Whispering Springs Rehabilitation and Healthcare C

In the surveyor’s words

From the most serious findings on record at Whispering Springs Rehabilitation and Healthcare C, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jun 6, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen. 1. The facility failed to ensure partial loaf with over half of loaf used was dated with the opened date. 2. The facility failed to ensure opened bagged elbow pasta was dated with the opened date. 3. The facility failed to ensure twenty-five-pound opened bag of corn meal was sealed and dated with opened date. 4. The facility failed to ensure staff with facial hair was covered by a hair restraint. These failures could place residents who received meals and/or snacks from the kitchen at risk for food borne illness. The findings included: Observation on [DATE] at 11:20 a.m. […]

• No harm, potential for more than minimal, isolatedF641Jul 28, 2026

  Based on observation, interview and record review, the facility failed to ensure the assessment accurately reflected the resident's status for 1 of 11 (Resident #1) residents whose records were reviewed for assessments. The facility nursing staff failed to code Resident #1 had recent fall with injury on her MDS assessment. This deficient practice could place residents at risk of not identifying care areas and result in residents not receiving needed care and services.The findings included: Record review of Resident #1's admission Record, dated 09/22/2025, revealed a [AGE] year-old female admitted [DATE] and re-admitted on [DATE]. Resident #1 was not listed as her own responsible party with her [family member] listed as Emergency Contact #1. […]

• No harm, potential for more than minimal, isolatedF656Jul 28, 2026

  Based on interviews and record reviews the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for 1 of 11 (Resident #1) residents reviewed for care plans. The facility nursing staff failed to revise Resident #1's care plan with a fall with injury requiring hospital admission on [DATE] and fall interventions following significant change of condition. This failure could have placed residents at risk of not having their needs identified and met. […]

• No harm, potential for more than minimal, isolatedF584Jun 5, 2026

  Based on observation, interview and record review the facility failed to ensure resident use hot water was reliably controlled, by thermostatic or mixing valves, and did not exceed 110 degrees Fahrenheit and not less than 100 degrees Fahrenheit at each fixture for 4 of 4 shower rooms (Hall 1, 2, 3, and 4) reviewed for environment. 1. The facility failed to ensure the Hall 1 shower temperature did not exceed 110 F and read 116.2 F.2. The facility failed to ensure the Hall 2 shower temperature did not exceed 110 F and read 112.2 F.3. The facility failed to ensure the Hall 3 shower temperature was not less than 100 F and read 89.4 F.4. The facility failed to ensure the Hall 4 shower temperature did not exceed 110 F and read 114.4 F. […]

• No harm, potential for more than minimal, isolatedF842May 5, 2023

  Based on observation, interview and record review, the facility failed to ensure medical records, in accordance with accepted professional standards and practices were complete, accurately documented, readily accessible and systematically organized for 1 of 12 residents (Resident #20) reviewed for accuracy of medical records, in that: The facility failed to obtain a physician's order for Resident #20's code status. This deficient practice could affect residents whose records were maintained by the facility and place them at risk for errors in care and treatment. […]