Whitehall Rehab & Nursing

In the surveyor’s words

From the most serious findings on record at Whitehall Rehab & Nursing, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Nov 13, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents received adequate supervision to prevent accidents for 1 of 6 residents (Resident #42) reviewed for accidents. The facility failed to provide adequate supervision to prevent Resident #42 from eloping from the facility and being located in an empty lot with multiple fall and environment hazards approximately 550 feet behind facility and approximately 300 feet from highway on 10/13/24 at 1:30 am. The facility failed to keep Resident #42 in a safe environment to prevent an elopement on 10/13/24 at 1:30 am. The noncompliance was identified as PNC (past non-compliance). The IJ (immediate jeopardy) began on 10/13/24 and ended 10/14/24. […]

• Immediate jeopardy, isolatedF689Aug 20, 2024

  Based on observation, interview, and record review the facility failed to ensure adequate supervision was provided to prevent accidents for 1 of 7 residents (Resident #1) reviewed for accidents and supervision. 1. The facility failed to properly secure Resident #1 in the facility van on [DATE] and Resident #1 fell forward while in transport striking his head on the side of the van causing a laceration and emergency room care. An IJ (Immediate Jeopardy) was identified on [DATE] at 4:30 pm. The IJ template was provided to the facility on [DATE] at 5:05 pm. […]

• Immediate jeopardy, isolatedF600Mar 27, 2024

  Based on observations, interviews, and record reviews, the facility failed to ensure residents were free from physical abuse for one of four residents (Resident #1) reviewed for abuse. 1. The facility failed to prevent physical abuse for Resident #1 witnessed by HA to have been hit on the head by CNA A on 02/27/2024 at approximately 3:00 a.m. during incontinence care. The noncompliance was identified as PNC. The IJ began on 02/27/2024 and ended on 03/05/2024. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk for physical harm, psychosocial harm, unsafe environment, and further abuse. […]

• Immediate jeopardy, isolatedF607Mar 27, 2024

  Based on observations, interviews, and record reviews, the facility failed to implement policies and procedures that prohibit and prevent abuse, neglect, and exploitation of resident to ensure residents were free from physical abuse for one of four residents (Resident #1) reviewed for abuse. 1. The facility failed to prevent physical abuse of Resident #1 who was hit on the head by CNA A on 02/27/2024. 2. The facility failed to ensure CNA A was not allowed to work after the allegation of abuse had been reported The noncompliance was identified as PNC. The IJ began on 02/27/2024 and ended on 03/05/2024. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk for physical harm, psychosocial harm, unsafe environment, and further abuse. […]

• Immediate jeopardy, isolatedF609Mar 27, 2024

  Based on observations, interviews, and record reviews, the facility failed to ensure that all alleged violations involving abuse or mistreatment were reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse, to the administrator of the facility and to other officials (including to the State Survey Agency where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures for one of four residents (Resident #1) reviewed for abuse. 1. The facility failed to report physical abuse of Resident #1 to the Administrator immediately following HA witnessing CNA A hit Resident #1 on the head on 02/27/2024 at approximately 3:00 a.m. during incontinent care. 2. […]