Deficiency Records for White Oak Manor
Updated as of June 01, 2019
This is not the most recent data for White Oak Manor. For the most recent information, click here.
A list of the most recent deficiencies for White Oak Manor. 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? |
|---|---|---|---|---|
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-04-30 | 2019-05-16 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-04-30 | 2019-05-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-01 | 2019-03-21 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-03-01 | 2019-03-21 | 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 | 2019-03-01 | 2019-03-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-01 | 2019-03-21 | Y |
| 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 | 2019-02-01 | 2019-03-21 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-01 | 2019-03-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-12-02 | 2018-12-04 | Y |
| 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 | 2018-12-02 | 2018-12-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-02 | 2018-12-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-02 | 2018-12-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-12-02 | 2018-12-04 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-12-02 | 2018-12-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-09-12 | 2018-09-13 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-08-20 | 2018-09-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-20 | 2018-09-13 | Y |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-04-26 | 2018-05-18 | N |
| Develop a communication plan. | Fire Safety | 2018-04-26 | 2018-05-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-04-26 | 2018-05-18 | 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 | 2018-04-26 | 2018-05-18 | 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 | 2018-04-26 | 2018-05-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-04-26 | 2018-05-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-26 | 2018-05-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-04-26 | 2018-05-18 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-04-26 | 2018-05-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-26 | 2018-05-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-04-26 | 2018-05-18 | 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 | 2018-04-26 | 2018-05-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-26 | 2018-05-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-04-26 | 2018-05-18 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-03-13 | 2018-03-29 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-03-13 | 2018-03-29 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-19 | 2017-10-20 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-09-30 | 2017-10-20 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-09-30 | 2017-10-20 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-02-23 | 2017-05-24 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-02-23 | 2017-05-24 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-02-23 | 2017-05-23 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-02-23 | 2017-05-23 | 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 | 2017-02-23 | 2017-05-23 | 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 | 2017-02-23 | 2017-05-23 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-02-23 | 2017-05-23 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-23 | 2017-05-23 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-05-04 | 2017-05-23 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-19 | 2017-05-23 | Y |
| 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 | 2016-12-19 | 2016-12-27 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-12-19 | 2016-12-27 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-19 | 2016-12-27 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-11-30 | 2016-12-27 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-30 | 2016-12-27 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-30 | 2016-12-27 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-10-25 | 2016-11-02 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-11-17 | 2015-12-29 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-11-17 | 2015-12-29 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-11-17 | 2015-12-29 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-11-17 | 2015-12-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-11-17 | 2015-12-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-11-17 | 2015-12-29 | N |
