White Oak Manor - Newberry

In the surveyor’s words

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

• Actual harm, isolatedF689Jun 4, 2026

  Based on interviews, record review, and review of facility policy, the facility failed to ensure resident safety and prevent avoidable accidents for 1 of 1 residents (R)124) reviewed for accidents/hazards. Specifically, on 10/15/2025, while a staff member was providing ADL care, the resident fell from the bed to the floor and sustained injuries, including bilateral femur fractures. Further, the resident required a two person assist for care, yet only one staff member was providing care at the time of the incident.Findings Include:A review of the facility policy titled Fall Management Program with no revision date states that [NAME] Oak Management, Inc. […]

• No harm, potential for more than minimal, widespreadF812Jul 12, 2023

  Based on review of the facility policy, observation, interview, the facility failed to ensure foods that are stored in the walk-in freezer, refrigerator and unit refrigerators were labeled and discarded after manufacturer's expiration date. Findings include: Review of facility's policy titled, Storage of Food and Supplies dated ,d+[DATE], revealed Procedure 5: Staple, frozen and refrigerated foods are stored with the new product to the back of the older products. Foods removed from the original packaging will be labeled with the received date, either individually or as a unit. Procedure 6: Potentially hazardous foods are stored in the refrigerator in a manner to prevent cross-contamination. […]

• No harm, potential for more than minimal, patternF761Jun 4, 2026

  Based on review of the facility policy, observations and interviews, the facility failed to ensure expired medications and uncontaminated medications were removed and not stored with current medications in use for residents in 2 of 5 med carts and 1 of 3 medication rooms.Findings Include: Review of the facility policy titled, Medication Storage In The Facility, revised September 21, 2022 revealed, Policy: Medications and biologics are stored safely, securely, and properly following manufacturer's recommendations or those of the supplier. 9. […]

• No harm, potential for more than minimal, isolatedF628Jun 4, 2026

  Based on review of the facility policy, record reviews, and interviews, the facility failed to notify the ombudsman for (Resident (R)122')s discharge from the facility, for one of one residents reviewed for discharge. Findings include:Review of the facility policy titled Discharge Planning revised 2/19 documented, Transfer/Discharge to a Distinct certified unit /Facility: Notice of facility-initiated transfers and discharges are also sent to the local Ombudsman.Review of R122's Face Sheet revealed the facility admitted R122 on 02/20/26 with diagnoses including but not limited to; displaced intertrochanteric fracture of left femur, subsequent encounter for closed fracture with routine healing, and gastro-esophageal reflux disease without esophagitis.Review of R122's quarterly Minimum Data… […]

• No harm, potential for more than minimal, isolatedF657Jun 4, 2026

  Based on observation, record review, and interviews, the facility failed to ensure Resident (R6)'s care plan was reviewed and revised to include catheter care related to the resident's indwelling catheter. This failure affected 1 of 3 residents reviewed for catheter care.Findings include:Review of the facility's policy titled RAI and Care Plan Process, revised 06/08/17, revealed that a comprehensive resident assessment and the development of the resident's plan of care shall be initiated on the day of admission and completed by representatives from Activities, Dietary, Nursing, the Restorative Nurse, Social Services, Therapies, and any other disciplines involved in the resident's care. […]