Hcc At White Horse Village

In the surveyor’s words

From the most serious findings on record at Hcc At White Horse Village, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 9, 2025

  Based on facility policy and procedure review, observations and staff interview it was determined the facility failed to store food in sanitary manner in the kitchen. Findings include: Review of facility policy (unnamed and undated) regarding food storage, revealed that all food items stored in the refrigerator or freezer should be covered, labeled, dated, and discarded once expired, or beyond their use by date. Observation of facility main kitchen walk-in refrigerator #1 on [DATE], at 1:00 pm revealed one container of expired lime juice that was opened without a date of first use and three unopened expired containers of lime juice. All were expired and dated for [DATE]. […]

• No harm, potential for more than minimal, patternF692Mar 26, 2021

  Based on review of facility policy, resident and staff interviews, observations, and clinical record review, it was determined that the facility failed to assess, monitor, and address weight loss in five of five residents reviewed. (Residents 9, 12, 27, 28, and 33). Findings include: Review of facility policy, Weight/Height Policy, last reviewed January 15, 2019, revealed: If there is > 5 lbs (5 pounds) weight variance from previous weight for residents that weigh > 101 pounds or a > 3 lbs (3 pounds) weight variance from previous weight for residents that weigh < 100 lbs a reweigh must be taken within 72 hours. […]

• No harm, potential for more than minimal, isolatedF684Feb 23, 2024

  Based on clinical records review and staff interview, it was determined the facility failed to follow the physician's order regarding medication for one of the 12 residents reviewed (Resident 44) Findings include: Review of Resident 44's clinical record including diagnosis list includes Diabetes (group of metabolic disorders characterized by a high blood sugar level over a prolonged period). Review of Resident 44's clinical record including physician order dated June 20, 2023, revealed an order of Novolog (fast-acting insulin) Flex Pen U-100 Inulin administered seven units subcutaneously (Insertion of medication beneath the skin by injection) with meals. […]

• No harm, potential for more than minimal, isolatedF686Feb 23, 2024

  Based on clinical records review and staff interview, it was determined that the facility failed to timely follow a wound treatment recommended by the physician for one of the four residents reviewed (Resident 38). Findings include: Review of Resident 38's clinical record revealed Resident 38 had Stage three (Thickness skin loss) to the sacrum (tail bone) with a wound treatment of Medihoney (A dressing that aids and supports debridement and a moist wound healing environment in acute and chronic wounds and burns), cover with foam dressing daily. […]

• No harm, potential for more than minimal, isolatedF656Apr 14, 2022

  Based on clinical records review, and staff interview, it was determined that the facility failed to develop a comprehensive care plan regarding the depressive behavior of one of the twelve residents reviewed (Resident 25). Findings include: Review of Resident 25's diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Minimum Data Set (MDS- standardized assessment tool that measures health status in long-term care residents) dated April 6, 2022, revealed resident had severe cognitive impairment. Review of Resident 25's nursing progress notes dated April 2, 2022, at 7:45 a.m., revealed resident wanders to another resident's room with the use of an assistive device. […]