A list of the most recent deficiencies for White Oak Rehabilitation and Hcc. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-11 | 2024-01-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-05 | 2024-01-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-05 | 2024-01-16 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-15 | 2023-12-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-21 | 2023-12-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-21 | 2023-12-11 | 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 | 2023-11-21 | 2023-12-11 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-11-21 | 2023-12-11 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-11-21 | 2023-12-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-21 | 2023-12-11 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-11-15 | 2023-12-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-15 | 2023-12-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-15 | 2023-12-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-15 | 2023-12-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-15 | 2023-12-11 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-10-14 | 2022-11-04 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-10-14 | 2022-11-04 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-10-14 | 2022-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-14 | 2022-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-14 | 2022-11-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-13 | 2022-10-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-13 | 2022-10-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-13 | 2021-07-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-13 | 2021-07-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-13 | 2021-07-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-13 | 2021-07-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-13 | 2021-07-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-13 | 2021-07-31 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-07-15 | 2021-07-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-15 | 2021-07-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-15 | 2021-07-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-15 | 2021-07-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-15 | 2021-07-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-01 | 2021-04-13 | Y |
