Life Care Center of Westlake

In the surveyor’s words

From the most serious findings on record at Life Care Center of Westlake, in the surveyor’s own words.

• Actual harm, isolatedF697Dec 30, 2021

  Based on record review and interview, the facility failed to verify and administer one resident's (Resident #103) pain medication in a timely manner. This affected one (Resident #103) of a four residents reviewed for pain. Actual harm occurred when Resident #103, who was admitted on [DATE] status post [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility census was 84. Findings include: Resident #103 was admitted to the facility 12/11/21 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident #103's Minimum Data Set Assessment (MDS) 3.0 assessment dated [DATE] revealed Resident #103 had severe cognitive impairment. She required extensive assistance of two staff for all activities of daily living including toileting and bed transfers. […]

• Actual harm, isolatedF689Sep 3, 2021

  Based on interview, record review, and policy review, the facility failed to provide adequate supervision for one resident, Resident #81. Actual harm occurred when Resident #81, who required one-on-one supervision, was not properly supervised, and fell resulting in a fractured tibia. This affected one resident, Resident #81, of three residents reviewed for behaviors. The facility census was 80. Findings Include: Review of the medical record for Resident #81 revealed an admitted [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Oct 19, 2023

  Based on observation and staff interview the facility failed to ensure food was labeled and dated properly and was stored in a clean and sanitary manner to prevent contamination and food borne illness. This had the potential to affect 95 of 96 residents who received meals from the kitchen. The facility identified one resident (#8) who received nothing by mouth (NPO). Findings include: During the initial kitchen tour conducted on 10/16/23 from 9:03 A.M. through 9:28 A.M. revealed the following: Two full packages of hot dog buns were dated use by 10/09/23. In the deli cooler there was a package of undated shaved turkey and a container of shredded lettuce that was brown/slimy at the bottom. In the freezer there was a plastic bag with ten pieces of breaded fish not labeled or dated. […]

• No harm, potential for more than minimal, widespreadF814Oct 19, 2023

  Based on observation and staff interview, the facility failed to maintain its garbage disposal area in a clean and sanitary condition. This had the potential to affect 95 of 96 residents who received meals from the kitchen. The facility identified one resident (#8) who received nothing by mouth (NPO). Findings include: Observation of the facilities garbage disposal area with Dietary Manager #883 on 10/16/23 at 9:20 A.M. revealed side doors to two dumpsters were open and garbage bags were protruding out the sides. There was some trash around the dumpster such as plastic cups, plastic gloves, dirt, and leaves. These observations were verified by Dietary Manager #883 at the time of the observation. An additional observation on 10/18/23 at 1:11 PM. […]

• No harm, potential for more than minimal, widespreadF880Dec 30, 2021

  Based in observation, interview, and record review the facility failed to follow infection control requirements and did not place Resident #103 in isolation precautions upon return from a hospital stay. This affected one (Resident #103) of eighteen (Resident's #8, #10, #13, #48, #58, #60, #70, #73, #86, #87, #88, #89, #90, #93, #94, #95, #102, and #103) reviewed for infection control. This had the potential to affect all residents residing in the facility. The facility census was 84. Finding include: Review of the medical record for Resident #103 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the significant change Minimum Data Set (MDS) 3.0 assessment, dated 11/07/21, revealed Resident #103 had impaired cognition. […]