The Pines At Utica Center For Nursing And Rehab
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
wounds would be documented in the Admissions Report including type of wound, location and measurements. Wounds would be reassessed by a registered nurse every seven (7) to 10 days and they were assessed at that frequency so new wounds were not missed, and current wounds were not worsening. On 08/27/2025, they were not sure why the resident's wounds were not documented and not sure why there were no ordered treatments. Upon admission, they recalled the resident had both legs reddened and swollen with dried peeling skin and a wound on their right second toe. Orders should have been in place within 24 hours of admission. When the resident went from 08/30/2025 to 09/23/2025 without
a wound assessment, they stated they were short staffed, and the facility had lost the unit manager during that time frame. On 10/03/2025, they stated both the resident's lower legs healed, and they discontinued
the Unna boots. Wound Registered Nurse #1 showed the surveyor a picture taken on 10/07/2025 of the resident's right foot from toes to just below the ankle. The picture showed a pink tinged gauze wrapped around the foot. When questioned, Wound Registered Nurse #1 stated that was an Unna boot. They stated
they would not have expected an Unna boot to be in place as there was no physician order for Unna boots.
They stated on 10/10/2025, the Unna boot would not have caused trauma to the resident's left outer ankle.
They had witnessed the resident scratching at their legs and putting things down the Unna boot to scratch.
During an interview on 11/05/2025 at 10:39 AM, Nurse Practitioner #5 stated if a resident had wounds upon admission, they expected nursing to obtain orders within 24 hours. They expected wounds to be assessed by nursing weekly or more frequently if needed. The facility required residents have physician orders for all medications and treatments and that was required because they wanted the correct orders in place. They were not aware the resident went greater than two (2) days without a treatment order, was not aware the resident went four (4) weeks without a documented wound assessment and stated that was not timely. On 10/10/2025, when they documented the resident's wound was due to the Unna boot, they should have said
the wound occurred when the Unna boot was on. They heard from staff the resident was non-compliant and messing around with their Unna boot. They were not sure how the resident got an infestation when the Unna boot was in place. They were not aware the Unna boot was discontinued on 10/03/2025 and not aware there was no physician order for Unna boots that were in place on 10/10/2025. 10 NYCRR 415.12
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THE PINES AT UTICA CENTER FOR NURSING AND REHAB in UTICA, NY inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in UTICA, NY, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from THE PINES AT UTICA CENTER FOR NURSING AND REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.