Deficiency Records for Whitestone A Masonic and Eastern Star Community
Updated as of September 01, 2021
This is not the most recent data for Whitestone A Masonic and Eastern Star Community. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-03-05 | 2021-04-19 | 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 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-03-10 | 2020-04-07 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-13 | 2020-01-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-13 | 2020-01-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-11-13 | 2020-01-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-11-13 | 2020-01-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-13 | 2020-01-15 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-10-10 | 2019-11-06 | 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 | 2019-10-10 | 2019-11-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-10 | 2019-11-06 | Y |
| Use approved construction type or materials. | Fire Safety | 2018-12-20 | 2019-02-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-20 | 2019-02-14 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-12-20 | 2019-02-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-20 | 2019-02-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-20 | 2019-02-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-12-20 | 2019-02-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-12-20 | 2019-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-29 | 2018-12-27 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-11-29 | 2018-12-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-29 | 2018-12-26 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-11-29 | 2018-12-21 | N |
