Average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Pine View Health And Rehabilitation Center during CMS and state inspections, most recent first.
PBJ Staffing Data Submitted Incorrectly: The facility failed to ensure PBJ staffing data was accurate before submission to CMS. The PBJ report showed excessively low weekend staffing, no RN coverage for four or more days, failure to provide licensed nursing coverage 24 hours per day, and a one-star staffing rating. The DON, Administrator, and Consultant all stated the corporate office had submitted the PBJ data incorrectly, even though RNs and other licensed nurses were present in the building daily.
Failure to implement a catheter care plan intervention for a resident with an indwelling catheter. The resident had a care plan and MD order for a leg strap/anchor to secure catheter tubing every shift, but during observation the resident did not have the leg anchor in place. RN staff confirmed the missing anchor, and the DON stated nurses were expected to implement care plan interventions and document refusals if applicable. The resident had paraplegia and was cognitively intact.
Care plan interventions for a resident with a suprapubic catheter were not revised to include all disciplines assigned to the task. The care plan listed suprapubic catheter care for RN/LPN only, while CNAs were also performing and documenting the care in the task section, and an RN documented the care on the TAR. The DON stated the care plan should include all disciplines responsible for the resident’s care.
Failure to Secure Indwelling Catheter Tubing: A resident with paraplegia and intact cognition had an indwelling catheter without the ordered leg strap securing the tubing in place. RN confirmed the strap was not in place, an LPN said the resident often refused, and the DON stated nurses were expected to follow the physician's order and document any refusal.
A resident with a feeding tube was observed with an enteral feeding bag hanging without a date or time label. The resident had an order for Two Cal at 40 ml/hr and a history of dysphagia following cerebral infarction. An LPN and the DON stated the bag should be labeled and dated to show when it was hung and to ensure it is used within 24 hours to prevent expiration, contamination, and bacterial growth.
Soiled privacy curtains were not cleaned for two cognitively intact residents. One resident reported reddish-brown stains after requesting laundering, and another resident reported her curtain had never been cleaned since admission and was observed with several large brown stains near the bed. During Resident Council, residents also reported privacy curtains in their rooms had not been laundered or changed.
A resident's MDS was inaccurately coded as receiving anticoagulant medication, despite having orders for Aspirin and Plavix, which are not anticoagulants. The error was confirmed by the MDS Nurse, MDS Coordinator, and DON, and was missed during the facility's review process.
A resident with paraplegia and neuromuscular dysfunction of the bladder had a urinary drainage bag without a privacy covering, making the urine visible from the hallway. This was confirmed by a nurse and the DON, who acknowledged it as a dignity issue. The resident had a physician's order for a Foley catheter.
A resident with severe cognitive impairment and multiple pressure ulcers did not receive a recommended specialty mattress for several weeks, despite multiple orders from the NP. Facility staff interviews revealed a lack of communication and follow-through, with the DON unaware of the delay and the Wound Care nurse acknowledging the oversight. The Maintenance Director confirmed the availability of low air loss mattresses, but the NP did not follow up on the absence of the mattress.
A facility failed to maintain proper placement of urinary drainage tubing for a resident with an indwelling catheter, as the tubing was observed on the floor, contrary to the facility's infection control policy. This was confirmed by both a registered nurse and the DON, who acknowledged the risk of infection. The resident had diagnoses of paraplegia and neuromuscular dysfunction of the bladder.
The facility failed to maintain the required chemical sanitizer concentration in a low-temperature dishwasher, with chlorine levels found to be below 10 ppm during an observation. The Dietary Manager confirmed the deficiency, which was against the facility's policy requiring at least 50 ppm for effective sanitation. The Maintenance Director acknowledged the issue and planned to contact the manufacturer for maintenance.
PBJ Staffing Data Submitted Incorrectly
Penalty
Summary
The facility failed to ensure Payroll-Based Journal (PBJ) staffing information was accurate and corrected before submission to CMS for FY Quarter 3 2025. A review of the facility policy dated 6/1/2025 showed it was the facility’s policy to electronically submit complete and accurate direct care staffing information, including agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format according to CMS specifications. The PBJ Data Report for FY Quarter 3 2025 showed the facility triggered for excessively low weekend staffing, no RN coverage for four or more days, failure to provide licensed nursing coverage 24 hours per day, and a one-star staffing rating. During interviews, the DON stated she was aware the PBJ data reflected the one-star staffing rating, excessively low weekend staffing, no RN coverage during a 24-hour period, and failure to maintain licensed nursing coverage 24 hours per day. She stated RNs were present in the building daily for eight hours and licensed nurses were present daily, and that the corporate office failed to submit the PBJ data correctly. The Administrator also confirmed awareness of the staffing report findings and stated he questioned the report with the corporate office and was told the PBJ data had been submitted incorrectly to CMS. The Consultant stated PBJ data for several facilities within the corporation had been submitted incorrectly by the corporate office and that the company was in the process of correcting the issue.
Failure to Implement Catheter Tubing Anchoring Intervention
Penalty
Summary
Facility failed to ensure comprehensive care plan interventions were implemented for one resident with an indwelling catheter. The resident had a care plan focus for an indwelling catheter with an intervention to check the leg anchor every shift, and a physician's order dated 8/1/24 for a leg strap to anchor the catheter in place every shift. The facility policy stated that the comprehensive care plan should include services to meet the resident's medical and nursing needs and should be implemented with measurable objectives and timeframes. During observation on 1/14/26 at 8:36 AM, the resident was lying in bed preparing for wound care and did not have a leg anchor or strap securing the catheter tubing. RN #1 later confirmed the resident did not have a leg anchor in place and verified the care plan included that intervention. RN #2/Care Plan Nurse confirmed the catheter care plan included a leg anchor intervention and stated the care plan should reflect actual care and that staff were expected to implement care plan interventions. The DON stated it was her expectation that nurses implement comprehensive care plan interventions and document refusals if a resident refused care. The resident was admitted on 1/4/24 with paraplegia and had a BIMS score of 13, indicating cognitive intactness.
Care Plan Did Not Include All Assigned Disciplines for Suprapubic Catheter Care
Penalty
Summary
The facility failed to revise Resident #61’s care plan to ensure all appropriate disciplines were assigned to interventions for suprapubic catheter care. The resident was admitted with a diagnosis of malignant neoplasm of the prostate, had an active order for suprapubic catheter care every shift, and the admission MDS indicated the resident was cognitively intact with an indwelling catheter, including a suprapubic catheter. The care plan listed the focus as indwelling suprapubic catheter with the intervention of suprapubic catheter care every shift, but the position assigned was RN/LPN only. During observation and interviews, a CNA was observed providing suprapubic catheter care and stated she had documented completion in the resident task section. An RN reported she also provided the catheter care and documented it on the TAR, and another RN confirmed the care plan listed nursing staff only and did not include CNAs even though CNA task documentation assigned the task to CNAs. The DON stated she was aware the care plan did not include CNAs for suprapubic catheter care and expected care plans to include all disciplines responsible for the resident’s care.
Failure to Secure Indwelling Catheter Tubing
Penalty
Summary
The facility failed to follow a physician's order requiring a leg strap to anchor Resident #85's indwelling catheter tubing in place every shift. On 1/14/26 at 8:36 AM, the resident was observed lying in bed preparing for wound care and had an indwelling catheter with no leg anchor or strap securing the tubing. The resident stated she would wear a leg anchor if staff provided one. During interviews, RN #1 confirmed the resident did not have a leg anchor in place and was unsure whether there was a physician's order for it. LPN #1 stated it was the nurse's responsibility to ensure leg anchors were in place and reported the resident often refused, despite explanation that the anchor was used to prevent trauma. The DON stated it was her expectation that nurses follow physician orders and that if a resident refused, the nurse should document the refusal. Record review showed the resident was admitted with paraplegia, had a BIMS score of 13 indicating cognitive intactness, and had a physician's order dated 8/1/24 for a leg strap to anchor the indwelling catheter in place every shift. The task record indicated the catheter leg strap was in place.
Missing date and time on enteral feeding bag
Penalty
Summary
Enteral feeding care was not provided in accordance with professional standards of practice for one resident with a feeding tube, Resident #5. During an observation, the resident was lying in bed with an enteral feeding hanging from a pole, and there was no date or label on the bag indicating when it had been hung. A laundry worker who was present in the hallway also observed that there was no date or time documented on the bag. The resident had a physician's order for Two Cal enteral feeding at 40 ml/hr and was admitted with diagnoses including dysphagia following cerebral infarction. The facility's policy stated that feeding tubes were to be used in accordance with current clinical standards of practice and with interventions to prevent complications. An LPN stated it was the nurse's responsibility to label and date the tube feeding bag so it would not be outdated and to prevent infection or bacterial growth if the feeding solution remained in the bag too long. The DON stated the purpose of labeling and dating enteral feedings was to ensure the feeding was used within 24 hours to prevent expiration and contamination. The resident's MDS showed a BIMS score of 9, indicating moderately impaired cognition.
Soiled Privacy Curtains Not Cleaned
Penalty
Summary
The facility failed to ensure residents’ rights to a safe, clean, comfortable, and homelike environment by not ensuring privacy curtains were clean and laundered for two sampled residents. The facility’s Resident Rights policy stated residents have the right to a dignified existence and a safe, clean, comfortable, and homelike environment, and the Environmental Services Cleaning Procedure for Common Items stated curtains were to be cleaned when visibly dusty or soiled. Resident #9, admitted on 1/4/23 with Type Two Diabetes Mellitus and a BIMS score of 15, reported that she had requested her privacy curtain be washed because of reddish-brown stains in multiple areas, but it had not been removed or laundered after her request. Resident #20, admitted on 7/21/23 with Chronic Obstructive Pulmonary Disease and a BIMS score of 15, reported she had asked for her privacy curtain to be cleaned and had never seen it cleaned since admission; the curtain was observed with several large brown stains near the bed. During the Resident Council meeting, residents reported privacy curtains in resident rooms, including those of Residents #9 and #20, had not been laundered or changed. The Housekeeping Supervisor stated privacy curtains were removed and cleaned upon request, with maintenance responsible for removal and rehanging and housekeeping responsible for washing and drying, and the Administrator stated his expectation was for housekeeping and environmental services staff to ensure privacy curtains were changed and cleaned.
Inaccurate MDS Coding for Anticoagulant Medication
Penalty
Summary
The facility failed to accurately code a Minimum Data Set (MDS) for a resident regarding anticoagulant medication. The resident, admitted in 2006 with diagnoses including Hemiplegia and Hemiparesis, was inaccurately coded as receiving anticoagulant medication for seven days during the look-back period. However, a review of the resident's orders revealed prescriptions for Aspirin and Plavix, which are not anticoagulants. Interviews with the MDS Nurse, MDS Coordinator, and Director of Nursing confirmed the coding error, which was missed during the facility's scrub report review prior to MDS submission.
Failure to Provide Privacy Covering for Urinary Drainage Bag
Penalty
Summary
The facility failed to ensure a resident's right to a dignified experience by not providing a privacy covering for a urinary drainage bag. During an observation, it was noted that a resident with an indwelling catheter had their urinary drainage bag hanging from the side of the bed, with the urine visible from the hallway. This was confirmed by a registered nurse, who acknowledged that the visibility of the urine was a dignity issue for the resident. The Director of Nursing also confirmed that urinary drainage bags should have a privacy covering to maintain the resident's dignity. The resident involved was admitted with paraplegia and neuromuscular dysfunction of the bladder and had a physician's order for a Foley catheter.
Failure to Implement NP's Recommendation for Specialty Mattress
Penalty
Summary
The facility failed to implement a Nurse Practitioner's (NP) recommendation for a specialty mattress for a resident with pressure ulcers. The resident, who was severely cognitively impaired and had multiple unstageable pressure wounds, was admitted with a diagnosis of unspecified dementia. Despite the NP's recommendation on multiple occasions for a low air loss mattress to aid in the prevention and healing of pressure ulcers, the resident did not receive the mattress until several weeks later. The NP's progress notes indicated that the mattress had not been provided, and the facility's records confirmed the delay in receiving the specialty mattress. Interviews with facility staff revealed a lack of communication and follow-through regarding the NP's orders. The Director of Nursing was unaware of why the mattress was not provided promptly, and the Wound Care nurse acknowledged the oversight. The Maintenance Director stated that the facility had low air loss mattresses available and could order them for next-day delivery if needed. However, the NP did not follow up on the absence of the mattress, contributing to the delay in providing the necessary equipment for the resident's care.
Improper Placement of Urinary Drainage Tubing
Penalty
Summary
The facility failed to maintain proper placement of urinary drainage tubing to prevent the possible spread of infection for a resident with an indwelling catheter. The facility's policy on preventing catheter-associated urinary tract infections (CAUTIs) specifies that the drainage bag should not be placed on the floor. However, during an observation, it was noted that a resident's urinary catheter drainage bag was hanging from the lower bed with the drainage tubing on the floor. This was confirmed by a registered nurse, who acknowledged that the tubing on the floor was an infection control issue. The Director of Nursing also confirmed that catheters could cause infections and that it was the responsibility of all nursing staff to ensure the tubing did not touch the floor. The resident involved was admitted with diagnoses including paraplegia and neuromuscular dysfunction of the bladder.
Inadequate Sanitizer Concentration in Dishwasher
Penalty
Summary
The facility failed to ensure the chemical sanitizer concentration in a low-temperature dishwasher met the required level of at least 50 parts per million (ppm) for effective sanitation. During an observation and interview with the Dietary Manager, it was found that the chlorine concentration on the dish surface final rinse was below 10 ppm, which was confirmed by the Dietary Manager. The facility's policy, effective since November 30, 2014, mandates a minimum concentration of 50 ppm for chlorine-based sanitizers in low-temperature dish machines. The Maintenance Director was informed of the issue and confirmed the low chlorine level, indicating the need for further maintenance by contacting the manufacturer.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Waynesboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Diversicare Of Quitman | 24.4 mi | ★★★★★ | 7 | 0 |
| Washington County Nursing Home | 28.6 mi | ★★★★★ | 0 | 0 |
| Perry County Nursing Center | 29.3 mi | ★★★★★ | 6 | 0 |
| Care Center Of Laurel | 30.3 mi | ★★★★★ | 0 | 0 |
| Laurelwood Community Living Center | 30.3 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.