West Side Campus of Care

In the surveyor’s words

From the most serious findings on record at West Side Campus of Care, in the surveyor’s own words.

• Immediate jeopardy, patternF684Sep 16, 2021

  Based on observation, interview and record review, the facility failed to ensure quality of care as well as have a effective pest control program for two (Residents #1 and #3) of five residents reviewed for quality of care. The facility failed to ensure that they established and followed procedures/protocols to ensure that there were no potential negative outcomes to a resident's physical, mental, or psychosocial health or well-being. Staff failed to contact the appropriate entities regarding the issue, failed to have the knowledge to follow protocol of removing clothing, showering resident, completing an assessment, moving the resident to another location, failed to properly assess as well as monitor the residents. An Immediate Jeopardy (IJ) was identified on 09/15/21 at 00:00. […]

• Immediate jeopardy, patternF925Sep 16, 2021

  Based on observation, interview and record review, the facility failed to maintain an effective pest control program to ensure the facility was free of pests for two (Residents #1 and #3) of five residents reviewed for incidents and accidents related to pests. The facility failed to act promptly to ensure Resident #1's safety when ants were first observed in her room on the COVID unit on 09/10/21-09/11/21 overnight shift. Resident #1 was bitten by the ants on her right arm, chest, and thigh. The facility staff was aware ants were seen on Resident #1's hall earlier that morning as Resident #3 had already been bitten in the adjacent room on her neck and arms. Pest control was not called to come out for three days. […]

• Immediate jeopardy, isolatedF600May 8, 2025

  Based on observation, interview, and record review, the facility failed to ensure the residents' right to be free from abuse for one resident (Resident #1) of ten residents reviewed for abuse. -The facility failed to ensure that Resident #1 was free from physical abuse when he alleged he received methadone from a staff member, was found unresponsive, required Narcan, and tested positive for Methadone for which he did not have an order for. Resident #1 was transported to the local hospital on 4/30/25 and diagnosed with hypoxia (low oxygen) likely due to acute-on-chronic systolic heart failure. An Immediate Jeopardy (IJ) was identified on 5/07/25 at 1:56 PM and an IJ Template was provided to the Administrator at 3:00 PM. […]

• Immediate jeopardy, isolatedF607May 8, 2025

  Based on observation, interview and record review, the facility failed to implement written policies and procedures that prohibit mistreatment, neglect, and abuse of residents for one resident (Resident #1) of ten residents reviewed for abuse. -The facility failed to implement the abuse and neglect policy and procedures to ensure that Resident #1 was free from physical abuse when he alleged he received methadone from a staff member, was found unresponsive, required Narcan, and tested positive for Methadone for which he did not have an order for. […]

• Immediate jeopardy, isolatedF695May 8, 2025

  Based on observation, interview, and record review the facility failed to ensure that a resident who needs respiratory care was provided such care, consistent with professional standards of practice for one resident (Residents #2) of six residents reviewed for respiratory care in that: -The facility failed to ensure that Residents #2, who required continuous oxygen therapy, continued to receive adequate oxygen when her portable oxygen tank ran out of oxygen while the resident was in the community at an appointment on 4/28/2025. Resident #2 was sent to the local hospital by the clinic after running out of oxygen and complaining of SOB and chest pain. The non-compliance was identified as past non-compliance (PNC). The Administrator and DON were notified of the PNC on 05/07/25 at 2:57 PM. […]