White Oak Manor
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Resident #16 he was in a ditch on all fours. Resident #16 was observed to be sitting in the bystander's car drinking water the bystander stated he gave Resident #16. Resident #16 was observed to have a t-shirt on, jogging pants on and socks and shoes. Police officer #352 asked Resident #16 for identification and Resident #16 handed Police Officer #353 a hairbrush. 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 REDACTED] at 11:00 A.M. at the police station with Sergeant #354 revealed a second body camera footage on [DATE REDACTED] 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 REDACTED], 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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WHITE OAK MANOR in WARREN, OH inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in WARREN, OH, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from WHITE OAK MANOR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.