White Oak Estates

In the surveyor’s words

From the most serious findings on record at White Oak Estates, in the surveyor’s own words.

• Immediate jeopardy, isolatedF602Apr 26, 2024

  Based on record review, facility policy review, and interviews, the facility failed to ensure 1 of 1 resident (Resident(R)1 was free from misappropriation of property on 01/21/24. On 04/26/24 at 1:00 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template, informing the facility IJ existed as of 01/21/24. The IJ was related to 42 CFR 483.25 - Freedom from Abuse, Neglect, and Exploitation. On 04/26/24 the facility provided an acceptable IJ Removal Plan. On 04/26/24 the survey team, validated the facility's corrective actions and determined the facility put forth due diligence in addressing the noncompliance. […]

• Immediate jeopardy, isolatedF600Nov 3, 2022

  Based on review of facility policy, record review, and interviews, the facility failed to protect Resident (R)1 from physical abuse, for 1 of 3 residents reviewed for abuse. Findings include: Review of the facility policy titled Neglect, Abuse, Mistreatment, Threated or Alleged Abuse Of Residents with a revision date of 05/17 revealed Policy: It is the policy of White Oak Management, Inc. and its member facilities that all residents have the right to be free from verbal, sexual, physical, mental, and emotional abuse; free from corporal punishment and involuntary seclusion; and free from physical or chemical restraints imposed for purposes of discipline or convenience and that are not required to treat the resident's medical symptoms. […]

• No harm, potential for more than minimal, widespreadF880Mar 5, 2026

  Based on observation, interview, and review of manufacturer instructions, the facility failed to ensure laundry equipment was maintained in a sanitary manner to prevent potential contamination of laundered items. Specifically, the facility failed to ensure the washing machine filter was cleaned and maintained as directed in 3 of three 3 washing machines observed. Failure to maintain laundry equipment in accordance with manufacturer instructions had the potential to contribute to unsanitary conditions and the spread of pathogens.Findings include:Review of the Alliance Laundry Systems washer manufacturer guidelines under Maintenance - End of Day revealed instructions to clean the AC invert drive filter, including removing the external plastic cover, removing the foam filter, and washing the… […]

• No harm, potential for more than minimal, widespreadF812Mar 15, 2023

  Based on observation, interview, and review of facility policy, the facility failed to ensure food was appropriately stored in two Unit pantry refrigerators, one walk-in refrigerator in the main kitchen, and the dry storage area in the kitchen. Expired perishables were available for use. Opened foods were not securely closed, labeled, and dated. This had the potential to affect 81 of 81 residents who consumed food from the kitchen. Findings include: Review of the Dietary Policy, dated ,d+[DATE], revealed, Food [NAME] into facility for residents - Purpose: To promote residents' rights for a home-like atmosphere: The facility recognizes the importance of family support of residents, including the area of home cooked or special food items brought in by family or friends for the resident's… […]

• No harm, potential for more than minimal, patternF761Jan 9, 2025

  Based on observation, interview and review of facility policy, the facility failed to ensure that medication and biologicals were properly stored in 3 of 3 medication carts. Findings include: Review of the facility policy dated 09/21/22, titled Medication Storage in the Facility documents, medications and biologicals are stored safely, securely, and properly following manufacturer's recommendations or those of the supplier. The medication supply is accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorized to administer medications. Procedure 9. […]