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 Healthcare & Rehab Centers Olean Campus during CMS and state inspections, most recent first.
A resident with Parkinson's disease and repeated falls was using a wheelchair trunk restraint without a physician's order or documented quarterly evaluations. The facility failed to document the release of the restraint every two hours, as required by policy. Staff interviews revealed the restraint was used to prevent falls, but there was no evidence of attempts to reduce its use. Communication breakdowns and a change in therapy companies contributed to the oversight.
A resident with dementia and anxiety was verbally abused by a CNA, but the incident was not reported to the Administrator or State Survey Agency within the required timeframe. The abuse was witnessed by an LPN, who did not report it immediately, leading to a delay in addressing the issue. The facility's policy mandates immediate reporting of abuse, which was not followed, resulting in a verified finding of abuse.
A resident with a sacral pressure ulcer did not receive proper care and assessment, as the ulcer was inaccurately staged and lacked medical provider documentation. Despite the presence of slough indicating a stage 3 or unstageable ulcer, it was documented as stage 2. The wound team met weekly but failed to implement effective interventions, and key medical staff were not actively involved in the ulcer's assessment.
A facility failed to assess a resident for entrapment risk and obtain informed consent before installing bed rails. The resident, with severe cognitive impairment and other conditions, did not use the rails during care. Staff were unaware of the need for assessments or consents, leading to a deficiency in resident safety compliance.
Failure to Document and Evaluate Use of Physical Restraint
Penalty
Summary
The facility failed to ensure that a resident was free from the use of physical restraints that were not required to treat medical symptoms. Specifically, Resident #19 was using a wheelchair trunk restraint without a physician's order, and there was no evidence of quarterly assessments or evaluations for its use. The facility's policy required a physician's order for any restraint and mandated that restraints be released every two hours, but there was no documentation to confirm that these requirements were met. Resident #19 had a medical history that included Parkinson's disease, repeated falls, and encephalopathy, and required total dependence on staff for dressing. The resident used a trunk restraint daily while in their wheelchair, but the facility failed to document the release of the restraint every two hours as required. Interviews with staff revealed that the restraint was used to prevent the resident from leaning and falling out of their wheelchair, but there was no documented evidence of attempts to reduce or remove the restraint. The facility's failure to conduct regular evaluations and obtain a physician's order for the restraint was attributed to a breakdown in communication, particularly following a change in therapy companies. The Director of Nursing and other staff acknowledged the oversight and the need for proper documentation and evaluations. The Medical Director was unaware of the restraint's use, highlighting a lack of communication between the facility and medical staff regarding the resident's care needs.
Failure to Timely Report Verbal Abuse Incident
Penalty
Summary
The facility failed to report an allegation of verbal abuse involving a resident in a timely manner, as required by state and federal regulations. The incident involved a resident with dementia, stroke, and anxiety disorder, who was subjected to verbal abuse by a Certified Nurse Aide (CNA). The abuse was not reported to the facility's Administrator or the State Survey Agency within the mandated two-hour timeframe. The facility's policy requires immediate reporting of any abuse to the supervisor or Administrator, but this protocol was not followed. The incident occurred when the resident asked the CNA for assistance, and the CNA responded rudely, which was witnessed by another CNA and a Licensed Practical Nurse (LPN). The LPN instructed the CNA to leave the resident's room due to the inappropriate behavior but did not report the incident immediately to the Registered Nurse Supervisor or the Director of Nursing. The verbal abuse was only reported three days later, which delayed the notification to the Administrator and the subsequent report to the Department of Health. Interviews with facility staff revealed a lack of immediate action and communication regarding the abuse incident. The CNA involved was known for being verbally loud and animated, which had previously caused discomfort among residents. Despite this, the staff did not report the incident promptly, resulting in a verified finding of abuse. The Administrator acknowledged the failure to report the abuse immediately, emphasizing the importance of timely reporting to comply with regulatory requirements.
Inadequate Pressure Ulcer Care and Assessment
Penalty
Summary
The facility failed to ensure that a resident with pressure ulcers received necessary treatment and services consistent with professional standards of practice. Specifically, Resident #16, who had a pressure ulcer of the sacral region, did not receive accurate pressure ulcer assessments, including proper staging, and there was a lack of medical provider documentation regarding the resident's pressure ulcer and treatment plan. The facility's policy required weekly assessments and documentation of pressure ulcers by a Registered Nurse, but this was not consistently followed. Resident #16 had a history of type 2 diabetes mellitus and neuromuscular dysfunction of the bladder, which increased their risk for pressure ulcers. The resident was admitted with a stage 2 pressure ulcer on the coccyx, but subsequent assessments by nursing staff failed to accurately stage the ulcer. Despite the presence of slough in the wound bed, which should have indicated a stage 3 or unstageable ulcer, the ulcer was consistently documented as stage 2. The wound team, which included various healthcare professionals, met weekly to discuss wound evaluations, but there was no evidence of effective intervention or treatment changes. Interviews with facility staff revealed a lack of consistent and accurate assessment practices. The Inservice Coordinator/Infection Preventionist/Wound Care Certified Registered Nurse acknowledged that the pressure ulcer should have been staged as a stage 3 due to the presence of slough. Additionally, the Medical Director and Nurse Practitioner were not actively involved in assessing the pressure ulcer, and there was no documented evidence of their evaluation. This lack of proper assessment and documentation contributed to the deficiency in providing appropriate pressure ulcer care for Resident #16.
Failure to Assess and Obtain Consent for Bed Rail Use
Penalty
Summary
The facility failed to ensure that a resident was properly assessed for the risk of entrapment from bed rails before their installation. Specifically, Resident #18, who had diagnoses including Alzheimer's disease, vascular dementia, legal blindness, and repeated falls, was not evaluated for the risk of entrapment associated with bed rails. The facility's policy required that all residents be evaluated for side rail use at admission or re-admission, and that informed consent be obtained after discussing the risks and benefits with the resident or their representative. However, these steps were not followed for Resident #18. Observations and interviews revealed that Resident #18's bed had bilateral bed rails secured to the bed frame, yet the resident did not utilize these rails during care. Certified Nurse Aides reported that the resident did not usually use the bed mobility handles and was unable to follow directions for their use. Despite this, the facility's staff, including the Director of Rehab and the Director of Nursing, did not consider the bed mobility handles to be a restraint or a risk for entrapment, and no consent forms or assessments were completed for their use. Interviews with various staff members, including the Director of Rehab, the Director of Nursing, and the Head Nurse, indicated a lack of awareness and documentation regarding the assessment and consent process for bed mobility handles. The facility's failure to conduct a proper risk assessment and obtain informed consent before the installation of bed rails for Resident #18 constitutes a deficiency in ensuring resident safety and compliance with regulatory requirements.
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 31 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 Olean
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Absolut Center For Nursing And Rehabilitation At A | 2.1 mi | ★★★★★ | 0 | 0 |
| Bradford Ecumenical Home, Inc | 11.4 mi | ★★★★★ | 0 | 0 |
| Cuba Memorial Hospital Inc Snf | 12.8 mi | ★★★★★ | 0 | 0 |
| Pavilion At Brmc, The | 13.1 mi | ★★★★★ | 8 | 0 |
| Bradford Manor Nursing And Rehab | 14.8 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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 July 2026) and official state health department websites.