Life Care Center of Westminster

In the surveyor’s words

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

• Actual harm, isolatedF684Mar 19, 2026

  Based on record review and interviews, the facility failed to provide treatment and care in accordance with professional standards for one (#1) of three residents out of eight sample residents.Resident #1, who had a history of falls and previous fractures that included a right humerus (long bone in the upper arm) fracture, was admitted to the facility on [DATE]. On 3/1/26 at 3:30 a.m. Resident #1, who required maximum assistance from staff with transfers, fell out of bed. Registered nurse (RN) #1 heard a loud sound and found Resident #1 on the floor next to her bed lying on her left side in a somewhat fetal position partially on the fall mat. The bed was raised in a high position. […]

• Actual harm, isolatedF686May 1, 2025

  Based on observations, record review and interviews, the facility failed to ensure one (#41) of five residents reviewed for pressure injuries out of 33 sample residents received care consistent with professional standards of practice to prevent pressure ulcers from developing. Resident #41 was admitted on [DATE] for long term care. At the time of his admission, the resident was identified as being at risk for developing pressure injuries and he did not have any pressure injuries upon admission. On 12/2/24 the facility documented Resident #41 had a new wound with an open area on his left inner heel measuring 3.0 centimeters (cm) by 0.9 cm. […]

• Actual harm, isolatedF600Jun 17, 2024

  Based on record review and interviews, the facility failed to ensure one (#1) of three residents out of three sample residents was kept free from neglect. Resident #1, who had a known history of falls and was dependent on staff for transfers, had a documented plan of care which required the assistance of two staff members for transfers with a mechanical lift. The resident was unable to perform a stand and pivot transfer related to her diagnosis of cerebral palsy (affects the body movement, muscle control, reflexes, posture and balance). On 1/26/24 a facility certified nurse aide (CNA) requested assistance from an agency CNA to help transfer Resident #1 from a shower chair to the resident's wheelchair with a mechanical lift. […]

• Actual harm, isolatedF697May 12, 2022

  Based on observations, interviews, and record review, the facility failed to ensure pain management was provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for one (#163) of one resident reviewed out of 32 sample residents. Resident #163 admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The 4/21/22 pain assessment revealed the resident had pain to her right and left heel. Her most recent pain level was a 7 out of 10 (with 10 being the worst pain on a scale), and her acceptable pain level was a 3 out of 10. The assessment documented movement and dressing changes made the pain worse, and rest made the pain better. […]

• Actual harm, isolatedF689Oct 14, 2021

  Based on record review and interviews, the facility failed to ensure that the resident environment remained as free from accident hazards as possible and that every resident received adequate supervision and assistance devices to prevent accidents for one (#1) out of five sample residents. Resident #1 was admitted to the facility with a diagnosis of history of falling, left lower leg fracture, and left humerus (upper arm) fracture; in addition, she was assessed by the facility as a high risk for falling on 8/24/21. The facility failed to ensure assistance of two staff members for bed mobility was provided to Resident #1 during incontinence care to prevent the resident from rolling off of the bed on 9/4/21. […]