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Deficiency Records for White Oak Post Acute Care

View the most recent health deficiencies and inspection results for White Oak Post Acute Care. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for White Oak Post Acute Care. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide and implement an infection prevention and control program. Health 2026-03-18 2026-04-20 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2026-03-18 2026-02-26 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2025-12-03 2026-01-09 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-12-03 2026-01-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-12-03 2026-01-09 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 2025-12-03 2026-01-09 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2025-12-03 2026-01-09 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2025-12-03 2026-01-09 N
Ensure each resident receives an accurate assessment. Health 2025-12-03 2026-01-09 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-06-26 2025-07-11 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2025-04-03 2025-04-04 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2025-02-27 2025-03-25 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2025-02-27 2025-03-25 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-02-27 2025-03-25 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2025-02-27 2025-03-25 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-02-27 2025-03-25 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-02-27 2025-03-25 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2025-01-27 2025-02-14 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-01-27 2025-02-14 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-01-27 2025-02-14 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2025-01-27 2025-02-14 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-01-27 2025-02-14 Y
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-09-20 2024-11-18 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2024-09-20 2024-11-16 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-11-14 2024-11-16 Y
Have simulated fire drills held at unexpected times. Fire Safety 2024-09-20 2024-10-30 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-09-20 2024-10-28 N
Provide properly protected cooking facilities. Fire Safety 2024-09-20 2024-10-25 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2024-09-20 2024-10-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-09-20 2024-10-21 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-09-20 2024-10-21 N
Ensure each resident receives an accurate assessment. Health 2024-09-20 2024-10-21 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-09-20 2024-10-21 N
Provide enough food/fluids to maintain a resident's health. Health 2024-09-20 2024-10-21 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2024-09-20 2024-10-21 N
Post nurse staffing information every day. Health 2024-09-20 2024-10-21 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 2024-09-20 2024-10-21 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2024-09-20 2024-10-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-09-20 2024-10-21 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-09-20 2024-10-21 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-09-20 2024-10-21 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-09-20 2024-10-21 N
Provide and implement an infection prevention and control program. Health 2024-09-20 2024-10-21 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-09-20 2024-10-21 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-09-20 2024-10-21 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-09-20 2024-10-21 Y
Provide and implement an infection prevention and control program. Health 2024-07-18 2024-08-06 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-07-18 2024-08-06 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-07-18 2024-08-06 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-07-18 2024-08-06 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-07-18 2024-08-06 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-06-10 2024-07-01 Y
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2024-06-10 2024-07-01 Y
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Health 2024-06-10 2024-07-01 Y
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2024-06-10 2024-07-01 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-10 2024-07-01 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-06-10 2024-07-01 Y
Ensure that residents are free from significant medication errors. Health 2024-06-10 2024-07-01 Y
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 2024-06-10 2024-07-01 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-10 2024-07-01 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-06-10 2024-07-01 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-06-10 2024-07-01 Y
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Health 2024-06-10 2024-07-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-10 2024-05-28 Y
Provide and implement an infection prevention and control program. Health 2024-04-16 2024-04-22 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-04-16 2024-04-22 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-04-16 2024-04-22 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-12-14 2024-01-25 Y
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2023-11-29 2024-01-09 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-08-17 2023-09-29 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-08-17 2023-09-29 Y
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Health 2023-08-17 2023-09-29 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-08-17 2023-09-29 Y
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 2023-08-17 2023-09-29 Y
Ensure medication error rates are not 5 percent or greater. Health 2023-08-17 2023-09-29 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-17 2023-09-29 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-08-17 2023-09-29 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-08-17 2023-09-29 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-08-17 2023-09-29 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-08-17 2023-09-29 Y
Establish policies and procedures for volunteers. Fire Safety 2023-08-17 2023-09-29 N
Implement a program that monitors antibiotic use. Health 2023-08-17 2023-09-29 N
Provide and implement an infection prevention and control program. Health 2023-08-17 2023-09-29 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2023-08-17 2023-09-29 N
Dispose of garbage and refuse properly. Health 2023-08-17 2023-09-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-17 2023-09-29 N
Conduct testing and exercise requirements. Fire Safety 2023-08-17 2023-09-29 N
Provide properly protected cooking facilities. Fire Safety 2023-08-17 2023-09-26 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2023-08-17 2023-08-14 N

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