Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Westgate during CMS and state inspections, most recent first.
A resident with severe cognitive impairment, dementia-related behaviors, and a history of physical and verbal aggression during care was being toileted by two aides when the resident became combative, spitting and attempting to hit and bite staff. One CNA, who was kneeling to assist with the resident’s clothing, reacted to being spit on by pushing the resident’s face and, as separately reported to HR, placing a hand over the resident’s mouth, actions the CNA later acknowledged were inappropriate. Another aide observed the CNA with hands on either side of the resident’s face after hearing laughing, and multiple staff, including CNAs, CMTs, an LPN, an RN, the DON, and the Administrator, affirmed that hitting or pushing a resident is never acceptable and constitutes abuse under the facility’s abuse prevention policy.
A resident with dementia and behavioral challenges was not treated with dignity when an LPN grabbed the resident's arm and took food from their hand during meal service. The resident, who was confused and unable to express wants, was left distraught by the incident. Staff interviews and facility policy confirmed that the appropriate response would have been to allow the resident to keep the food and replace the tray, rather than forcibly removing it.
A facility failed to maintain accurate records for controlled substances, specifically morphine sulfate, for a resident with chronic respiratory failure and pain. Documentation errors led to discrepancies in medication counts, which were not promptly identified by staff. Interviews revealed that the process for counting and documenting controlled substances was not consistently followed, leading to a prolonged period before the issue was addressed.
The facility failed to maintain a clean environment, with several residents' bathrooms found in unsanitary conditions, including fecal-like substances on toilets and strong urine odors. Residents with severe cognitive impairments and those dependent on staff for hygiene were affected. Despite daily cleaning protocols, observations indicated these were not effectively implemented.
A CMT at the facility left a medication cart unlocked and unattended while checking a resident's blood pressure, contrary to the facility's policy. Interviews with other staff, including LPNs and the DON, confirmed that the expectation is to always lock medication carts when not in sight.
A facility failed to maintain confidentiality of a resident's medical records when a CMT left a computer screen unlocked and unattended on a medication cart, exposing sensitive information. The resident had a history of hypertension, diabetes, and chronic kidney disease. Interviews with staff and administration confirmed the expectation to lock screens, highlighting a lapse in practice.
A facility failed to ensure a resident's right to share a room with a roommate of choice and to receive written notice before a room change. The resident, who had Alzheimer's and dementia, was moved without written notice or documented consent, causing distress. Staff interviews confirmed the administrative staff's responsibility for room changes, but the facility lacked a written notice or consent form.
Failure to Protect a Resident From Physical Abuse During Toileting Care
Penalty
Summary
The deficiency involves the facility’s failure to protect a resident’s right to be free from physical abuse by staff when a CNA physically pushed the resident’s face during toileting care. The resident had been admitted in 2021 and had diagnoses including Alzheimer’s disease, major depressive disorder, anxiety, and delusional disorder. A quarterly MDS showed severe cognitive impairment, delusions, rejection of care, wandering, and a need for substantial to maximum assistance with toileting, personal hygiene, and transfers, with partial to moderate assistance for bed mobility and transfers, and independence with walking. The resident’s care plan noted that the resident was occasionally physically and verbally aggressive with staff during care and that undesirable behavior would be monitored and managed. On the day of the incident, the resident was being toileted by two nurse aides due to the resident’s known aggressive behaviors. According to interviews, the resident was spitting, hitting, and trying to bite staff, but staff were able to get the resident onto the toilet. One aide (NA B) reported that while their back was turned gathering equipment, they heard laughing and then saw the other CNA (CNA A) with hands on either side of the resident’s face, apologizing and stating it was just a reaction. NA B stated that staff should not hit a resident under any circumstance, as this would be considered abuse. Staff were unable to interview the resident about the incident due to cognitive deficits, and a skin assessment revealed no new skin concerns. In interviews, CNA A admitted that while kneeling in front of the resident to assist with pants, the resident spit on them, and they reacted by pushing the resident’s face away and telling the resident not to do that. CNA A described this as an instant reaction without thought and acknowledged that they inappropriately touched the resident’s face. In a separate interview, HR recounted that CNA A reported having reacted on instinct by smacking a hand over the resident’s mouth and telling the resident to stop. Multiple staff members, including CNAs, CMTs, housekeeping, an LPN, an RN, the DON, and the Administrator, consistently stated that it is never acceptable to hit, push, or otherwise strike a resident and that such actions are considered abuse. The facility’s abuse prevention policy states that the facility will not tolerate physical abuse by employees or others.
Failure to Treat Resident with Dignity During Meal Service
Penalty
Summary
A deficiency occurred when a Licensed Practical Nurse (LPN) failed to treat a resident with dignity and respect during a meal service. The resident, who had diagnoses including Alzheimer's disease, dementia with agitation, and was noted to be confused and unable to express wants, approached the meal serve-out window and attempted to take food from a tray. The LPN responded by grabbing the resident's arm and forcibly removing the food from the resident's hand. Camera footage confirmed the LPN's actions, and the resident's face appeared distraught following the incident. Other staff, including Certified Nurse Aides (CNAs) and a Registered Nurse (RN), indicated in interviews that they would have allowed the resident to keep the food and would have replaced the tray, rather than taking food away from the resident. The resident's care plan indicated a need for finger foods and noted behavioral challenges related to dementia, including wandering and difficulty sitting for meals. Staff interviews and facility policy emphasized the importance of treating residents, especially those with cognitive impairments, with dignity and sensitivity. Both the Director of Nursing and the Administrator acknowledged that the LPN's actions were inappropriate and not in line with facility expectations or policy, which prohibits demeaning practices and requires staff to promote resident dignity at all times.
Inaccurate Documentation of Controlled Substances
Penalty
Summary
The facility failed to maintain an accurate system of record-keeping for controlled substances, specifically morphine sulfate, for a resident. The deficiency was identified when staff did not accurately document all administrations and could not easily reconcile the balance of the medication. The controlled drug record for the resident showed multiple instances where the balance was written over several times, making it impossible to determine the original documented balance. This issue persisted over several days, indicating a lack of proper documentation and reconciliation practices. The resident involved was admitted with diagnoses including chronic respiratory failure with hypoxia, pneumonia, and heart failure. The resident was cognitively intact and received scheduled and PRN pain medications. The resident's care plan indicated acute and chronic pain related to chronic back pain, with interventions for staff to evaluate the resident's pain. Despite the administration of morphine sulfate, the documentation errors led to discrepancies in the medication count, which were not identified promptly by the nursing staff. Interviews with facility staff revealed that the process for counting and documenting controlled substances was not consistently followed. Nurses were expected to count medications together during shift changes, but discrepancies were not noticed immediately. The ADON and LPN involved in the incident acknowledged the errors in documentation and the failure to follow proper procedures for correcting discrepancies. The facility's policy required that any discrepancies be reported immediately, but this was not adhered to, resulting in a prolonged period before the issue was addressed.
Facility Fails to Maintain Clean and Homelike Environment
Penalty
Summary
The facility failed to maintain a clean and homelike environment for its residents, as evidenced by the unsanitary conditions observed in the bathrooms shared by several residents. The bathrooms of six residents were found to be in a state of disrepair, with brown fecal-like substances smeared on toilet seats, walls, and floors, as well as strong urine-like odors present. These observations were made over several days, indicating a persistent issue with cleanliness and hygiene in the facility. Residents involved in this deficiency included individuals with severe cognitive impairments and those dependent on staff for toileting hygiene. For instance, one resident with dementia and anxiety was observed to have a shared bathroom with another resident, where fecal-like substances were repeatedly found on the toilet seat. Another pair of residents, one with severe cognitive impairment and the other with chronic kidney disease, had a shared bathroom with similar unsanitary conditions, including grime on the walls and a strong odor of urine. Interviews with facility staff, including CNAs and housekeeping personnel, revealed that there was an expectation for daily cleaning of resident rooms and bathrooms. However, the observations indicated that these cleaning protocols were not being effectively implemented. Housekeeping staff acknowledged that there should be no smeared fecal-like matter in the bathrooms and that all surfaces should be sanitized daily, yet the persistent issues observed suggest a failure in adhering to these standards.
Medication Cart Left Unlocked and Unattended
Penalty
Summary
The facility failed to ensure that all medications were stored according to standards of practice when a Certified Medication Technician (CMT) left an unlocked medication cart unattended. During an observation, the CMT prepared medications for multiple residents and placed them in the top drawer of the medication cart. The CMT then walked away from the cart without locking it and proceeded to the dining room, approximately twenty-five feet away, to check a resident's blood pressure. During this time, the CMT was not in line of sight of the unlocked medication cart. Interviews conducted with various staff members, including other CMTs and Licensed Practical Nurses (LPNs), revealed that they consistently lock their medication carts before walking away. Both the Director of Nursing (DON) and the Administrator confirmed their expectation that staff should always lock medication carts before leaving them unattended. Despite these expectations, the incident involving the CMT demonstrated a lapse in adherence to the facility's medication storage policy.
Confidentiality Breach of Resident Medical Records
Penalty
Summary
The facility failed to maintain the confidentiality of medical records for a resident when a Certified Medication Technician (CMT) left a computer screen unlocked and unattended on a medication cart. This incident involved Resident #5, who had a medical history of hypertension, diabetes, and chronic kidney disease, and was noted to have moderate cognitive impairment. During an observation, CMT D prepared medication for the resident and then walked away from the medication cart, leaving the computer screen visible to others. The screen displayed sensitive patient information, including medication orders, and was left unattended while CMT D went to check the resident's blood pressure in the dining room, approximately twenty-five feet away. Interviews conducted with various staff members, including other CMTs and Licensed Practical Nurses (LPNs), revealed that they consistently locked their computer screens before leaving them unattended. Both the Director of Nursing (DON) and the Administrator confirmed that the expectation was for staff to always lock computer screens before walking away. Despite these expectations and practices, the incident with CMT D demonstrated a lapse in maintaining the confidentiality of resident medical records, as the information was left exposed to anyone passing by.
Failure to Provide Written Notice and Obtain Consent for Room Change
Penalty
Summary
The facility failed to ensure a resident's right to share a room with a roommate of choice and to receive written notice before a room change. The deficiency occurred when staff moved a resident to a different hall without issuing a written notice or documenting the resident's consent. The facility's policy did not address the requirement of a written notice, and the resident's record lacked documentation of consent or written notice for the room change. The resident involved had diagnoses including Alzheimer's disease, dementia, anxiety disorder, major depressive disorder, and mild cognitive impairment. The resident exhibited moderate cognitive impairment, mild depression, and occasional verbal and physical behaviors. Despite these conditions, the resident was responsible for making their own decisions, and there was no documentation indicating that the Durable Power of Attorney (DPOA) had been enacted. Interviews with staff and the resident revealed that the resident did not want to move rooms and was upset about the change. The Social Services Director (SSD) and Assistant Director of Nursing (ADON) discussed the room change with the resident and the DPOA, but there was no written notice or documented consent from the resident. The resident's new roommate also expressed dissatisfaction with the room change. Staff interviews confirmed that the administrative staff were responsible for room changes, but the facility lacked a written room change notice or consent form.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Joplin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Communities Of Wildwood Ranch | 0 mi | ★★★★★ | 0 | 0 |
| Galena Nursing & Rehab Center | 2.3 mi | ★★★★★ | 3 | 1 |
| Aspire Senior Living Joplin | 2.6 mi | ★★★★★ | 6 | 0 |
| Joplin Gardens | 3.6 mi | ★★★★★ | 6 | 0 |
| Nhc Healthcare, Joplin | 5.7 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.