Benefis Senior Services - Westview

In the surveyor’s words

From the most serious findings on record at Benefis Senior Services - Westview, in the surveyor’s own words.

• Actual harm, isolatedF600May 20, 2025

  Based on observation, interview, and record review, the facility failed to ensure a resident was free from mental abuse by depriving a resident their rights to private visitations (see F563 & F583) and isolating the resident from social interactions for staff convenience, causing the resident to experience ongoing feelings of being dull, bored, and frustrated which resulted in the resident expressing feelings of being a prisoner, for 1 (#78) of 13 sampled residents. Findings include. During an observation and interview on 5/17/25 at 2:00 p.m., resident #78 was sitting in the common area with another resident and NF3 and NF4. Resident #78 stated she had to visit with her friends in the common area because she was not allowed visitors in her room. […]

• Actual harm, isolatedF686May 20, 2025

  Based on observation, interview, and record review, the facility failed to consistently assess, measure, and monitor a resident's pressure ulcer; and failed to ensure wound dressings were provided as ordered by the physician, and failed to ensure sufficient wound documentation was completed, to prevent the progression of a worsening Stage III pressure ulcer for 1 (#75). This deficient practice had the potential to cause worsening wounds and infection for the resident; and the facility failed to ensure 1 (#7) of 13 sampled residents properly received perineal care to prevent the occurrence of a wound related to the use of an indwelling catheter. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF727Jun 18, 2026

  Based on interview and record review, the facility failed to ensure there were eight consecutive (onsite) hours of registered nursing coverage provided each day, seven days a week. This failure affected all residents in the facility when an RN was not available on-site. Findings include.Review of the facility's Payroll-Based Journal report showed the facility had eight days without the required registered nurse coverage during the Fiscal Year Quarter 2 2026 (January 1-March 31). The following dates showed no registered nurse coverage for eight consecutive hours: - 1/17/26,- 1/31/26,- 2/1/26,- 2/14/26,- 2/28/26,- 3/1/26,- 3/14/26 and,- 3/28/26. During an interview on 6/17/26 at 2:32 p.m., staff member A said the facility had a registered nurse who had terminated employment. […]

• No harm, potential for more than minimal, widespreadF804Jun 20, 2024

  Based on observations, interviews, and record review, the facility failed to provide residents with food at a safe and appetizing temperature for 4 (#s 101, 104, 117, and 121) of 16 sampled residents, this this could affect more residents who received food from the kitchen. Findings include: 1. During an interview on 6/17/24 at 1:00 p.m., resident #101 stated the food was, . mostly all cold and you don't get what you ask for . 2. During an interview on 6/17/24 at 1:25 p.m., resident #104 stated, The food is horrible, always cold . 3. During an observation and interview on 6/17/24 at 1:25 p.m., resident #121 stated, I got a peanut butter and jelly sandwich today . the bread is wet, I won't eat it . the food is crap and it is cold . […]

• No harm, potential for more than minimal, patternF656May 20, 2025

  Based on interview and record review, the facility failed to develop and implement a comprehensive, person-centered care plan that reflected the care needs, and to attain or maintain the residents' highest practicable physical, mental, and psychosocial well-being, for 2 (#s 14 and 68) of 13 sampled residents, which included failing to ensure interventions were in place and documented for dialysis and dialysis related emergencies and monitoring of the resident for #14; failed to ensure interventions were in place to prevent identified elopement risks and/or review and revise interventions in place following elopements for #68. Findings include: 1. […]