Print Regulatory Action: CALMS - 00027921

Provider Information

Pine Rose

475 S SHASTA PL
Burns, OR 97720

Effective date: 4/11/2022
End date: 1/24/2023
Reference number: CALMS - 00027921
Allegation: Failed to provide safe environment
Description: On April 11, 2022, the Department issued a Notice & Order Imposing License Condition and mandated the facility restrict admission of residents, retain the services of a Registered Nurse and Administrative Consultant, maintain minimum Registered Nurse hours, along with staffing and reporting requirements. On May 9, 2022, the Department conducted a visit and determined the facility was not following the terms of the License Condition and continued to place residents at risk of serious harm.
Rule(s) Violated: 411-054-0025(1)(a) and (b), (4), (5)(b) and (c) and (9)
411-054-0028(1) and (2)
411-054-0030(1)(a)(C), (c) and (d)
411-054-0034(2) and (3)
411-054-0036(2) and (4)
411-054-0040(1) and (2)
411-054-0045(1)(f)(A), (2)(a)
411-054-0055(1)(a), (f) and (g), (2)(a), (b)(C) and (E)
411-054-0065(1)
411-054-0070(1)(a), (f) and (g), (2), (3)(a), (4)(a-c), (6)(a), (b)(A-E) and (G)
411-054-0090(1) and (5)
411-054-0200(3)(a), (c) and (e), (4)(e)(B), (f), (h), and (i), (7)(d)(A) and (B), (9)(a), and (11)(a) and (
Findings: Facility failed to provide a safe environment
Sanction: RCFCD22-00712