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Deficiency Records for Whitney Oaks Care Center
A list of the most recent deficiencies for Whitney Oaks Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Whitney Oaks Care 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? |
|---|---|---|---|---|
| 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 | 2024-08-08 | 2024-08-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-18 | 2024-07-30 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-07-18 | 2024-07-30 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-21 | 2024-07-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-06-21 | 2024-07-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-21 | 2024-07-12 | 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 | 2024-06-21 | 2024-07-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-21 | 2024-07-12 | N |
| Provide appropriate foot care. | Health | 2024-06-21 | 2024-07-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-21 | 2024-07-12 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-06-21 | 2024-07-12 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-06-21 | 2024-07-12 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-06-21 | 2024-07-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-21 | 2024-07-12 | 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 | 2024-06-21 | 2024-07-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-21 | 2024-07-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-21 | 2024-07-12 | 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 | 2024-06-21 | 2024-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-21 | 2024-07-12 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-06-21 | 2024-07-12 | N |
| Dispose of garbage and refuse properly. | Health | 2024-06-21 | 2024-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-21 | 2024-07-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-21 | 2024-07-12 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-04 | 2023-12-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-12-04 | 2023-12-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-04 | 2023-12-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-06 | 2023-11-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-23 | 2023-11-03 | Y |
| 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 | 2023-10-09 | 2023-10-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-26 | 2023-08-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-12 | 2023-08-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-15 | 2023-05-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-15 | 2023-05-26 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-12-27 | 2023-01-06 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-07-22 | 2022-08-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-22 | 2022-08-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-22 | 2022-08-15 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-07-22 | 2022-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-22 | 2022-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-22 | 2022-08-15 | N |
| Use approved construction type or materials. | Fire Safety | 2022-07-26 | 2022-08-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-26 | 2022-08-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-07-26 | 2022-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-26 | 2022-08-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-26 | 2022-08-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-26 | 2022-08-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-26 | 2022-08-09 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-07-26 | 2022-08-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-29 | 2022-07-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-17 | 2022-07-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-17 | 2022-07-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-16 | 2022-07-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-31 | 2022-06-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-31 | 2022-06-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-29 | 2022-05-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-23 | 2022-04-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-23 | 2022-04-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-03 | 2022-03-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-25 | 2022-03-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-09 | 2022-01-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-21 | 2021-11-05 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-02-11 | 2020-04-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-02-11 | 2020-04-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-02-11 | 2020-04-08 | N |
| Use approved construction type or materials. | Fire Safety | 2020-02-11 | 2020-04-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-11 | 2020-04-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-11 | 2020-04-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-11 | 2020-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-11 | 2020-04-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-11 | 2020-04-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-24 | 2020-02-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-24 | 2020-02-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-24 | 2020-02-20 | 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 | 2020-01-24 | 2020-02-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-24 | 2020-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-24 | 2020-02-20 | N |
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