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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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