Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at White House Healthcare And Rehabilitation Center during CMS and state inspections, most recent first.
Kitchen and pantry food service areas were found with rusted and uncleanable surfaces, dirty microwaves, an unclean ice machine, and poor food labeling and storage practices. Refrigerators and freezers were observed at unsafe temps, some with broken seals or nonworking thermometers, and frozen meats were stored in collapsed, wet boxes or in unlabeled bags. Sanitizer solution was also found at improper concentrations, and tray line hot and cold foods were held outside safe temp ranges.
A resident with dementia and a history of enjoying group activities was kept in her room after testing positive for candida auris and being placed on EBP. Although the facility’s policy stated EBP does not restrict group activities or room access, staff provided only 1:1 room visits and believed she was not allowed to leave her room for the day room. Survey observations found her repeatedly in bed, and interviews showed conflicting understanding among CNA, LPN, activity staff, the IP, and the DON about whether she could attend activities.
A resident with ischemic stroke and vascular dementia and her responsible party were not invited to the quarterly care plan meeting, even though the facility’s policy called for resident and family participation in care plan development and revisions. Records showed the family member had been invited to and attended the initial and significant change care plan meetings, but the quarterly conference record marked that neither the resident/designated representative was invited nor attended. The SSD, MDSC, and DON confirmed the facility did not invite residents or families to quarterly MDS care plan meetings.
The facility failed to provide required written bed-hold and transfer notice information to three residents and/or their representatives. Two residents transferred to the hospital for hypertension had no documented bed-hold notice, and another resident transferred for respiratory distress received a notice that lacked the reason for transfer, the transfer location, appeal rights, and ombudsman contact information. Staff stated they were not aware of a written bed-hold notice to give residents on transfer.
A resident with hemiplegia/hemiparesis and impaired ROM was ordered to wear a left hand and elbow splint when out of bed, but survey observations found the splint and hand roll were not in place on multiple occasions while the resident was up in a wheelchair. Task documentation showed missing entries for several days, with no refusals recorded. Staff interviews confirmed the splint was supposed to be applied daily, that the resident did not always want to wear it, and that the device was intended to help prevent worsening contractures.
A resident with cognitive impairment and prior stroke symptoms was evaluated for a possible UTI after reporting a concern during care. Urine testing later showed abnormal UA and culture results, including E. coli and Aerococcus urinae, but there was no timely documentation that the physician was notified or that a treatment decision was made. Staff interviews and record review confirmed the abnormal results were not followed up in the chart for several days, and no antibiotic was ordered.
A resident with CVA and vascular dementia lost her dentures, but the facility did not arrange dental follow-up within the required timeframe. Staff documented the dentures as missing and later noted the resident was on a mechanical soft diet, yet records showed no timely dental visit and the family reported not being updated. The resident remained without upper dentures while staff said she was on the dentist list and the appointment had been delayed.
The facility failed to ensure physicians signed monthly medication orders and conducted required face-to-face visits for 19 residents over six months. Medical records showed missing signatures and progress notes, despite documentation in Electronic Health Records (EHR). Interviews with staff confirmed the issue, and the Director of Nursing acknowledged no improvements, indicating non-compliance with facility policies and OBRA regulations.
A Consultant Pharmacist failed to report medication timing irregularities for a resident with severe cognitive impairment, leading to a deficiency. The resident's medications, including Sucralfate, Nexium, and Levothyroxine, were not administered according to manufacturer recommendations, potentially causing drug interactions. The CP did not address these issues in the monthly review, despite being aware of the dosing guidelines.
Kitchen and Pantry Food Safety Failures
Penalty
Summary
The facility failed to maintain the kitchen and nursing pantry food service areas in a sanitary manner. During the initial kitchen tour, the Dietary Manager and surveyor observed rusted and uncleanable surfaces in multiple areas, including the grease trap surface in the dairy kitchen, the bottom shelf of a stainless-steel cart, the first sink of the three-sink pot washing system in the meat kitchen, the top surface of the grease trap in the dishwashing room, and the shelf under the steam table. Scrubbies used for washing pots and pans or dishes were stored directly on rusted surfaces. A section of baseboard in the dish room had pulled away from the wall and had accumulated dust and dirt on top of it. The ice machine in the employee lounge basement later had gray/brown residue on the interior wall above the ice bin, and the residue was wiped onto a paper towel during observation. Food storage and temperature control problems were also observed throughout the kitchen and pantries. The cook's reach-in refrigerator in the dairy kitchen measured 43 degrees F and contained sandwiches, soda, and fruit salad. In the meat kitchen, the walk-in refrigerator thermometer read 12 degrees F and the DM stated it was not working properly. The walk-in freezer contained multiple deteriorated, collapsed, and soggy boxes of frozen meat, with the DM stating the freezer went up to 20 degrees during defrost and that the foods thawed and got wet. In another freezer, frozen meat packages had been removed from original packaging and placed in bags that were dated but not labeled with the identity of the contents. Similar unlabeled food items were found in a hallway chest freezer. In the nursing pantries, refrigerators were observed at 50 degrees F in One South and Two South, with One South unable to close properly because the door seal was no longer adhered to the door. The Two South pantry freezer compartment had excessive ice buildup, and the temperature log did not include freezer temperatures. Sanitation and holding practices during meal service were also out of range. A sanitizer bucket in the meat kitchen was first tested at 100 PPM, while the DM stated he wanted at least 150 PPM and preferably 200 PPM, and later the same sanitizer solution tested above 400 PPM. The DM stated he did not know the recommended concentration for the product. During tray line observation, mashed potatoes measured 127 degrees F and later 132 degrees F, while coleslaw and three-bean salad measured 52 degrees F and later 50 degrees F. The DM and dietary staff verified the hot foods were not hot enough and the cold foods were not cold enough. Microwaves in the nursing pantries were observed with black, gray, and brown residue, and one pantry refrigerator contained a resident food container without a label or expiration date, while another resident food item had a date of 07/26/25 and should have been discarded after three days.
Resident Kept From Group Activities While on Enhanced Barrier Precautions
Penalty
Summary
The facility failed to allow one resident to exercise her right to go to the day room and attend activities. The resident, who had dementia and a BIMS score of 3 out of 15, had previously participated in self-directed and group activities and enjoyed socializing, church, music, and looking at magazines. After she tested positive for candida auris, she was placed on enhanced barrier precautions, and the facility’s own policy stated that enhanced barrier precautions do not impose limitations on group activities or room restrictions for residents. Despite that policy, the resident was kept in her room and received only 1:1 room visits from activity staff from 08/01/25 through 09/04/25, with no participation in group activities. Recreation notes before the infection documented that she enjoyed strolling the hallway, conversing with staff and peers, and participating in light exercise, sing-alongs, music events, and reminiscing activities. The care plan called for individualized activity visits and noted she needed to be kept within specific areas during specific times due to candida auris, but the record did not show an order prohibiting her from leaving her room or attending the day room. During survey observations, the resident was repeatedly found lying in bed in her room, and on one occasion she was unable to communicate her needs clearly. Staff interviews showed that a CNA, an LPN, and activity staff believed she was not allowed to leave her room or attend the day room because of her infection. In contrast, the Infection Preventionist and DON stated she was allowed to come out of her room on enhanced barrier precautions and was not prohibited from attending group activities, but the resident had still not been taken to the activity/day room.
Failure to Invite Resident and Family to Quarterly Care Plan Meeting
Penalty
Summary
The facility failed to ensure that one resident and family member out of 32 sampled residents, R103 and F1, were invited to the quarterly care plan meeting. The facility’s Care Planning - Interdisciplinary Team policy stated that comprehensive, person-centered care plans are developed by an interdisciplinary team and that the resident, family, legal representative, guardian, or surrogate are encouraged to participate in the development and revisions to the care plan. R103 was admitted with diagnoses including cerebral infarction (ischemic stroke) and vascular dementia, and her responsible party and emergency contact was documented as F1. Her quarterly MDS showed moderate cognitive impairment with a BIMS score of 12 out of 15. Record review showed care plan meetings were held with the initial MDS and the significant change MDS, and F1 was invited and attended those meetings. However, the care plan conference record for the quarterly MDS review indicated that the resident/designated representative was not invited and did not attend. During interview, F1 stated he had attended only one care plan meeting since admission and did not feel well informed about R103’s current medical condition, care, or psychological state. The SSD, MDSC, and DON each confirmed that residents and families were invited to initial, significant change, and annual care plan meetings, but not to quarterly care plan meetings.
Missing Bed-Hold and Transfer Notice Information
Penalty
Summary
The facility failed to ensure that written bed-hold policy information and/or transfer notices containing all required details were provided to three residents and/or their representatives. The facility’s undated Bed-Holds and Returns policy stated that written information would be given to residents and representatives explaining the reserve bed payment policy, the per diem rate to hold a bed, and the details of the transfer notice. However, review of the records for three residents showed no documented evidence that these notices were provided as required. R1 was transferred to the hospital for hypertension and the record contained no evidence that R1 or the representative received a written transfer or bed-hold notice. R22 was also transferred to the hospital for hypertension, and the record likewise showed no bed-hold notice provided at the time of transfer. R7 was transferred to the emergency department after respiratory distress with accessory muscle use and oxygen saturation of 88%; although the facility documented that written transfer information was given to the resident and mailed to the representative, the notice reviewed did not include the reason for transfer, the location of transfer, appeal rights, or ombudsman contact information. Staff stated they were not aware of a written bed-hold notice to give residents on transfer and that they only notified the Administrator when residents were sent out.
Failure to Apply Ordered Splint and Hand Roll
Penalty
Summary
The facility failed to ensure a resident with impaired range of motion received an elbow splint and hand roll in accordance with physician's orders. The resident was admitted with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the left non-dominant side. The quarterly MDS showed the resident was moderately cognitively impaired, had impaired ROM in one upper and one lower extremity, and required substantial assistance with multiple ADLs. The physician ordered a splint device to be applied to the left hand and elbow when out of bed and removed when in bed. The resident was also on a restorative nursing program for splinting/bracing, with care plan interventions directing staff to assist with the hand splint and elbow splint on the left upper extremity. However, the task record showed no documented evidence that the splint was applied on multiple dates during the review period, and no refusals were documented. Survey observations showed the resident sitting up in a wheelchair in the day room and in her room on several occasions without the splint or hand roll in place, and the resident stated she had a splint but was not wearing it. CNA and LPN interviews confirmed the resident was supposed to wear the splint and hand roll during the day, that staff were responsible for applying it, and that the resident did not always want to wear it. The DOR and DON stated the splint should be applied daily when the resident was up and out of bed, and the DOR stated application was important to keep the resident's contractures from worsening.
Delayed follow-up on abnormal urine lab results
Penalty
Summary
The facility failed to ensure laboratory results were followed up on in a timely manner for one resident who was being evaluated for a possible UTI. The resident had a history of hemiplegia and hemiparesis following cerebral infarction and was moderately impaired in cognition with a BIMS score of 8 out of 15. After the resident complained that she had a towel in her diaper and her daughter observed care concerns, the attending physician ordered a urinalysis and culture and sensitivity to rule out infection. A urine specimen was obtained, with one note stating the specimen was contaminated and another note documenting that urine was collected and placed in the refrigerator. The culture later showed abnormal results, including E. coli and Aerococcus urinae, and the urinalysis showed abnormal findings including positive nitrites, large leukocyte esterase, elevated white blood cells, casts, and bacteria. However, there was no documentation in the progress notes that the physician was notified of the results, no documentation of the physician’s decision regarding treatment, and no documentation that the specimen was contaminated on the lab report. Review of the record showed no antibiotic order after the abnormal lab results, and there was no further documentation in the chart for several days about whether the second urine specimen was sent, what the results were, or whether the physician had been contacted. Staff interviews confirmed that the abnormal culture results were not documented as having been followed up in the record until after the surveyor asked about them, and the DON verified that the expected documentation had not been completed.
Failure to Timely Arrange Dental Follow-Up After Lost Dentures
Penalty
Summary
The facility failed to ensure dental services were provided for one resident after her dentures were lost and not scheduled for dental follow-up within three days, as required by facility policy. The policy stated that if dentures are damaged or lost, residents will be referred for dental services within 3 days. The resident had diagnoses including cerebral infarction (ischemic stroke) and vascular dementia, was moderately impaired in cognition, and was on a regular mechanical soft diet. She was not edentulous and had been observed without upper dentures during the survey. Progress notes documented that the resident’s denture was found on 05/07/25 after she was noted to remove it and keep it in her hand or wrapped in a tissue on the bedside table. On 05/26/25, the facility documented that her denture was missing as of 05/25/25 and that her son was aware. On 05/29/25, the denture was still missing, the resident was noted to have good oral intake, and she was listed for a dental consult at the next visit. Social service notes contained no mention of the lost denture or the status of a dental appointment. By early September, the resident still did not have upper dentures, and the family member stated he had not been updated about a dental appointment and felt it had been too long to wait. The Registered Dietitian stated the dentures had been missing since 05/25/25 and that the Assistant Administrator was responsible for scheduling dental visits. Staff stated the resident was on the list to see the dentist, but the dentist had not come on the scheduled date and the appointment would be rescheduled. The facility’s records reviewed by surveyors did not show that the resident had been scheduled for or seen by the dentist within three days of the dentures being lost.
Deficiency in Physician Order Signatures and Visits
Penalty
Summary
The facility failed to ensure that physicians signed and dated monthly medication orders and conducted face-to-face visits as required. This deficiency was identified for 19 out of 32 residents reviewed over a six-month period. For instance, the medical records for several residents, including those with Alzheimer's Disease, hypertension, diabetes, and other chronic conditions, showed that their physicians had not signed the monthly orders for multiple months, ranging from December 2023 to May 2024. Additionally, there were instances where no physician or non-physician practitioner (NPP) progress notes were documented for several months. The surveyor's observations and interviews with residents and staff revealed that the facility's physicians primarily documented in the Electronic Health Records (EHR), with some maintaining hard copies in the chart. However, despite this practice, the required monthly signatures on physician orders were missing for numerous residents. The surveyor noted that some physicians, like Doctor [Name Redacted], still documented in the chart, but the electronic signing of monthly orders was not consistently completed. Interviews with the Unit Managers and the Director of Nursing (DON) confirmed the ongoing issues with physician visits and the completion of monthly order signage. The facility's policies and procedures, which require monthly certification of physician orders and adherence to OBRA regulations, were not followed. The DON acknowledged the lack of improvements in addressing these concerns, indicating a systemic issue in ensuring compliance with regulatory requirements.
Consultant Pharmacist Fails to Report Medication Timing Irregularities
Penalty
Summary
The Consultant Pharmacist (CP) failed to report irregularities found in the medication regimen of a resident, leading to a deficiency. The resident, who was admitted with diagnoses including hypertension and a gastrostomy, had a severe cognitive impairment as indicated by a Brief Interview for Mental Status (BIMS) score of three. The resident's medication orders included Sucralfate, Nexium, Levothyroxine, and enteral feeding via a G-tube. The surveyor found that the administration times for these medications did not align with manufacturer recommendations, which could lead to potential drug interactions and reduced efficacy. Specifically, Sucralfate should be given on an empty stomach, and Levothyroxine should be administered two hours before Sucralfate to avoid interactions. The CP's monthly review did not address these discrepancies, despite being responsible for identifying and reporting such issues. The CP acknowledged awareness of the dosing recommendations during an interview but had not made any recommendations regarding the timing of the medications or the potential interactions in the monthly reports. The medication nurse and Unit Manager LPN confirmed that medications were administered as per the electronic medication administration record (eMAR) without adjustments for these recommendations. The deficiency was communicated to the facility's administrative team by the surveyor.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Orange
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brookhaven Health Care Center | 0.6 mi | ★★★★★ | 9 | 0 |
| Alaris Health At St Marys | 0.8 mi | ★★★★★ | 2 | 0 |
| Grove Park Healthcare And Rehabilitation Center | 2 mi | ★★★★★ | 11 | 1 |
| Park Crescent Healthcare & Rehabilitation Center | 2.2 mi | ★★★★★ | 12 | 0 |
| Complete Care At Orange Park | 2.3 mi | ★★★★★ | 13 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.