EverVella of White Hall

In the surveyor’s words

From the most serious findings on record at EverVella of White Hall, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 28, 2025

  Based on interview and record review, the facility failed to investigate and provide progressive interventions to prevent falls for one of 10 residents (R34) reviewed for accidents and supervision in the sample of 62. These failures resulted in R34 sustaining a laceration to the face requiring 5 sutures. Findings include: R34's Face sheet documented she was admitted to the facility on [DATE] with diagnosis of, in part, dementia, muscle weakness, difficulty in walking, and need for assistance with personal care. R34's MDS dated [DATE] documented she was rarely/never understood, had a memory problem and her cognitive skills for daily decision-making regarding tasks of daily life were severely impaired. […]

• Actual harm, isolatedF692Aug 5, 2022

  Based on observation, interview and record review the facility failed to provide diet as ordered for 1 of 1 resident(R6) reviewed for therapeutic diets in the sample of 67. This failure resulted in R6 choking and required the [MEDICATION(S)] Maneuver to clear the obstruction. Findings include: R6's physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . R6's Minimum Data Set (MDS), dated [DATE], documents R6 has severely impaired cognition. R6's Departmental Notes, dated 2/21/2022 at 8:55 AM the registered dietitian documents current diet is pureed, no issues with chewing/swallowing. […]

• Actual harm, isolatedF697May 19, 2022

  Based on observation, interview, and record review, the facility failed to administer medications for pain management for 1 of 6 residents (R23) reviewed for pain in the sample of 24. This failure resulted in R23 being in constant pain. Findings include: R23's Nurses notes, dated 5/8/2022 at 3:04PM, document new order for Tylenol 500 milligram (mg) po (by mouth) q (every) 6 hours as needed for pain and fever. R23's Medication Administration Record, [MEDICAL RECORD OR PHYSICIAN ORDER] . R23's MAR indicated [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF684Jun 15, 2021

  Based on observation, interview, and record review, the facility failed to follow a physician's order to send a resident to the emergency room for one of 4 residents (R42) reviewed for change of condition in the sample of 52. This failure resulted in a three day delay of treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] Findings include: On 6/8/21 at 11:20 AM, R42 was walking out of the dining using his walker with assist of two staff, V9, Certified Nursing Assistant (CNA) and V2, Director of Nursing (DON). V7, Registered Nurse (RN) stated R42 was usually up walking with his walker and did not need assist. R42 stated he just didn't feel steady. V7 performed a blood glucose monitoring for R42, which resulted in 234. R42 was then assisted back to the dining room for lunch. […]

• Actual harm, isolatedF689Jun 15, 2021

  Based on observation, interview, and record review, the facility failed to provide supervision to prevent resident to resident altercations for 4 of 4 residents (R40, R46, R51, R78) reviewed for incidents in the sample of 52. This failure resulted in R46, R51, R78 being fearful and experiencing intimidation related to R40's aggression. Findings include: R46's Care plan, dated 8/21/2020, documents she has diagnosis of Alzheimer's and becomes confused. It also documents that R46 does not like it when other residents come into her room and to please redirect them out. R51's Care plan, dated 4/29/2021, documents she has diagnosis of Dementia and becomes confused. It also documents R51 has depression and anxiety. […]