Facility profile · CCN 455602
Western Hills Healthcare Residence
29 federal citations on record , including 3 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $62,078.
Record summary
Federal record · Q1 202629
Total citations
22
Last 3 years
3
Actual harm+
2
Federal penalties
$62,078
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
29 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 14, 2025 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint |
| May 14, 2025 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | Standard |
| May 14, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| May 14, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| May 14, 2025 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard |
| May 14, 2025 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Mar 25, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Mar 25, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Mar 25, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Mar 25, 2024 | F803 | Ensure 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. | E | Complaint |
| Mar 25, 2024 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint |
| Mar 25, 2024 | F761 | Ensure 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. | D | Complaint |
| Mar 25, 2024 | F760 | Ensure that residents are free from significant medication errors. | K | Complaint |
| Mar 25, 2024 | F758 | Implement 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. | E | Complaint |
| Mar 25, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Complaint |
| Mar 25, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | K | Complaint |
| Mar 25, 2024 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Complaint |
| Mar 25, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint |
| Mar 25, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint |
| Mar 25, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Complaint |
| Mar 25, 2024 | F610 | Respond appropriately to all alleged violations. | E | Complaint |
| Mar 25, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | Complaint |
| Feb 8, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Feb 8, 2023 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard |
| Feb 8, 2023 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard |
| Feb 8, 2023 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Feb 8, 2023 | F761 | Ensure 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. | D | Standard |
| Feb 8, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Feb 8, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $62,078 and 1 payment-denial actions spanning 15 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 25, 2024 | Fine | $62,078 | — |
| Mar 25, 2024 | Payment Denial | — | Apr 24, 2024 · 15 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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