PINE RIDGE REHABILITATION AND HEALTHCARE CENTER
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Resident Neglect
Penalty
$3,145
Outcome
PINE RIDGE REHABILITATION AND HEALTHCARE CENTER in PAGOSA SPRINGS, CO was fined $3,145 by CMS following 18 deficiency citations identified during federal surveys.
Details
PINE RIDGE REHABILITATION AND HEALTHCARE CENTER (PAGOSA SPRINGS, CO) — $3,145 in CMS Fines
Outcome: PINE RIDGE REHABILITATION AND HEALTHCARE CENTER in PAGOSA SPRINGS, CO was fined $3,145 by CMS following 18 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure services provided by the nursing facility meet professional standards of quality.
- Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Honor the resident's right to organize and participate in resident/family groups in the facility.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Respond appropriately to all alleged violations.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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