Deficiency Records for Whitehall Borough Skilled Nursing and Rehab Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Whitehall Borough Skilled Nursing and Rehab 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-19 | 2024-02-01 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-12-19 | 2024-02-01 | Y |
| Keep all essential equipment working safely. | Health | 2023-10-05 | 2023-11-10 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-05-05 | 2023-06-12 | 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 | 2023-05-05 | 2023-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-05 | 2023-06-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-05-05 | 2023-06-12 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-05-05 | 2023-06-12 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-10 | 2023-06-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-10 | 2023-06-12 | 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 | 2022-06-17 | 2022-07-22 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-06-17 | 2022-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-16 | 2022-07-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-16 | 2022-07-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-16 | 2022-07-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-29 | 2022-01-04 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-02-05 | 2021-03-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-02-05 | 2021-03-22 | 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 | 2021-02-05 | 2021-03-22 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-01-26 | 2021-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-01-26 | 2021-03-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-01-26 | 2021-03-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-01-26 | 2021-03-01 | N |
