Westside Care Center

In the surveyor’s words

From the most serious findings on record at Westside Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 2, 2023

  Based on clinical record review, facility documentation, facility policy, police reports, ambulance run sheets, and interviews, for one (1) of seven (7) residents, reviewed for a change in condition, (Resident #5), the facility failed to ensure that a baseline substance abuse care plan was put into place upon admission, supervised visits were put into place timely, a supervised visit conducted on [DATE] was in accordance with facility process for Resident #5, who was admitted with a recent history of substance abuse, had a history of possession of an illegal substance within the facility. […]

• Actual harm, isolatedF684Dec 13, 2021

  Based on review of the clinical record, facility documentation, facility policy, and interview for 2 residents (Resident #3 and 2) reviewed for [MEDICATION(S)] administration, the facility failed to administer [MEDICATION(S)] according to professional standards which resulted in a medication error in which Resident #2 received almost 3 times the ordered dose of [MEDICATION(S)] and required hospitalization in the ICU to be stabilized, and for 1 resident (Resident #1) reviewed for death, the facility failed to ensure the physician's order for an RN may pronounce death was transcribed according to professional standards. The findings include: 1. Resident #3 was admitted to the facility on [DATE] with diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Jun 22, 2026

  Based on observations, review of facility policy and staff interview, the facility failed to ensure that a section of the kitchen undergoing construction was appropriately sealed off from food preparation and storage areas to prevent the spread of infection. The findings include: On 6/15/2026 at 9:55 AM, a tour of the kitchen with the Dietary Director identified an area of the kitchen undergoing construction. The area undergoing construction contained multiple surfaces and fixtures with a visible accumulation of dust and debris, including stainless steel equipment, surrounding pipes, and portions of the tile floor.The temporary plastic barrier separating the construction area from the operational kitchen was torn in several areas and secured with loose or partially detached tape. […]

• No harm, potential for more than minimal, patternF584Jun 22, 2026

  Based on resident interview, observations, review of facility documentation and staff interviews for (9 of 13) air conditioners on all units sampled, the facility failed to ensure the hallway and dining room air conditioners were maintained in a clean and sanitary manner. The facility also failed to ensure the laundry area was clean and dust free. The findings include: 1.On [DATE] at 11:19 AM, Resident #115 was interviewed on the B wing and stated that the facility's air conditioners were moldy. Resident #115 moved to the dining room and turned on the wall mounted mini split in one corner above a piano. When turned on, a distinct mildew smell was noted. Soft, black debris was seen coming from the vents and landing on the piano below. […]

• No harm, potential for more than minimal, patternF584Nov 6, 2024

  Based on observation, review of the clinical record, facility documentation, facility policy, job descriptions, and interviews, for 2 of 4 units, the facility failed to ensure the environment was maintained in good repair and in a homelike manner and for 1 resident, (Resident #95) the facility failed to ensure a homelike environment. The findings include: Observation on 11/5/24 at 8:35 AM through 11:00 AM, and on 11/5/24 at 11:49 AM with the Regional Maintenance Director and the Administrator identified the following: a. Damaged, chipped, stains and/or marred bedroom walls on A wing in rooms 102, 103, 105, 106, 109, 110, 114, 115, 116, and 117. B wing in rooms [ROOM NUMBER]. b. Damaged, chipped, stains and/or marred bedroom radiators on A wing in rooms [ROOM NUMBER]. […]