I toured Westview and left very impressed - the staff are consistently kind, professional and welcoming from the front desk to nursing and CNAs. Therapy and medical care were excellent and well coordinated, the facility was clean and pleasant, and meals and social atmosphere helped my family member thrive. Communication was clear and supportive; I highly recommend Westview for rehab or long-term care.
Loved one of resident
Jul 2026
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Medication management
Healthcare staffing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Transportation
Community operated transportation
Transportation arrangement
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
4.78·(117)
Overall rating
5
4
3
2
1
Care
4.7
Staff
4.9
Meals
4.7
Amenities
4.5
Value
4.8
Pros
Compassionate, attentive staff
Skilled RNs and CNAs
Strong physical, occupational, and speech therapy
Rehabilitation-focused care with measurable functional gains
Coordinated medical and clinical care
Effective outpatient rehabilitation programs
Clear and supportive communication with families
Timely emergency response
Clean, well-maintained facility
High-quality meals and dining service
Welcoming, family-like atmosphere
Helpful front-desk and reception staff
Reliable scheduling and appointment coordination
Hospice and end-of-life comfort care
Engaging environment with social events and therapy-animal visits
Scenic, pleasant grounds
Cons
Inconsistent long-term nursing and wound-care management
Centralized dining layout that limits social flexibility
Sparse in-room furnishings and finishes
Limited or uneven activity programming
Telephone and administrative accessibility issues
Seasonal accessibility and campus walkability challenges
Gaps in clinical-incident communication with families
Summary of reviews
Reviews reflect a facility with clear strengths in short-term rehabilitation and hands-on clinical therapy. Physical, occupational, and speech therapy teams are repeatedly described as effective, motivating, and capable of producing measurable functional improvements; both inpatient and outpatient rehab experiences received strong praise. Many families and patients highlighted coordinated medical oversight, professional clinical staff (RNs and CNAs), and prompt emergency responsiveness as consistent strengths.
Staffing and culture are prominent positives. Reviewers characterize the team as compassionate, attentive, and personable — creating a family-like, welcoming atmosphere. Front-desk and reception personnel are frequently noted as helpful, and communication around routine care and scheduling is generally described as clear and supportive. Housekeeping and facility maintenance are also commonly praised, and the dining program receives favorable comments for food quality and contribution to patients' nutritional recovery.
Areas for improvement cluster around long-term care processes, environment, and accessibility. Several family members raised concerns related to pressure-injury and infection management in long-term placements, suggesting variability in wound-care outcomes and longer-term nursing oversight. Rooms are described as functionally sparse, and some residents may find in-room furnishings and finishes minimal. The central dining-room arrangement was mentioned as limiting social flexibility for those who prefer smaller or more private dining options.
Operational and logistical issues surfaced as recurring themes: telephone and administrative accessibility can be difficult to navigate, and activity programming was characterized by some as limited or unevenly scheduled. Seasonal access and campus walkability in winter conditions were also noted as potential challenges for visitors and residents. A few reviews alluded to gaps in communication with families following clinical incidents; while emergency responders and immediate staff actions were often praised, families recommended clearer post-incident updates and follow-up.
Overall, Westview Health Care Center appears to be well suited to short-term rehabilitation and patients who will benefit from intensive PT/OT/Speech services and coordinated clinical care. Prospective residents and families considering longer-term placement should inquire specifically about wound-prevention protocols, long-term nursing oversight, activity schedules and dining alternatives, telephone and administrative access, and campus accessibility in winter months to ensure the facility’s practices align with their expectations and needs.
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Medicare Ratings
5·/ 5
Overall
Health Inspection
Staffing
Quality Measures
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
Westview Health Care Center is located at 1990 W Loucks St, Sheridan, WY, 82801.
About Westview Health Care Center
Westview Health Care Center is located in the scenic surroundings of Sheridan, Wyoming, at the base of the Bighorn Mountains. Since opening in 1989, this care home has become a trusted part of the Sheridan community, dedicated to providing compassionate care to residents who require short-term rehabilitation, long-term care, hospice, or post-operative recovery. The center is designed to cater to individuals with a range of health needs, ensuring comfort, security, and skilled nursing support in a welcoming environment.
Residents at Westview Health Care Center benefit from a team of caring professionals who focus on individualized plans tailored to the specific goals and wellness requirements of each person. The team includes in-house therapists and nurses who collaborate to support both physical and emotional well-being. A state-of-the-art rehabilitation gym is at the core of the therapy programs, where modern technology is used to help residents regain strength and mobility. Whether recovering from surgery, managing chronic conditions, or facing the transitions of later life, every individual receives attentive care and encouragement.
The facility boasts a number of thoughtfully designed spaces to enhance daily living. Comfortable private suites offer peace and privacy, while the Westview Patio and common room provide vibrant community spaces for socializing, recreation, and enjoying the atmosphere. Dining at Westview Health Care Center is marked by attention to detail and nutritional needs, with a focus on creating a positive and satisfying mealtime experience. The aim throughout is to foster a homelike feel, blending professional care with a compassionate touch. Regular updates and glimpses of daily life at the center are shared with the wider community, reflecting an ongoing commitment to transparency, engagement, and the well-being of all residents at Westview Health Care Center.
People often ask...
Westview Health Care Center offers assisted living, memory care, continuing care retirement community, and skilled nursing.
There are 29 photos of Westview Health Care Center on Mirador.
Yes, Westview Health Care Center allows residents to age in place and adjust their level of care as needed.
The full address for this community is 1990 W Loucks St, Sheridan, WY 82801.
No, Westview Health Care Center does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Wyoming, the Department of Health's Healthcare Licensing & Surveys program licenses care facilities and publishes licensure, complaint, and life-safety findings.
License number
nh-214
Facility type
Nursing Home
Inspection Reports
120
Reports
22
Type A Citations
0
Type B Citations
39
Complaints
21
Years
20 Feb 2025Life Safety
20 Feb 2025Life Safety
Found no deficiencies. Confirmed compliance with life safety code and emergency preparedness requirements.
14 Feb 2025Licensure
14 Feb 2025Licensure
Determined compliance with state requirements. No deficiencies were cited.
14 Feb 2025Licensure
14 Feb 2025Licensure
Found no deficiencies. Compliance with federal requirements was determined.
27 Dec 2023Revisit
27 Dec 2023Revisit
Verified that all previous deficiencies were corrected and no new noncompliance was found during a revisit.
19 Dec 2023Revisit
19 Dec 2023Revisit
Verified no deficiencies; all prior life-safety issues were corrected and compliance restored.
08 Nov 2023Life Safety
08 Nov 2023Life Safety
Identified deficiencies in hazardous-area door closures and in fire alarm testing/maintenance, posing fire-safety risks. Findings cited failures to latch hazardous-area doors and to perform required smoke detector sensitivity testing.
NFPA 101, 2012 Edition, 19.3.2.1; 19.3.2.1.3Hazardous Areas - Enclosure
NFPA 101, 2012 Edition, 19.3.4.1, 9.6.1.3; NFPA 72, 2010 EditionFire Alarm System - Testing and Maintenance
02 Nov 2023Complaint
02 Nov 2023Complaint
Investigated a complaint and found a sanitary deficiency in the food preparation area due to improper glove use and handwashing, posing cross-contamination risk.
CFR 483.60(i)(1)-(2)Food safety requirements
02 Nov 2023Licensure
02 Nov 2023Licensure
Found no deficiencies. State requirements were met.
25 Aug 2023Revisit
25 Aug 2023Revisit
Verified that all prior deficiencies were corrected and no new noncompliance was found.
12 Jul 2023Complaint
12 Jul 2023Complaint
Investigated allegations of abuse and failures to notify changes; identified multiple deficiencies in communication and reporting.
483.10(g)(14)Notify of Changes
483.10(g)(15)Admission to a composite distinct part
483.12(b)(5)(i)(A)(B)(c)(1)(4)Reporting of Alleged Violations
483.12(c)Reporting of Investigations
11 Apr 2023Complaint
11 Apr 2023Complaint
Investigated the complaint and determined no deficiencies were identified.
12 Dec 2022Revisit
12 Dec 2022Revisit
Concluded that prior deficiencies were corrected and no new noncompliance was found.
27 Oct 2022Revisit
27 Oct 2022Revisit
Concluded that all previously identified deficiencies were corrected and compliance with all requirements has been restored. The revisit confirmed improvements following the prior survey.
42 CFR 483.73Emergency preparedness
42 CFR 483.90Life Safety Code
22 Sept 2022Licensure
22 Sept 2022Licensure
Investigated deficiencies found failures in transfer/discharge notices and bed-hold communications, medication storage and administration, food safety, and infection control. Several items were expired or not handled per professional standards, with gaps in documentation and hygiene practices.
CFR 483.15Notice Requirements Before Transfer/Discharge
CFR 483.15(d)Bed-hold Policy Notice Upon Transfer
CFR 483.21(b)(3)(i)Comprehensive Care Plans Must Meet Professional Standards
CFR 483.45Labeling and Storage of Drugs and Biologicals
CFR 483.60(i)Food Procurement, Storage, Preparation, and Sanitation
CFR 483.80Infection Prevention and Control
20 Sept 2022Life Safety
20 Sept 2022Life Safety
Found deficiencies in emergency power readiness and electrical system maintenance, including lack of proof of low probability of natural gas interruption for the generator and improper use of power strips near patient-care equipment.
§483.73(e)(2)Emergency and standby power systems
NFPA 110; NFPA 99; 42 CFR 483.90Electrical Systems - Essential Electric System Maintenance and Testing
NFPA 99 10.2.3.6; CMS S&C: 14-46-LSCElectrical Equipment - Power Cords and Extension Cords
10 Dec 2021Revisit
10 Dec 2021Revisit
Verified compliance with all regulations; prior deficiencies were corrected and no new noncompliance was found.
04 Nov 2021Revisit
04 Nov 2021Revisit
Verified emergency preparedness deficiencies identified earlier were corrected and the facility is back in compliance.
27 Sept 2021Life Safety
27 Sept 2021Life Safety
Investigated emergency preparedness; found issues with annual plan updates and required staff training not being completed.
CFR(s): 483.73(a) §403.748(a), §416.54(a), §418.113(a), §441.184(a), §460.84(a), §482.15(a), §483.73(a), §483.475(a), §484.102(a), §485.68(a), §485.625(a), §485.727(a), §485.920(a), §486.360(a), §491.12(a), §494.62(a)Emergency Plan – develop and maintain emergency preparedness plan reviewed and updated annually
Investigations identified failures in reporting alleged abuse, investigating the abuse, and in several areas including care planning, staffing, psychotropic medication management, and medication storage.
CFR 483.12(c)(1)-(4)Reporting of Alleged Violations
CFR 483.21(b)(1)Develop/Implement Comprehensive Care Plan
CFR 483.35(a)(1)-(2)Sufficient Nursing Staff
CFR 483.45(e)(1)-(5)Free from Unnecessary Psychotropic Medications/PRN Use
CFR 483.45(g)(h)(1)-(2)Label/Store Drugs and Biologicals
16 Sept 2021Licensure
16 Sept 2021Licensure
Concluded that the provider was in compliance with State requirements.
26 Aug 2021Revisit
26 Aug 2021Revisit
Verified that prior deficiencies were corrected and no new noncompliance was found.
01 Jul 2021Complaint
01 Jul 2021Complaint
Investigated a complaint and found a resident-to-resident sexual touching incident. Identified inadequate follow-up assessments and protective measures after the event.
§483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
09 Jun 2021Complaint
09 Jun 2021Complaint
Found no deficiencies identified in the complaint investigation and in the infection control survey.
14 May 2021Complaint
14 May 2021Complaint
Found no deficiencies identified in the complaint investigation and in the COVID-19 focused infection control review.
21 May 2020Licensure
21 May 2020Licensure
Found no deficiencies identified during a COVID-19 focused infection control survey conducted May 20–21, 2020.
15 Oct 2019Revisit
15 Oct 2019Revisit
Confirmed compliance with all regulations surveyed; previous deficiencies corrected and no new noncompliance observed.
24 Sept 2019Revisit
24 Sept 2019Revisit
Verified compliance with all regulations and found no deficiencies.
08 Aug 2019Complaint
08 Aug 2019Complaint
Investigated several deficiencies across resident rights, assessments, care planning, nutrition, and food safety, including grievances handling, personal funds access, abuse reporting, PASARR/MDS processes, and kitchen controls.
CFR 483.10(f)(5)-(7)Resident/Family Group and Response
CFR 483.10(f)(10)Protection/Management of Personal Funds
CFR 483.20(c)Qtrly Assessment at Least Every 3 Months
CFR 483.20(g)Accuracy of Assessments
CFR 483.20(k)(1)-(3)PASARR Screening for MD & ID
CFR 483.21(b)(1)Develop/Implement Comprehensive Care Plan
CFR 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
CFR 483.25(g)(1)-(3)Nutrition/Hydration Status Maintenance
CFR 483.60(i)(1)-(2)Food safety requirements
08 Aug 2019Licensure
08 Aug 2019Licensure
Concluded compliance with State requirements after a licensure survey conducted from 2019-08-05 through 2019-08-08.
08 Aug 2019Licensure
08 Aug 2019Licensure
Concluded no deficiencies were identified after a licensure survey.
07 Aug 2019Life Safety
07 Aug 2019Life Safety
Identified multiple life-safety deficiencies, including obstructed exit access and inadequate means of egress, along with missing emergency preparedness testing and training.
2012 NFPA 101 Life Safety Code, Section 19.2.3.4; 42 CFR 483.70(a)Means of egress – unobstructed exit access
2012 NFPA 101 Life Safety Code; Means of Egress – GeneralMeans of egress – general
2012 NFPA 101 Life Safety Code; Smoke Barriers/Building ConstructionSubdivision of Building Spaces – Smoke Barriers
Found no deficiencies. A revisit confirmed prior issues were corrected and no new noncompliance was found.
04 Jan 2019Revisit
04 Jan 2019Revisit
Concluded that all previous deficiencies cited on 12/7/18 were corrected and no new noncompliance was found.
13 Dec 2018Complaint
13 Dec 2018Complaint
Investigated a complaint alleging neglect after a resident sustained a hip injury from an undocumented fall; found failures to report, investigate, and document changes in condition that caused actual harm.
42 CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
Found all prior deficiencies corrected; no new noncompliance and in compliance with Emergency Preparedness Rules.
29 Aug 2018Life Safety
29 Aug 2018Life Safety
Investigated deficiencies in emergency preparedness: no policy addressed subsistence needs for staff and patients, and the emergency preparedness policies/procedures were incomplete with waiver-related planning not fully addressed.
—Subsistence Needs for Staff and Patients
483.73(b)(8)Emergency Preparedness Policies and Procedures
29 Aug 2018Licensure
29 Aug 2018Licensure
Investigated deficiencies related to residents' advance directives and failures in data transmission and medication management.
§483.45(e)(1)-(e)(5)Life Sustaining Treatment
§483.12(c)(1)(4)Reporting of Alleged Violations
§483.20(f)(2)Transmitting Resident Assessment Data
§483.45(e)(1)-(e)(5)Medication management – Documentation and processes
29 Aug 2018Licensure
29 Aug 2018Licensure
Determined compliance with State requirements after a licensure survey conducted in late August 2018.
13 Oct 2017Revisit
13 Oct 2017Revisit
Verified that all prior deficiencies were corrected and no new noncompliance found.
09 Oct 2017Revisit
09 Oct 2017Revisit
Concluded that all previous deficiencies were corrected and no new noncompliance was found.
27 Jul 2017Life Safety
27 Jul 2017Life Safety
Investigated life-safety concerns and found deficiencies related to hazardous areas and smoke barrier maintenance.
NFPA 101 Life Safety Code, 2012 editionHazardous areas maintained per Life Safety Code
NFPA 101 Life Safety Code, 2012 editionSmoke barriers
27 Jul 2017Licensure
27 Jul 2017Licensure
Found no deficiencies. A licensure survey was conducted July 24–27, 2017 in Sheridan, Wyoming.
27 Jul 2017Complaint
27 Jul 2017Complaint
Investigated a complaint about resident care and safety. Found multiple deficiencies in care practices and facility operations.
12 Oct 2016Revisit
12 Oct 2016Revisit
Verified prior deficiencies were corrected.
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—
—
06 Oct 2016Revisit
06 Oct 2016Revisit
Identified multiple deficiencies requiring correction. The findings show several regulatory requirements not fully met.
483.15(b)
483.15(h)(2)
483.20(g)-(i)
483.25(e)(2)
483.35(i)
483.60(c)
483.65(e)(2)
483.75(o)(1)
483.75(o)(1)
06 Oct 2016Revisit
06 Oct 2016Revisit
Concluded that deficiencies previously reported were corrected.
04 Aug 2016Complaint
04 Aug 2016Complaint
Identified multiple deficiencies in housekeeping/maintenance, medication management, and quality improvement processes, including restorative nursing not being provided as planned and gaps in lab services and oversight.
—Housekeeping & Maintenance Services
—Drug Regimen Review
—Quality Assurance/Performance Improvement
—Administration - Laboratory Services
—QA Committee
04 Aug 2016Licensure
04 Aug 2016Licensure
Observed hot water temperatures exceeding the allowed 110 F in multiple bathroom sinks.
Wyoming Admin Regs Ch 11 Sec 6(a)(iv) Physical EnvironmentPhysical environment – hot water temperature not to exceed 110 F
04 Aug 2016Life Safety
04 Aug 2016Life Safety
Found deficiencies in life-safety signage, including improper exit signs and delayed-egress signage placement.
Chapter 7 of the 2000 Life Safety Code (LSC)Exit signage/delayed egress signage
Chapter 7 of the 2000 Life Safety Code (LSC)Exit access and exit signage
18 May 2016Revisit
18 May 2016Revisit
Investigated a prior deficiency and confirmed corrective action completed during the follow-up visit.
Investigated licensing actions during a revisit and found no deficiencies.
30 Dec 2015Complaint
30 Dec 2015Complaint
Investigated the discharge/transfer process and found deficiencies in notifying residents or their legal representatives about transfers, including missing required details.
Type A42 CFR 483.15(c)(1)Transfer/discharge notice requirements
07 Dec 2015Revisit
07 Dec 2015Revisit
Found no deficiencies.
07 Oct 2015Complaint
07 Oct 2015Complaint
The agency found deficiencies in medication management and behavioral-health practices, including changes to residents’ drugs without adequate documentation and insufficient non-pharmacological interventions for behaviors.
483.25(l)Drug regimen is free from unnecessary drugs
01 Oct 2015Revisit
01 Oct 2015Revisit
Investigated a licensing matter; no deficiencies cited.
14 Sept 2015Revisit
14 Sept 2015Revisit
Confirmed corrections to prior deficiencies were completed and a life-safety code waiver was granted.
14 Sept 2015Revisit
14 Sept 2015Revisit
Determined follow-up after a prior survey; no specific deficiencies were cited on this revisit.
23 Jul 2015Complaint
23 Jul 2015Complaint
Investigated a complaint and identified multiple deficiencies related to resident care planning, housekeeping/maintenance, and food service standards. Observed conditions and practices that did not meet regulatory requirements.
Type A483.15(h)(2)Housekeeping and Maintenance Services
Type A483.20(k)(3)(i)Services Provided by Qualified Persons/Care Plan
Type A3-501.17Food Procure, Store/Prepare/Serve – Sanitary
23 Jul 2015Life Safety
23 Jul 2015Life Safety
Observed life safety deficiencies: oxygen storage not properly separated and eyewash stations removed, with plans noted to address oxygen storage and restore eyewash stations.
2006 International Building Code (IBC)Oxygen storage area not properly separated
Investigated life-safety concerns found deficiencies in flame-propagation labeling for window coverings and in smoke barrier door function.
NFPA 101 Life Safety Code, Sections 19.7.5.1 and 10.3.1Flame propagation / flame spread documentation for fabrics and window coverings
NFPA 101 Life Safety Code, Section 19.3.7.5Smoke barrier doors not closing properly
23 Jul 2015Complaint
23 Jul 2015Complaint
Following a complaint investigation, the regulator identified deficiencies related to resident quality of life and building maintenance, indicating unsafe or unsatisfactory conditions and care planning gaps.
Type A483.15(h)(2)Quality of Life/Activities
23 Jul 2015Licensure
23 Jul 2015Licensure
Determined the licensee was in compliance with state requirements.
22 Apr 2015Complaint
22 Apr 2015Complaint
Found no deficiencies identified during the complaint investigation conducted on 4/21/15 through 4/22/15.
Found no deficiencies. Follow-up confirmed that previously identified issues were corrected and completed.
29 Jul 2014Revisit
29 Jul 2014Revisit
Concluded that previously reported deficiencies were corrected.
08 May 2014Licensure
08 May 2014Licensure
The Wyoming regulator documented multiple deficiencies involving inadequate investigation and reporting of alleged abuses, along with concerns about resident dignity, nutrition, discharge planning, and medication safety.
Type A—Investigation and reporting of allegations/Individuals
Type A—Dignity and individuality
Type A—Anticipate Discharge/Stay Final Status
Type A—Continued From page 8
Type A—Audits and performance improvement
Type A—Nutritional status lacking/monitoring
Type A—Medication error rate
Type A—Food procurement/Store/Serve – Sanitary
Type A—Food in Form to Meet Individuals' Needs
08 May 2014Revisit
08 May 2014Revisit
Cited deficiencies and completed corrections; follow-up actions completed.
483.20(k)(3)(ii)
483.25(d)
483.30(a)
08 May 2014Licensure
08 May 2014Licensure
Determined compliance with state requirements after review; no deficiencies were identified.
24 Apr 2014Life Safety
24 Apr 2014Life Safety
Investigated a safety deficiency finding that eye wash stations were removed from sinks and replaced with wall-mounted saline eye wash units in all areas, including the laundry.
S3059Eye wash station requirements
14 Mar 2014Complaint
14 Mar 2014Complaint
Identified deficiencies in care planning, staffing, and shower/bath scheduling, with inadequate monitoring and care for incontinence and failure to follow care plans.
—Care Plans
—Quality of Care - Urinary Incontinence and Catheters
—Staffing
14 Jun 2013Revisit
14 Jun 2013Revisit
Identified deficiencies and completed corrections after follow-up review.
17 May 2013Revisit
17 May 2013Revisit
Completed corrections for identified deficiencies after the revisit.
17 May 2013Complaint
17 May 2013Complaint
Investigated a complaint and found no deficiencies.
24 Apr 2013Life Safety
24 Apr 2013Life Safety
Identified deficiencies in fire safety, including inadequate smoke barrier wall fire-resistance and related corridor door issues observed during the inspection.
NFPA 101 Life Safety Code, 19.3.6.1; 19.3.6.3; 19.3.7.3Smoke barrier walls not maintained / inadequate door separation
14 Mar 2013Complaint
14 Mar 2013Complaint
An investigation found deficiencies in resident care including improper feeding practices, inadequate care planning, and inadequate handling of skin integrity issues.
Type A483.15(a) Dignity and Respect of IndividualityDignity and Respect
Type A483.20(k) Comprehensive Care Plans (Resident Assessment and Plan of Care)Care planning and assessment
483.25 (general) Quality of Care; Prevention of pressure ulcers and skin breakdownPressure ulcers/skin integrity
14 Mar 2013Revisit
14 Mar 2013Revisit
Determined that there were no deficiencies and the provider was in compliance with state requirements after a survey conducted March 11–14, 2013.
06 Apr 2012Revisit
06 Apr 2012Revisit
Found multiple deficiencies cited under federal regulations during the revisit.
483.13(c)(1)(ii)-(iii), (c)(2) - (4)
483.20(b)(2)(ii)
483.20(k)(3)(ii)
483.25(h)
483.35(i)
483.65(i)
483.75(o)
06 Apr 2012Revisit
06 Apr 2012Revisit
Investigated a complaint and cited deficiencies related to care and safety standards.
02 Feb 2012Life Safety
02 Feb 2012Life Safety
Identified deficiencies related to smoke containment and sprinkler system components, including a corridor door not resisting smoke and unsealed sprinkler head areas. Document noted observed gaps and maintenance observations during the visit.
NFPA 80 Standard for Fire Doors and Fire WindowsSmoke barrier door did not resist smoke
NFPA 101 LIFE SAFETY CODE STANDARDSprinkler head escutcheon gap and storage room conditions
01 Feb 2012Complaint
01 Feb 2012Complaint
Investigations found deficiencies in care planning, resident safety, infection control, and staff competency.
Type A—INVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS
Type A—Failure to follow care plan/transfer safety
Type A—Transfer safety/adhesion to care plan
Type A—Inadequate care plan implementation (transfers)
Type A—Infection control/competency of staff
Type A—Nurse aide competency and care needs
01 Feb 2012Licensure
01 Feb 2012Licensure
Determined the facility was in compliance with state requirements.
05 Dec 2011Revisit
05 Dec 2011Revisit
Found no deficiencies.
29 Sept 2011Complaint
29 Sept 2011Complaint
Identified a deficiency in nutrition care for a resident who required tube feedings.
Maintain nutrition status unless unavoidableMAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE
27 May 2011Revisit
27 May 2011Revisit
Identified multiple regulatory deficiencies during a follow-up visit after a prior survey, including issues with residents' rights, safety, privacy, and transfer/discharge processes.
483.10(a)(1)Resident rights
483.16(c)(6)Protection from abuse, neglect, exploitation; safety
483.15(f)(1)Privacy and personal belongings
483.21Admission, transfer, discharge rights
483.10(k)(2)Notification of changes in condition
18 May 2011Revisit
18 May 2011Revisit
Investigated; all identified deficiencies were corrected.
17 May 2011Revisit
17 May 2011Revisit
Concluded that previously reported deficiencies were corrected.
07 Mar 2011Licensure
07 Mar 2011Licensure
Investigated and identified deficiencies in care planning, infection control, and adherence to resident care standards, with care plans not reflecting residents' current status.
—Right to participate and revise care plans
—Listen/Act on grievances and recommendations
—Services provided meet professional standards
—Infection control procedures
07 Mar 2011Licensure
07 Mar 2011Licensure
Investigated a deficiency showing TB tests were not completed prior to resident contact for all employees and the annual TB skin test was missed for an employee, though a TB test was administered later.
—TB testing for employees and annual testing requirements
02 Mar 2011Life Safety
02 Mar 2011Life Safety
Identified multiple life-safety deficiencies during the licensing review, including unsecured door hardware, inaccessible exits, unflame-retardant decor, untested smoke detectors, and inadequate maintenance of safety systems.
NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 2 – door hardware and egress
NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 3 – exits accessible
NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 3 – décor/flame retardant
NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 4 – fire alarm testing
NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 6 – smoking regulations
NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 7 – cooking equipment
NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 8 – draperies and furnishings
NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 9 – electrical wiring
02 Apr 2010Revisit
02 Apr 2010Revisit
Observed deficiencies related to resident rights, information about changes, and care planning during a follow-up evaluation.
483.15(h)(2)
483.20(b)(2)(ii)
483.20(c)
483.20(k)(3)(ii)
483.25(a)(3)
483.25(d)
483.25(e)(2)
19 Mar 2010Revisit
19 Mar 2010Revisit
Found no deficiencies.
28 Jan 2010Life Safety
28 Jan 2010Life Safety
Identified life-safety deficiencies: ABHR dispensers located over ignition sources, lack of required plan approvals for renovations, and exits not readily accessible.
NFPA 101 Life Safety Code StandardAlcohol-Based Hand Rub Dispensers
NFPA 101 Life Safety Code StandardExits
—Plan approvals for renovations
28 Jan 2010Licensure
28 Jan 2010Licensure
An inspection identified multiple deficiencies in resident care, sanitation, infection control, and overall operations, indicating noncompliance with regulatory requirements.
28 Jan 2010Licensure
28 Jan 2010Licensure
Found no deficiencies identified during a state licensure survey.
14 Jan 2009Revisit
14 Jan 2009Revisit
Investigated a complaint and cited deficiencies; corrective actions were completed for the noted items.
14 Jan 2009Revisit
14 Jan 2009Revisit
Investigated follow-up to a prior survey and confirmed corrections were completed for identified deficiencies.
06 Nov 2008Life Safety
06 Nov 2008Life Safety
Identified life-safety deficiencies including decorative material on a sprinkler head, unsealed wall penetrations, incorrect use of electrical outlets, and unlabeled emergency circuits.
NFPA 101 Life Safety Code StandardLife Safety Code Standard
NFPA 101 Life Safety Code StandardLife Safety Code Standard
NFPA 101 Life Safety Code StandardLife Safety Code Standard
06 Nov 2008Licensure
06 Nov 2008Licensure
Identified deficiencies in resident care planning, communication about changes in condition, and medication management; multiple violations were cited.
—Notification to physician and family of changes in condition
06 Nov 2008Licensure
06 Nov 2008Licensure
Found no deficiencies identified during the licensure survey conducted on 2009-11-06.
19 Dec 2007Revisit
19 Dec 2007Revisit
Concluded that prior life-safety code deficiencies were corrected during the follow-up visit, demonstrating compliance with the cited requirements.
483.15(a)Life Safety Code
483.25(h)Life Safety Code
483.25(n)Life Safety Code
483.30(e)Life Safety Code
483.35(f)Life Safety Code
483.35(i)(2)Life Safety Code
483.60(a),(b)Life Safety Code
483.70(h)Life Safety Code
27 Nov 2007Revisit
27 Nov 2007Revisit
Investigated a follow-up after a prior survey and verified corrections were completed.
11 Oct 2007Complaint
11 Oct 2007Complaint
Investigated observed concerns about resident dignity and supervision; found failures in treating residents with dignity during meals and in ensuring adequate supervision to prevent risks.
—Dignity
—Accidents and Supervision
11 Oct 2007Licensure
11 Oct 2007Licensure
Found no deficiencies during the licensure survey.
03 Oct 2007Life Safety
03 Oct 2007Life Safety
Identified violations related to oxygen storage safety: too many liquid oxygen tanks stored in a storeroom and failure to limit the total quantity.
NFPA 101 Life Safety Code StandardLife Safety Code Standard
NFPA 101 Life Safety Code StandardLife Safety Code Standard
24 Aug 2007Revisit
24 Aug 2007Revisit
Identified deficiencies and noted that some remained uncorrected after follow-up.
483.35(i)(2)
483.70(h)
27 Jun 2007Complaint
27 Jun 2007Complaint
Identified sanitation deficiencies in food preparation and environmental conditions, with unsanitary storage and debris noted in kitchen-related areas.
483.35(i)(2)Sanitary Conditions - Food Prep & Service
483.70(h)Other Environmental Conditions
11 Sept 2006Revisit
11 Sept 2006Revisit
Investigated and found no deficiencies.
09 Aug 2006Revisit
09 Aug 2006Revisit
Found interior wall finishes were not flame retardant as required by NFPA 101; some areas did not meet Class A finish requirements.
NFPA 101 Life Safety Code, Section 19.3.3.2 and 10.2.3Interior wall finishes flame retardancy
09 Aug 2006Revisit
09 Aug 2006Revisit
Identified deficiencies related to interior finish flame spread ratings and missing documentation for flame-retardant treatments; some wall and paneling did not meet Class A/B standards.
NFPA 101; fire/smoke separation requirementsSeparation of hazardous areas by smoke-resisting partitions and doors
27 Jul 2006Licensure
27 Jul 2006Licensure
Investigated deficiencies in resident assessments and care planning; found issues with the completeness and accuracy of comprehensive assessments and care plans.
483.20(k)(3)(i)Comprehensive Care Plans
13 Jun 2006Life Safety
13 Jun 2006Life Safety
The findings identified multiple life-safety deficiencies related to interior finishes, door clearances, smoke barrier doors, fire-rated construction, and linen storage.
NFPA 101 Life Safety Code StandardInterior finishes for corridors and exitways
NFPA 101 Life Safety Code StandardDoor openings in corridor doors – edge clearances
NFPA 101 Life Safety Code StandardSmoke barrier doors
NFPA 101 Life Safety Code StandardOne-hour fire-rated construction
NFPA 101 Life Safety Code StandardLinen receptacles and storage
NFPA 101 Life Safety Code StandardCorridor separation and spacing
NFPA 101 Life Safety Code StandardLinen receptacles capacity
07 Feb 2006Revisit
07 Feb 2006Revisit
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04 Aug 2005Revisit
04 Aug 2005Revisit
Verified corrections completed after the follow-up visit, indicating substantial compliance.
24 May 2005Life Safety
24 May 2005Life Safety
Identified life-safety deficiencies: sprinkler coverage missing in several areas and missing liquid oxygen storage location.
Investigated dietetic services deficiencies; found the dietary manager lacked the required qualifications and had not completed the approved program.
Section 11, Dietetic Services - Rules and Regulations for Program Administration of Nursing Care FacilitiesDietetic Services—Dietary Manager Qualifications
19 May 2005Licensure
19 May 2005Licensure
An investigation found multiple deficiencies related to medication administration, resident care planning, environmental cleanliness, dietary services, and infection control.
—Self Administration of Drugs
—Environment
—Resident Assessment
—Quality of Care
—Dietary Services (Menu/Meal Planning)
—Dietary Services - Special Diets
—Infection Control
—Physical Environment
19 May 2005Licensure
19 May 2005Licensure
Found multiple deficiencies related to medication management, environment and cleanliness, resident assessments, and overall quality of care.
—Self Administration of Drugs
—Environment
—Resident Assessment
—Quality of Care
—Dietary Services
—Physical Environment
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