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Facility profile · CCN 175255

Plaza West Healthcare And Rehab

69 federal citations on record , and 10 federal enforcement actions totaling $93,073.

Record summary

Federal record · Q1 2026
69
Total citations
57
Last 3 years
1
Actual harm+
10
Federal penalties
$93,073
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

69 on record
SurveyF-TagViolationSeveritySource
Mar 19, 2025F880Provide and implement an infection prevention and control program.DComplaint
Mar 19, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EComplaint
Mar 19, 2025F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint
Mar 19, 2025F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EComplaint
Mar 19, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DComplaint
Mar 19, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Mar 19, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Mar 19, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Mar 19, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Mar 19, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Mar 19, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Mar 19, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Mar 19, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Mar 19, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Mar 19, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Mar 19, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Mar 19, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEComplaint
Mar 19, 2025F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DComplaint
Mar 19, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Mar 19, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint
Mar 19, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint
Jan 28, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Sep 30, 2024F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.EComplaint
Sep 30, 2024F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.EComplaint
Sep 30, 2024F880Provide and implement an infection prevention and control program.DComplaint
Sep 30, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Dec 28, 2023F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint
Dec 28, 2023F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DComplaint
Dec 28, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Oct 9, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint
Oct 9, 2023F880Provide and implement an infection prevention and control program.FComplaint
Oct 9, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EComplaint
Oct 9, 2023F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DComplaint
Oct 9, 2023F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint
Oct 9, 2023F732Post nurse staffing information every day.CComplaint
Oct 9, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Oct 9, 2023F699Provide care or services that was trauma informed and/or culturally competent.DComplaint
Oct 9, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Oct 9, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Oct 9, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Oct 9, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Oct 9, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 9, 2023F679Provide activities to meet all resident's needs.DComplaint
Oct 9, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Oct 9, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Oct 9, 2023F565Honor the resident's right to organize and participate in resident/family groups in the facility.EComplaint
Oct 9, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint
Oct 9, 2023F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Oct 9, 2023F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DComplaint
Oct 9, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Oct 9, 2023F687Provide appropriate foot care.DStandard
Jun 20, 2023F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DComplaint
Jun 20, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint
Jun 20, 2023F880Provide and implement an infection prevention and control program.EComplaint
Jun 20, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 30, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
May 30, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint
Apr 21, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Apr 21, 2022F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard
Apr 21, 2022F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Apr 21, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Apr 21, 2022F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Apr 21, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Apr 21, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 21, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Apr 21, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Apr 21, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 21, 2022F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Apr 21, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 10 enforcement actions against this facility, including 10 civil money penalties totaling $93,073 .

DateTypeFinePayment denial
Feb 20, 2024Fine$4,893
Feb 12, 2024Fine$4,893
Jan 22, 2024Fine$14,679
Jan 8, 2024Fine$4,516
Jan 2, 2024Fine$3,846
Dec 11, 2023Fine$9,440
Nov 20, 2023Fine$2,470
Nov 13, 2023Fine$2,117
Oct 23, 2023Fine$4,233
Oct 9, 2023Fine$41,986
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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