Whites Creek Wellness and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Whites Creek Wellness and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Mar 11, 2026

  Based on policy review, observation, and interview, the facility failed to maintain and ensure the prevention and spread of infection during medication administration and catheter care for 4 of 7 (Resident #1, #22, #69, #88) sampled residents reviewed. The findings include: 1. Review of the undated facility policy titled, Medication Administration, revealed .Medications are administered by licensed nurses.as ordered by the physician and in accordance with professional standards of practice, in a manner to prevent contamination or infection.Wash hands prior to administering medication. […]

• No harm, potential for more than minimal, isolatedF684Mar 11, 2026

  Based on policy review, American Association of Post-Acute Care Nursing article review, observation, and interview, the facility failed to ensure neurological (neuro) checks were performed after falls and failed to follow the care plan for 1 of 3 (Resident #20) sampled residents reviewed for falls.The findings include: 1. Review of the facility undated policy titled, Comprehensive Care Plans, revealed .Qualified staff responsible for carrying out interventions specified in the care plan will be notified of their roles and responsibilities for carrying out the interventions. […]

• No harm, potential for more than minimal, isolatedF761Mar 11, 2026

  Based on policy review, observation, and interview, the facility failed to ensure medications were properly stored and secured when 1 of 5 staff members (Licensed Practical Nurse (LPN) C) left medication unattended, and out of sight during Percutaneous Endoscopic Gastrostomy (PEG) medication administration.The findings include: 1. Review of the facility undated policy titled .Medication Storage, revealed .During a medication pass, medications must be under the direct observation of the person administering medications. 2. Review of the medical record revealed Resident #8 was admitted to the facility on [DATE], with diagnoses including Neurogenic Bladder, Gastrostomy, Tracheostomy, Seizures, and Cocaine Abuse. […]

• No harm, potential for more than minimal, isolatedF580Mar 12, 2024

  Based on facility policy review, medical record review, and interview, the facility failed to notify the Resident's representative that the resident contracted Covid for 3 (Residents #2, #7, #8) of 10 sampled residents reviewed. The findings included: Review of the facility's undated policy titled Notification of Changes, revealed, .The purpose of this policy is to ensure the facility promptly informs the resident. Consults the resident's physician; and notifies, consistent with his or her authority, resident's representative when there is change requiring notification .3. Circumstances that require a need to alter treatment .Additional considerations .b. A family that wishes to be informed would designate a member to receive calls . […]

• No harm, potential for more than minimal, isolatedF602Mar 12, 2024

  Based on facility policy review, record review, and interview, the facility failed to protect a resident's right to be free from misappropriation and/or exploitation when a staff member borrowed money from a resident and failed to immediately report the alleged violation to the state agency and other authorities for 1 (Resident #25) of 3 sampled residents reviewed. The findings include: Review of the facility policy titled, ABUSE, NEGLECT, EXPLOITATION, dated 10/18/2022 revealed, .'Misappropriation of Resident Property' .means the deliberate misplacement, exploitation, or wrongful, temporary or permanent, use of a resident ' s belongings or money without the resident's consent .Reporting/Response .1. […]