White Sulphur Springs Center

In the surveyor’s words

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

• Immediate jeopardy, patternF805Sep 10, 2025

  Based on record review, staff interview and observations, the facility failed to ensure residents were served food in the correct consistency according to the facility's diet description for puree consistency solids. It was determined that this failed practice placed all (5) five residents currently on a puree diet in an immediate jeopardy situation. Providing a resident with the wrong consistency of food could result in choking, and/or aspiration pneumonia which can lead to serious harm and/or death. This failed practice was found to be true for five (5) of five (5) residents reviewed for diet consistency during the Long-Term Care Survey Process. Resident Identifiers: #12, #21, #33, #38, and #53. […]

• Immediate jeopardy, isolatedF600Jul 11, 2024

  Based on record review, resident interview and staff interview, the facility failed to ensure its residents were not abused. The facility failed to provide services to residents that were necessary to avoid mental or emotional harm. In addition, the facility failed to protect residents when verbal and physical threats were made. This was true for 1 (one) of 1 (one) resident reviewed during the Long-Term Survey Process. Facility census: 64. Resident identifier #42, and #61. This created an immediate jeopardy situation. Findings include: a) Resident #42 On 07/08/24 at 1:30 PM an interview was conducted with Resident #42. At that time, Resident #42 stated, I don't sleep much at night due to Resident #61 coming into my room at night. […]

• Immediate jeopardy, isolatedF684Jul 11, 2024

  ]Based on medical record review, and staff interview, the facility failed to follow up on physician's recommendations for a biopsy of Resident #29 thyroid nodules upon readmission to the facility on [DATE]. This was true for one (1) of nineteen (19) residents care reviewed during the long-term care survey process. This created a situation of immediate jeopardy. Resident identifier: Resident #29. Census: 64. Finding included: a) Resident #29 No documentation in the chart of surrogate being notified of the hospitals recommendations to refer to and ENT (Ear Nose and Throat) for a possible biopsy of thyroid nodules. […]

• Immediate jeopardy, isolatedF689Jul 11, 2024

  Based on Record review and family and staff interview, the facility failed to ensure residents were provided with a safe environment to prevent elopement, resulting in Resident #120 leaving the facility and being found outside the facility, deceased . The facility ' s failure to ensure residents did not exit the facility unattended on [DATE] placed all at risk residents who could have exited the facility in an Immediate Jeopardy (IJ) situation.This will be cited at past noncompliance because the facility corrected the failure as of [DATE], prior to this survey. This was true for one (1) of six (6) residents reviewed for accidents and one (1) of three (3) reviewed for elopement during the survey process.Resident Identifier: 120. […]

• No harm, potential for more than minimal, widespreadF801Jul 11, 2024

  Based on record review and staff interview, the facility failed to employ qualified dietary staff, due to letting employees work in the dietary department before obtaining food handler permits. This had the potential to affect all residents residing in the facility. Facility census: 64. Findings include: a) At approximately 10:00 AM on 07/09/2024, food handler permits were requested from the Dining Services Account Manager (DSAM). The DSAM made copies of the ones on file in the dietary office and stated, I'll have to find the others. At approximately 1:30 PM the DSAM stated they were still waiting on a couple food handlers cards. On 07/10/2024, the DSAM supplied a copy of a food handler permit for [NAME] #59, with an issue date of 07/10/2024. […]