Prevention & Control
    01 Jun 2025Inspection
    Investigated a wandering/elopement incident and related safety and infection-control deficiencies. Determined failures in protecting residents' rights, preventing elopement and accidents, and preventing infection during device care.
    • 45.17.2Residents' Rights
    • 45.21.8Accidents
    • 48.58.1Infection Control
    01 Jun 2025Complaint
    Investigated safety incidents and care gaps after a resident eloped and care plans and incontinence care were not properly followed, resulting in multiple deficiencies identified related to abuse prevention, accident hazards, comprehensive care planning, and incontinence care.
    • CFR §483.12Freedom from Abuse, Neglect, and Exploitation
    • §483.21(b)Comprehensive Care Plans
    • §483.25(d)Accidents/Hazards
    • §483.25(e)Incontinence
    01 Mar 2025Revisit
    Found the facility out of compliance with Medicare and Medicaid participation due to deficiencies cited in a later complaint survey.
    01 Mar 2025Revisit
    Determined compliance with Medicare/Medicaid participation after a follow-up visit and recommended placement back in compliance.
    01 Mar 2025Revisit
    Identified deficiencies and found continued noncompliance with state minimum standards.
    01 Mar 2025Revisit
    Determined that compliance was achieved after a follow-up review and recommended placing back in compliance.
    01 Feb 2025Complaint
    Investigations found a resident was subjected to physical abuse by a staff member during care, and care planning interventions for that resident were not followed.
    • CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    • CFR 483.21(b)(1)(3)Develop/Implement Comprehensive Care Plan
    01 Feb 2025Complaint
    Investigated an incident of alleged abuse involving staff and a resident and found deficiencies affecting the resident's right to be free from physical abuse.
    • 45.17.2Residents' Rights
    01 Jan 2025Complaint
    Investigated complaints found deficiencies in call light accessibility, grievance management, and transfer supervision, including an injury after a transfer incident.
    • 483.10(e)(3)Reasonable Accommodations Needs/Preferences
    • 483.10(j)Grievances
    • 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
    01 Jan 2025Complaint
    Investigated complaints identified failures in residents' rights and safety during transfers with a lift, leading to injuries and unresolved grievances.
    • 45.17.2Residents' Rights
    • 45.21.8Accidents
    01 Nov 2024Complaint
    Found no deficiencies.
    01 Nov 2024Complaint
    Determined that two complaint investigations found no deficiencies related to quality of care or administration; no deficiencies were cited.
    01 Oct 2024Complaint
    Investigated a resident elopement complaint and found no deficiencies.
    01 Oct 2024Complaint
    Investigated a complaint about a resident elopement and found no deficiencies. Participation requirements were met.
    01 Aug 2024Revisit
    Concluded the deficiency was addressed and the entity was recommended to be in compliance.
    01 Aug 2024Revisit
    Concluded that minimum standards were met following a desk review; compliance was reinstated.
    01 Aug 2024Complaint
    Investigated a complaint; found no deficiencies during this survey, but noted ongoing non-compliance due to deficiencies cited on a prior survey.
    01 Aug 2024Complaint
    Found no deficiencies in this complaint investigation; however, the provider remained out of compliance due to deficiencies cited on 07/18/2024 survey.
    01 Jul 2024Complaint
    Investigated complaints found that several residents did not receive adequate grooming, including nail care and removal of unwanted facial hair.
    • 45.21.2 Activities of daily livingActivities of daily living
    01 Jul 2024Complaint
    Investigated complaints alleging neglect and poor quality of care. Found failures to follow individualized ADL care plans for hygiene and grooming, inadequate nail and facial hair care for several residents, and deficiencies in the facility's QAPI program.
    • 483.21(b)(1)-(3)Develop/Implement Comprehensive Care Plans
    • 483.24(a)(2)ADL Care Provided for Dependent Residents
    • 483.75(a)QAPI Program
    01 Apr 2024Complaint
    Concluded no deficiencies were identified during the complaint investigation.
    01 Apr 2024Complaint
    Investigated complaints and found no deficiencies.
    01 Jan 2024Revisit
    Determined that compliance with the Life Safety Code was achieved after a desk review and placed back in compliance.
    01 Jan 2024Revisit
    Verified compliance after a follow-up visit addressing prior issues and recommended reinstatement to compliance.
    01 Jan 2024Revisit
    Concluded that compliance was reestablished after corrective actions were implemented.
    01 Jan 2024Revisit
    Determined the facility complied with the applicable standards on a follow-up visit and recommended it be placed back in compliance.
    01 Jan 2024Revisit
    Verified compliance with Medicare/Medicaid participation and placed back in compliance after follow-up visit.
    01 Jan 2024Revisit
    Found no deficiencies.
    01 Jan 2024Revisit
    Confirmed compliance with Medicare/Medicaid participation after a follow-up visit related to annual recertification and complaints.
    01 Dec 2023Complaint
    Investigated allegations of neglect and substandard care related to pressure ulcers; identified failures in wound assessment and monitoring that contributed to an Immediate Jeopardy and required corrective actions.
    • Type A45.17.2Residents' Rights
    • Type A45.21.3Pressure sores
    01 Dec 2023Inspection
    Identified failures in wound care, resident rights, care planning, turning, and hygiene that placed residents at risk for skin breakdown and other harm.
    • 42 CFR §483.10(f)Self-determination
    • 42 CFR §483.12Freedom from Abuse, Neglect, and Exploitation
    • 42 CFR §483.21(b)Comprehensive Care Plans
    • 42 CFR §483.21(b)(2)Care Plan Timing and Revision
    • 42 CFR §483.25(b)Pressure Ulcers
    • 42 CFR §483.24(a)(2)ADL Care Provided for Dependent Residents
    01 Dec 2023Inspection
    Investigated a complaint and found noncompliance with residents' rights, wound care for pressure ulcers, daily living activities, range of motion, and infection control, including an immediate jeopardy related to wound care during the period identified.
    • 45.17.2- Residents' RightsResidents' Rights
    • 45.21.2- Activities of daily livingADLs
    • 45.21.3- Pressure soresPressure sores
    • 45.21.5- Range of motionRange of motion
    • 48.58.1- Infection ControlInfection Control
    01 Dec 2023Complaint
    Investigated a complaint and identified deficiencies in neglect, care planning, and wound care related to pressure ulcers and dependent residents.
    • 42 CFR §483.12(a)(1)Free from Abuse, Neglect, and Exploitation
    • 42 CFR §483.21(b)(1)Develop/Implement Comprehensive Care Plan
    • 42 CFR §483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    • 42 CFR §483.24(a)(2)ADL Care Provided for Dependent Residents
    • 42 CFR §483.25(b)(1)(i)(ii)Treatment/Services to Prevent/Heal Pressure Ulcer
    01 Nov 2023Inspection
    Identified failure to conduct the annual fire sprinkler system inspection for the current year.
    • 45.41.1Date of Construction & Life Safety Code Compliance
    01 Nov 2023Inspection
    Found that the annual sprinkler system inspection for 2023 was not conducted; last documented inspection occurred on 2022-02-08.
    • NFPA 25; NFPA 101; 9.7.5, 9.7.7, 9.7.8Sprinkler System - Maintenance and Testing
    01 Nov 2023Inspection
    Found no deficiencies related to the Life Safety Code; compliance with applicable provisions was confirmed.
    01 Nov 2023Complaint
    Found no deficiencies cited after investigating two complaints.
    01 Nov 2023Complaint
    Investigated a complaint; found no deficiencies.
    01 Sept 2023Complaint
    Investigated a complaint and found no deficiencies.
    01 Sept 2023Complaint
    Found no deficiencies after investigating a complaint related to physical environment and quality of care.
    01 Aug 2023Complaint
    Investigated a complaint and found no deficiencies.
    01 Aug 2023Complaint
    Investigated the complaint and found no deficiencies cited.
    01 Sept 2022Complaint
    Investigated a complaint and found no deficiencies cited.
    01 Sept 2022Complaint
    Investigated a complaint and found no deficiencies cited. Concluded compliance with applicable regulations.
    01 Nov 2021Complaint
    Investigated a resident elopement due to inadequate supervision; a resident with Alzheimer's left through an unsecured window and wandered off the facility grounds.
    • 45.21.8Accidents
    01 Nov 2021Complaint
    Investigated an elopement involving a resident with Alzheimer's due to inadequate supervision, finding a failure to prevent leaving the premises. The incident posed risk to residents and led to corrective actions being implemented.
    • 42 CFR 483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
    01 Jun 2021Revisit
    Investigated a recertification and five complaints and concluded noncompliance with Medicare/Medicaid participation.
    01 Jun 2021Revisit
    Found noncompliance with Medicare/Medicaid participation requirements and cited multiple deficiencies.
    01 Jun 2021Revisit
    Investigated complaints and recertification activities; found noncompliance with minimum standards and cited two deficiencies.
    • M490
    • M640
    01 Jun 2021Revisit
    Investigated five complaints and found noncompliance with minimum standards for the aged or infirm. Deficiencies were cited.
    • M490Abuse/Neglect of residents
    • M640Quality of care, discharge, and dietary services
    01 Jun 2021Revisit
    Investigated a recertification and related complaints; found noncompliance with minimum standards for the aged or infirm.
    • Minimum Standards for the Aged or Infirm
    • Minimum Standards for the Aged or Infirm
    01 Mar 2021Inspection
    An investigation found multiple deficiencies across resident rights, care, safety, infection control, and incident reporting, with numerous noncompliance issues identified.
    • 483.10(f)Self-Determination
    • 483.10(j)Grievances
    • 483.12(b)(5)(i)-(iii)Reporting of Reasonable Suspicion of a Crime
    • 483.12(c)(1)(4)Reporting of Alleged Violations
    • 483.24(a)(2)ADL Care Provided for Dependent Residents
    • 483.25(d)(1)-(2)ADL Care Provided for Dependent Residents
    • 483.45(f)Medication Errors
    • 483.80(a)(1)-(2)(4)(e)(f)Infection Prevention & Control
    • 483.90(i)Safe/Functional/Sanitary/Comfortable Environment
    01 Mar 2021Inspection
    Identified smoke barrier weaknesses including unsealed penetrations and absence of a 1/2-hour fire rating in three compartments near rooms 101, 201, and 301, potentially affecting 48 residents.
    • NFPA 101, Subdivision of Building Spaces - Smoke Barrier Construction (2012), sections 8.3, 19.3.7.3, 19.3.7.6Subdivision of Building Spaces - Smoke Barrier Construction
    01 Mar 2021Inspection
    Investigated and identified deficiencies in resident rights and safety supervision, including failure to honor a resident's food dislikes and inadequate handling of a resident's positive cannabis/opiate test with related reporting gaps.
    • 45.17RESIDENTS RIGHTS
    • 45.21.8Accidents
    01 Mar 2021Complaint
    The regulator found noncompliance after an annual recertification and complaint investigations; several deficiencies were cited while some complaints were not substantiated.
    01 Mar 2021Complaint
    Investigated deficiencies found in honoring residents' food preferences and in supervising a resident who tested positive for cannabis.
    • 45.17RESIDENTS RIGHTS
    • 45.21.8Accidents
    01 Mar 2021Inspection
    Verified no deficiencies were found regarding emergency preparedness requirements.
    01 Dec 2020Infection Control
    Found no deficiencies and determined compliance with emergency preparedness requirements during a COVID-19 focused survey.
    01 Dec 2020Infection Control
    Identified noncompliance with infection control requirements related to COVID-19.
    01 Nov 2020Revisit
    Identified non-compliance with Medicare/Medicaid participation and cited deficiencies.
    01 Nov 2020Revisit
    Found no deficiencies. Compliance with infection control regulations and CMS/CDC infection control practices was confirmed during the COVID-19 focused survey.
    01 Nov 2020Infection Control
    Found compliance with emergency preparedness requirements. No deficiencies were cited.
    01 Nov 2020Infection Control
    Investigated a COVID-19 focused infection control review and found ongoing noncompliance based on deficiencies cited in a prior survey.
    01 Oct 2020Infection Control
    Found no deficiencies related to infection control during a focused COVID-19 survey.
    01 Oct 2020Infection Control
    Verified compliance with COVID-19 infection control regulations and observed implementation of CMS and CDC guidance. No deficiencies were cited.
    01 Sept 2020Complaint
    Found deficiencies in care planning for catheter-related care and in updating care plans with current catheter care orders.
    • 42 CFR 483.21(b)(1)Develop/Implement Comprehensive Care Plan
    • 42 CFR 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    01 Sept 2020Infection Control
    Determined that deficiencies were cited for Medicare/Medicaid participation, identified as F656 and F657.
    01 Sept 2020Infection Control
    Found no deficiencies in infection control during a focused COVID-19 survey.
    01 Sept 2020Complaint
    Verified compliance with infection control requirements during a focused survey. No deficiencies identified.
    01 Jul 2020Infection Control
    Found no deficiencies. A Covid-19 focused infection control survey determined compliance with infection control regulations and CMS/CDC recommendations.
    01 Jul 2020Infection Control
    Determined no deficiencies were found during a COVID-19 focused emergency preparedness review. Confirmed compliance with emergency preparedness requirements.
    01 May 2020Infection Control
    Found no deficiencies. Compliance with infection control standards related to COVID-19 was confirmed.
    01 May 2020Infection Control
    Found no deficiencies related to infection control. Confirmed compliance with CMS and CDC infection control practices.
    01 Feb 2020Complaint
    Investigated a complaint and found no deficiencies, determining compliance with Medicare and Medicaid requirements.
    01 Dec 2019Complaint
    Investigated complaints about care and falls and found no deficiencies.
    01 Aug 2019Complaint
    Investigated a complaint and found no deficiencies.
    01 May 2019Inspection
    Identified deficiencies in catheter management, oxygen management, and dishwashing sanitation. Specifically, lacked justification for catheter use, missing oxygen orders with unsecured equipment, and improper dishwashing sanitation practices.
    • 45.21.4Urinary incontinence
    • 45.21.11Special needs
    • 45.28Food Services: General
    01 May 2019Inspection
    Identified multiple deficiencies across resident care planning, infection control, and emergency preparedness, indicating failures in implementing baseline plans, timely notices, and proper care practices.
    • 42 CFR 483.10(e)(3)Reasonable Accommodations Needs/Preferences
    • 42 CFR 483.12Free from Involuntary Seclusion
    • 42 CFR 483.15Notice Before Transfer/Discharge
    • 42 CFR 483.21(a)(1)-(3)Baseline Care Plan
    • 42 CFR 483.21(b)(1)Comprehensive Care Plan
    • 42 CFR 483.21(b)(2)Care Plan Timing and Revision
    • 42 CFR 483.25(e)Bowel/Bladder Incontinence, Catheter, UTI
    • 42 CFR 483.65Respiratory Care and Suctioning
    • 42 CFR 483.60(i)(1)-(2)Food Procurement, Store/Prepare/Serve-Sanitary
    • 42 CFR 483.80(a)(1)-(2)(4)(e)(f)Infection Prevention & Control
    • 42 CFR 483.73(d)(2)EP Testing Requirements

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    Mirador Living is not affiliated with the owner or operator(s) of Pine Forest Health and Rehabilitation. The information above has not been verified or approved by the owner or operator. For exact information, please contact Pine Forest Health and Rehabilitation directly. There is no cost for this service. We are compensated by the community you select.

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