White Oak Manor - Charleston

In the surveyor’s words

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

• Actual harm, isolatedF689May 22, 2025

  Based on facility policy review, resident record review, facility document review and staff interviews, the facility failed to ensure staff adhered to a resident ' s individualized transfer plan as recommended by Physical Therapy for 1 of 3 residents Resident (R)4 reviewed for accidents. Specifically, on 05/06/25, Licensed Practical Nurse (LPN) 1 transferred R4 without using the required sit-to-stand lift. As a result of this improper transfer, R4 fell and sustained a fractured arm, necessitating surgical intervention. […]

• No harm, potential for more than minimal, isolatedF761Aug 20, 2025

  Based on review of the facility policy, observation, and interview, the facility failed to ensure an insulin pen (in use) contained the open date and the expiration date in Medication Cart 1 on [NAME] Hall. The facility further failed to ensure an expired medication on Medication Cart 2, on the [NAME] Hall, was removed from and not stored on the cart with medications currently in use for residents, in 2 of 8 medication carts reviewed.Findings include: Review of the facility policy titled, Medication Storage in the Facility, states as the policy: Medications and biological's are stored safely, securely, and properly following manufacturer's recommendations or those of the supplier.The Procedure: . 9. […]

• No harm, potential for more than minimal, isolatedF686Jun 22, 2023

  Based on observations, interviews, and record review, the facility failed to prevent a pressure ulcer from developing. This practice affected one (1) of six (6) sampled residents (Resident (R)1). The findings include: Review of R1's clinical record revealed the resident was admitted to the facility on [DATE] with diagnoses that included but were not limited to: Hemiplegia and Hemiparesis following Cerebral Infarction affecting right dominant side, dementia, hypertension and benign prostatic hyperplasia. Review of the Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 4/26/23 revealed a Brief Interview for Mental Status (BIMS) score was done and coded a two (2) out of 15, which indicated severe cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF880Jun 22, 2023

  Based on observations, interviews, and facility policy review, the facility failed to follow facility infection control protocol by not wearing designated personal protective equipment (PPE) when entering a resident's room to provide care for one (1) of six (6) residents (R (R)3). The findings include: Review of the facility policy titled, Novel or Targeted Multidrug Resistance Organisms to Prevent the Spread of Novel or Targeted Multidrug Resistant Organisms (MDROs) approved 10/2019, read Implement Enhanced Barrier Precautions [EBP] for all residents residing in the same neighborhood who have .feeding tube, or open wound. Wear gloves and a gown for the following high-contact resident care activities . […]

• No harm, potential for more than minimal, isolatedF580Oct 13, 2022

  Based on record review and interviews, the facility failed to ensure a resident was notified of changes to the medication regimen for 1 Resident (R)60 of 7 sampled residents reviewed for notification of changes in condition/treatment. Findings included: The survey team requested the facility's policy regarding resident/responsible party (RP) notification of changes in condition/treatment on 10/07/22; no policy was provided by the end of the survey. Review of a Face Sheet revealed R60 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of a quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 08/09/22, revealed R60 had a Brief Interview for Mental Status (BIMS) score of 14, indicating the resident was cognitively intact. […]