Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Pineville Rehabilitation and Living Center

Pineville, NC · 106 certified beds · Last Life Safety survey January 25, 2024

CMS Certification Number 345415 · first certified March 1992

Ownership

Operated by CCH HEALTHCARE · For profit - Limited Liability company

Ownership changed June 1, 2016 (change of ownership)from PINEVILLE REHABILITATION AND LIVING

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within NC

11 citations — more than 56% of the 419 certified nursing homes in NC. Compared within NC rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 6 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (March 2025 to May 2025), and past the point by which nine in ten NC facilities have been surveyed. This facility’s last Life Safety survey was January 2024. Facilities in NC are typically surveyed 14–16 months after the last one (median 15), measured over 412 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 11 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

E-0037

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.
F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

How that compares

Citations on file over three years

Compared with the median facility in NC, and nationally. Surveyors differ markedly between states, so the NC figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	11
Median facility in NC	9
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
October 8, 2021	1
July 29, 2022	4
January 25, 2024	6

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2024-01-25
K-0324	Provide properly protected cooking facilities.	1	2024-01-25
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	1	2022-07-29
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	1	2024-01-25
K-0363	Install corridor and hallway doors that block smoke.	1	2024-01-25
E-0037	Establish staff and initial training requirements.	1	2022-07-29
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	1	2024-01-25
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	1	2024-01-25

What the citations cover

Citations by CMS category

Smoke Deficiencies 4
Gas, Vacuum, and Electrical Systems Deficiencies 3
Egress Deficiencies 2
Services Deficiencies 1
Other 1

Citations by CMS category
Category	Citations
Smoke Deficiencies	4
Gas, Vacuum, and Electrical Systems Deficiencies	3
Egress Deficiencies	2
Services Deficiencies	1
Emergency Preparedness Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 25, 2024 — 6 citations

Citations issued on January 25, 2024
Tag	What the surveyor checks	Status
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (March 13, 2024)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (March 13, 2024)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (March 13, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (March 13, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (March 13, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 13, 2024)

July 29, 2022 — 4 citations

Citations issued on July 29, 2022
Tag	What the surveyor checks	Status
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (August 21, 2022)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (October 22, 2022)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (October 22, 2022)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (October 22, 2022)

October 8, 2021 — 1 citation

Citations issued on October 8, 2021
Tag	What the surveyor checks	Status
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 23, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.