Quality Life Services - Westmont

In the surveyor’s words

From the most serious findings on record at Quality Life Services - Westmont, in the surveyor’s own words.

• Actual harm, isolatedF600Jul 29, 2021

  Based on review of policies, investigative reports and residents' clinical records, as well as staff interviews, it was determined that the facility failed to ensure that residents were free from neglect caused by a failure to follow the resident's physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: The facility's policy regarding abuse prevention, dated October 6, 2020, indicated that each resident was to be free from any form of abuse, neglect, misappropriation of property, exploitation or mistreatment. To protect the residents, the facility was to implement procedures in the areas of screening, training, prevention, identification, investigation, protection, reporting/response, and corrective action. […]

• No harm, potential for more than minimal, patternF628Mar 12, 2026

  Based on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to notify the resident and the resident's representative, in writing regarding the reason for transfer to the hospital eight of 22 residents reviewed (Residents 3, 4, 5, 7, 17, 18, 32, 41). Findings include:A quarterly Minimum Data Set (MDS) assessment (a mandatory assessment of a resident's abilities and care needs) for Resident 3, dated January 30, 2026, revealed that the resident was cognitively impaired, required assistance from staff for all daily care needs, and had a diagnosis that included respiratory syncytial virus (RSV) pneumonia.Nursing notes for Resident 3, dated January 5, 2026, at 5:37 a.m., revealed that the resident was admitted to the local hospital… […]

• No harm, potential for more than minimal, patternF684Feb 20, 2025

  Based on clinical record reviews and staff interviews, it was determined that the facility failed to provide care and treatment in accordance with professional standards of practice, by failing to follow physician's orders to provide medications as ordered by the physician for two of 26 residents reviewed (Residents 24, 25) and failing to obtain a physician's order for fortified foods and health shakes for one of 26 residents reviewed (Resident 14). Findings include: A quarterly Minimum Data Set (MDS) assessment (a mandated assessment of a resident's abilities and care needs) for Resident 24, dated January 15, 2025, revealed that the resident was cognitively impaired and required maximum assistance from staff for her daily care needs. […]

• No harm, potential for more than minimal, patternF760Feb 20, 2025

  Based on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to provide medication as ordered by the physician, resulting in significant medication errors for one of 26 residents reviewed (Resident 32). Findings include: The facility's policy regarding medication administration, dated April 8, 2024, indicated that facility was to administer medications to residents in a safe manner that correlated with their daily activity and natural schedules. The facility's policy regarding physician's orders, dated April 8, 2024, revealed that physician's orders were to be followed in accordance with good nursing principles and practice and were to be transcribed and carried out by the persons legally authorized to do so. […]

• No harm, potential for more than minimal, patternF812Feb 20, 2025

  Based on observations and staff interviews, it was determined that the facility failed to ensure that food was served under sanitary conditions. Findings include: Observations in the main kitchen on February 18, 2025, at 9:01 a.m.; February 19, 2025, at 11:15 a.m.; and on February 20, 2025, at 8:51 a.m. revealed that there was an accumulation of dust and food debris, a clear drinking glass, a small red bowl, and a [NAME] Cup (a lightweight, easy-to-grip adapted drinking cup designed to prevent spills) under and behind the ice machine, and there was an accumulation of dust and food debris under the stove. Interview with the Dietary Manager on February 20, 2025, at 8:58 a.m. […]