White Oak At North Grove Inc

In the surveyor’s words

From the most serious findings on record at White Oak At North Grove Inc, in the surveyor’s own words.

• Immediate jeopardy, isolatedF578May 15, 2025

  28306 Based on observation, interview, and record review, the facility failed to ensure the residents' code status documented in the electronic medical record and facility code status binder accurately reflected the residents' end of life wishes for three residents (R)328, R82, and R23) reviewed for code status. R328 who wished to have a Do Not Resuscitate (DNR) status was listed as having a Full code status in the electronic medical records. R82 and R23 were listed as having a DNR status in the EMR but were listed as having a full code and DNR in the facility code status binder. These failures placed all residents who were admitted and/or readmitted to the facility at risk for their end-of-life code status wishes not to be honored. […]

• Actual harm, isolatedF689Mar 10, 2026

  Based on interview, record review and review of facility policy, the facility failed to ensure R1 was free from accidents. Specifically, R1 was being ambulated with the assistance of Certified Nursing Assistant (CNA)1, who failed to use a gait belt to assist with ambulation. R1 suffered a fall resulting in a fracture of the left hip, for 1 of 2 residents reviewed for falls.Findings include:Review of the facility policy titled Fall Management Program with a revision date of 06/30/22, revealed, Staff education: Interventions: Prevent unsafe transfer and ambulation.Review of R1's Face Sheet revealed that R1 was admitted to the facility on [DATE], with diagnoses including but not limited to; osteoarthritis, vitamin deficiency, cognitive communication deficit, and age related osteoarthritis… […]

• No harm, potential for more than minimal, widespreadF812May 15, 2025

  Based on observation, interview, and facility policy review, the facility failed to keep food scoops, food preparation and service pans, a kitchen drawer, and a kitchen shelf clean. The facility also failed to discard lettuce that had signs of spoilage and failed to cover or date food that was stored in the kitchen's refrigeration and freezer units. These failures had the potential to create an environment for food-borne illnesses which could affect 128 residents who consumed food prepared from the facility's kitchen. Findings include: Review of the facility's policy titled, Sanitation/Infection Control, dated 08/2010, specified, . Policy: Clean equipment and utensils will be handled in a manner to prevent contamination . 2. […]

• No harm, potential for more than minimal, widespreadF812Jun 27, 2024

  Based on observations, interviews, and review of the facility policy, the facility failed to correctly label, date, and remove expired foods for 2 of 6 kitchens reviewed for storage and sanitization. Findings include: Review of the facility policy titled, Storage of Food and Supplies with a revision date of [DATE] states, Food and supplies are received and checked for accuracy, damage, and appropriate temperature. Non - Time/Temperature Control for Safety (TCS) foods should be dated when opened and may be used until the expiration or use-by manufacturer's date. […]

• No harm, potential for more than minimal, patternF880Jun 27, 2024

  Based on observations, interviews, record reviews, and review of Facility Policy, the facility failed to implement an infection prevention and control program (IPCP) designed to provide a safe and sanitary environment to help prevent the possible development and transmission of infections and communicable diseases. Specifically, the facility failed to: 1. Ensure that during dining services, staff wore gloves instead of using bare hands to grab and serve baked potatoes to residents. 2. Ensure that during laundry services, the laundry attendant (LA) did not contaminate a clean linen cart while wearing soiled personal protective equipment (PPE) and ensure that the laundry attendant removed PPE without contaminating herself with the dirty gown. […]