White Oak Manor
WHITE OAK MANOR in WARREN, OH — inspection on October 1, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Observation of the wooded area and ditch was seen in the camera footage.
The bystander stated Resident #16 told him someone pushed me in the ditch, it hurts.
When the EMS arrived , Resident #16 was not able to stand on his own and needed an assistance of one person to walk from the car to the gurney. Resident #16 was observed to be pale, confused and muttering while on the gurney.Observation on [DATE] at 11:00 A.M. at the police station with Sergeant #354 revealed a second body camera footage on [DATE] at 5:11 P.M when Police Officer #353 arrived at the facility. CNA #340 verified the identity of Resident #16 and verified Resident #16 wore an ankle bracelet. It was observed Police Officer #353 told RN #335 Resident #16 was found in a ditch on Wick Street. At 5:18 P.M. ADON #344 approached the police officer and was told Resident #16 was found in a ditch on the corner of Wick Street and [NAME] Avenue.
Observation at time stamp 5:20 P.M. revealed the police exited the facility, residents were eating dinner in the dining room and staff was huddled on the 100 hall.Review of facility policy titled Elopements and Wandering Residents, revision date [DATE], revealed elopement occurred when a resident leaves the premises without authorization or necessary supervision to do so.
The facility was to be equipped with door locks and alarms to help avoid elopements, and alarms were not a replacement for necessary supervision.
Staff was to be vigilant with response to alarms.
The procedure for locating a missing person consisted of alerting staff with CODE UNIT. If the resident was not located on the grounds the administrator would notify the police and corporate office and appropriate reporting requirements to the State Survey agency would be conducted.
Post elopement procedure consisted of a physical assessment, documentation and report findings to physician.
Social services would reassess if counseling was needed.
Staff was to be educated for elopement.This deficiency represents non-compliance investigated under Complaint Number 2599954
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.