Independent · Federal inspection records, searchable
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Facility profile · CCN 235414

The Villa At West Branch

45 federal citations on record , and 3 federal enforcement actions totaling $170,704.

Record summary

Federal record · Q1 2026
45
Total citations
45
Last 3 years
7
Actual harm+
3
Federal penalties
$170,704
Total fines
3
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

45 on record
SurveyF-TagViolationSeveritySource
Aug 22, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Apr 29, 2025F880Provide and implement an infection prevention and control program.FStandard
Apr 29, 2025F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.EStandard
Apr 29, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Apr 29, 2025F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard
Apr 29, 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.FStandard
Apr 29, 2025F759Ensure medication error rates are not 5 percent or greater.EStandard
Apr 29, 2025F758Implement 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.DStandard
Apr 29, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Apr 29, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 29, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Apr 29, 2025F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Apr 29, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
May 9, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
May 9, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
May 9, 2024F881Implement a program that monitors antibiotic use.DStandard
May 9, 2024F880Provide and implement an infection prevention and control program.EStandard
May 9, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.DStandard
May 9, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 9, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
May 9, 2024F758Implement 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.DStandard
May 9, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
May 9, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
May 9, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
May 9, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
May 9, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard
May 9, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Sep 7, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Jul 6, 2023F907Provide enough space and equipment to meet each resident's needsDComplaint
Jul 6, 2023F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint
Jul 6, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jul 6, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Jul 6, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
May 24, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 24, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
May 24, 2023F881Implement a program that monitors antibiotic use.DStandard
May 24, 2023F880Provide and implement an infection prevention and control program.DStandard
May 24, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 24, 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.EStandard
May 24, 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.EStandard
May 24, 2023F732Post nurse staffing information every day.DStandard
May 24, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard
May 24, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GStandard
May 24, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
May 24, 2023F584Honor 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.EStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $170,704 and 1 payment-denial actions spanning 27 days.

DateTypeFinePayment denial
May 9, 2024Fine$56,193
May 24, 2023Fine$114,511
May 24, 2023Payment DenialJul 12, 2023 · 27 days
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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