James L. West Center for Dementia Care

In the surveyor’s words

From the most serious findings on record at James L. West Center for Dementia Care, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Oct 11, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents were free from abuse for 1 of 7 residents (Resident #1) reviewed for abuse. The facility failed to ensure Resident #1 was free from physical and verbal abuse when CNA B pinned Resident #1's hands and arms to the bed, used his body weight on Resident #1 to force him to comply with receiving care and told Resident #1 not to play with him on 08/06/24. An IJ was identified on 09/25/24. The IJ template was provided to the facility on [DATE] at 5:17 PM. […]

• Immediate jeopardy, isolatedF604Oct 11, 2024

  Based on observation, interview and record review, the facility failed to ensure the right to be free from physical restraints imposed for purpose of convenience and not required to treat the resident's medical symptoms was provided for 1 of 7 residents (Resident #1) reviewed for restraints. The facility failed to ensure Resident #1 had the right to be free from restraints when CNA B physically pinned the resident's hands and arms to the bed while he provided care to him on 08/06/24. After administrative review and IJ was identified on 10/11/24. The IJ template was provided to the facility on [DATE] at 8:30 AM. […]

• Immediate jeopardy, isolatedF607Oct 11, 2024

  Based on observation, interview and record review, the facility failed to develop and implement written policies and procedures that prohibit and prevent the neglect of residents for 1 of 7 residents (Resident #1) reviewed for abuse. The facility failed to implement the facility's written policies and procedures to prohibit and prevent abuse of Resident #1 when CNA B pinned Resident #1's hands and arms to the bed, used his body weight on Resident #1 to force him to comply with receiving care, and told Resident #1 not to play with him on 08/06/24. The facility failed to ensure CNA B (an agency CNA) had been trained on how to care for Resident #1, a resident who refused care, and also had dementia training prior to beginning the shift. An IJ was identified on 09/25/24. […]

• Immediate jeopardy, isolatedF610Oct 11, 2024

  Based on observation, interview and record review, the facility failed to have evidence that all alleged violations were thoroughly investigated and prevent further potential abuse, neglect, exploitation, or mistreatment while the investigation is in progress for 1 of 7 residents (Resident #1) reviewed for abuse. The facility failed to implement their abuse policy and investigate alleged or suspected physical abuse when Resident #1's RP told them CNA B continued to provide care after the resident had refused and told them CNA B was rough during care leaving red marks to Resident #1's face. An IJ was identified on 09/25/24. The IJ template was provided to the facility on [DATE] at 5:17 PM. […]

• Immediate jeopardy, isolatedF600Aug 6, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents were free from abuse for 1 of 3 residents (Resident #1) reviewed for abuse. The facility failed to ensure CNA B did not verbally and physically abuse Resident #1 on 04/29/24. The noncompliance was identified as past noncompliance. The Immediate Jeopardy began on 04/29/24 and ended on 04/29/24. The facility had corrected the noncompliance before the investigation began. This failure could affect the residents at the facility and place them at risk for physical, verbal, and/or psychosocial harm. Findings included: Review of Resident #1's electronic health record revealed she was an [AGE] year-old female who admitted to the facility on [DATE]. […]