Weston County Health Services

In the surveyor’s words

From the most serious findings on record at Weston County Health Services, in the surveyor’s own words.

• Actual harm, isolatedF600Aug 13, 2026

  Based on medical record review, resident representative and staff interview, facility incident report review, plan of correction review, and policy and procedure review, the facility failed to protect the resident's right to be free from sexual abuse by a resident for 1 of 4 sample residents (#3) reviewed for abuse. This failure resulted in actual harm to resident #3. The findings were:1. Review of the quarterly MDS assessment dated [DATE] showed resident #3 had severely impaired cognitive function and diagnoses which included cerebral palsy, anxiety disorder, anoxic brain damage, and unspecified disorder of adult personality and behavior. Further review showed the resident was non-verbal, non-ambulatory, impaired in both lower extremities, and wheelchair bound. […]

• Actual harm, isolatedF600Dec 11, 2025

  Based on medical record review, facility incident review, resident and staff interview, and policy and procedure review, the facility failed to protect the resident's right to be free from physical abuse by a resident for 1 of 6 sample residents (#50) reviewed for abuse. This failure resulted in actual physical harm to resident #50. The findings were:1. Review of the quarterly MDS assessment dated [DATE] showed resident #50 had a BIMS score of 5 out of 15, which indicated severe cognitive impairment, and diagnoses which included non-traumatic brain dysfunction, non-Alzheimer's dementia, and asthma. Further review showed the resident required substantial/maximal assistance from staff to move from sitting to lying, lying to sitting, sitting to standing, and chair/bed-to-chair transfer. […]

• No harm, potential for more than minimal, widespreadF812Dec 11, 2025

  Based on observation, staff interview, temperature log review, policy and procedure review, and 2022 Food Code review, the facility failed to ensure a professional standards for food service safety were followed in 1 of 1 kitchen. The census was 53. The findings were: Regarding dish machine temperature logs: 1. Observation on 12/8/25 at 3:22 PM showed the facility used a [NAME] high temperature sanitizing dishwashing machine. The temperature of the wash and rinse cycles, were to be recorded at breakfast, lunch and dinner. The highest daily temperature was to be recorded one time per day. […]

• No harm, potential for more than minimal, widespreadF837Jul 11, 2024

  Based on observation, QAPI minutes review, and staff interview, the facility failed to ensure a qualified administrator was able to manage the facility and report to the governing body. The census was 38. The findings were: 1. Observation on 7/10/24 at 9:45 AM of the current open positions showed the nursing home administrator position was included. Further, observations throughout the survey showed no administrator was in the facility. 2. Review of the 5/9/24 and 6/13/24 QAPI committee attendance sign in sheet showed the administrator was not present. 3. Interview with the CEO on 7/8/24 at 1:20 PM revealed the administrator was put on leave. Further, she stated the facility did not have a delegated administrator, and it was a problem and it was something the facility was working on. 4. […]

• No harm, potential for more than minimal, widespreadF851Jul 11, 2024

  Based on staff interview and review of the Payroll Based Journal (PBJ), the facility failed to ensure the mandatory submission of staffing was submitted to CMS for 1 of 4 quarters reviewed (10/1/23 through 12/31/23). The census was 38. The findings were: 1. Interview with the DON on 7/10/24 at 4:32 PM revealed the staffing was not submitted for the 10/1/23 through 12/31/24 quarter. She stated the data did not get submitted in time so it was missed. 2. Review of the PBJ for 10/1/23 through 12/31/23 showed the facility failed to submit data for the quarter.