Westfield Quality Care of Aurora

In the surveyor’s words

From the most serious findings on record at Westfield Quality Care of Aurora, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Apr 15, 2024

  Licensure Reference Number 175 NAC ,d+[DATE].09 Based on record review, observations, and interviews, the facility failed to complete control testing on the facility glucometers (a machine that is used to monitor blood sugar levels) each night in order to maintain accurate blood sugar readings for the administration of sliding scale insulins and to ensure the accuracy of all blood sugars being monitored in the facility. This affected 6 residents who received Sliding Scale Insulin. (Residents 8, 9, 17, 30, 31, and 34). The facility failed to ensure that thorough skin checks were implemented for 1 Resident (Resident 30), of 4 sampled Residents. […]

• No harm, potential for more than minimal, widespreadF801Apr 7, 2025

  Licensure Reference Number 175NAC 12-006.04(H)(ii)(2) Based on observation, record review, and interview the facility failed to ensure that it employed a Certified Dietary Manager (CDM) (a CDM has completed education to be a nationally recognized expert in managing dietary operations and ensuring food safety) to oversee the facility food service. This affected all facility residents. The facility census was 50. Findings are: Record review of the facility Dietary Manager Job Description dated 2018 revealed that minimum requirements include one of the following: Certification as a Dietary Manager (Certified Dietary Manager) or Certification as a Food Service Manager. […]

• No harm, potential for more than minimal, widespreadF804Apr 7, 2025

  Licensure Reference Number 175 NAC 12-006.11(D) Based on observation, record review, and interview; the facility failed to ensure that foods were held at the required temperatures during meal service to ensure meals were palatable and at an appetizing temperature; and the facility failed to ensure that pureed foods (a cooked food item that has been ground with a blender into a smooth, soft, pudding-like consistency for residents with difficulty chewing or swallowing) were prepared to maintain nutritive value for 1 of 1 residents (Resident 43). The facility census was 50. Findings are: A. Record review of the facility policy titled Food Temperatures dated 2021 revealed that the temperatures of all food items will be taken and properly recorded prior to service of each meal. […]

• No harm, potential for more than minimal, widespreadF812Apr 7, 2025

  Licensure Reference Number 175 NAC 12-006.11(E) Based on observation, interview, and record review; the facility failed to ensure that dietary staff performed hand washing to prevent the potential for cross contamination and food borne illness during food preparation and food service; the facility failed to maintain held foods within the required safe temperature range during meal service to prevent the potential for foodborne illness; the facility failed to perform daily testing of sanitizer chemical concentration to ensure sanitizer was at the required levels for use; and the facility failed to maintain dietary equipment and areas free of soiling and debris. This had the potential to affect all residents who resided within the facility. […]

• No harm, potential for more than minimal, widespreadF844Apr 7, 2025

  Licensure Reference Number 175 NAC 12-006.01(g)(h) Based on interviews and record reviews, the facility failed to notify the Department in writing within 5 working days of vacancy and filling of the Administrator position. This had the potential to affect all facility residents. The facility census was 50. Findings Are: The Facility Administrator (FA) was interviewed on 04/07/2025 at 2:45 PM. The interview with the FA revealed that the Business Office Manager (BOM) was the provisional administrator prior to their tenure which began on 02/14/2025. The BOM was interviewed on 04/07/2025 at 2:49 PM revealing that they were the Provisional Administrator prior to the current Administrator and their term ended on 02/14/2025. […]