White Oak Manor - Rock Hill

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Sep 14, 2023

  Based on interview, record review, and review of facility policy, the facility failed to ensure adequate supervision to Resident (R)5 in order to prevent a successful elopement from the facility. Specifically, R5 successfully eloped from the facility and was found in the parking lot of the facility on 09/11/23 at approximately 9:00 PM. On 09/13/23 at 3:30 PM, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death. […]

• No harm, potential for more than minimal, widespreadF812Dec 12, 2023

  Based on observations, interviews and review of facility policy, the facility failed to ensure proper storage and labeling of foods in 1 of 1 main kitchen. Findings include: Review of the facility policy titled Storage of Food and Supplies with a revised date of [DATE], documented, Purpose: To ensure foods and supplies are stored appropriately to maintain wholesomeness and meet regulatory guidelines. Procedures: 1 . TCS foods, (Time/Temperature Control for Safety), must be marked with a discard date not to exceed seven days. Any prepared/combined in-house or on-site recipes using TCS foods must be labeled with the name, date, with the prepared and discarded date of 72 hours/3 days from the date prepared . […]

• No harm, potential for more than minimal, widespreadF880Dec 12, 2023

  Based on observations, interviews, and review of the facility policy, the facility failed to follow proper infection control standards to (1.) prevent or decrease the spread of infections when passing out meal trays. Additionally, the facility failed to (2.) properly sanitize laundry carts and laundry machines. This failure had the potential to effect all residents in the facility. Findings include: (1.) During dining observation of lunch on 12/11/23 at 12:14 PM, Certified Nursing Assistant (CNA)1 was observed delivering a lunch tray to room [ROOM NUMBER], signage was present indicating the resident was on transmission based precautions. CNA1 delivered the tray to the resident and exited the room without performing hand hygiene. […]

• No harm, potential for more than minimal, patternF584Sep 29, 2021

  Based on observation, interview, and policy review, the facility failed to ensure one of four hallways (100 hallway) and rooms in the 100-hallway was free of urine odor. This had the potential to affect all 37 residents who reside on the 100 hallway as well as any visitors on the hall. Findings include: Observation on 09/27/21 at 9:30 AM revealed a strong smell of urine in room 119 located in the 100 hallway. Observation on 09/27/21 at 9:25 AM revealed a strong smell of urine in room 106 located in the 100 hallway. […]

• No harm, potential for more than minimal, patternF625Sep 29, 2021

  Based on record review, interviews, and review of facility policy, the facility failed to provide residents and or the resident's representative (RR) a written notice with a bed hold that included a reserved payment information for four of four residents reviewed for hospitalization s out of 25 sampled Residents (R)66, R108, R113 and R115. Findings include: Review of Facility Bed Hold Policy dated 9/18 revealed, if a Medicare, Medicare Advantage, VA and Private Insurance resident is discharged for any reason, arrangements must be made with the Business Office or Social Worker prior to or at discharge to hold the resident's bed. Resident failing to make such notification and payment will result in the bed being released or reassigned. 1. […]