Jefferson Park at White Pine

In the surveyor’s words

From the most serious findings on record at Jefferson Park at White Pine, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF761May 28, 2026

  Based on facility policy review, observation, and interview, the facility failed to ensure expired over-the-counter medications, blood collection tubes (vacuum-sealed tubes used for collecting, transporting, and processing blood samples for laboratory analysis), and supplements were discarded and not available for resident use for 1 medication room ([NAME] House) of 3 medication rooms observed for medication storage.The findings include:Review of the facility's undated and untitled policy revealed .It is the policy .to ensure all medications housed on our premises will be stored in medication room .according to the manufacturer's recommendations .all medication rooms are routinely inspected by the consultant pharmacist for discontinued, outdated, defective, or deteriorated medications with… […]

• No harm, potential for more than minimal, patternF812May 28, 2026

  Based on facility policy review, observation, and interview, the facility failed to ensure the kitchen and kitchen equipment was maintained in a clean and sanitary condition for 1 kitchen ([NAME] House) of 3 kitchens observed which had the potential to affect 10 of 10 residents.The findings include:Review of the facility's policy titled, Cleaning & Sanitation, dated 9/2/2020, revealed .The Director of Food and Nutrition Services will develop, implement, and monitor schedules for cleaning, sanitizing, and maintenance .To ensure food services department is maintained .as well as a clean, sanitary, and safe environment .During an observation of the cooking area and interview on 5/26/2026 at 11:15 AM, with Certified Nursing Assistant (CNA) A, revealed a small food processer stored in an upper… […]

• No harm, potential for minimal, widespreadF656May 28, 2026

  Based on facility policy review, medical record review, and interview, the facility failed to develop a comprehensive person-centered care plan for 3 residents (Resident #25, Resident #6, and Resident #31) of 3 residents reviewed for Activities care planning. The findings include: Review of the facility's policy titled, Care Plan Implementation and Process, dated 6/4/2025, revealed .Comprehensive Care Plan Implementation(s) must be done within 21 days of admission .then reviewed every 90 days or changes made as needed . Review of the medical record revealed Resident #25 was admitted to the facility on [DATE] with diagnoses including Parkinson's Disease, Hypertension, and Insomnia. […]

• No harm, potential for minimal, patternF851May 28, 2026

  Based on review of the facility's Certification and Survey Provider Enhanced Reporting (CASPER) Report Fiscal Year (FY) for the first Quarter of 2026 (October 1-December 31), 2026, staffing schedule review, employee timesheet review, and interviews the facility failed to submit accurate staffing information to the Payroll Based Journal, (PBJ) for 5 of 92 days.Findings include:Review of the CASPER Report for the first quarter 2026 revealed, .No RN [Registered Nurse] Hours .Triggered .Triggered + Four or More Days Within the Quarter with no Registered Nurse Hours. […]