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Deficiency Records for Whitehouse Country Manor
A list of the most recent deficiencies for Whitehouse Country Manor. 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 Whitehouse Country Manor. 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 and implement an infection prevention and control program. | Health | 2024-04-11 | 2024-05-03 | Y |
| 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 | 2023-10-05 | 2023-10-31 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-05 | 2023-10-31 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-10 | 2023-06-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-10 | 2023-06-01 | Y |
| 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 | 2023-05-10 | 2023-06-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-10 | 2023-06-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-10 | 2023-06-01 | Y |
| 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 | 2023-03-11 | 2023-03-25 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-10-31 | 2022-11-17 | N |
| 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 | 2022-10-31 | 2022-11-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-31 | 2022-11-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-31 | 2022-11-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-31 | 2022-11-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-31 | 2022-11-17 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-10-31 | 2022-11-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-31 | 2022-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-31 | 2022-11-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-31 | 2022-11-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-31 | 2022-11-17 | Y |
| 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 | 2022-10-31 | 2022-11-17 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-31 | 2022-11-17 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-10-24 | 2022-11-17 | 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 | 2022-10-24 | 2022-11-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-24 | 2022-11-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-24 | 2022-11-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-24 | 2022-11-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-24 | 2022-11-17 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-02-23 | 2022-03-31 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-23 | 2022-03-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-10 | 2022-03-31 | Y |
| 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 | 2021-11-09 | 2021-12-17 | Y |
| Keep all essential equipment working safely. | Health | 2021-11-09 | 2021-12-17 | Y |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2021-11-09 | 2021-12-17 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-11-09 | 2021-12-17 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2019-11-26 | 2019-12-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-26 | 2019-12-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-26 | 2019-12-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-26 | 2019-12-19 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-26 | 2019-12-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-26 | 2019-12-19 | N |
| 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 | 2019-11-26 | 2019-12-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-26 | 2019-12-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-26 | 2019-12-19 | 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 | 2019-11-26 | 2019-12-19 | 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 | 2019-11-26 | 2019-12-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-26 | 2019-12-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-25 | 2019-12-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-25 | 2019-12-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-25 | 2019-12-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-25 | 2019-12-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-13 | 2019-04-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-13 | 2019-04-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-02-13 | 2019-04-03 | N |
| Provide activities to meet all resident's needs. | Health | 2019-02-13 | 2019-04-03 | 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 | 2019-02-13 | 2019-04-03 | 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 | 2019-02-13 | 2019-04-03 | 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 | 2019-02-13 | 2019-04-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-13 | 2019-04-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-14 | 2019-04-03 | 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 | 2019-02-14 | 2019-04-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-14 | 2019-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-14 | 2019-04-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-14 | 2019-04-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-14 | 2019-04-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-14 | 2019-04-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-02-14 | 2019-04-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-02-14 | 2019-04-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-02-14 | 2019-04-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-14 | 2019-04-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-14 | 2019-04-03 | N |
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