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Deficiency Records for Evervella of White Hall

View the most recent health deficiencies and inspection results for Evervella of White Hall. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Evervella of White Hall. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide enough food/fluids to maintain a resident's health. Health 2026-02-26 2026-02-27 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-11-21 2025-12-09 Y
Keep residents' personal and medical records private and confidential. Health 2025-11-21 2025-12-09 Y
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2025-08-28 2025-10-02 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-08-28 2025-09-24 N
Implement a program that monitors antibiotic use. Health 2025-08-28 2025-09-24 N
Provide and implement an infection prevention and control program. Health 2025-08-28 2025-09-24 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2025-08-28 2025-09-24 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2025-08-28 2025-09-24 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2025-08-28 2025-09-24 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-08-28 2025-09-24 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2025-08-28 2025-09-24 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-08-28 2025-09-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-08-28 2025-09-24 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2025-08-28 2025-09-24 N
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Health 2025-08-28 2025-09-24 N
Provide a written emergency evacuation plan. Fire Safety 2025-08-28 2025-09-22 N
Have proper power supply for life support equipment. Fire Safety 2025-08-28 2025-09-22 N
Install corridor and hallway doors that block smoke. Fire Safety 2025-08-28 2025-09-22 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-10-21 2024-11-15 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-10-21 2024-11-15 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2024-10-21 2024-11-15 N
Develop a communication plan. Fire Safety 2024-10-21 2024-11-15 N
Establish emergency prep training and testing. Fire Safety 2024-10-21 2024-11-15 N
Establish staff and initial training requirements. Fire Safety 2024-10-21 2024-11-15 N
Conduct testing and exercise requirements. Fire Safety 2024-10-21 2024-11-15 N
Install a two-hour-resistant firewall separation. Fire Safety 2024-10-21 2024-11-15 N
Have exits that are accessible at all times. Fire Safety 2024-10-21 2024-11-15 N
Have an enclosure around a vertical opening shaft. Fire Safety 2024-10-21 2024-11-15 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 2024-10-21 2024-11-15 N
Provide properly protected cooking facilities. Fire Safety 2024-10-21 2024-11-15 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-10-21 2024-11-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-10-21 2024-11-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-10-21 2024-11-15 N
Provide a written emergency evacuation plan. Fire Safety 2024-10-21 2024-11-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-10-21 2024-11-15 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2024-10-21 2024-11-15 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2024-10-31 2024-11-08 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-10-31 2024-11-08 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-10-21 2024-10-30 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2024-10-21 2024-10-30 N
Ensure medication error rates are not 5 percent or greater. Health 2024-10-21 2024-10-30 N
Provide and implement an infection prevention and control program. Health 2024-10-21 2024-10-30 N
Implement a program that monitors antibiotic use. Health 2024-10-21 2024-10-30 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2024-10-21 2024-10-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-09-25 2023-10-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-09-25 2023-10-13 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-09-25 2023-10-04 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-09-25 2023-10-04 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-25 2023-10-04 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2023-09-25 2023-10-04 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2023-09-25 2023-10-04 N
Provide and implement an infection prevention and control program. Health 2023-09-06 2023-09-07 Y
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2025-08-28 Not Fixed N

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