Inspection Results » Westgate Nursing & Rehab Community

Health Inspection on May 18, 2018 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-06-25)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-06-25)
   • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Corrected 2018-06-25)
   • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2018-06-25)
   • Provide and implement an infection prevention and control program. (Corrected 2018-06-25)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-06-25)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-06-25)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-06-25)
   • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (Corrected 2018-06-25)
   • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2018-06-25)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-06-25)
   • Respond appropriately to all alleged violations. (Corrected 2018-06-25)
   • Ensure meals and snacks are served at times in accordance with residentÂ’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedu (Corrected 2018-06-25)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-06-25)
   • Ensure residents have reasonable access to and privacy in their use of communication methods. (Corrected 2018-06-25)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-06-25)
   • Protect each resident from the wrongful use of the resident's belongings or money. (Corrected 2018-06-25)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-06-25)
   • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (Corrected 2018-06-25)
   • Assess the resident when there is a significant change in condition (Corrected 2018-06-25)