White Oak Village Memory Care Community

Facility failed to provide annual inspection of fire resistance rated construction.

Facility lacked required system (keypad/code) for egress and failed to post required exiting instructions.

Facility failed to provide annual fire door inspection report.

Facility failed to provide semi-annual alarm system inspection reports.

Facility failed to provide required signage on the exhaust hood or system cabinet.

Facility failed to provide annual trip test, quarterly inspection, and annual forward flow reports.

Facility failed to provide annual generator inspection.

Egress control system requirements referenced without specific violation detail.

Facility failed to provide carbon monoxide detector testing records.

Fire damper report identified failed fire dampers; system must be deficiency free.

Failure to provide required fire alarm inspection reports.

Failure to provide carbon monoxide detector testing records.

Failure to provide annual generator inspection reports.

Facility failed to provide a system (keypad/code) for exits and failed to post exit instructions within six feet of doors.

Missing required annual trip test of dry system, quarterly inspections, and annual forward flow of backflow.

Fire damper report identifies failed fire dampers; report should be deficiency free.

Facility failed to provide carbon monoxide detector testing

Facility failed to provide fire damper inspection report 1 year after installation of fire dampers

Facility failed to provide annual trip test of dry sprinkler system, quarterly fire sprinkler inspection, and annual forward flow of backflow

Facility failed to provide a system, such as a keypad and code, in place that allows visitors, staff persons and appropriate residents to exit. Instructions for exiting shall be posted within six feet of the door

Interview with Staff B deleted.

The facility failed to protect the safety and well-being of 2 residents involved in a resident-to-resident incident. Specifically, Resident 1 (with known aggressive behaviors) pushed Resident 2, causing a fall and subsequent injury/death.

The facility failed to take appropriate actions to protect the safety and well-being of 2 of 4 sampled residents regarding a resident-to-resident incident. Resident R1 exhibited known unmanageable physical and verbal aggressive behaviors, eventually forcefully shoving Resident R2, who was frail and wheelchair-bound, causing a fall and injury that led to R2's decline and death.

The facility failed to report an allegation of verbal and physical abuse of a resident by a staff member to the Complaint Resolution Unit (CRU) and law enforcement.