Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 555069

Western Convalescent Hospital

80 federal citations on record , including 1 at the Immediate Jeopardy level.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
80
Total citations
55
Last 3 years
2
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care17 Care Planning14 Resident Rights12 Medication & Pharmacy9 Nutrition & Dietary7

Most common F-tags at this facility

F8806 F6895 F6564 F6584 F7264

Citation history

80 on record
SurveyF-TagViolationSeveritySource
Dec 10, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Sep 18, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Sep 18, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Sep 18, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DComplaint
Sep 18, 2025F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EComplaint
Sep 18, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 27, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Aug 27, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 27, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint
Aug 27, 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.DComplaint
Apr 8, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 8, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Mar 21, 2025F880Provide and implement an infection prevention and control program.FStandard
Mar 21, 2025F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.EStandard
Mar 21, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 21, 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.EStandard
Mar 21, 2025F770Provide timely, quality laboratory services/tests to meet the needs of residents.EStandard
Mar 21, 2025F760Ensure that residents are free from significant medication errors.DStandard
Mar 21, 2025F759Ensure medication error rates are not 5 percent or greater.EStandard
Mar 21, 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.EStandard
Mar 21, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Mar 21, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Mar 21, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Mar 21, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Mar 21, 2025F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EStandard
Mar 21, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Mar 21, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Mar 21, 2025F641Ensure each resident receives an accurate assessment.DStandard
Mar 21, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Mar 21, 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.EStandard
Mar 21, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.EStandard
Jan 29, 2025F880Provide and implement an infection prevention and control program.EComplaint
Jan 29, 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.DComplaint
Dec 11, 2024F584Honor 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.DComplaint
Oct 29, 2024F880Provide and implement an infection prevention and control program.DComplaint
Oct 29, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Oct 29, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 25, 2024F726Ensure 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 25, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Aug 22, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Mar 22, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Mar 22, 2024F880Provide and implement an infection prevention and control program.DStandard
Mar 22, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 22, 2024F761Ensure 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
Mar 22, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.EStandard
Mar 22, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Mar 22, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Mar 22, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 22, 2024F583Keep residents' personal and medical records private and confidential.EStandard
Mar 22, 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
Aug 23, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Apr 28, 2023F880Provide and implement an infection prevention and control program.KComplaint
Apr 28, 2023F865Have a plan that describes the process for conducting QAPI and QAA activities.EComplaint
Apr 28, 2023F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.EComplaint
Apr 28, 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.EComplaint
Apr 7, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Aug 17, 2021F880Provide and implement an infection prevention and control program.EStandard
Aug 17, 2021F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Aug 17, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Aug 17, 2021F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Aug 17, 2021F803Ensure 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.FStandard
Aug 17, 2021F761Ensure 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
Aug 17, 2021F759Ensure medication error rates are not 5 percent or greater.EStandard
Aug 17, 2021F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Aug 17, 2021F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Aug 17, 2021F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Aug 17, 2021F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Aug 17, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Aug 17, 2021F679Provide activities to meet all resident's needs.DStandard
Aug 17, 2021F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Aug 17, 2021F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Aug 17, 2021F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 17, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Aug 17, 2021F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.DStandard
Aug 17, 2021F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Aug 17, 2021F641Ensure each resident receives an accurate assessment.EStandard
Aug 17, 2021F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EStandard
Aug 17, 2021F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard
Aug 17, 2021F578Honor 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
Aug 17, 2021F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
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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