Westside Retirement Village

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Jan 8, 2021

  Based on observation, interview, and record review, the facility failed to ensure a resident admitted to the facility's red zone (COVID-19 positive unit) was provided necessary assessments, monitoring related to diabetes and positive COVID-19 status and medications when the resident was not entered into the electronic health record (EHR) system upon admission, and the agency nurse failed to give report to the oncoming nurse which resulted in the facility failing to ensure the resident received necessary nursing care, treatment, and medications for multiple days for 1 of 3 residents reviewed for Quality of Care (Resident B). The immediate jeopardy began on 12/31/2020 when Resident B, who had [DIAGNOSES REDACTED]. […]

• Actual harm, isolatedF600Oct 12, 2023

  Based on observation, interview, and record review, the facility failed to ensure 1 of 3 residents reviewed for abuse was free from abuse which resulted in actual harm as Resident B was seen crying out and verbally indicated she was afraid when she was roughly put into bed, scolded, and threatened by nursing staff members. Using the reasonable person concept, the staff abuse was likely to have caused chronic and recurrent fear and anxiety for the resident (Resident B). Findings include: During a confidential interview it was indicated that Resident B had been mishandled and mistreated by several nursing staff members. […]

• Actual harm, isolatedF689Mar 17, 2021

  Based on interview and record review, the facility failed to ensure fall prevention interventions were implemented after a resident had an unwitnessed fall which resulted in actual harm when a resident (Resident D) had a second fall that resulted in a [CONDITION(S)] for 1 of 3 residents reviewed for falls. Findings include: On 3/16/21 at 11:50 a.m., Resident D's medical record was reviewed. Resident D was with diagnoses to include, but were not limited to, acute on chronic [CONDITION(S)], shortness of breath, pneumonia, and anxiety. An admission nursing assessment, dated 4/3/20, indicated Resident D was alert, oriented, and could make her needs and wants known. […]

• No harm, potential for more than minimal, widespreadF812Jun 25, 2026

  Based on observation, and interview, the facility failed to ensure proper food storage when opened meat was found stored among lettuce, expired and improperly wrapped unidentified foods were stored in the walk-in refrigerator, and opened boxes of foods were found under a prep table; and the facility failed to maintain clean and sanitary conditions in the kitchen, dish room, and walk-in refrigerator for 2 of 2 food storage and food preparation observations. These deficient practices had the potential to affect 88 of 88 residents who received food from the kitchen. Findings include:A confidential concern during the survey process indicated the kitchen was not clean and there were concerns about the health and safety of all the residents who received food from the kitchen. […]

• No harm, potential for more than minimal, widespreadF801Mar 6, 2026

  Based on observations, interviews, and record review, the facility failed to ensure staff responsible for food service and kitchen sanitation demonstrated competency in monitoring food service equipment and maintaining required temperature documentation for safe food preparation and storage. This deficient practice had the potential to affect 86 of 86 residents served from the kitchen.Findings include:On 3/2/26 at 10:06 a.m., during the initial tour of the kitchen, the dish machine and refrigeration monitoring records were reviewed. The following was observed: Dishwasher temperature logs for February 2026 were missing. […]