Westminster Village - West Lafayette

In the surveyor’s words

From the most serious findings on record at Westminster Village - West Lafayette, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Jan 21, 2026

  Based on interview and record review, the facility failed to ensure the physician was notified immediately and on-call services were utilized when a resident had a change of condition for 1 of 3 discharged residents reviewed for notification of change. (Resident 67) Resident 67 was admitted to the hospital with a bowel obstruction, perforated bowel, and necrosis. The resident required surgical intervention and subsequently died.The immediate jeopardy began, on [DATE] around 9:40 p.m., when Resident 67 had a change of condition which included, a complaint of constipation with ongoing diarrhea, increased pain, shortness of breath, loss of bowel sounds, and excessive belching. RN 2 faxed the physician's office at this time. […]

• No harm, potential for more than minimal, patternF842Feb 25, 2025

  Based on interview and record review, the facility failed to ensure behavior and side effect monitoring for psychotropic medications, wound care treatments, and catheter care were documented for 4 of 4 residents reviewed for documentation. (Resident 18, 33, 20 and 12) Findings include: 1. The clinical record for Resident 18 was reviewed on 2/24/25 at 10:17 a.m. The diagnoses included, but were not limited to, dementia with anxiety, mood disturbance, psychotic disturbance, anxiety disorder, depression, and delusional disorder. A physician's order, dated 2/15/24, indicated to monitor for side effects of antianxiety medication three times a day. a. […]

• No harm, potential for more than minimal, patternF684Jan 26, 2024

  Based on observation, interview and record review, the facility failed to ensure residents with a diagnosis of congestive heart failure (CHF) were weighed as ordered by the physician, a resident had accu-checks completed as ordered by the physician and failed to assess and document a non-pressure skin impairment for 4 of 4 residents reviewed for quality of care. (Resident 2, 33, 30 and 25) Findings include: 1. The clinical record for Resident 2 was reviewed on 1/24/24 at 3:10 p.m. The diagnoses included, but were not limited to, heart failure, atrial fibrillation, cardiomegaly, Alzheimer's, dementia, depression, and anxiety disorder. A care plan, dated 1/3/24, indicated the resident had congestive heart failure. […]

• No harm, potential for more than minimal, patternF758Nov 3, 2022

  Based on observation, interview and record review, the facility failed to ensure [CONDITION(S)] medications were prescribed for approved diagnoses and gradual dose reductions (GDRs) had an appropriate clinical rationale when declined for residents with dementia for 6 of 8 residents reviewed for unnecessary medications. (Resident 34, 44, 47, 4, 12 and 33) Findings include: 1. The record for Resident 34 was reviewed on 10/31/22 at 11:55 a.m. Diagnoses included, but were not limited to, Alzheimer's disease, generalized anxiety disorder, major depressive disorder, dementia with behavioral disturbance and a psychotic disorder with delusions due to known physiological conditions. […]

• No harm, potential for more than minimal, isolatedF628Jan 21, 2026

  Based on interview and record review, the facility failed to ensure the resident and/or resident's representative was provided in writing the facility's bed hold policy upon transfer for 3 of 3 residents reviewed for hospitalization. (Resident 64, 67 and 3)Findings include:1. The clinical record for Resident 64 was reviewed on 1/15/26 at 9:57 a.m. The diagnoses included, but were not limited to, myocardial infarction, acute pulmonary edema, supraventricular tachycardia, respiratory failure with hypoxia, combined systolic (congestive) and diastolic (congestive) heart failure, and type 2 diabetes mellitus. A nursing progress note, dated 9/21/25 at 10:45 p.m., indicated the resident was sent to the emergency room for increased shortness of breath. […]