Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Pines At Poughkeepsie Ctr For Nursing & Rehab during CMS and state inspections, most recent first.
The facility failed to adhere to professional standards for food service safety, with observations of unlabeled, undated, and expired food in storage areas. Staff did not consistently wear hair restraints or maintain hygiene, and temperature logs for refrigerators and freezers were incomplete. Ice accumulation was noted in the walk-in freezer, and the facility's policies on food labeling and hygiene were not followed.
The facility failed to develop and implement baseline care plans within 48 hours of admission for two residents. One resident, admitted with multiple diagnoses, did not have a care plan initiated until three days later due to an LPN conducting the evaluation without RN review. Another resident's care plan was delayed until the fourth day post-admission. Despite RNs being present, the lack of adherence to policy requiring RN involvement in admission evaluations led to these deficiencies.
A resident with severe cognitive impairment and at risk for pressure ulcers did not receive proper care to prevent new ulcers. Despite physician's orders and care plans requiring heel off-loading, observations showed the resident's heels were not off-loaded. Staff interviews revealed a lack of awareness and responsibility for this care, leading to the deficiency.
A resident with severe cognitive impairment and a history of falls was left unsupervised in their room, rolling over a floor mat in a wheelchair, despite being on fall precautions. The resident had multiple unwitnessed falls, and staff were unaware of the floor mat intervention, which was not documented in care instructions. The DON confirmed the resident should not have been left alone due to fall risk and behavioral issues.
A resident with a history of oxygen dependence and heart failure received oxygen therapy without a physician's order for four days after admission. Despite documentation of oxygen use in the Nursing Admission Evaluation, no order was found in the Treatment Administration Record until four days later. A nurse confirmed the continuous use of oxygen and was unaware of the missing order.
A facility failed to provide appropriate dialysis care for a resident with end-stage renal disease, lacking proper documentation and communication with the dialysis center. The resident's communication book was missing vital signs and treatment evaluations, and staff interviews revealed inconsistencies in maintaining required documentation.
The facility did not complete annual performance reviews for four certified nurse aides, as required by their policy. During a survey, it was found that the facility lacked documentation of these reviews, and the Director of Clinical Operation confirmed the oversight.
Two residents in an LTC facility were administered psychotropic medications without appropriate clinical rationale or monitoring. One resident with dementia was on Quetiapine without psychiatric evaluations or dose reduction attempts, while another resident on Risperidone did not have a recommended dose taper implemented. Facility staff acknowledged the lack of adherence to policies on drug regimen reviews and psychotropic medication use.
A resident with multiple diagnoses was not administered an IV antibiotic as prescribed on three occasions. The facility's Medication Administration Records lacked documentation for the medication on specific dates, and interviews with staff revealed that the medication might have been given but not signed for. The Medical Director confirmed the omissions, and the Administrator was unaware of the issue.
Deficiencies in Food Storage and Safety Practices
Penalty
Summary
The facility failed to ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. During the recertification survey, it was observed that the walk-in refrigerator contained multiple unlabeled, undated, and expired food products, including cooked rice, beef burgers, chicken burgers, and various dairy products. Additionally, the dry storage pantry housed expired and undated food items, such as pasta, cereal, and seasoning. The facility's policy required that all food items be labeled and dated when opened, and expired items should be discarded, which was not adhered to. Furthermore, the facility did not maintain proper personal hygiene standards for food handlers. Two employees were observed not wearing hair restraints, and one employee was seen leaning over dessert items with a soiled apron. The facility's policy mandated that hair restraints be worn at all times in the kitchen and that aprons be changed when soiled. The Director of Food Services acknowledged that in-services were conducted to address these issues, but the staff failed to comply with the established guidelines. Additionally, the facility did not consistently document refrigerator and freezer temperatures as required by their policy. The temperature logs were incomplete, with no evening shift temperatures recorded for several days. The walk-in freezer also had ice accumulation on the floor, which was attributed to condensation and humidity from the freezer door being opened during deliveries. The Director of Food Services admitted that the outside thermometer for the refrigerator needed repair, and a request had been submitted months prior. These lapses in monitoring and maintenance contributed to the deficiency in food service safety.
Failure to Initiate Timely Baseline Care Plans
Penalty
Summary
The facility failed to develop and implement a baseline care plan within 48 hours of admission for two residents, as required by their policy. Resident #241 was admitted with multiple diagnoses, including cardiomyopathy and a left tibial fracture, but did not have a baseline care plan initiated until three days after admission. The nursing admission evaluation was conducted by an LPN without the required review and sign-off by an RN, which contributed to the delay in care plan initiation. Despite the presence of RNs in the facility during the weekend following the resident's admission, the baseline care plan was not initiated until an RN manager noticed the oversight three days later. Resident #392 was admitted with conditions such as dependence on supplemental oxygen and heart failure. The baseline care plan for this resident was not completed until the fourth day after admission, exceeding the 48-hour requirement. The Director of Clinical Operations acknowledged that the baseline care plan should be built on a nursing assessment and initiated within the specified timeframe, but this was not achieved for Resident #392. Interviews with facility staff, including the Director of Nursing and the Director of Clinical Operations, revealed a lack of adherence to the facility's policy requiring RN involvement in the admission evaluation process. The failure to initiate timely baseline care plans for both residents was attributed to the absence of RN assessments and oversight, despite the presence of RNs in the facility during the relevant period.
Failure to Off-load Heels for Pressure Ulcer Prevention
Penalty
Summary
The facility failed to ensure that a resident, who was at risk for pressure ulcers, received appropriate care to prevent new pressure ulcers from developing. The resident had diagnoses of chronic obstructive pulmonary disease, a fracture of the neck of the right femur, and muscle weakness, and was documented to have severely impaired cognition. The resident's care plan, physician's orders, and the facility's wound prevention policy all required that the resident's heels be off-loaded when in bed to prevent skin breakdown. However, during observations on two separate occasions, the resident was found lying in bed with their heels not off-loaded, contrary to the physician's orders and care plan. Interviews with facility staff revealed a lack of awareness and responsibility regarding the off-loading of the resident's heels. A Certified Nurse Aide was unaware of the requirement, and a Licensed Practical Nurse acknowledged their responsibility for ensuring the heels were off-loaded but failed to do so. This inaction led to the deficiency noted in the survey.
Inadequate Supervision and Unsafe Environment for Resident with Fall Risk
Penalty
Summary
The facility failed to ensure adequate supervision and a safe environment for a resident with a history of falls and severe cognitive impairment. The resident, who had diagnoses including dementia and a thoracic vertebral fracture, was observed alone in their room, slouched in a wheelchair, and rolling over a floor mat, which was not documented as an intervention in their care plan. Despite being on fall precautions, the resident had multiple unwitnessed falls, including incidents in the dining room and another resident's room, resulting in a skin tear during one of the falls. Interviews with staff revealed that the resident often left supervised areas and became verbally and physically aggressive when redirected. The staff, including a CNA and LPN, were unaware of the floor mat intervention, and it was not included in the resident's care instructions. The Director of Nursing confirmed that the floor mats should not have been present when the resident was in the wheelchair and that the resident should not have been left alone due to their fall risk and behavioral issues.
Failure to Obtain Physician Order for Oxygen Therapy
Penalty
Summary
The facility failed to ensure that a resident received necessary respiratory care in accordance with professional standards and physician orders. Resident #392, who had diagnoses including dependence on supplemental oxygen, heart failure, and difficulty in walking, was observed receiving oxygen therapy at 4 liters per minute via nasal cannula without a physician's order for four days following their admission. The Nursing Admission Evaluation documented the resident's use of oxygen, but a review of the Treatment Administration Record and physician orders revealed no documented order for the oxygen therapy until four days after admission. During an interview, a registered nurse confirmed the continuous use of oxygen since admission and was unable to explain the absence of an initial physician order.
Deficiency in Dialysis Care and Communication
Penalty
Summary
The facility failed to ensure that a resident requiring dialysis services received care consistent with professional standards. Resident #127, who had diagnoses including end-stage renal disease and Type 2 Diabetes, was receiving hemodialysis treatments at a community-based dialysis center. However, there was a lack of ongoing assessments and oversight before and after these treatments. The facility's policy required a communication book to document vital signs, medications, and any significant changes, but this was not consistently maintained. The resident's communication book lacked documentation of pre-dialysis or post-dialysis vital signs, weights, or evaluation of the dialysis access site for specific dates. Interviews with facility staff and dialysis center staff revealed a breakdown in communication and documentation. Licensed Practical Nurse #8 acknowledged the absence of completed forms and the need for a communication form to include vital signs and medication changes. The dialysis center staff confirmed that communication books were sometimes lost and that they should complete sections on vital signs and weight. The Assistant Director of Nursing also recognized the need for communication with the dialysis center and the completion of forms detailing the resident's condition and treatment details. Despite these acknowledgments, the necessary documentation and communication were not consistently executed, leading to the deficiency.
Failure to Conduct Annual Performance Reviews for CNAs
Penalty
Summary
The facility failed to ensure that certified nurse aide performance reviews were completed at least once every 12 months, as required by their policy. During a recertification survey conducted from August 13 to August 20, 2024, it was found that performance reviews were not documented for four out of five certified nurse aides reviewed. The facility's policy, revised in September 2011, mandates periodic evaluations of each employee's performance, with formal written reviews at the end of the probationary period and annually thereafter. However, the facility was unable to provide documented evidence of these reviews for the specified nurse aides when requested on August 16, 2024. The Director of Clinical Operation confirmed that the annual performance reviews for these nurse aides were not completed.
Failure to Implement Gradual Dose Reductions for Psychotropic Medications
Penalty
Summary
The facility failed to ensure that residents using psychotropic drugs received gradual dose reductions and behavioral interventions unless clinically contraindicated. This deficiency was identified during a recertification survey, where two residents were found to have been administered psychotropic medications without appropriate clinical rationale or monitoring. Resident #170, diagnosed with dementia, was admitted on Quetiapine (Seroquel) without any documented psychiatric evaluations, behavioral monitoring, or attempts at dose reduction, despite recommendations from a Pharmacist Consultant. The medication was eventually discontinued after a psychiatric evaluation revealed no clinical indication for its use. Resident #90, also diagnosed with dementia and psychosis, was receiving Risperidone twice daily. A Pharmacist Consultant recommended tapering the dose, which the physician agreed to, but the recommendation was not implemented. The resident continued to receive the medication without documented follow-up or communication with the resident's family, and was later transferred to the hospital. Interviews with facility staff, including the Medical Director and Director of Nursing, revealed a lack of adherence to the facility's policies on drug regimen reviews and psychotropic medication use. The staff acknowledged the absence of necessary evaluations and monitoring, which contributed to the continued use of unnecessary psychotropic medications for the residents involved.
Significant Medication Errors in Antibiotic Administration
Penalty
Summary
The facility did not ensure that residents were free of significant medication errors, as evidenced by the case of a resident who was not administered an intravenous antibiotic medication as prescribed on three occasions. The resident, who had diagnoses including Metabolic Encephalopathy, Chronic Obstructive Pulmonary Disease, and Atrial Fibrillation, was admitted with a physician order to receive Ceftriaxone 2 grams IV once a day via a PICC line. However, the Medication Administration Records for April and May 2022 showed no documented evidence that the Ceftriaxone was administered on 4/30/2022, 5/1/2022, and 5/3/2022. Interviews with the Director of Nursing, Registered Nurse Manager, and Registered Nurse Supervisor revealed that the medication might have been administered but not signed for, and the medical provider extended the dosage for two additional days upon noticing the omissions. The Medical Director confirmed that the Medication Administration Record lacked documentation for the antibiotic on the specified dates. The Administrator was unaware of the medication omissions and stated that a Medication Incident Report should have been initiated to investigate the issue. The facility's policy and procedure titled Medication Pass Policy, dated 10/2018, required medications to be administered safely and timely per physician orders, which was not adhered to in this case.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 142 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Poughkeepsie
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Grand Rehabilitation And Nrsg At River Valley | 0.7 mi | ★★★★★ | 12 | 0 |
| Hudson Valley Rehabilitation & Extended Care Ctr | 2.6 mi | ★★★★★ | 37 | 0 |
| Lutheran Center At Poughkeepsie Inc | 3.5 mi | ★★★★★ | 5 | 0 |
| Taconic Rehabilitation And Nursing At Ulster | 4.2 mi | ★★★★★ | 0 | 0 |
| Sapphire Nursing At Wappingers | 6.6 mi | ★★★★★ | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for The Pines At Poughkeepsie Ctr For Nursing & Rehab.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.