Northwest Healthcare Center

In the surveyor’s words

From the most serious findings on record at Northwest Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 26, 2024

  Based on observations, staff interviews, and policy review, the facility failed to ensure food was properly stored, prepared, distributed, and served in accordance with professional standards for food service safety as required for 83 census residents who received meals from the facility kitchen. These failures had the potential to lead to food-borne illness among all facility residents. Findings include: During the initial observation with [NAME] (C)1 on [DATE] from 9:33 AM until 10:00 AM: -Infection Preventionist (IP) was noted to stand inside the kitchen food preparation area without a hair net on, speaking with the dietary staff. […]

• No harm, potential for more than minimal, patternF838Jul 30, 2021

  Based on staff interview, it was determined that facility failed to conduct and document a facility-wide assessment to determine what resources are necessary to care for its residents competently during both day-to-day operations and emergencies. This was found to be evident during a complaint survey conducted at the facility. The findings: In an interview with the facility administrator on 7/30/21 at 11:30 AM, the facility administrator stated that a facility assessment has not been completed since 2017. The facility administrator stated that s/he has only been the administrator of the facility for a few months.

• No harm, potential for more than minimal, isolatedF641Jun 17, 2026

  Based on review of facility reported incident #3013380, medical record review, and staff interview, it was determined the facility staff failed to ensure Minimum Data Set (MDS) assessments were accurately coded. This was evident for 3 (#4, #17, #18) of 18 residents reviewed during a complaint survey.The findings include: The MDS is part of the Resident Assessment Instrument that was Federally mandated in legislation passed in 1986. The MDS is a set of assessment screening items employed as part of a standardized, reproducible, and comprehensive assessment process that ensures each resident's individual needs are identified, that care is planned based on those individualized needs, and that the care is provided as planned to meet the needs of each resident.1) On 6/16/26 at 12:38 PM a review… […]

• No harm, potential for more than minimal, isolatedF657Jun 17, 2026

  Based on complaint, medical record review, and interview, it was determined that the facility failed to have a care plan meeting after an MDS assessment. This was evident for 1 (Resident #6) out of 18 residents reviewed during a complaint survey.The findings include: A care plan is a guide that addresses the unique needs of each resident. It is used to plan, assess, and evaluate the effectiveness of the resident's care. The MDS is part of the Resident Assessment Instrument that was Federally mandated in legislation passed in 1986. […]

• No harm, potential for more than minimal, isolatedF582Jan 23, 2026

  Based on review of Medicare beneficiaries who were discharged from skilled therapy and nursing services and interviews with staff, it was determined that the facility staff failed to provide Medicare beneficiaries with a written Notice of Medicare Non-Coverage. This was evident for 1 (Resident #26) of 3 residents selected during the Beneficiary Protection Reviews.The findings include:The NOMNC, or Notice of Medicare Non-Coverage, is a mandatory form Medicare providers must give patients at least two days before covered skilled services (like home health or nursing facility care) end, informing them of the termination and their right to appeal, often by contacting a Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) for an expedited decision.On 01/21/2026 at… […]