Smithville Western Care Center

In the surveyor’s words

From the most serious findings on record at Smithville Western Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Oct 31, 2024

  Based on observation, open and closed medical record review, fax sheet review, policy review, and interview, the facility failed to ensure all residents received adequate, timely and necessary care and treatment. The facility failed to ensure Resident #78 received timely and adequate treatment and care and medical intervention to treat a change in condition. Resident #78 was admitted to the facility on [DATE] following a hospitalization for acute ischemia (reduced blood flow) of small intestine with perforation status post right hemicolectomy (removal of part of the large intestine), septic shock and gastroenteritis (inflammation of the lining of the stomach). Between 09/05/24 and 09/18/24 Resident #78 exhibited increased nausea/vomiting, diarrhea and abdominal pain. […]

• No harm, potential for more than minimal, widespreadF921Aug 7, 2026

  Based on observation, interview, and facility policy review, the facility failed to ensure they maintained all areas of the facility in good repair and in a safe and sanitary condition when they did not ensure their basement was free from standing water and a black mold-like substance. This had the potential to affect all 97 residents residing in the facility.Findings include:During an observation and interview on 08/05/26 at 1:52 P.M., the Maintenance Director (MD) revealed that when the door to the basement was opened there was a musty odor coming up from the basement. The basement was enclosed with a keypad locked door and consisted of cinder block walls and a solid ceiling. At the bottom of the stairs, there was standing water. […]

• No harm, potential for more than minimal, widespreadF812Jul 2, 2024

  Based on observations, staff interview and review of facility policy, the facility failed to maintain a clean and sanitary kitchen area and ensure foods were properly stored. This had the potential to affect all 90 residents who received meals from the kitchen. The facility census was 90. Findings include: Observation on 06/24/24 at 8:22 A.M. with Dining Services Director (DSD) #505 of the facility's kitchen revealed a plastic storage container with oats in the dry storage room. A scoop was resting on top of the oats inside the container. […]

• No harm, potential for more than minimal, widespreadF814Jul 2, 2024

  Based on observation, staff interview and review of facility policy, the facility failed to ensure garbage was properly disposed of. This had the potential to affect all 90 residents of the facility. The facility census was 90. Findings include: Observation on 06/24/24 at 9:13 A.M. of the outside trash area, with Dining Services Director (DSD) #505, revealed two dumpsters. There were various plastic wrappers, gloves, plastic spoons and cigarette butts on the ground surrounding the dumpsters. […]

• No harm, potential for more than minimal, widespreadF925Jul 2, 2024

  Based on observation, staff interview, review of pest control reports and review of facility policy, the facility failed to maintain a kitchen area free of pests. This had the potential to affect all 90 residents who received meals from the kitchen. The facility census was 90. Findings include: Observation on 06/24/24 at 8:22 A.M. of the kitchen, with Dining Services Director (DSD) #505, revealed large amounts of drain flies in the dish machine area. The drain flies were seen on the walls and equipment in the area and flying around the area. Interview on 06/24/24 at 9:12 A.M. with DSD #505 confirmed the findings of drain flies. DSD #505 indicated maintenance was aware of the drain flies and was supposed to have it treated. […]