Deficiency Records for Whitestone A Masonic and Eastern Star Community
Updated as of March 01, 2024
A list of the most recent deficiencies for Whitestone A Masonic and Eastern Star Community. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-18 | 2024-02-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-18 | 2024-02-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-18 | 2024-02-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-18 | 2024-02-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-18 | 2024-02-29 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-01-18 | 2024-02-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-18 | 2024-02-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-18 | 2024-02-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-31 | 2022-09-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-31 | 2022-09-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-31 | 2022-09-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-08-31 | 2022-09-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-31 | 2022-09-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-31 | 2022-09-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-05 | 2022-08-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-05 | 2022-08-25 | 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 | 2022-08-05 | 2022-08-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-05 | 2021-04-19 | 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 | 2021-03-05 | 2021-04-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-05 | 2021-04-19 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-03-05 | 2021-04-19 | N |
