Main West Postacute Care

In the surveyor’s words

From the most serious findings on record at Main West Postacute Care, in the surveyor’s own words.

• Immediate jeopardy, patternF584Aug 6, 2021

  Based on observation, interview, and record review, the facility failed to maintain a safe, comfortable and homelike environment for 62 of 74 residents (Residents 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 69, 73, and 74) when the ambient (the surrounding area or environment) temperatures in resident rooms, including the main halls, and station one and two's medication room, reached 86.3 degrees Fahrenheit (F- unit of temperature) (safe and comfortable temperature is 71 to 81 degrees F) on 7/30/21 at 2:57 p.m. and continued to rise to 88.5 degrees F by 5:15 p.m. […]

• No harm, potential for more than minimal, widespreadF814Mar 7, 2025

  Based on observation and interview, the facility failed to ensure discarded items were secured inside of a dumpster. This deficient practice had the potential to affect all 96 residents who resided in the facility. Findings included: During an observation of the rear of the facility on 03/05/2025 at 10:19 AM, there was a cluttered area that contained 13 bags of clothing items, seven mattresses that were stained brown and stacked on top of a bed, a dusty plate warmer, and pallets. During an interview on 03/05/2025 at 10:25 AM, the Housekeeping Supervisor stated the items located at the rear of the facility had been there for three to six months and the maintenance staff were responsible for cleaning the area. […]

• No harm, potential for more than minimal, widespreadF838Aug 6, 2021

  Based on interview and record review, the facility failed to conduct and document a facility-wide assessment that detailed the resources necessary to care for 74 of 74 residents (Resident 1 through Resident 74) when the facility assessment did not include a detailed assessment of the physical characteristics of the building, including but not limited to the heating, ventilation, and air conditioning (HVAC) system, the equipment and training required to maintain the system, contracted services, types of medical equipment, and staffing. […]

• No harm, potential for more than minimal, patternF825Feb 4, 2026

  Based on interview and record review, the facility failed to provide Physical Therapy (PT-a health professional trained to evaluate and treat people who have conditions or injuries that limit their ability to move and do physical activities) and Occupational Therapy (OT- a health professional that provides services to increase and/or maintain a person's capability to participate in everyday life activities) for five of five residents (Residents 1, 2, 3, 4 and 5) when Residents 1, 2, 3, 4, and 5 did not receive PT and OT treatments ranging from 1/5/26 to 2/4/26 that had been prescribed by their physician. […]

• No harm, potential for more than minimal, patternF689Aug 25, 2023

  Based on observation, interview and record review, the facility failed to ensure residents environment remained free of accidents and hazards when: 1. Four of 41 residents' rooms (Residents 6, 54, 64 and 73) had unsecured, exposed electrical cable wires and were hanging from the ceiling within arm's reach. 2. Six of 41 residents' rooms (Resident 3, 4, 63, 67, 68 and 71) had water leaking in the bathroom from a clogged swamp cooler line. These failures had the potential to place residents and staff at risk for accident hazards such as electrocution, skin burns, slip and fall, ceiling collapse and avoidable resident and staff injury. Findings: 1. During a concurrent observation and interview on 8/22/23 at 10:22 a.m. […]