PINE KNOLL NURSING CENTER

Nursing Home Lexington, MA Medicare and Medicaid
Certified Beds
81
Residents
68
Total Fines
$241,047

Ratings & Quality

Overall
Not rated
Health Inspection
Not rated
Staffing
Not rated
Quality
Not rated

Staffing Details

RN Hours per Resident per Day0.82
Total Nurse Hours per Resident per Day3.40
Number of Certified Beds81
Number of Residents68

Inspection Deficiencies (72)

0567 2025-09-05 E Not Corrected

Honor the resident's right to manage his or her financial affairs.

Correction date: 2025-09-25

0638 2025-09-05 B Not Corrected

Assure that each resident’s assessment is updated at least once every 3 months.

Correction date: 2025-09-25

0640 2025-09-05 B Not Corrected

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Correction date: 2025-09-25

0641 2025-09-05 B Not Corrected

Ensure each resident receives an accurate assessment.

Correction date: 2025-09-25

0657 2025-09-05 D Not Corrected

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

Correction date: 2025-09-25

0658 2025-09-05 D Not Corrected

Ensure services provided by the nursing facility meet professional standards of quality.

Correction date: 2025-09-25

0686 2025-09-05 D Not Corrected

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

Correction date: 2025-09-25

0690 2025-09-05 D Not Corrected

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

Correction date: 2025-09-25

0801 2025-09-05 D Not Corrected

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.

Correction date: 2025-09-25

0803 2025-09-05 D Not Corrected

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Correction date: 2025-09-25

0805 2025-09-05 D Not Corrected

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Correction date: 2025-09-25

0810 2025-09-05 D Not Corrected

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Correction date: 2025-09-25

0842 2025-09-05 D Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2025-09-26

0883 2025-09-05 E Not Corrected

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

Correction date: 2025-09-25

0552 2024-09-26 D Not Corrected

Ensure that residents are fully informed and understand their health status, care and treatments.

Correction date: 2024-10-22

0578 2024-09-26 D Not Corrected

Honor 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.

Correction date: 2024-10-22

0580 2024-09-26 H Not Corrected

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Correction date: 2024-10-24

0583 2024-09-26 E Not Corrected

Keep residents' personal and medical records private and confidential.

Correction date: 2024-10-22

0584 2024-09-26 D Not Corrected

Honor 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.

Correction date: 2024-10-22

0600 2024-09-26 K Not Corrected

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction date: 2024-10-23

0637 2024-09-26 D Not Corrected

Assess the resident when there is a significant change in condition

Correction date: 2024-11-15

0641 2024-09-26 D Not Corrected

Ensure each resident receives an accurate assessment.

Correction date: 2024-10-22

0656 2024-09-26 D Not Corrected

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

Correction date: 2024-11-15

0658 2024-09-26 D Not Corrected

Ensure services provided by the nursing facility meet professional standards of quality.

Correction date: 2024-10-23

0677 2024-09-26 D Not Corrected

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction date: 2024-10-23

0684 2024-09-26 E Not Corrected

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

Correction date: 2024-11-15

0686 2024-09-26 K Not Corrected

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

Correction date: 2024-10-23

0689 2024-09-26 D Not Corrected

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

Correction date: 2024-10-22

0690 2024-09-26 D Not Corrected

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

Correction date: 2024-10-23

0692 2024-09-26 G Not Corrected

Provide enough food/fluids to maintain a resident's health.

Correction date: 2024-10-23

0695 2024-09-26 G Not Corrected

Provide safe and appropriate respiratory care for a resident when needed.

Correction date: 2024-10-23

0725 2024-09-26 F Not Corrected

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Correction date: 2024-10-22

0726 2024-09-26 K Not Corrected

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Correction date: 2024-10-23

0727 2024-09-26 F Not Corrected

Have 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.

Correction date: 2024-10-22

0728 2024-09-26 F Not Corrected

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Correction date: 2024-10-22

0730 2024-09-26 F Not Corrected

Observe each nurse aide's job performance and give regular training.

Correction date: 2024-10-22

0740 2024-09-26 D Not Corrected

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Correction date: 2024-10-23

0758 2024-09-26 D Not Corrected

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 limited.

Correction date: 2024-11-15

0761 2024-09-26 E Not Corrected

Ensure 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.

Correction date: 2024-11-15

0805 2024-09-26 D Not Corrected

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Correction date: 2024-10-22

0835 2024-09-26 K Not Corrected

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Correction date: 2024-10-23

0838 2024-09-26 F Not Corrected

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Correction date: 2024-10-23

0842 2024-09-26 D Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2024-10-23

0849 2024-09-26 E Not Corrected

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Correction date: 2024-10-22

0880 2024-09-26 F Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2024-10-23

0881 2024-09-26 F Not Corrected

Implement a program that monitors antibiotic use.

Correction date: 2024-11-15

0882 2024-09-26 F Not Corrected

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

Correction date: 2024-11-15

0940 2024-09-26 F Not Corrected

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Correction date: 2024-10-23

0945 2024-09-26 F Not Corrected

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Correction date: 2024-10-23

0550 2023-09-01 E Not Corrected

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction date: 2023-10-13

0561 2023-09-01 D Not Corrected

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Correction date: 2023-09-21

0584 2023-09-01 F Not Corrected

Honor 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.

Correction date: 2023-10-13

0604 2023-09-01 D Not Corrected

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Correction date: 2023-09-21

0610 2023-09-01 D Not Corrected

Respond appropriately to all alleged violations.

Correction date: 2023-09-21

0656 2023-09-01 D Not Corrected

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

Correction date: 2023-09-21

0658 2023-09-01 D Not Corrected

Ensure services provided by the nursing facility meet professional standards of quality.

Correction date: 2023-09-21

0677 2023-09-01 E Not Corrected

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction date: 2023-10-15

0679 2023-09-01 E Not Corrected

Provide activities to meet all resident's needs.

Correction date: 2023-09-21

0685 2023-09-01 D Not Corrected

Assist a resident in gaining access to vision and hearing services.

Correction date: 2023-09-21

0686 2023-09-01 E Not Corrected

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

Correction date: 2023-09-21

0690 2023-09-01 E Not Corrected

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

Correction date: 2023-10-13

0695 2023-09-01 D Not Corrected

Provide safe and appropriate respiratory care for a resident when needed.

Correction date: 2023-10-15

0730 2023-09-01 E Not Corrected

Observe each nurse aide's job performance and give regular training.

Correction date: 2023-09-21

0744 2023-09-01 D Not Corrected

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Correction date: 2023-09-21

0756 2023-09-01 D Not Corrected

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Correction date: 2023-09-21

0761 2023-09-01 D Not Corrected

Ensure 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.

Correction date: 2023-11-03

0791 2023-09-01 D Not Corrected

Provide or obtain dental services for each resident.

Correction date: 2023-09-21

0804 2023-09-01 F Not Corrected

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

Correction date: 2023-10-15

0825 2023-09-01 D Not Corrected

Provide or get specialized rehabilitative services as required for a resident.

Correction date: 2023-09-21

0842 2023-09-01 D Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2023-09-21

0880 2023-09-01 D Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2023-09-21

0881 2023-09-01 D Not Corrected

Implement a program that monitors antibiotic use.

Correction date: 2023-10-13

Penalties & Fines

Date Type Fine Amount
2024-09-26 Fine $219,077
2023-09-01 Fine $21,970

About PINE KNOLL NURSING CENTER

PINE KNOLL NURSING CENTER is a medicare and medicaid certified nursing home in Lexington, Massachusetts. The facility has 81 certified beds and currently houses 68 residents. The facility has 72 inspection deficiencies on record. Total fines assessed: $241,047 across 2 penalties. Registered nurse hours are 0.82 per resident per day.