Westport Place Health Campus

In the surveyor’s words

From the most serious findings on record at Westport Place Health Campus, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880May 1, 2025

  Based on observation, interview, record review, and review of facility's policies. The facility failed to follow infection control precautions for three of four sampled residents with peripherally inserted central catheters used for intravenous medication administration for Resident (R) 41, R197 and R6. Observation on 04/29/2025 at 09:23 AM revealed R197 had a peripheral inserted central catheter in right upper arm without a protective cap placed on end of catheter hub (the entry port distal of the catheter that connects to tubing or a syringe to deliver medication intravenously) leaving hub exposed. Observation on 04/29/2025 at 09:43 AM revealed R6 had a peripheral inserted central catheter in left upper arm without a protective cap placed on end of catheter hub, leaving hub exposed. […]

• No harm, potential for more than minimal, patternF759Mar 3, 2022

  Based on observation, interview, record review, and review of the facility policies, it was determined the facility failed to ensure a medication error rate of less than 5% for two (2) of three (3) sampled residents (Residents #142 and #143) observed during medication administration. Two (2) errors in medication administration observed during thirty-two (32) medication administration opportunities resulted in a medication error rate of 6.25%. The findings include: A review of the facility policy, Medication Administration General Guidelines, revised 11/2018, revealed if staff could not locate a medication with a current, active order in the medication cart/drawer, then staff searched other areas of the medication cart, medication room, and facility (e.g., other units), if possible. […]

• No harm, potential for more than minimal, patternF812Mar 3, 2022

  Based on observation, interview, record review and review of facility policy, it was determined the facility failed to ensure one (1) of three (3) ice machines were kept clean and sanitary to prevent foodborne illnesses. This failed practice had the potential to affect all residents and staff. The findings include: A review of the facility policy, Kitchen Equipment Preventative Maintenance, revised 02/08/2018, revealed, staff inspected kitchen equipment monthly, unless otherwise directed. […]

• No harm, potential for more than minimal, isolatedF554Feb 14, 2026

  Number of residents sampled: Number of residents cited: Review of facility policy titled, Medication Administration - General Guidelines, revised 11/2018, indicated, Medications are administered as prescribed in accordance with good nursing principles and practices and only by persons legally authorized to do so. The policy revealed, B. Administration included, 13) Residents are allowed to self-administer medications when specifically authorized by the attending physician and in accordance with procedures for self-administration of medications. […]

• No harm, potential for more than minimal, isolatedF695Feb 14, 2026

  Based on observation, interview, and record review, the facility failed to ensure staff provided respiratory care consistent with resident care policies related to cleaning and storage of equipment for 3 of 4 residents sampled for respiratory therapy out of a total sample of 17 residents (Residents (R) 30, 48, and 69). Observations revealed used respiratory equipment not cleaned and/or stored appropriately after use. The findings include:1. Review of facility policy, Respiratory Equipment, last reviewed 12/16/2026, revealed the Overview indicated, To provide infection control guidelines to help prevent infections associated with respiratory therapy equipment and to prevent transmission of infections to residents and staff. The policy also indicated, 2. Oxygen Administration included, j. […]