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CLEVELAND PINES

πŸ“ 1404 N LAFAYETTE STREET, shelby, NC 28150 πŸ“ž 9804871500 πŸ›οΈ 120 beds

Overall Rating

⭐⭐⭐
3/5

Health Inspection

⭐⭐⭐
3/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐
2/5

Inspection History Overview

32
Total Violations
7 years of data
$650
Total Fines
1 penalties
4
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 4 violations

Tag 0578 D Jul 18, 2024

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.

βœ“ Corrected: Aug 15, 2024
Tag 0679 E Jul 18, 2024

Provide activities to meet all resident's needs.

βœ“ Corrected: Aug 30, 2024
Tag 0688 D Jul 18, 2024

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Aug 15, 2024
Tag 0880 D Jul 18, 2024

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 15, 2024

2023 3 violations

Tag 0812 E Mar 23, 2023

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

βœ“ Corrected: Apr 30, 2023
Tag 0867 D Mar 23, 2023

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

βœ“ Corrected: Apr 30, 2023
Tag 0880 D Mar 23, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 30, 2023

2021 3 violations

Tag 0641 E Jun 10, 2021

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Jul 16, 2021
Tag 0812 E Jun 10, 2021

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

βœ“ Corrected: Jul 16, 2021
Tag 0880 E Jun 10, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jul 16, 2021

2019 5 violations

Tag 0638 D Mar 1, 2019

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

βœ“ Corrected: Apr 22, 2019
Tag 0640 D Mar 1, 2019

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

βœ“ Corrected: Apr 22, 2019
Tag 0656 D Mar 1, 2019

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

βœ“ Corrected: Apr 22, 2019
Tag 0677 E Mar 1, 2019

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

βœ“ Corrected: Apr 22, 2019
Tag 0755 D Mar 1, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Apr 22, 2019

2018 3 violations

Tag 0550 D Mar 15, 2018

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

βœ“ Corrected: Apr 12, 2018
Tag 0676 E Mar 15, 2018

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

βœ“ Corrected: Apr 12, 2018
Tag 0725 E Mar 15, 2018

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

βœ“ Corrected: Apr 12, 2018

2017 4 violations

Tag 0641 D Dec 22, 2017

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Jan 19, 2018
Tag 0656 D Dec 22, 2017

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

βœ“ Corrected: Jan 19, 2018
Tag 0689 D Dec 22, 2017

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

βœ“ Corrected: Jan 19, 2018
Tag 0867 D Dec 22, 2017

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

βœ“ Corrected: Jan 19, 2018

2016 10 violations

Tag 0156 C Oct 27, 2016

Give residents a notice of rights, rules, services and charges.

βœ“ Corrected: Nov 23, 2016
Tag 0167 C Oct 27, 2016

Allow residents to easily view the results of the nursing home's most recent inspection.

βœ“ Corrected: Nov 23, 2016
Tag 0248 D Oct 27, 2016

Provide activities to meet the interests and needs of each resident.

βœ“ Corrected: Nov 23, 2016
Tag 0253 E Oct 27, 2016

Provide housekeeping and maintenance services.

βœ“ Corrected: Nov 23, 2016
Tag 0272 E Oct 27, 2016

Conduct initial and periodic assessments of each resident's functional capacity.

βœ“ Corrected: Nov 23, 2016
Tag 0278 E Oct 27, 2016

Ensure each resident receives an accurate assessment by a qualified health professional.

βœ“ Corrected: Nov 23, 2016
Tag 0312 D Oct 27, 2016

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

βœ“ Corrected: Nov 23, 2016
Tag 0367 D Oct 27, 2016

Make sure that special or therapeutic diets are ordered by the attending doctor.

βœ“ Corrected: Nov 23, 2016
Tag 0371 F Oct 27, 2016

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Nov 23, 2016
Tag 0520 F Oct 27, 2016

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

βœ“ Corrected: Nov 23, 2016

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 1 penalties totaling $650

$650
Fine
November 15, 2021
Average: $650 | Range: $650 - $650

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

July 18, 2024
0.00

Health

March 23, 2023
0.00

Health

June 10, 2021
0.00

Health

March 1, 2019
0.00

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
345282
345282
9804871500
Cleveland

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual