Alliance Health at West Acres

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF804Sep 19, 2025

  Based on observation and interviews, the facility failed to ensure residents received food prepared by methods that conserve nutritive value, flavor, and appearance, and was palatable, attractive, and at a safe and appetizing temperature for two of two test trays. Findings include:During the initial resident screening on 9/16/25, the survey team identified the following concerns expressed by residents about food palatability:-Resident #53 said the food was often served cold.-Resident #103 said the food was cold 90% of the time, but the staff will reheat it, if you ask.-Resident #37 said the food was always cold and gross.On 9/17/25 at 11:15 A.M., 10 Residents attended the Resident Council Meeting. […]

• No harm, potential for more than minimal, patternF812Sep 19, 2025

  Based on observation, document review, and interview, the facility failed to follow professional standards of practice for food safety and sanitation to prevent the potential spread of foodborne illness to residents who are at high risk. Specifically, the facility failed to:1. Ensure emergency water supply was discarded and replenished prior to the expiration date.2. Maintain safe and clean equipment in three out of three kitchenettes.Findings include:Based on observation, document review, and interview, the facility failed to follow professional standards of practice for food safety and sanitation to prevent the potential spread of foodborne illness to residents who are at high risk. Specifically, the facility failed to:1. […]

• No harm, potential for more than minimal, patternF880Aug 29, 2024

  Based on observation, interview, and document review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment, and to help prevent the development and potential transmission of communicable diseases and infections when the facility was currently experiencing an outbreak of COVID-19 infection. Specifically, the facility failed to: 1. Perform a COVID-19 related investigation and conduct contact tracing for a single new resident case to prevent, to the extent possible, the onset and spread of infection and ensure staff and resident COVID-19 surveillance line listings were maintained; 2. […]

• No harm, potential for more than minimal, patternF656Jul 27, 2023

  Based on observations, record review, and staff interviews, the facility failed to implement care plans for three Residents (#7, #55, and #8), out of a sample of 25 residents. Specifically, the facility failed: 1. For Resident #7, to implement a nose picking behavior care plan; 2. For Resident #55, to apply Geri-sleeves (a device that helps protect extremities from abrasion, bruises, and skin tears), as ordered; and 3. For Resident #8, a. to apply Geri-sleeves, and b. to implement a fall mat (a device used to reduce risk of injury from impact) on the floor as ordered and ensure the Resident's bed was in a low position. Findings include: 1. […]

• No harm, potential for more than minimal, patternF658Jul 27, 2023

  Based on observations, record review, and interviews, the facility failed to ensure four Residents (#60, #7, #37, and #312), out of a sample of 25 residents received care consistent with professional standards of practice. Specifically, the facility failed: 1. For Resident #60, to implement a physician's order not to have straws; 2. For Resident #7, to document weekly skin checks accurately; 3. For Resident #37, to ensure nursing implemented new physician's orders and implemented the physician's order review policy as required; and 4. For Resident #312, to implement a physician's order for an ace wrap. Findings include: 1. […]