Deficiency Records for White Oak Health Campus
Updated as of March 01, 2019
This is not the most recent data for White Oak Health Campus. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-08-06 | 2018-09-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-08-06 | 2018-09-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-08-06 | 2018-09-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-08-06 | 2018-09-13 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2018-08-06 | 2018-09-13 | N |
| Meet other general requirements. | Fire Safety | 2018-08-06 | 2018-09-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-06 | 2018-09-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-08-06 | 2018-09-13 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-08-06 | 2018-09-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-08-06 | 2018-09-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-06 | 2018-09-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-06 | 2018-09-13 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-08-06 | 2018-09-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-06 | 2018-09-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-22 | 2018-07-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-22 | 2018-07-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-22 | 2018-07-22 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-06-22 | 2018-07-22 | 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 ne | Health | 2018-06-22 | 2018-07-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-06-22 | 2018-07-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-22 | 2018-07-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-06-22 | 2018-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-15 | 2017-07-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-06-15 | 2017-07-14 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-30 | 2017-06-29 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-04-14 | 2016-05-05 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-04-14 | 2016-05-05 | N |
| Horizontal exits. | Fire Safety | 2016-04-14 | 2016-05-05 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-03-08 | 2016-04-07 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-03-08 | 2016-04-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-03-08 | 2016-04-07 | N |
