A list of the most recent deficiencies for Whitehall Rehab and Nursing. 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-27 | 2023-10-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-27 | 2023-10-27 | 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 | 2023-09-26 | 2023-10-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-26 | 2023-10-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-26 | 2023-10-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-26 | 2023-10-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-26 | 2023-10-18 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-28 | 2023-08-28 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-08-10 | 2022-09-09 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-08-10 | 2022-09-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-10 | 2022-09-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-10 | 2022-09-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-08-10 | 2022-09-09 | 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 | 2022-08-10 | 2022-09-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-08-10 | 2022-09-09 | N |
| Post nurse staffing information every day. | Health | 2022-08-10 | 2022-09-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-10 | 2022-09-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-10 | 2022-09-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-10 | 2022-09-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-10 | 2022-09-09 | 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 | 2022-08-10 | 2022-09-09 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-08-09 | 2022-09-09 | 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 | 2022-08-09 | 2022-09-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-09 | 2022-09-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-09 | 2022-09-05 | 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 | 2021-06-09 | 2021-07-09 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-06-09 | 2021-07-09 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-06-09 | 2021-07-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-09 | 2021-07-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-09 | 2021-07-09 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-06-09 | 2021-07-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
