Deficiency Records for White Oak Health Campus
Updated as of June 01, 2022
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? |
|---|---|---|---|---|
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2020-11-09 | 2020-12-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-26 | 2020-12-09 | 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 |
| 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 |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | 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 necessary and PRN use is limited. | 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 |
