The Leaning Pine

Based on observation, interview, record review, the Administrator did not comply with the section cited above in that staff failed to sign the Medication Administration Record (MAR) for the a.m. medications administered on the correct date (09/16/2025)for all (5) residents which poses/posed a potential health, safety or personal rights risk to residents in care.

H&S 1569.652 (c) A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility shall be issued to the individual...within 15 days after the personal property is removed.This requirement is not met as evidenced by: Based on record review, Resident #1 passed away on 2/28/23 and the responsible party was issued a refund on 4/26/23 which posed a potential personal rights risk to residents in care.

87507 Admission Agreements (g) Admission agreements shall...(3) Payment provisions, including the following: (A) Rate for all basic services...1. A comprehensive description of any items and services provided under a single fee...This requirement is not met as evidenced by: Based on record review, Resident #1's admission agreement did not list the monthly rates and/or other services rates which posed a potential personal rights risk to residents in care.

§1569.652 Termination of admission agreement upon death of resident;... (a) A residential care facility for the elderly shall not require advance notice...upon the death of a resident. No fees shall accrue...This requirement is not met as evidenced by: Based on record review and interview, Resident #1 was billed for 2 weeks for care and supervision provided which posed a potential personal rights risk to residents in care.

Based on observation and interview, the licensee did not comply with the section cited above in the outdoor passageways which contained items meant to be discarded including rolling medical beds, wood pieces, and plastic bottles which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above for 3 screens which poses a potential health, safety or personal rights risk to persons in care. One screen sliding door had an approx. 6 inch tear. Two client bedrooms did not contain screens.

Based on observation, the licensee did not comply with the section cited above in 5 out of 5 beds which poses a potential health, safety or personal rights risk to persons in care.

87468.1(a)(6) Personal Rights of Residents in all facilities. To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This requirement was not met as evidenced by... Based on interviews and records reviewed, the licensee did not ensure that residents were not restricted from leaving the facility. This poses a potential risk to the personal rights of persons in care.