Whitney Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Whitney Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Mar 19, 2024

  Based on interview and record review, the facility failed to ensure the physician was consulted for a change of condition for 1 of 7 residents reviewed for notification of changes. (Resident #1) The facility failed to ensure a UA was collected, notify the physician, family, and provide treatment to Resident #1 died of sepsis and complications of a urinary tract infection because of her change in condition. The facility failed to identify a change in condition and notify her physician including a decline in cognitive status and a fall. On [DATE] at 12:00 p.m. an Immediate Jeopardy (IJ) was identified. […]

• Immediate jeopardy, isolatedF600Mar 19, 2024

  Based on interviews and record review, the facility failed to ensure that residents are free from abuse, neglect, misappropriation of resident property, and exploitation; the facility failed to provide goods and services to a resident that were necessary to avoid physical harm, pain, mental anguish, or emotional distress for 1 (Resident #1) of 7 residents reviewed for neglect. The facility failed to ensure a UA was collected and provide treatment to Resident #1 who subsequently died of sepsis and complications of a urinary tract infection. The facility failed to identify a change in condition and notify her physician including a decline in cognitive status and a fall. ON [DATE] an Immediate Jeopardy (IJ) was identified. The POR was accepted on [DATE] at 10:00 AM and verified. […]

• Immediate jeopardy, isolatedF684Mar 19, 2024

  Based on interviews and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice for one 1 (Resident #1) of 7 residents reviewed for quality of care. The facility failed to ensure a UA was collected and provide treatment to Resident #1 who subsequently died of sepsis and complications of a urinary tract infection. On [DATE] at 12:00 p.m. an Immediate Jeopardy (IJ) was identified. While the IJ was removed on [DATE] at 6:15PM, the facility remained out of compliance at a scope of isolated and severity of actual harm due to the facility continuing to monitor the implementation and effectiveness of their Plan of Removal. […]

• Immediate jeopardy, isolatedF770Mar 19, 2024

  Based on record review and interviews, the facility failed to maintain clinical laboratory services to meet the needs of each resident for 1 of 7 residents (Resident #1) reviewed for laboratory services. The facility failed to ensure a UA was collected and provide treatment to Resident #1 who subsequently experienced a change in condition, died of sepsis and complications of a urinary tract infection. On [DATE] at 12:00 p.m. an Immediate Jeopardy (IJ) was identified. While the IJ was removed on [DATE] at 6:15PM, the facility remained out of compliance at a scope of isolated and severity of actual harm due to the facility continuing to monitor the implementation and effectiveness of their Plan of Removal. […]

• No harm, potential for more than minimal, patternF700Sep 19, 2024

  Based on observations, interviews, and record reviews the facility failed to review the risks and benefits of bed rails and enabler/grab bars (smaller 1/8 size bars affixed to the bed frame used by the person in bed to reposition themselves), with the resident or resident representative and obtain informed consent prior to installation for six (Residents #7, #11, #26, #29, #41, and #143) of six resident rooms observed and reviewed for bed rails/grab bars. The facility failed to have evidence of informed consent, assessment of the resident for risk of entrapment, and care planning for the quarter bed rails/enabler bars for Residents #7, #11, #26, #29, #41, and #143. […]