Whitehouse Country Manor

In the surveyor’s words

From the most serious findings on record at Whitehouse Country Manor, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Jan 25, 2021

  Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated 03/13/20, Department of Health and Human Services, Centers for Medicare & Medicaid (CMS) Memos, review of CMS website for county COVID-19 positivity rates, review of guidance from the Centers for Disease Control (CDC) and Prevention website related to; preparing for Coronavirus Disease 2019 (COVID-19), Infection Prevention and Control (IPC) recommendations, responding to COVID-19 for nursing homes and health care facilities, return to work criteria, strategies for optimizing the supply of N95 respirators, and strategies for optimizing the supply of isolation gowns, surveyor observations, medical record reviews, staff interviews, review of the facility Bed… […]

• No harm, potential for more than minimal, widespreadF812Feb 18, 2025

  Based on observation, staff interview, and policy review, the facility failed to store food in a safe and sanitary manner. This had the potential to affect all but five (#16, #32, #48, #50, and #64) residents who eat food from the kitchen. The facility census was 84. Findings included: Observation of of the kitchen reach in refrigerator on 02/10/25 at 6:48 P.M. revealed a clear plastic bag of 12 chicken strips was found to not be dated nor labeled. An additional bag of nine hamburger patties were found to be undated. Further observation of the reach in freezer found a bag of mixed vegetables which failed to be securely closed and the contents were open to air. Interview with Dietary Manager #366 on 02/10/25 at 6:57 P.M. […]

• No harm, potential for more than minimal, widespreadF880Feb 18, 2025

  Based on observation, medical record review, staff interview, review of the Centers for Disease Control and Prevention (CDC) website, and review of an infection control facility assessment document, the facility failed to ensure staff members wore appropriate personal protective equipment (PPE) while handling soiled laundry and failed to wear, dispose of, and perform adequate hand hygiene after removing PPE while in resident rooms who were on infection control precautions due to COVID-19 infection. This had the potential to affect all 84 residents in the facility. The census was 84. Findings include: 1. Observation on 02/12/25 at 1:49 P.M. revealed Housekeeping Supervisor (HS) #397 in the laundry room not wearing any personal protective equipment (PPE). […]

• No harm, potential for more than minimal, widespreadF812May 10, 2023

  Based on observation, staff interview, and review of the facility policy, the facility failed to practice appropriate hand hygiene and wear appropriate hair restraints while preparing and distributing food. This had the potential to affect all residents in the facility except Resident #55 who received no food from the kitchen. The facility census was 86. Findings include: 1. Observation on 05/10/23 at 12:15 P.M. revealed Dietary Aide #302 scooped ice from the ice machine and a piece of ice fell on the floor. Dietary Aide #302 picked the ice up off the floor with her bare left hand while wearing a glove on her right hand. Dietary Aide #302 then took the glove off her right hand and threw it in the trash. […]

• No harm, potential for more than minimal, widespreadF727Oct 31, 2022

  Based on review of the Centers for Medicare & Medicaid Services (CMS) Payroll Based Journal (PBJ) report, staff interview, review of posted daily staff levels, and review of staff timecards, the facility failed to ensure eight hours of daily registered nurse (RN) coverage. This affected all 80 residents of the facility. Findings include: Review of the CMS PBJ report, dated July 2022, revealed the facility had a high number of days without RN coverage. Interview on 10/26/22 at 2:25 P.M. of Scheduler #304 revealed the facility utilized agency staff to cover open shifts to ensure the daily requirement of RN coverage. […]