White Memorial Medical CTR DP

In the surveyor’s words

From the most serious findings on record at White Memorial Medical CTR DP, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF578May 19, 2024

  Based on interview and record review, the facility failed to ensure three (3) of four (4) sampled Residents (Residents 4, 60, and 111) and/or the Residents' representatives were informed and provided written information regarding the right to formulate an advance directive (a written statement of a resident's wishes regarding medical treatment, often including a living will, made to ensure those wishes are carried out should the resident be unable to communicate them to the doctor). This deficient practice had the potential for Residents 4, 60, and 111 and/or residents' representative to not know their rights and cause conflict in carrying out the Residents wishes for medical treatment and health care decisions. Findings: 1. […]

• No harm, potential for more than minimal, patternF812May 19, 2024

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary conditions were maintained in the kitchen as indicated on the facility policy when: 1. Dietary Aid 1 (DA 1) and Dietary Aid 2 (DA 2), observed with a beard, did not have a beard cover, while in the kitchen food preparation area. 2. An opened bottle of browning and seasoning sauce and a 60 ounce (oz, unit of mass, weight or volume) container of crushed pepper was observed unlabeled and undated. […]

• No harm, potential for more than minimal, patternF887May 19, 2024

  Based on interview and record review, the facility failed to offer five (5) of 5 sampled residents (Residents 4, 60, 61, 62, and 110) the Covid-19 (a respiratory viral infection that affects primarily the lungs and result in cough and difficulty breathing) vaccine (substance used to stimulate immunity to particular infectious disease) and failed to provide a documented evidence that the resident or their the resident's responsible party (RP) were provided education regarding the benefits and potential risks associated with COVID-19 vaccine. This deficient practice had the potential to expose the residents of the facility to Covid-19 infection. Findings: 1. […]

• No harm, potential for more than minimal, patternF700Jun 18, 2023

  Based on observation, interview, and record review, the facility failed to assess 8 of 8 sampled residents (Residents 8, 9, 10, 11, 12, 13, 14, and 15) for the risk of entrapment (an event in which a resident is caught, trapped, or entangled in the space in or about the bed and bed rail) from bed rails (adjustable metal or rigid plastic bars that attach to the bed) prior to installation, and failed to ensure safety standards were met prior to installation by ensuring bed dimensions were measured based on the residents' size and weight. This deficient practice placed Residents 8, 9, 10, 11, 12, 13, 14, and 15 at risk for entrapment that could cause serious harm, injury, or death. Findings: 1. […]

• No harm, potential for more than minimal, patternF812Jun 18, 2023

  Based on observation, interview, and record review, the facility failed to ensure sanitary and clean environment was maintained in the kitchen. During the inspection of the kitchen the following were observed: 1. One open/ripped plastic bag containing garlic bread in the freezer was not labeled and dated when it was opened. 2. One dairy crate had flour tortillas and was labeled as dice chicken. 3. The dishwasher during rinse cycle (clean water as a final stage in washing) did not function since 6/7/2023 and the temperatures were not within normal ranges (were below 180 degrees Fahrenheit). 4. […]