A list of the most recent deficiencies for White Oak Health Campus. 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 heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-09 | 2023-02-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-30 | 2023-02-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-30 | 2023-02-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-29 | 2022-08-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-29 | 2022-08-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-29 | 2022-08-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-29 | 2022-08-19 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-29 | 2022-08-19 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-07-29 | 2022-08-19 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2022-07-29 | 2022-08-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-29 | 2022-08-19 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2021-10-12 | 2021-10-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-12 | 2021-10-26 | 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 | 2021-10-04 | 2021-10-15 | 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 | 2021-10-04 | 2021-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-04 | 2021-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-04 | 2021-10-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-10-04 | 2021-10-15 | N |
| Keep all essential equipment working safely. | Health | 2021-10-04 | 2021-10-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-17 | 2019-10-10 | N |
| Meet other general requirements. | Fire Safety | 2019-09-17 | 2019-10-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-17 | 2019-10-10 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2019-09-17 | 2019-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-17 | 2019-10-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-17 | 2019-10-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-17 | 2019-10-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-17 | 2019-10-10 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-09-17 | 2019-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-17 | 2019-10-10 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-08-05 | 2019-09-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-05 | 2019-09-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-05 | 2019-09-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-05 | 2019-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-05 | 2019-09-04 | N |
