Deficiency Records for Whispering Hills Rehabilitation and Nursing Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Whispering Hills Rehabilitation and Nursing Center. 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? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-07 | 2023-07-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-09 | 2022-12-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-09 | 2022-12-09 | 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 | 2022-11-09 | 2022-12-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-11-09 | 2022-12-09 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2022-11-09 | 2022-12-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-09 | 2022-12-09 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-11-09 | 2022-12-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-09 | 2022-12-09 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-11-09 | 2022-12-09 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-11-09 | 2022-12-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-09 | 2022-12-09 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-11-09 | 2022-12-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-11-09 | 2022-12-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-09 | 2022-12-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-17 | 2021-08-27 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-01-04 | 2020-01-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-04 | 2020-01-22 | 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 | 2020-01-04 | 2020-01-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-01-02 | 2020-01-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-21 | 2019-02-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-21 | 2019-02-05 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-20 | 2019-02-05 | 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 | 2018-11-20 | 2019-02-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-20 | 2019-02-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-20 | 2019-02-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-11-20 | 2019-02-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-20 | 2019-02-05 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-11-20 | 2019-02-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-20 | 2019-02-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-11-20 | 2019-02-05 | N |
