Deficiency Records for Whitehouse Country Manor

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Updated as of April 01, 2024

A list of the most recent deficiencies for Whitehouse Country 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?
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 2023-10-05 2023-10-31 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-10-05 2023-10-31 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-05-10 2023-06-01 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-05-10 2023-06-01 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 2023-05-10 2023-06-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-10 2023-06-01 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-10 2023-06-01 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 2023-03-11 2023-03-25 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-10-31 2022-11-17 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 2022-10-31 2022-11-17 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-10-31 2022-11-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-31 2022-11-17 N
Provide enough food/fluids to maintain a resident's health. Health 2022-10-31 2022-11-17 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-10-31 2022-11-17 N
Observe each nurse aide's job performance and give regular training. Health 2022-10-31 2022-11-17 N
Ensure that residents are free from significant medication errors. Health 2022-10-31 2022-11-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-10-31 2022-11-17 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-10-31 2022-11-17 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-10-31 2022-11-17 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 2022-10-31 2022-11-17 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-10-31 2022-11-17 Y
Use approved construction type or materials. Fire Safety 2022-10-24 2022-11-17 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 2022-10-24 2022-11-17 N
Provide properly protected cooking facilities. Fire Safety 2022-10-24 2022-11-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-10-24 2022-11-17 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-10-24 2022-11-17 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-10-24 2022-11-17 N
Employ staff that are licensed, certified, or registered in accordance with state laws. Health 2022-02-23 2022-03-31 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-02-23 2022-03-31 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-02-10 2022-03-31 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 2021-11-09 2021-12-17 Y
Keep all essential equipment working safely. Health 2021-11-09 2021-12-17 Y
Provide bedrooms that don't allow residents to see each other when privacy is needed. Health 2021-11-09 2021-12-17 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2021-11-09 2021-12-17 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 2021-08-24 2021-09-10 Y
Assure the security of all personal funds of residents deposited with the facility. Health 2019-11-26 2019-12-19 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2019-11-26 2019-12-19 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2019-11-26 2019-12-19 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-11-26 2019-12-19 N
Respond appropriately to all alleged violations. Health 2019-11-26 2019-12-19 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-11-26 2019-12-19 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2019-11-26 2019-12-19 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-11-26 2019-12-19 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-11-26 2019-12-19 N
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 2019-11-26 2019-12-19 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 2019-11-26 2019-12-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-11-26 2019-12-19 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-11-25 2019-12-19 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-11-25 2019-12-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-11-25 2019-12-19 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-11-25 2019-12-19 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2019-02-13 2019-04-03 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-02-13 2019-04-03 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2019-02-13 2019-04-03 N
Provide activities to meet all resident's needs. Health 2019-02-13 2019-04-03 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 2019-02-13 2019-04-03 N
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 2019-02-13 2019-04-03 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 2019-02-13 2019-04-03 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2019-02-13 2019-04-03 N
Conduct testing and exercise requirements. Fire Safety 2019-02-14 2019-04-03 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 2019-02-14 2019-04-03 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-02-14 2019-04-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-02-14 2019-04-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-02-14 2019-04-03 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-02-14 2019-04-03 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-02-14 2019-04-03 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-02-14 2019-04-03 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-02-14 2019-04-03 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2019-02-14 2019-04-03 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-02-14 2019-04-03 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-02-14 2019-04-03 N