Pine Crest Health And Memory Care
Inspection Findings
F-Tag F0755
F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview and record review, the facility did not provide pharmaceutical services, including acquiring, receiving, and dispensing medications to meet the needs of 1 of 2 residents reviewed (Resident R12).Resident R12 had a physician order on 8/19/25 for Fidaxomicin for Clostridium Difficile (C-Diff). Pharmacy stated the medication was not available. Physician changed the order to Vancomycin HCL Capsule 125 mg by mouth every 6 hours until Fidaxomicin became available. Vancomycin was to be delivered on 8/20/25, and on 8/21/25, the pharmacy still had not delivered the Vancomycin. Resident R12 was hospitalized on [DATE REDACTED] to receive
the Vancomycin for C-Diff management.The facility's Pharmacy Services manual read in part, Regular and reliable pharmaceutical service is available to provide residents with prescription and non-prescription medications, services, and related equipment and supplies. Provide routine and timely pharmacy services six days per week and emergency pharmacy services 24 hour per day, seven days per week.This is evidenced by:Resident R12 was admitted to facility on 06/05/25 with a diagnosis of enterocolitis related to recurring clostridium difficile (C Diff) infection.Resident R12's physician's orders included:Vancomycin HCl Capsule 125 MG.
Give 1 capsule every 6 hours for C Diff until 08/22/25. Give until Fidaxomicin is available on or near 08/21/25.Resident R12 tested positive for C Diff infection on 08/18/25. Order placed on 08/19/25 for Fidaxomicin.
Pharmacy stated the medication was not available. Physician order changed to Vancomycin until Fidaxomicin became available. Vancomycin was to be delivered on 08/20/25. On 08/21/25, the medication had still not arrived.Resident R12 was admitted to the hospital on [DATE REDACTED] for C Diff Management.On 08/26/25 at 10:44 AM, Surveyor interviewed Registered Nurse (RN) G. RN G stated having difficulty getting medications in a timely manner from pharmacy at times. On this day an insulin pen was to be delivered and had not.On 08/27/25 at 12:25 PM, Surveyor interviewed RN I. RN I stated having difficulty receiving medications from the pharmacy in a timely manner. RN I stated recently there was an issue with the pharmacy stating they did not receive faxed orders, but the pharmacy is able to see them in the computer program also and is still not sending them on time. RN I stated calling the pharmacy to order the medication for Resident R12. RN I stated the Fidaxomicin was not available, so Vancomycin was ordered. RN I stated the medication was to be delivered on 08/20/25 on the afternoon delivery.On 08/27/25 at 12:34 PM, Surveyor interviewed Licensed Practical Nurse (LPN) H. LPN H stated recently she has been having difficulty getting refill medications for residents. LPN H stated the pharmacy was having program issues and was unable to look anything up.
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
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
PINE CREST HEALTH AND MEMORY CARE in MERRILL, WI 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 MERRILL, WI, (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 CREST HEALTH AND MEMORY CARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.