Deficiency Records for White Oak Rehabilitation and Hcc
Updated as of June 01, 2021
This is not the most recent data for White Oak Rehabilitation and Hcc. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-09-16 | 2020-09-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-09-16 | 2020-09-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2020-09-16 | 2020-09-29 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2019-11-04 | 2019-12-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-11-04 | 2019-12-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-11-04 | 2019-12-13 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-11-04 | 2019-12-13 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-11-04 | 2019-12-05 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-11-04 | 2019-12-05 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-11-04 | 2019-12-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-04 | 2019-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-04 | 2019-12-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-04 | 2019-12-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-04 | 2019-12-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-04 | 2019-12-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-07 | 2019-11-29 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2019-11-07 | 2019-11-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-07 | 2019-11-29 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-07 | 2019-11-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-07 | 2019-11-29 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-11-07 | 2019-11-29 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-11-07 | 2019-11-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-07 | 2019-11-29 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-11-07 | 2019-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-07 | 2019-11-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-02 | 2019-05-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-04-24 | 2019-05-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-24 | 2019-05-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-04-24 | 2019-05-10 | Y |
| 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 | 2018-10-29 | 2018-12-12 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-10-29 | 2018-12-12 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2018-10-29 | 2018-12-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-29 | 2018-12-12 | N |
| Respond appropriately to all alleged violations. | Health | 2018-10-29 | 2018-12-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-29 | 2018-12-12 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-10-29 | 2018-12-12 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-10-29 | 2018-12-12 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-10-29 | 2018-12-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-29 | 2018-12-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-29 | 2018-12-12 | N |
| Provide appropriate foot care. | Health | 2018-10-29 | 2018-12-12 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-10-29 | 2018-12-12 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-10-29 | 2018-12-12 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-10-29 | 2018-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-29 | 2018-12-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-10-29 | 2018-12-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-10-29 | 2018-12-12 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-10-29 | 2018-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-29 | 2018-11-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-10-29 | 2018-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-29 | 2018-11-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-29 | 2018-11-30 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2017-12-20 | 2018-06-22 | 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 | 2017-12-22 | 2018-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-22 | 2018-01-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2017-12-22 | 2018-01-31 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2017-12-22 | 2018-01-31 | N |
| Provide or obtain dental services for each resident. | Health | 2017-12-22 | 2018-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-20 | 2018-01-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-12-20 | 2017-12-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2017-12-20 | 2017-12-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-12-20 | 2017-12-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-12-20 | 2017-12-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-12-20 | 2017-12-22 | N |
