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Deficiency Records for White Hall Nursing and Rehab Center
A list of the most recent deficiencies for White Hall Nursing and Rehab 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 White Hall 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-06 | 2023-10-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-06 | 2023-10-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-25 | 2023-10-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-25 | 2023-10-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-25 | 2023-10-04 | 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 | 2023-09-25 | 2023-10-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-09-25 | 2023-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-06 | 2023-09-07 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-16 | 2023-03-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-05 | 2022-12-22 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-16 | 2022-11-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-16 | 2022-09-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-16 | 2022-09-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-16 | 2022-09-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-16 | 2022-09-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-16 | 2022-09-28 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-08-16 | 2022-09-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-16 | 2022-09-28 | N |
| Respond appropriately to all alleged violations. | Health | 2022-08-05 | 2022-08-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-05 | 2022-08-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-05 | 2022-08-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-08-05 | 2022-08-12 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-08-05 | 2022-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-19 | 2022-06-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-19 | 2022-06-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-19 | 2022-06-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-19 | 2022-06-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-19 | 2022-06-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-19 | 2022-06-10 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-11-23 | 2021-12-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-15 | 2021-07-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-15 | 2021-07-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-15 | 2021-07-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-15 | 2021-07-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-15 | 2021-07-15 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-06-15 | 2021-07-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-15 | 2021-07-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-06-15 | 2021-07-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-15 | 2021-07-15 | 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 | 2021-06-15 | 2021-07-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-15 | 2021-07-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-15 | 2021-07-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-06-15 | 2021-07-15 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-06-15 | 2021-07-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-06-15 | 2021-07-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-06-03 | 2021-07-15 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-06-03 | 2021-07-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-03 | 2021-07-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-06-03 | 2021-07-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-03 | 2021-07-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-03 | 2021-07-15 | 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 | 2021-06-03 | 2021-07-04 | N |
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