60 West

In the surveyor’s words

From the most serious findings on record at 60 West, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jun 24, 2025

  Based on a tour of the kitchen, observations, interviews, and facility policy, the facility failed to ensure that beards were covered when handling food on the steam table. The findings included: During observations of meal service on 6/18/25 at 11:45 AM with the Dietary District Manager, the following was identified: Cook #1 was at the steam table prepping food items for food service delivery. [NAME] #1 was placing hamburgers, chicken, and condiments in the compartments on the steam table without the benefit of wearing a beard restraint. [NAME] #1 had visible facial hair in the form of a goatee beard. […]

• No harm, potential for more than minimal, patternF600Aug 16, 2023

  Based on review of the clinical record, facility documentation, facility policy, and interviews for 3 residents (Resident #39, 54 and 60) reviewed for allegations of sexual abuse, the facility failed to ensure that the residents were free from inappropriate touching by Resident #29, and for 1 resident (Resident #36) reviewed for an allegation of abuse, the facility failed to ensure the resident was free from physical abuse by Resident #41. The findings include. 1. Resident #29 was admitted to the facility on [DATE] with diagnoses that included disorganized schizophrenia, intellectual disability and fluency disorder, and diabetes. […]

• No harm, potential for more than minimal, patternF609Aug 16, 2023

  Based on review of the clinical record, facility documentation, facility policy, and interviews for 3 residents (Resident #39, 54 and 60) reviewed for allegations of sexual abuse, the facility failed to immediately report allegations of sexual abuse by Resident #29. The findings include. 1. Resident #29 was admitted to the facility on [DATE] with diagnoses that included disorganized schizophrenia, intellectual disability and fluency disorder, and diabetes. The quarterly MDS dated [DATE] identified Resident #29 had intact cognition, was always continent of bowel and bladder, and was independent with transfers, dressing and toileting. […]

• No harm, potential for more than minimal, patternF610Aug 16, 2023

  Based on review of the clinical record, facility documentation, facility policy, and interviews for 3 residents (Resident #39, 54 and 60) reviewed for allegations of sexual abuse, the facility failed to initiate a thorough investigation, according to their policy, into the allegations of sexual abuse by Resident #29 to prevent further abuse from occurring while the investigation was in progress. The findings include. 1. Resident #29 was admitted to the facility on [DATE] with diagnoses that included disorganized schizophrenia, intellectual disability and fluency disorder, and diabetes. The quarterly MDS dated [DATE] identified Resident #29 had intact cognition, was always continent of bowel and bladder, and was independent with transfers, dressing and toileting. […]

• No harm, potential for more than minimal, patternF812Aug 16, 2023

  Based on observations, review of facility documentation, facility policy and interviews, the facility failed to ensure dry food was stored in a clean and sanitary manner, failed to ensure that hot and cold food temperatures for meals were obtained and documented appropriately, failed to ensure that out of range rinse temperatures logged for a high temperature dish washer had corrective actions documented and implemented per protocol, and failed to ensure that food items stored for the emergency 3-day supply were within use by dates. The findings include. 1. During an initial tour of the kitchen with the Food Services Director on [DATE] at 7:50 AM, observations of the dry storage area identified a significant amount of fruit fly activity throughout the area. […]