Whitehall of Deerfield

In the surveyor’s words

From the most serious findings on record at Whitehall of Deerfield, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880May 12, 2021

  Based on observation, interview and record review the facility failed to ensure staff followed Centers for Disease Control and Prevention (CDC) recommendations by not wearing gowns and an N95 mask when testing residents for COVID-19 and not performing hand hygiene in between resident test. The facility failed to ensure staff wore a N95 mask for residents on contact/droplet precautions to rule out COVID-19 and spread the disease of COVID-19 to negative residents. This applies to all 125 residents residing in the facility. The facility staff failed to apply appropriate PPE when entering room of a resident on contact isolation (R38). These failures resulted in an Immediate Jeopardy. […]

• Actual harm, isolatedF697Aug 17, 2022

  Based on observation, interview and record review the facility failed to ensure a resident with an [MEDICATION(S)] pain pump followed up with the pain clinic to ensure the pain pump was filled on time. This failure resulted in resident being admitted to the ER with narcotic withdrawal symptoms including uncontrolled, sharp, constant hip sciatica pain and generalized body pain with nausea. This applies to 1 of 28 (R64) residents reviewed for pain in the sample of 28. The findings include: On August 15, 2022 at 2:02 PM, R64 was in her room. She stated she was in the hospital a month ago because of her pain pump. She had withdrawal symptoms because her pain pump wasn't filled on time, and they sent her out to the hospital. […]

• No harm, potential for more than minimal, widespreadF880Jan 20, 2026

  Based on observation, interview, and record review, the facility failed to ensure staff performed hand hygiene and wore and/or changed personal protective equipment (PPE) in a manner to prevent potential exposure to and transmission of contagious diseases. These failures have the potential to affect all 151 residents living in the facility.The findings include:The facility's Facility Data Sheet dated 1/20/26 shows their current census is 151.The facility's 1st Floor Census sheet dated 1/20/26 shows R2, R3, and R4 are each positive for COVID-19.The facility's Isolation Tracking sheet dated 1/19/26 shows R2 tested positive for COVID-19 on 1/14/26, R3 tested positive for COVID-19 on 1/17/26 and R4 tested positive for COVID-19 on 1/16/26. […]

• No harm, potential for more than minimal, widespreadF803Apr 23, 2025

  Based on observation, interview, and record review the facility failed to ensure facility recipes were followed. This has the potential to effect all residents receiving food from the kitchen. The findings include: The Centers for Medicare and Medicaid Services form 671 shows there are 131 residents residing in the facility. Facility provided list of residents that have an order of NPO (Nothing by Mouth) show there are three residents with an order of NPO that do not receive food from the kitchen. Facility provided menu week at a glance shows on 4/21/25 the noon meal includes beef barley soup, turkey and Swiss cheese sandwich, three bean salad, and mandarin oranges. 1. […]

• No harm, potential for more than minimal, widespreadF812Apr 23, 2025

  Based on observation, interview, and record review the facility failed to ensure safe food handling procedures were being practiced. This has the potential to effect all residents receiving food from the kitchen. The findings include: The Centers for Medicare and Medicaid Services form 671 shows there are 131 residents residing in the facility. Facility provided list of residents that have an order of NPO (Nothing by Mouth) show there are three residents with an order of NPO that do not receive food from the kitchen. 1. On 4/21/25 at 9:53 AM, V4 (Dietary Aide) and V5 (Dietary Aide) were breaking down breakfast trays on one side of the dirty side of the dish machine counter. […]