Whispering Pines Lodge

In the surveyor’s words

From the most serious findings on record at Whispering Pines Lodge, in the surveyor’s own words.

• Immediate jeopardy, patternF600Sep 13, 2025

  Based on observation, interview and record review the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 20 of 25 (Resident's #2, #4, #5, #6, #8, #9, #10, #12, #13, #14, #16, #17, #18, #19, #20, #21, #22, #23, #24) reviewed for abuse and neglect. 1. The facility failed to ensure LVN D did not physically abuse Resident #4 when she picked her up from her wheelchair and threw her on to the mattress on the floor on 07/17/25. Resident #4 sustained a bruise to her right elbow and redness to the mid abdomen. 2. The facility failed to ensure LVN E did not verbally abuse Resident #9 when LVN E yelled and cursed at Resident #9 when she asked for pain medication on 08/17/25. 3. […]

• Immediate jeopardy, patternF689Sep 13, 2025

  Based on interview and record review, the facility failed to ensure adequate supervision and assistance devices to prevent accidents for 11 out of 25 (Resident's #4, #7, #8, #10, #11, #12, #13, #14, #19, #21, and #22) residents reviewed for accidents. 1. The facility failed to ensure adequate supervision on the secured unit to prevent two resident-to-resident physical altercations between Resident #12 and Resident #13 on 08/07/25, and 08/23/25, which resulted in scratches to Resident #13's face. 2. The facility failed to ensure the secured unit was adequately supervised to prevent unwitnessed fall accidents for Resident's #8, #10, #12, #13, #14, #19, and #21. Resident #14 sustained a radius fracture and required 6 sutures to her left eye on 07/01/25. […]

• Immediate jeopardy, patternF725Sep 13, 2025

  Based on observations, interview, and record review the facility failed to have sufficient nursing staff with the appropriate competencies and skills set to provide nursing and related services to assure resident safety and attain or maintain the highest practicable, physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care and considering the number, acuity, and diagnoses of the facility's resident population in accordance with the facility assessment for 19 of 25 resident's (Resident's #2, #4, #5, #6, #7, #8, #10, #12, #13, #14, #16, #17, #18, #19, #20, #21, #22, #23, #24) reviewed for sufficient staffing. 1. […]

• Immediate jeopardy, isolatedF678Feb 20, 2026

  Based on observation, interview, and record review, the facility failed to ensure personnel provide basic life support, including CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the resident's advance directives for 1 of 2 (Resident #1) reviewed for quality of life. The facility failed to ensure LVN A performed basic life support measures per AHA, BCLS guidelines when Resident #1 was in distress and choking on 2/7/26. The facility failed to ensure RN B performed basic life support per AHA guidelines for Resident #1 on 2/7/26. The facility failed to ensure MA C performed basic life support per AHA guidelines for Resident #1 on 2/7/26. […]

• Immediate jeopardy, isolatedF580Sep 13, 2025

  Based on interview and record review, the facility failed to consult with the resident's physician when there was a significant change in the resident's physical, mental, or psychosocial status (that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications) for 1 of 25 residents (Resident #6) reviewed for quality of care.The facility failed to notify the physician when Resident #6 experienced low blood pressure, low heart rate and/or low blood pressure with an increased heart rate on 7/16/25, 7/18/25, 7/20/25, 7/21/25, 7/23/25, 7/25/25, 7/26/25, 7/27/25, 7/28/25,7/29/25, 7/30/25, and 8/1/25. On 8/1/25, Resident #6 had low hemoglobin 5.8 and low hematocrit 21.6. Resident #6 was sent to the ER due to critical lab values. […]