White Settlement Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF580Feb 15, 2025

  Based on interview, observation, and record review, the facility failed to immediately consult with the resident's physician and notify the resident representative when there was a significant change in the resident's physical or mental status or need to alter treatment significantly for one (Resident #1) of eight residents reviewed for change of condition. The facility failed to notify Resident #1's physician and responsible party when the resident's blood pressure was 216/114 on 01/24/25. An Immediate Jeopardy (IJ) was identified on 02/14/25. The Administrator was notified of the Immediate Jeopardy and provided with the IJ Template on 2/14/25 at 05:04 PM. […]

• Immediate jeopardy, isolatedF684Feb 15, 2025

  Based on observation, interview and record review, the facility failed to ensure the residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of eight residents reviewed for quality of care. The facility failed to follow protocols for abnormal vital signs when MA C did not notify the nurse after Resident #1's blood pressure was 216/114 and there was no re-check to ensure accuracy to determine if further treatment was needed. An Immediate Jeopardy (IJ) was identified on 02/14/25. The Administrator was notified of the Immediate Jeopardy and provided with the IJ Template on 2/14/25 at 05:04 PM. […]

• Immediate jeopardy, isolatedF600Apr 4, 2024

  Based on interview and record review, the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 1 of 21 residents (Resident #47) reviewed for abuse. The facility failed to ensure Resident #47 was free from abuse when LVN F sent the resident a mentally/emotionally abusive text message, which caused the resident to experience fear for her personal safety. The noncompliance was identified as PNC. The IJ began on 01/16/24 and ended on 01/17/24. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk of abuse, humiliation, intimidation, fear, shame, agitation, and decreased quality of life. […]

• Actual harm, isolatedF686Jul 30, 2026

  Based on observation, interview and record review the facility failed to ensure based on the comprehensive assessment of a resident, that a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 1 of 1 residents (Resident #6) reviewed for treatment of pressure ulcers.1. The facility failed to implement interventions for Resident #6's right arm contracture which led to the development of a stage 3 pressure ulcer (wound developed from pressure that extends through the skin into the fatty layer but not into the muscle, tendon or bone) to the right palm identified on 06/03/2026.2. […]

• No harm, potential for more than minimal, widespreadF812Feb 23, 2023

  Based on observation, interview, and record review, the facility failed to properly prepare food in accordance with the professional standards for food service safety in the facility's only kitchen reviewed for safe food handling practices. Cook A failed to thaw ground beef using safe food handling practices by thawing frozen meat on a plastic tray on the stove top. The failure placed residents at risk for food borne illness. Findings included: An observation on 02/21/23 at 9:26 AM revealed a plastic meal tray sitting on the facility's gas range, holding a block of 20 4-ounce ground beef patties, still wrapped in the original, sealed plastic bag. Red fluid was beginning to pool around the bottom of the package. […]