Extended Care Hospital of Westminster

In the surveyor’s words

From the most serious findings on record at Extended Care Hospital of Westminster, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF605May 22, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure five of 19 final sampled residents (Residents 5, 10, 25, 68, and 81) were free from the unnecessary psychotropic medications. * The facility failed to ensure nonpharmacological interventions were implemented when Residents 5, 10, and 25 exhibited behaviors related to the use of the psychotropic medications. In addition, the nonpharmacological interventions were not included into the residents' plan of care. * The facility failed to ensure nonpharmacological interventions were implemented when Resident 68 exhibited behaviors related to the use of the Ativan (antianxiety), Seroquel (antipsychotic), and Geodon (antipsychotic) medications. […]

• No harm, potential for more than minimal, patternF644May 22, 2026

  Based on observation, interview, and medical record review, and facility P&P review, the facility failed to ensure the recommendations from the PASARR Level II determinations were followed up and incorporated into the resident care for three of three final sampled residents (Residents 10, 25, and 81) reviewed for PASARR. * The facility failed to ensure the recommendations for PASARR Level II determination were followed up and incorporated into Residents 10, 25, and 81's plan of care. […]

• No harm, potential for more than minimal, patternF803May 22, 2026

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the menus were followed when:1. The pureed diet peas and carrots recipe was not followed;2. The minced and moist diet peas and carrots recipe was not followed; and3. The minced and moist diet glazed meat loaf recipe was not followed. These failures had the potential to not meet the residents' nutritional needs for the 18 of 87 residents (Residents 2, 7, 18, 20, 24, 26, 34, 44, 45, 52, 59, 63, 65, 66, 67, 74, 88, and 93) who received a pureed diet and nine of 87 residents (Residents 16, 21, 37, 61, 64, 76, and 84) who received a minced and moist diet. […]

• No harm, potential for more than minimal, patternF812May 22, 2026

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure food safety and sanitation guidelines were followed for 87 of 93 residents who received meals from the facility's kitchen. * The facility failed to ensure facial hair was covered in the food preparation area. * The facility failed to ensure the ice machine was not dirty. * The facility failed to ensure open food items were dated. These failures increased the risk of foodborne illness for the highly susceptible resident population of 87 residents who received meals prepared in the facility's kitchen.Findings: Review of the facility's Resident Matrix dated 5/19/26, showed 87 of 93 residents received meals prepared in the facility's kitchen. 1. […]

• No harm, potential for more than minimal, patternF880May 22, 2026

  Based on observation, interview, and facility P&P review, the facility failed to ensure the infection control practices were followed. * The facility failed to ensure Room A's door frame had no yellow discoloration. * The facility failed to ensure Room A's toilet seat was in good repair. * The facility failed to ensure the floor tiles in hallways throughout the facility and in the laundry room were intact and cleanable. * The facility failed to ensure the laundry room vents and surfaces were free of dust and cobwebs. * The facility failed to ensure clean towels used for residents were stored covered and protected from contamination. * The facility failed to ensure the clean PPE gowns were stored properly and not adjacent to a lint producing machine. […]