Westpark Healthcare Campus

In the surveyor’s words

From the most serious findings on record at Westpark Healthcare Campus, in the surveyor’s own words.

• Actual harm, isolatedF600Jan 12, 2023

  Based on record review, facility Self Reported Incident review, facility policy and procedure review, and interview, the facility failed to ensure Resident #34 was free resident to resident physical abuse. Actual harm occurred on 12/18/22 when Resident #41, with a known history of aggression and hearing voices to harm others, willfully struck Resident #34 in the face and head multiple times causing facial trauma. This affected one resident (Resident #34) of three residents reviewed for abuse. Findings include: Review of a facility submitted Self Reported Incident (SRI) dated 12/18/22 for physical abuse revealed Resident #41 hit Resident #34 while in the smoke room. Both residents were immediately separated and assessed for injuries. […]

• No harm, potential for more than minimal, widespreadF921Mar 27, 2023

  Based on observations and interviews the facility failed to ensure the smoking area was maintained in a clean and safe manner. This had the potential to affect all residents. The facility census was 84. Findings include: Observation during the tour of the smoking area located outside of Building B with Staff Aide (SA) #880 on 03/21/23 between 2:40 P.M. and 2:50 P.M. revealed a smoking area was not maintained properly. There were numerous cigarette butts located on the ground and grass-covered area, and not in the designated cans. Interview with SA #880 on 03/21/23 at 2:48 P.M. verified the condition of the smoking area. Observation during tour of the facility with the Maintenance Staff (MS) #861 and #867 on 03/22/23 between 1:00 P.M. and 1:30 P.M. […]

• No harm, potential for more than minimal, widespreadF804Jan 24, 2022

  Based on observation, interview and policy review, the facility failed to serve food at a safe/palatable temperature. This had the potential to affect 110 out of 112 residents who received meals from the facility's kitchen. Two (Resident's #32 and #60) received nothing by mouth. The facility census was 112. Findings include: Observation of the tray line on 01/22/22 from 7:15 A.M. through 7:43 A.M. revealed hot food on the tray line was above 165 degrees Fahrenheit (F) and tray tickets were followed accurately to include supplements, preferences, and diet orders. Observation of the test tray on 01/22/22 with Registered Dietitian (RD) #406 revealed the food cart left the kitchen at 7:43 A.M., arrived on the floor at 7:44 A.M., first tray was passed at 7:45 A.M. […]

• No harm, potential for more than minimal, patternF921Apr 27, 2026

  Based on observation, staff interviews, and facility policy, the facility failed to maintain the resident environment and equipment in a safe, sanitary, and homelike manner. This affected resident #17, #29, #52, #11, #28, #46 out of 85 residents residing in the facility. The census was 85.Findings include: 1.Observation of building B on 04/23/26 with Administrator from 10:14 A.M. to 11:00 A.M. confirmed the followingResident #17 had ceiling tiles with large brown stains and brown dried liquid stains that have dripped from the ceilingResident #29 had cracks in multiple areas in the floor and yellow stains throughout the flooring and multiple tiles crackedResident #52's inside bathroom door had severe wood chipping along the entire width of the doorResident #11's bathroom ceiling tiles had… […]

• No harm, potential for more than minimal, patternF584Jan 29, 2026

  Based on observation, resident and staff interview, and facility policy review, the facility failed to maintain the resident environment and equipment in a safe, sanitary, and homelike manner. This affected 29 (#2, #3, #6, #7, #8, #10, #14, #18, #20, #22, #24, #26, #28, #29, #30, #31, #51, #53, #57, #58, #59, #63, #71, #76, #77, #81, #85, #94, and #103) of 86 residents residing in the facility. The census was 86.Findings include:1. Observation of Building B during facility tour on 01/29/26 at 10:33 A.M. through 12:35 P.M., conducted with the Director of Nursing (DON), revealed the hallway outside of the dining room on the first floor had multiple unattached hand railings and missing hand railing end caps. A chair in the hallway was heavily stained and dirty. […]