White Oak Health Campus

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Mar 10, 2025

  Based on observation, record review, and interview, the facility failed to keep the kitchen clean and in good repair related to a build up of food debris and grease on the sides of the oven, deep fryer, floor between the oven and deep fryer, and in the bottom front of a closed warming food cart. The facility also failed to have boxes of food not stored up to the ceiling in the walk in freezer. This had the potential to affect 52 of 52 residents who resided in the facility and received food from the kitchen. (Main Kitchen) Findings include: During the Initial Kitchen Sanitation Tour on 3/3/25 at 10:53 a.m., with the Director of Food Services, the following was observed: a. There was a build up of food debris and grease on the sides of the oven. b. […]

• No harm, potential for more than minimal, isolatedF554Jun 2, 2026

  Based on observation, record review, and interview, the facility failed to ensure a resident was assessed to self-administer medications and had Physician's Orders to self-administer medications for 1 of 1 resident reviewed for self-administration of medication. (Resident 43) Finding includes: During an interview on 5/27/26 at 11:55 a.m., Resident 43 indicated she had kept two ointments in a drawer in her room. A tube of tacrolimus ointment (a topical medication used to treat skin conditions) was observed in the drawer. The other ointment she had used was triamcinolone (a corticosteroid used to reduce inflammation) and it had gone missing. A piece of paper posted on the chest of drawers contained instructions for the use of both the tacrolimus and triamcinolone ointments. […]

• No harm, potential for more than minimal, isolatedF641Jun 2, 2026

  Based on record review and interview, the facility failed to ensure the Minimum Data Set (MDS) comprehensive assessment was accurately completed related to antipsychotic medications for 1 of 16 MDS assessments reviewed. (Resident 40)Finding includes:Resident 40's record was reviewed on 5/29/26 at 12:24 p.m. The admission Minimum Data Set (MDS) assessment, dated 4/26/26, indicated the resident was cognitively intact. In the 7-day look back period, the resident had received an injection, antipsychotic, antianxiety, antidepressant, antibiotic, opioid, antiplatelet, and anticonvulsant medications. The May 2026 Physician's Order Summary indicated promethazine (Phenergan), an antiemetic drug, 25 milligrams every 8 hours as needed for nausea and vomiting. […]

• No harm, potential for more than minimal, isolatedF880Jun 2, 2026

  Based on observation, record review and interview, the facility failed to ensure infection control practices were in place and implemented related to Enhanced Barrier Precautions (EBP) and staff not wearing a gown during a peripherally inserted central catheter (PICC) medication administration observation. (Resident 62) Finding includes: During a medication administration observation on 5/28/26 at 12:36 p.m., RN 1 was observed preparing Resident 62's medications, which included antibiotic medication to be administered intravenously through the resident's PICC line. The resident's bathroom door had a sign that indicated EBP was to be used. RN 1 entered the resident's room, used hand sanitizer, and donned gloves. She had not donned a gown. […]

• No harm, potential for more than minimal, isolatedF693Mar 10, 2025

  Based on observation, record review, and interview, the facility failed to provide proper feeding tube (gastrostomy tube) (g-tube) care as per professional standards, related to verification of the g-tube placement not completed prior to medication administration for 1 of 1 resident reviewed for feeding tube care. (Resident 29) Finding includes: During an observation of medication pass on 3/5/25 at 12:24 p.m., RN 1 was observed preparing and administering g-tube medications to Resident 29. RN 1 prepared and crushed carbidopa-levodopa (treatment for Parkinson's disease) 25 milligram-100 milligram 2 tablets and glycopyrrolate (treatment for ulcers) 1 milligram tablet in separate medication pouches and then put them into separate medication cups after they were crushed. […]