Pines Nursing And Rehab
PINES NURSING AND REHAB in EASTON, MD — inspection on September 4, 2025.
Found 38 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2025-09-04.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0553 during a standard health inspection conducted on 2025-09-04.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0561 during a standard health inspection conducted on 2025-09-04.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0565 during a standard health inspection conducted on 2025-09-04.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to organize and participate in resident/family groups in the facility.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0572 during a standard health inspection conducted on 2025-09-04.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Give residents a notice of rights, rules, services and charges.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2025-09-04.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Based on interview and record review, it was determined that the facility failed to notify resident's representative of a change in condition.
This was evident for 1(Resident #8) of 1 resident reviewed in a complaint investigation.The findings include: On 8/26/2025 at 11:57 AM, during a telephone interview, Resident #8's Representative expressed surprise that the Foley catheter was discontinued without notification, stating it was previously deemed necessary.
The representative emphasized, the facility doesn't call me at all! On 08/26/2025 12:44 PM, a review of Resident #8's progress from 8/1/25, indicated Foley came out.
Provider was made aware.
Provider has ordered a voiding trial.
However, the note did not include any mention of the Resident #8's Representative being notified. On 8/27/2025 at 9:46 AM, Licensed Practical Nurse (LPN #18) confirmed that the nurses were expected to notify both the Physician and the Resident's Representative about any change of condition or order changes, and to document these notifications in the medical record. On 8/27/2025 at 9:56 AM, the Director of Nursing (DON) confirmed the requirement for nurses to contact the physician and the resident's representative regarding any change in resident status.
The DON acknowledged this concern and stated that an in-service training would be conducted immediately.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/04/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Pines Nursing and Rehab
610 Dutchman's Lane Easton, MD 21601
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0583 during a standard health inspection conducted on 2025-09-04.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Keep residents' personal and medical records private and confidential.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0584 during a standard health inspection conducted on 2025-09-04.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0585 during a standard health inspection conducted on 2025-09-04.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
During an observation conducted on 08/22/25 at 8:47 AM, Resident #107 stated “roommate mean, I don't know why.” The Resident was visibly upset when speaking about the roommate.
On 08/22/25 at approximately 11:30 AM, the NHA returned and stated that she reviewed the Care Plan meetings notes and that there is no documentation of the threats.
She also stated that she spoke with Unit Manager #4 who advised she was aware of a situation that upset Resident #107 because the Resident's roommate (Resident #115) pushed Resident #107 in a wheelchair.
During an interview conducted on 09/03/25 at approximately 9:00 AM, this Surveyor asked the NHA had she reported the allegation of verbal abuse to the Office of Health Care Quality (OHCQ).
The NHA responded no because she had discovered and reported to this Surveyor that the only incident that occurred was when the Resident #115 pushed Resident #107 in a wheelchair.
This Surveyor asked if she had interviewed the Resident regarding the Surveyor reported allegation she stated no.
This Surveyor advised that when Surveyors report to the NHA that they have been advised of an allegation of any form abuse, the facility is required to report the allegation to OHCQ, and a thorough investigation is conducted.
The NHA stated that she would report the allegation now (09/03/25).
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/04/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Pines Nursing and Rehab
610 Dutchman's Lane Easton, MD 21601
SUMMARY STATEMENT OF DEFICIENCIES
During an observation conducted on 08/22/25 at 8:47 AM, Resident #107 stated “roommate mean, I don't know why.” The Resident was visibly upset when speaking about the roommate.
During an interview conducted on 08/22/25 at 8:52 AM, Geriatric Nursing Assistant (GNA) #5 was asked if she was aware of any conflicts with Resident #107.
The GNA stated that Resident 107's roommate Resident #115 continuously threatens and upsets Resident #107.
The GNA stated that the staff asked that the roommate, Resident #115 be moved out of the room however nothing had been done.
On 08/22/25 at approximately 11:30 AM, the NHA returned and stated that she reviewed the Care Plan meetings notes and that there is no documentation of the threats.
She also stated that she spoke with Unit Manager #4 who advised she was aware of a situation that upset Resident #107 because the Resident's roommate (Resident #115) pushed Resident #107 in a wheelchair.
During an interview conducted on 09/03/25 at approximately 9:00 AM, this Surveyor asked the NHA had she reported the allegation of verbal abuse to the Office of Health Care Quality (OHCQ).
The NHA responded no because she had discovered and reported to this Surveyor that the only incident that occurred was when the Resident #115 pushed Resident #107 in a wheelchair.
This Surveyor asked if she had investigated the Surveyor reported allegation of abuse and interviewed the Resident, the NHA responded no.
This Surveyor advised that when Surveyors report to the NHA that they have been advised of an allegation of any form abuse, the facility is required to report the allegation to OHCQ and conduct a thorough investigation.
The NHA stated that she would report the allegation now (09/03/25) and investigate.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/04/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Pines Nursing and Rehab
610 Dutchman's Lane Easton, MD 21601
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-09-04.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0636 during a standard health inspection conducted on 2025-09-04.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0640 during a standard health inspection conducted on 2025-09-04.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-09-04.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-09-04.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-09-04.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-09-04.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
reported that when she returned to the facility she recognized an issue with wound care orders not being added into the EMR, so she offered to help to ensure the orders were being placed in a timely manner.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/04/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Pines Nursing and Rehab
610 Dutchman's Lane Easton, MD 21601
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-09-04.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0693 during a standard health inspection conducted on 2025-09-04.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-09-04.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0732 during a standard health inspection conducted on 2025-09-04.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Post nurse staffing information every day.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2025-09-04.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-09-04.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0790 during a standard health inspection conducted on 2025-09-04.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide routine and 24-hour emergency dental care for each resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0807 during a standard health inspection conducted on 2025-09-04.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-09-04.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0842 during a standard health inspection conducted on 2025-09-04.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0868 during a standard health inspection conducted on 2025-09-04.
Category: Administration Deficiencies
The facility was found deficient in the following area: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-04.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0883 during a standard health inspection conducted on 2025-09-04.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Develop and implement policies and procedures for flu and pneumonia vaccinations.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
During a telephone interview conducted on 09/02/25 at 5:30 PM, Resident #122's Representative stated that he/she had been unable to reach the Nursing Home Administrator (NHA) by telephone to discuss his/her concerns about missing clothing, missed medications administration, and a missed meal.
The Representative reported that the NHA's voicemail is full, and he/she cannot leave a message.
During an interview conducted on 09/03/25 at 8:35 AM, the Surveyor asked the NHA if there had been problems with the phone system.
The NHA stated that the facility's phone system is outdated and unable to retrieve messages.
She explained that front desk staff have been instructed to screen calls and take messages on her behalf.
She stated, “I normally return my calls within 24 hours.” When asked how long this issue has been occurring, the Administrator stated, “This problem has been ongoing for almost a year.” The Surveyor expressed concern that Residents, Resident Representatives and Providers were unable to leave voice mail messages for facility administration with concerns for Resident care via telephone.
- Dryer lint buildup creates a significant fire hazard because lint is highly flammable and can ignite from the
dryer's heat, leading to fires.
On 08/28/25 at 1:15 PM the surveyor did a walkthrough of the laundry room.
The Maintenance/EVS Director and Staff # 29 were present.
The surveyor observed one dryer in operation.
The Maintenance/EVS Director stated that only one of the 3 dryers in the laundry room was in working condition.
The surveyor asked how often the Lint screens were cleaned. He stated that Lint screens were cleaned daily and logged in a binder.
Upon inspection of the log binder, there was no evidence that cleaning was being done according to the scheduled routine.
There were entries for April 2025, none for May 2025 and 14 daily entries for June 2025.
There were no entries for July 2025 and one entry on 8/2/25 for the month of August
- For the month of June, the year was documented as “202”.
The Maintenance/EVS Director stated that the entry June 202 was meant to be June 2025 as the year was not completely written out.
When asked for the facility's Dryer policy and cleaning schedule, the Maintenance/EVS Director pointed to an undated document in the binder with the title “Proper Equipment Care and Maintenance (Carts, Lint Trap Cleaning).” The document stated “Dryers - *Lint Screens to be cleaned every hour. *Dryer Tops are to be cleaned weekly/as needed to prevent fires. *Inspect Dryer baskets daily for foreign objects (Silverware, Trash, Etc.) The Maintenance/EVS Director confirmed the surveyor's findings and stated that he had not reviewed the logs recently and was unaware the logs were not maintained.
Immediately after the interview, the surveyor observed Staff #29 removing a large amount of lint from the dryer.
On 9/02/2025 at 10:14 AM in an interview, the Administrator stated that she was made aware of the surveyor's findings by the Maintenance/EVS Director and that she had already started corrective action by conducting an in-service with the laundry staff on 8/28/25.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/04/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Pines Nursing and Rehab
610 Dutchman's Lane Easton, MD 21601
SUMMARY STATEMENT OF DEFICIENCIES
During an interview, GNA #34 confirmed that the call bell is supposed to be within the resident's reach. 3) On 8/19/2025 at 11:59AM the surveyor accompanied LPN #14 to Resident #63 and observed resident's call bell hanging on the nightstand. LPN# 14 confirmed to the surveyor that the call bell is not within resident's reach.
On 08/19/2025 at 12:05 PM, an interview was conducted with LPN #14 regarding the expectation for call bell placement.
She stated that call bells are required to be within the resident's reach. LPN #14 then placed the call bell within Resident #63's reach.
The surveyor made her aware of the concern, and she acknowledged receipt. 4) On 08/20/2025 at 7:45 AM during rounds on the Chesapeake Unit, Resident #40 was observed in bed with the call bell lying on the floor.
The surveyor called the Director of Nursing (DON) and accompanied her to the resident's room.
The DON confirmed that the call bell was not within the resident's reach.
On 08/20/2025 at 10:30 AM an interview was conducted with the Director of Nursing (DON) regarding the expectation for call bell placement.
She stated that “call bells are supposed to be within residents' reach.” The surveyor made her aware of the concerns, and she acknowledged receipt, stating that “staff will be educated.” On 08/21/2025 at 12:00 PM, the surveyor informed the Administrator of the above call bell concerns and Administrator acknowledged receipt.
Facility ID:
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0921 during a standard health inspection conducted on 2025-09-04.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0925 during a standard health inspection conducted on 2025-09-04.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.
Federal health inspectors cited PINES NURSING AND REHAB in EASTON, MD for a deficiency under regulatory tag F-F0947 during a standard health inspection conducted on 2025-09-04.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 38 deficiencies cited during this inspection of PINES NURSING AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-10.