Whitehall Borough Post Acute

In the surveyor’s words

From the most serious findings on record at Whitehall Borough Post Acute, in the surveyor’s own words.

• Immediate jeopardy, patternF684May 7, 2026

  Based on facility review of policy, manufacturer's instructions, clinical records, and staff interviews, the facility failed to notify physicians of elevated or decreased Capillary Blood Glucose (CBG) levels, failed to assess residents for hyperglycemia (high blood glucose) and hypoglycemia (low blood sugar) resulting in immediate jeopardy for 7 of 36 residents (R3, R17, R64, R84, R116, R145, and R148).Findings include: Review of the facility policy, Hypoglycemia Management Policy dated 1/6/26, indicated:Administer 15 grams of fast-acting carbohydrateRecheck blood glucose in 15 minutesIf BG remains less than 70 mg/dl, repeatNotify provider Review of the facility policy, Physician Notification Policy dated 1/6/26, indicated, Notification will be based on resident's condition, clinical… […]

• No harm, potential for more than minimal, widespreadF761Sep 9, 2024

  Based on review of facility policy, observations, and staff interview, it was determined that the facility failed to make certain that medications were properly stored and/or disposed of in three of three medication carts (Medbridge B-hall, Medbridge A-hall, and the TCU-1 medication carts). Findings include: Review of facility policy Storage and Expiration Dating of Medications, Biologicals dated [DATE], stated that medications and biologicals that have an expired date on the label, have been retained longer than recommended by manufacturer or supplier guidelines are stored separate from other medications until destroyed or returned to the pharmacy or supplier. During an observation of the Medbridge B-hall medication cart on [DATE], at 3:10 p.m. […]

• No harm, potential for more than minimal, patternF584May 7, 2026

  Based on review of facility policy, observation and resident and staff interviews, it was determined that the facility failed to provide a safe, clean, comfortable, and homelike environment for two of four nursing units as required (TCU 1st. floor, and ARU1). Findings included: Review of the facility policy Homelike Environment, dated 1/6/26, indicated the staff and management maximize, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting. These characteristics include a clean, sanitary, and orderly environment. Observations on 5/4/26 at 10:38 a.m. and 5/725, at 8:30 a.m., revealed the following:Resident rooms122, 125, 129, 133, 137, and 141 had wallpaper peeling off the walls. Resident room126 had a large stain on the ceiling. […]

• No harm, potential for more than minimal, patternF726May 7, 2026

  Based on observations and resident and staff interviews, it was determined that the facility failed to ensure that nursing staff possessed the specific competencies and skill sets related to the use of ACE wraps (elastic bandages) for 11 of 14 residents (Resident R16, R32, R50, R62, R74, R97, R117, R123, R130, R147, and R174).Findings include: During the observations were completed on 5/4/26, at approximately 12:00 p.m., on 5/4/26, at approximately 2:45 p.m., on 5/5/26, at approximately 2:15 p.m., on 5/6/26, at approximately 11:00 a.m., and on 5/7/26, at approximately 12:00 p.m. All observations on 5/7/26, were confirmed by the Assistant Director of Nursing. Review of Resident R16's admission record indicated he was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF835May 7, 2026

  Based on review of job descriptions, clinical records, and staff interviews, it was determined that the Nursing Home Administrator (NHA) and the Director of Nursing (DON) failed to effectively manage the facility to ensure provider notification of resident changes in condition. This failure resulted in immediate jeopardy for seven of 36 residents (R3, R17, R64, R84, R116, R145, and R148).Findings include: Review of the facility-provided Nursing Home Administrator (NHA) job description indicated, The primary purpose of your job position is served as a licensed skilled nursing facility administrator, directing the day-to-day functions of an independent skilled nursing facility in accordance with federal, state, and local requirements that govern skilled nursing facilities, thus seeking to… […]