Whitestone a Masonic and Eastern Star Community

In the surveyor’s words

From the most serious findings on record at Whitestone a Masonic and Eastern Star Community, in the surveyor’s own words.

• Immediate jeopardy, patternF880Aug 5, 2022

  Based on observations, staff, facility contracted Phlebotomist, and physician interviews, and record review, the facility failed to develop and implement facility policies for infection control as recommended by the Centers for Disease Control and Prevention (CDC) guidelines; the facility failed to implement current infection control measures as recommended by the CDC when a facility contracted Phlebotomist and 3 of 3 staff members (Treatment Nurse, Nursing Assistant #1 and Nursing Assistant #2) failed to wear the required Personal Protective Equipment (PPE) when they entered into COVID-19 enhanced droplet isolation rooms; a facility contracted Phlebotomist and 3 of 3 staff members (Treatment Nurse, Nursing Assistant #1 and Nursing Assistant #2) failed to remove PPE when they exited… […]

• Actual harm, isolatedF689Apr 17, 2025

  Based on record review, observations, and Medical Director, family member, and staff interviews, the facility failed to utilize a sit to stand lift per manufacturer's instructions which resulted in the sling slipping up and causing extensive bruising to Resident #399 under the resident's left arm, left side, and across her breast. Resident #399 was prescribed an anticoagulant (blood thinner) daily for atrial fibrillation (irregular and often rapid heart rhythm that can lead to blood clots in the heart). The following day Resident #399 experienced a syncopal episode (temporary loss of consciousness due to a sudden, temporary drop in blood flow to the brain) and when assessed it was noted she had low blood pressure and an irregular pulse. […]

• No harm, potential for more than minimal, patternF758Apr 17, 2025

  Based on record review and interviews with the Pharmacy Consultant, Medical Director and staff, the facility failed to have an adequate clinical indication for the use of an antipsychotic medication (Resident #42). This was for 1 of 5 residents whose medications were reviewed. The findings included: A review of Resident #42's medical record revealed a hospital Discharge summary dated [DATE] that included an order for Seroquel (an antipsychotic medication) 25 milligrams (mg) take a half tablet by mouth at bedtime. Resident #42 was admitted to the facility on [DATE] with diagnoses that included a history of a stroke. A review of the physician orders for Resident #42 included the following: - An order dated 2/25/25 for Seroquel 25mg take half a tablet by mouth at bedtime for anxiety. […]

• No harm, potential for more than minimal, patternF836Apr 17, 2025

  Based on record review and staff interviews, the facility failed to verify that 1 of 5 nurses, Nurse #4, had a valid, non-expired nursing license. The facility was responsible for ensuring that all nursing staff employed had current licenses. The findings included: Review of facility's workers directory on [DATE] and an interview with the Human Resource Manager on [DATE] at 2:32 PM revealed Nurse #4 was hired on [DATE] as a Licensed Practical Nurse (LPN) and was still employed by the facility. A review of Nurse #4's LPN license with the North Carolina Board of Nursing (NCBON) revealed her LPN license approval date was [DATE] with an expiration date of [DATE]. A phone interview was conducted on [DATE] at 11:38 AM with Nurse #4. […]

• No harm, potential for more than minimal, patternF641Mar 5, 2021

  Based on staff interviews and record review the facility failed to accurately code the behavior section (Section E) on the Minimum Data Set (MDS) assessment for 3 of 13 residents (Resident #11, Resident #14 and Resident #23) reviewed for MDS accuracy. Findings included: 1. Resident #11 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The quarterly MDS assessment dated [DATE] revealed dashes were coded in the behavior section for the items of behavior symptoms, rejection of care and wandering. On 3/4/21 at 9:44 AM an interview was completed with MDS Coordinator #1. She stated the Social Services Assistant (SSA) was responsible for the completion of section E on the MDS assessment. […]