Westview Acres Care Center

In the surveyor’s words

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

• Actual harm, isolatedF686Jul 29, 2021

  Based on record review and staff interviews, the facility failed to ensure a resident receives care, consistent with professional standards of practice, to prevent pressure ulcers and does not develop pressure ulcers unless the individual's clinical condition demonstrates that they were unavoidable; and a resident with pressure ulcers receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection, and prevent new ulcers from developing (Resident #7). The facility reported a census of 38 residents. Findings include: The MDS (Minimum Data Set) assessment identifies the definition of pressure ulcers: Stage I is an intact skin with non-blanchable redness of a localized area usually over a bony prominence. […]

• No harm, potential for more than minimal, widespreadF880Jul 25, 2024

  Based on observations, staff interviews, document reviews, and policy review, the facility failed to implement a comprehensive water management program and identify areas or devices in the building to reduce the risk and prevent the growth of Legionella or other waterborne pathogens. The facility also failed to implement appropriate hand hygiene practices during resident care. The facility reported a census of 40 residents. Findings include: 1. On 7/25/24 at 11:00 AM, the Maintenance Director stated the facility did not have a current water flow diagram, a water management plan, or a process in place to identify areas in the building to reduce the risk or growth of Legionella or other waterborne pathogens. […]

• No harm, potential for more than minimal, widespreadF880Feb 29, 2024

  Based on staff interviews, facility record review, facility policy review, and Centers for Disease Control information the facility failed to follow proper infection control practices to mitigate the risk for the spread of infectious disease. The facility reported a resident census of 33. Findings include: On 2/27/24 at 8:00 a.m. Staff C, Dietary Aide (DA), stated she has gotten COVID twice since working at the facility. Staff C stated she doesn't recall specific dates, but recalled in September 2023, not feeling well and discussed her symptoms with the cook. Staff C stated she then texted the Dietary Supervisor (DS) and reported her symptoms. The DS instructed her to take a COVID test per protocol. Staff C stated she did and it was positive for COVID. […]

• No harm, potential for more than minimal, patternF578Jul 25, 2024

  Based on clinical record review, facility policy, and staff interview, the facility failed to have the Doctor signature on the Iowa Physician Orders for Scope of Treatment (IPOST) for 1 of 16 residents reviewed for Advance Directives (Resident # 17). The facility reported a census of 40 residents. Findings include: The Iowa Physician Orders for Scope of Treatment (IPOST) dated 12/11/23 revealed no Doctor signature for a code status of Do Not Resuscitate. On 7/23/24 at 10:05 AM the Social Worker (SW) revealed the IPOST did not get signed by the Doctor. […]

• No harm, potential for more than minimal, patternF725Jul 25, 2024

  Based on observations, resident interview, and policy review, the facility failed to respond to resident call lights in a timely manner for 5 of 5 residents reviewed (#1, #7, #13, #30, & #32). The facility reported a census of 40. Findings include: 1. The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 12 out of 15 which indicated moderately impaired cognition. It included diagnoses of hypertension, Non-Alzheimer's dementia, anxiety, depression, and bipolar disorder. […]