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Complaint Investigation

Pine Ridge Skilled Nursing And Rehab

September 19, 2025 · Morrow, OH · 463 East Pike Street
Citations 1
CMS Rating 4/5
Beds 50
Provider ID 365878
Healthcare Facility
Pine Ridge Skilled Nursing And Rehab
Morrow, OH  ·  View full profile →
Inspection Summary

PINE RIDGE SKILLED NURSING AND REHAB in MORROW, OH — inspection on September 19, 2025.

Found 1 citation. 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.

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Inspection Findings

FF0693
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Review of the physician's orders for Resident #19 revealed no order for tube feeding initiated on 08/22/25 for the resident.

Review of the Medication Administration Record (MAR) for Resident #19 dated 08/22/25 to 08/25/25 revealed it did not include documentation of tube feeding administration for the resident.

Review of the care plan for Resident #19 dated 08/28/25 revealed the resident was at a moderate nutritional risk related to the need for enteral feedings.

Interventions included to provide enteral feedings per the order.

Interview on 09/19/25 at 10:52 A.M. with the Director of Nursing (DON) verified the tube feeding orders were not entered into Resident #19's medical record upon her return from the hospital.

The DON stated the facility did not provide the tube feeding for Resident #19 from 08/22/25 to 08/25/25 because they did not have the formula that was ordered available in the facility.

Review of the facility policy titled Enteral Nutrition dated November 2018 revealed nutritional support through enteral nutrition should be provided to residents as ordered.

The staff could use products from a basic formulary until specialized products can be delivered.

This deficiency represents noncompliance investigated under Complaint Number 2601904.

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.

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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 MORROW, OH, (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 PINE RIDGE SKILLED NURSING AND REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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