Westland, A Villa Center

In the surveyor’s words

From the most serious findings on record at Westland, A Villa Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Sep 9, 2021

  Based on observation, interview, and record review the facility failed to ensure the safety and supervision of six Residents (R509, R532, R533, R534, R535 and R538) who smoked, two confused Residents (R536 and R537) who were observed in the smoking area with smokers, and failed to prevent smoking residents from keeping their own cigarette lighters, and possessing smoking materials, including around Residents (R528 and R538) who received oxygen treatment, of eight residents reviewed for smoking, resulting in Immediate Jeopardy due to the likelihood of serious injury, harm or death from resident [CONDITION(S)] or fire related accidents. Findings include: Resident #533 and Resident #534 On 09/07/2021 at 1:50 PM, R533 was observed in the courtyard socializing and smoking cigarettes with R534. […]

• Actual harm, isolatedF600Sep 25, 2024

  This citation refers to Intake MI00146945. Based on interview and record review, the facility failed to protect the resident's right to be free from resident to resident physical abuse for one resident (R904) out of two residents reviewed for abuse resulting in hospitalization for right eye fracture. Findings include: A review of a complaint called into the State Agency incident revealed the following: (R903) sold clothes to (R904) but (R904) didn't pay for the clothes and claims that (R903) took them back. On 9/5/24 (R904) hit (R903) in the arm and (R903) swung back hitting (R904) in the face causing (them) to fall. The residents were separated, and the police were called. […]

• Actual harm, isolatedF686Apr 21, 2022

  This citation pertains to intake #'s: MI 741, M 487, MI 557 and MI 579. Based on observation, interview and record review, the facility failed to implement interventions and/or accurately assess and treat a wound appropriately for two Residents (Resident #702 and #703) of three reviewed for wound care, resulting in a delay in wound healing, pain, and hospitalization requiring surgery. Findings include: Resident #703 (R703) On 04/20/2022 at 09:54 AM, Resident #703 was observed awake in bed. The Resident had clear speech and was able to answer questions appropriately. Resident #703 explained that they had recently gotten back from the hospital, stating, They had to do surgery on my wound. […]

• Actual harm, isolatedF686Sep 9, 2021

  This citation pertains to intake MI 705. Based on interview and record review, the facility failed to effectively assess, monitor, and initiate wound treatment in a timely manner for one sampled Resident (R531) of five reviewed for pressure ulcers, resulting in a lack of treatment and development/worsening of an unstageable pressure ulcer, as well as the potential for infection and development of additional wounds. Findings include: The Minimum Data Set (MDS) 3.0 describes an unstageable pressure ulcer as a full-thickness tissue loss in which the actual depth of the ulcer is completely obscured by slough and/or eschar (non-viable tissue) in the wound bed. […]

• Actual harm, isolatedF689May 19, 2021

  This citation pertains to Intake number MI 037. Based on observation, interview, and record review the facility failed to prevent a hot liquid burn affecting one resident (R505) of two residents reviewed for accidents and hazards resulting in a painful injury by a hot liquid. Findings include Review of R505's anonymous complainant's allegation revealed, On 05/09/2021, the facility staff served a hot liquid to a resident resulting in a burn. On 05/18/2021 at 10:50 AM, R505 was interviewed regarding the burn injury and stated, I asked the Aide (Certified Nurses Aide, CNA K) for some hot water so I could make some soup (brand name noodles) and she brought me a cup and put it there on the table. […]