Deficiency Records for Whispering Pines Rehabilitation and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Whispering Pines Rehabilitation and Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-30 | 2023-05-30 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-01-23 | 2023-02-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-21 | 2022-12-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-13 | 2022-06-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-28 | 2022-03-11 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-01-28 | 2022-03-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-28 | 2022-03-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-01-28 | 2022-03-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-01-28 | 2022-03-11 | N |
| Provide appropriate foot care. | Health | 2022-01-28 | 2022-03-11 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-01-28 | 2022-03-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-24 | 2022-02-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-24 | 2022-02-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-24 | 2022-02-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-06-21 | 2021-07-12 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-06-21 | 2021-07-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-21 | 2021-07-12 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-06-21 | 2021-07-12 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-06-21 | 2021-07-12 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-06-21 | 2021-07-12 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-06-21 | 2021-07-12 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2021-06-21 | 2021-07-12 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-06-21 | 2021-07-12 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-06-21 | 2021-06-21 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-06-04 | 2018-09-10 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-06-04 | 2018-09-10 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-06-04 | 2018-09-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-06-04 | 2018-09-10 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2018-06-04 | 2018-09-10 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-04 | 2018-07-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-04 | 2018-07-23 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-06-11 | 2018-07-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-11 | 2018-07-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-06-11 | 2018-07-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-06-11 | 2018-07-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-11 | 2018-07-20 | N |
| Respond appropriately to all alleged violations. | Health | 2018-06-11 | 2018-07-20 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-06-11 | 2018-07-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-11 | 2018-07-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-11 | 2018-07-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-11 | 2018-07-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-06-11 | 2018-07-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-11 | 2018-07-20 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-06-11 | 2018-07-20 | N |
| Provide or obtain dental services for each resident. | Health | 2018-06-11 | 2018-07-20 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-06-11 | 2018-07-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-11 | 2018-07-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-06-11 | 2018-07-20 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2018-06-04 | 2018-07-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-06-04 | 2018-07-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-06-04 | 2018-07-14 | N |
