White Pine Care Center

In the surveyor’s words

From the most serious findings on record at White Pine Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Mar 9, 2023

  Based on interviews, record reviews, and facility policy review, the facility failed to timely assess and monitor 1) a resident for changes of condition following a fall and failed to revise a care plan to prevent further falls (Resident (R) 31) and 2) failed to monitor a resident during the use of anticoagulant medication (and R29) for 2 of 15 sampled residents. Findings include: 1. Review of the facility's policy provided by the Administrator titled, Assessing Falls and Their Causes, dated ,d+[DATE], revealed .The purpose of this procedure are to provide guidelines for assessing a resident after a fall and to assist staff in identifying causes of the fall Falls are a leading cause of morbidity and mortality among the elderly in nursing homes .found on the floor without a witness to the… […]

• No harm, potential for more than minimal, widespreadF947Apr 19, 2024

  Based on interviews and record review, the facility failed to ensure 12-hour annual in-service training, as required for five of five Certified Nurse Aides (CNAs) (CNA4, CNA6, CNA5, CNA3, and CNA2) reviewed for training requirements. This failure placed the residents at risk of lacking the required knowledge and competency to perform their duties. Findings include: All five employee files were provided by Human Resources on 04/18/24. 1. Review of CNA4's employee file revealed a hire date of 05/24/22. The file contained no documentation regarding the required 12 hours of in-service training having been completed in the last year. 2. Review of CNA6's employee file revealed a hire date of 11/20/20. […]

• No harm, potential for more than minimal, widespreadF727Mar 9, 2023

  Based on record review and staff interviews, the facility failed to provide Registered Nurse (RN) coverage for 8 hours within a 24-hour period on 10/29/22, 11/05/22, and 11/12/22. The facility census was 30. Findings include: Review of the daily staffing form titled, White Care Pine Center, revealed on 10/29/22, 11/05/22, and 11/12/22 there was not a registered nurse scheduled to work. Review of the payroll White Pines Care Center - Time > Timesheets, dated 10/29/22, 11/05/22, and 11/12/22 revealed no RN working on those dates. Interview with the DON on 03/09/23 at 2:47 PM confirmed that the above dates had no RN working.

• No harm, potential for more than minimal, widespreadF727Jun 3, 2022

  Based on interviews, and review of the staffing records, the facility failed to ensure there were services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week for the past nine weeks. Failure to have an RN on the unit for eight consecutive hours a day has the potential to affect the care provided to all the residents of the facility. Finding include: Review of the facility's Staffing Records, provided by the facility dated from 04/10/22 to 06/01/22, revealed that an RN was not present on the unit for eight consecutive hours seven days a week. A RN was not on duty for the weekend shifts of Saturdays and Sundays. […]

• No harm, potential for more than minimal, widespreadF812Jun 3, 2022

  Based on observation, interview, and review of facility policy, the facility failed to ensure foods stored in dry storage and the freezer were labeled/dated when opened and had an expiration date. These failures had the potential to affect all 32 residents in the facility who consumed food from the kitchen. Findings include: Review of the facility's policy titled, Food Storage, dated April 2014 documented, Opened items have use by dates indicated on them. This use by date may be circled to differentiate it from date received or date opened. May indicate date opened or date prepared if required by your survey agency. […]