A list of the most recent deficiencies for White Oak Estates. 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? |
|---|---|---|---|---|
| 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 | 2023-03-15 | 2023-04-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-15 | 2023-04-14 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-03-15 | 2023-04-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-15 | 2023-04-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-15 | 2023-04-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-15 | 2023-04-14 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-14 | 2023-04-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-15 | 2023-04-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-14 | 2023-04-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-14 | 2023-03-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-03 | 2022-11-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-09-23 | 2021-10-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-23 | 2021-10-22 | 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 | 2021-09-22 | 2021-10-14 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2021-09-22 | 2021-10-08 | 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 | 2019-12-15 | 2020-01-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-15 | 2020-01-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-12-15 | 2020-01-15 | N |
| Provide or obtain dental services for each resident. | Health | 2019-12-15 | 2020-01-15 | 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 | 2019-12-15 | 2020-01-15 | N |
