White House Healthcare and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at White House Healthcare and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 5, 2025

  Based on observation, interview, record review, and policy review, the facility failed to ensure the kitchen was maintained in a sanitary manner, putting 147 residents who received meals from the kitchen (12 residents received nutrition via feeding tubes) out of 159 total residents at potential risk for foodborne illness. Specifically, failures included: improper freezer temperatures, a lack of functioning thermometers in the refrigerators/freezers, improper concentration of sanitizer solutions, uncleanable surfaces due to rust, not labeling foods removed from original packaging with the identification of the contents, unclean microwaves in the pantries, improperly maintained equipment such as refrigerators in the nursing pantries, an ice machine was unclean on the inside box where ice was… […]

• No harm, potential for more than minimal, patternF550Sep 5, 2025

  Based on observation, interview, record review, and policy review, the facility failed to allow one out of 33 sampled residents (Resident (R)15) to exercise her right to go to the day room to attend activities. R15 was not allowed to co-mingle with other residents in the activity room after she sustained an infection. R15 was currently on enhanced barrier precautions which did not dictate that the resident could not leave her room and attend activities in the day room or socialize there. This created the potential for R15 to experience isolation and the inability to enjoy previous activities in which she had participated.Findings include: Review of the facility's Resident Rights Policy policy, dated 06/2025, revealed, . […]

• No harm, potential for more than minimal, patternF711Jun 6, 2024

  Based on observation, interview and record review, it was determined that the facility failed to a.) ensure the physician signed and dated monthly medication orders and b.) ensure the physician or the non-physician practitioner (NPP) performed face-to-face monthly visits. The deficient practice was identified for 19 of 32 residents reviewed (#29, 129, 22, 51, 65, 121, 97, 116, 53, 10, 101, 11, 2, 69, 33, 80, 138, 75, 118) and occurred over a 6 month period. The deficient practice was evidenced by the following. 1. A review of the hybrid medical record for Resident #29 revealed the resident's physician had not hand signed or electronically signed the monthly physician's orders for January, February, March, April, or May 2024. 2. […]

• No harm, potential for more than minimal, isolatedF553Sep 5, 2025

  Based on observation, interview, record review, and policy review, the facility failed to ensure one resident and family member out of 32 sampled residents (Resident (R)103) were invited to the quarterly care plan meeting. The facility's practice did not include inviting residents or families to quarterly care plan meetings. This created the potential for residents/families to lack information regarding care and services provided and lack the opportunity to provide input into care provided.Findings include: Review of the facility's Care Planning - Interdisciplinary Team policy, dated 03/2022, revealed, . Comprehensive, person-centered care plans are based on resident assessments and developed by an interdisciplinary team (IDT) . […]

• No harm, potential for more than minimal, isolatedF628Sep 5, 2025

  Based on interview, record review, and policy review, the facility failed to ensure written notice of the facility's bed hold policy and/or transfer notices that contained all necessary information were provided to three of four residents and/or representatives (Resident (R) 1, R22, and R7) reviewed for transfer notices out of a total sample of 32. This failure had the potential for the resident and/or representative not to have knowledge of where and why a resident was transferred, how to appeal the transfer, or to be knowledgeable of the facility's bed hold policy. Findings include: Review of the facility's undated policy titled, Bed-Holds and Returns revealed, . Written information will be given to the residents and the resident representatives that explains in detail:b. […]