Whitney Rehabilitation Care Center

In the surveyor’s words

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

• Actual harm, isolatedF689May 6, 2026

  Based on interviews, review of clinical records, and facility policy for 1 of 5 sampled residents, (Resident #5) reviewed for accidents, the facility failed to provide adequate supervision with toileting resulting in a fall with major injury. The findings include:Resident #5's diagnoses included fracture of unspecified part of neck of right femur, difficulty in walking, weakness, reduced mobility, and need for assistance with personal care. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #5 had a Brief Interview of Mental Status score of 7 indicating severe cognitive impairment, required partial/moderate assistance with toileting hygiene and supervising/touching assistance with toilet transfers. […]

• Actual harm, isolatedF686Sep 19, 2024

  Based on interviews, observations, review of the clinical record, facility documentation, and facility policy for 1 of 4 residents (Resident #74) reviewed for pressure ulcers, the facility failed to correctly set and monitor an air mattress for a resident that resulted in the worsening of a pressure ulcer. The findings include: Resident #74's diagnoses included type 2 diabetes mellitus, anemia, and hyponatremia (low sodium in the blood). The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #74 had intact cognition and required extensive assistance of two persons for transfers, toileting and bed mobility. […]

• No harm, potential for more than minimal, widespreadF804Sep 19, 2024

  Based on interviews and a sample taste tray, the facility failed to ensure food was palatable. The findings include: Interview with Resident #45 on 8/26/24 at 11:30 AM identified he/she didn't like the taste of the food, and the food was of poor quality. Additionally, the cold food was not cold and there was not enough fresh fruit/vegetables provided. On 8/28/24 at 12:00 PM, a taste tray was conducted which consisted of cooked broccoli stems (no florets) and 2 manicotti (substituted for stuffed shells which were on the menu). Both items (broccoli stems and manicotti) were overcooked/mushy and extremely bland. […]

• No harm, potential for more than minimal, widespreadF812Sep 19, 2024

  Based on the tour of the Dietary Department, observations, interviews, facility policy, and facility documentation, the facility failed to ensure open food items were dated, failed to ensure the ice scoop and ice scoop tray for the ice machine and the ice machine were kept in a clean and sanitary condition, failed to maintain clean vents in the dish room and failed to cover a garbage can on the clean side of the dish room. The findings include: Tour of the Dietary Department on [DATE] at 11:18 AM with the Dietary Manager identified the following: a. The walk in freezer #1 contained an open package with 7 chicken patties, no open date or expiration date was identified, and the chicken patties contained freezer burn. b. […]

• No harm, potential for more than minimal, widespreadF880Sep 19, 2024

  Based on observations, reviews of the clinical record, facility documentation, facility policy, and interviews for 3 of 7 residents (Resident #32, Resident #36, Resident #74) reviewed for Enhanced Barrier Precautions (EBP) the facility failed to ensure appropriate personal protective equipment (PPE) was donned (placed on) prior to personal care, for the only sampled resident (Resident #76) reviewed for Transmission Based Precautions (TBP), the facility failed to ensure the required signage had been placed to alert all persons of the need for PPE, and during a tour of the laundry room, the facility failed to ensure fans with debris were not blowing on clean laundry. The findings include: 1. […]