Pine Lodge

Certification

Medicare-certified.

Ratings

Inspection history (75)

Records from June 2022 to May 2026.

• November 15, 2023

  Tag F0684

  Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 26, 2023.

• November 15, 2023

  Tag F0758

  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 l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 26, 2023.

• November 15, 2023

  Tag F0881

  Implement a program that monitors antibiotic use.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 26, 2023.

• November 15, 2023

  Tag F0882

  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 26, 2023.

• November 15, 2023

  Tag F0690

  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 26, 2023.

• November 15, 2023

  Tag F0804

  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 26, 2023.

• August 30, 2023

  Tag F0885

  Report COVID19 data to residents and families.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 1, 2023.

• August 30, 2023

  Tag F0689

  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 1, 2023.

• August 30, 2023

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 1, 2023.

• August 30, 2023

  Tag F0684

  Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 1, 2023.

• August 30, 2023

  Tag F0657

  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 1, 2023.

• August 30, 2023

  Tag F0656

  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 1, 2023.

• August 30, 2023

  Tag F0686

  Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 1, 2023.

• June 29, 2022

  Tag F0925

  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 28, 2022.

• June 29, 2022

  Tag F0689

  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 28, 2022.

• June 29, 2022

  Tag F0812

  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2022.

• June 29, 2022

  Tag F0867

  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2022.

• June 29, 2022

  Tag F0883

  Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 28, 2022.

• June 29, 2022

  Tag F0882

  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 28, 2022.

• June 29, 2022

  Tag F0801

  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 28, 2022.

Penalties (1)

• May 21, 2026 · Fine

  CMS recorded a civil money penalty of $20,910 against this nursing home on May 21, 2026.

Staffing

3.45 nurse hours per resident per day in Q2 2026, up from 3.21 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit - Limited Liability company