Facility profile · CCN 355042
Western Horizons Care Center
34 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $71,991.
Record summary
Federal record · Q1 202634
Total citations
34
Last 3 years
4
Actual harm+
3
Federal penalties
$71,991
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
34 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Sep 4, 2025 | 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. | E | Complaint |
| Sep 4, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Sep 4, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint |
| Sep 4, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Sep 4, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Sep 4, 2025 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard |
| Sep 4, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Sep 4, 2025 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Jan 16, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Nov 14, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Nov 14, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jul 24, 2024 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard |
| Jul 24, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard |
| Jul 24, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jul 24, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Jul 24, 2024 | F790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard |
| Jul 24, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Jul 24, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jul 24, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Jul 24, 2024 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Jul 24, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jul 24, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Jul 24, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Jun 19, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Aug 29, 2023 | F948 | Ensure that paid feeding assistants have the training they need. | D | Standard |
| Aug 29, 2023 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard |
| Aug 29, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 29, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Standard |
| Aug 29, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Aug 29, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Aug 29, 2023 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Aug 29, 2023 | F625 | Notify 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. | C | Standard |
| Aug 29, 2023 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Aug 29, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $71,991 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 4, 2025 | Fine | $26,540 | — |
| Jan 16, 2025 | Fine | $26,598 | — |
| Aug 29, 2023 | Fine | $18,853 | — |
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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