White Oak Manor - Lancaster

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812May 6, 2025

  Based on review of the facility policy, observations, and interviews, the facility failed to ensure the kitchen was free of expired food items. Findings include: Review of the facility's policy titled, Storage of Food and Supplies, revised on [DATE] revealed: Food and supplies are received, stored, and monitored according to federal, state, and local guidelines. Under Procedures, Food and supplies are received and checked for accuracy, damage, and appropriate temperature . Any food not stamped with a manufacturer's expiration or use-by date will be marked with the date of delivery. During the initial tour of the kitchen on [DATE] at 10:10 AM, observation of the beverage nourishment refrigerator revealed the following:-40, 4 ounce (oz). […]

• No harm, potential for more than minimal, widespreadF812Sep 14, 2023

  Based on observations, staff interviews, and facility policy review, the facility failed to ensure dishware/utensils were cleaned, storage areas were cleaned, and the oven was cleaned in accordance with professional standards for 121 census residents who received meals from the kitchen. These failures had the potential to lead to food-borne illness among all facility residents. Findings include: During the initial visit to the kitchen on 9/12/23 at 11:09 AM, lunch meal preparation was taking place. Observations and interviews revealed: - Tea, water, and coffee area needed cleaning because of brown liquid-like substance build-up on surface. - The three-level tea cart beside the beverage area contained a built-up sticky substance, crumbs, and trash particles. […]

• No harm, potential for more than minimal, isolatedF679May 29, 2026

  Based on observations, record review, and interviews, the facility failed to provide an ongoing activity program, including both group and individual activities, to meet the needs of one of five residents (Resident (R) 45) reviewed for activities out of a total of 26 sample residents. The failure created the potential for R45 to miss activities of interest and opportunities to be out of bed and out of her room for group activities identified as preferred, and to experience difficulty independently watching television due to the placement of the resident's television. […]

• No harm, potential for more than minimal, isolatedF550May 6, 2025

  Based on observation, interview, and review of facility policy, the facility failed to ensure staff did not refer to Resident (R)65 as a feeder during meals, for one (1) of one (1) dependent resident. Additionally, the facility failed to ensure that residents were able to use the bathroom in their rooms, causing R27 to be incontinent of bowel and bladder, for 1 of 1 dependent resident. Findings include: 1. Review of the facility policy titled, Points to Remember in Respecting Dignity revised on 08/16, revealed, . […]

• No harm, potential for more than minimal, isolatedF697May 6, 2025

  Based on observation, interview, and review of the facility's policy, the facility failed to monitor and manage Resident (R)64's pain to the extent possible in accordance with the comprehensive assessment and care plan, as well as professional standards of practice, for 1 of 1 resident reviewed for pain. Findings include: Review of the facility policy titled, Pain Management Program revised on August 2016, documented, Objective: To enable the resident to be at a consistent level of comfort while maintaining as much function as possible. 5. Residents with uncontrolled pain levels will have a pain management program implemented to include a Pain Flow Sheet form N(079). 7. […]