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Facility profile · CCN 365693

Western Hills Retirement Village

19 federal citations on record .

Record summary

Federal record · Q1 2026
19
Total citations
10
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
4
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

19 on record
SurveyF-TagViolationSeveritySource
Oct 24, 2024F880Provide and implement an infection prevention and control program.DStandard
Oct 24, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Oct 24, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Oct 24, 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
Oct 24, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Oct 24, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Oct 24, 2024F610Respond appropriately to all alleged violations.DStandard
Oct 24, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Sep 18, 2024F880Provide and implement an infection prevention and control program.DComplaint
Jul 11, 2023F760Ensure that residents are free from significant medication errors.DComplaint
Sep 23, 2021F880Provide and implement an infection prevention and control program.DStandard
Sep 23, 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
Sep 23, 2021F758Implement 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
Sep 23, 2021F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Sep 23, 2021F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Sep 23, 2021F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Sep 23, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Sep 23, 2021F688Provide 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.DStandard
Sep 23, 2021F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
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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