Below average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
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 Westview Nursing Home during CMS and state inspections, most recent first.
A resident with a history of elopement left a locked unit without staff knowledge due to inadequate supervision and unchanged door codes. The resident, identified as an elopement risk, observed staff entering door codes and used this information to exit and re-enter the facility. Staff failed to conduct regular checks, and the maintenance director admitted to inconsistencies in changing door codes, leading to the resident's unsupervised departure in cold weather.
The facility failed to develop and implement behavioral health interventions for two residents, leading to deficiencies in ensuring their physical and psychosocial well-being. One resident, with anxiety and depression, became agitated due to a language barrier, and staff administered an inappropriate medication. Another resident, with a history of aggressive behaviors, instigated incidents without proper interventions. The facility did not update care plans with coping mechanisms or address meaningful socialization and recreational activities.
The facility failed to provide reasonable accommodation for a resident with a communication barrier. The resident, who primarily spoke Spanish and had aphasia, was not provided with effective communication tools or interpreters. Staff were generally unaware of any special communication tools, and the picture book intended to aid communication was not readily accessible.
The facility failed to ensure a resident was free from unnecessary psychotropic medications. The resident was administered hydroxyzine for agitation instead of itching, and Seroquel was prescribed without proper clinical indication following a physical altercation. Staff did not follow protocols for non-pharmacological interventions or seek the underlying cause of distress.
Resident Elopement Due to Inadequate Supervision and Security Measures
Penalty
Summary
The facility failed to provide protective oversight for a resident with a known history of elopement. The resident, who resided on a locked unit, managed to obtain the access code for the fenced courtyard door and left the facility without staff knowledge or authorization. The resident was able to leave and return to the facility using the same door code, which had not been changed weekly as per the facility's procedure. This lapse in security allowed the resident to be outside in extremely cold weather conditions for 20 minutes without staff awareness. The resident had a history of elopement and was identified as a risk for wandering or elopement upon admission. However, the quarterly elopement evaluation inaccurately indicated that the resident was not at risk. The resident was cognitively intact and had observed staff entering the door codes, which were not adequately protected from view. The facility's policy required systematic monitoring and management of residents at risk for elopement, but this was not effectively implemented, as evidenced by the resident's unsupervised departure. Interviews with staff and the resident's legal guardian revealed a lack of awareness and communication regarding the resident's elopement risk. Staff did not conduct regular face checks, and the maintenance director admitted to inconsistencies in changing door codes. The administrator was unaware of the resident's unauthorized absence until after the fact, highlighting a breakdown in the facility's procedures for preventing elopement and ensuring resident safety.
Failure to Implement Behavioral Health Interventions
Penalty
Summary
The facility failed to develop and implement behavioral health interventions for two residents, leading to deficiencies in ensuring their physical and psychosocial well-being. Resident #1, diagnosed with anxiety and depression, had a language barrier and became agitated when unable to communicate effectively. The facility did not identify meaningful interventions to address the root cause of the resident's behaviors, resulting in increased agitation. On one occasion, staff administered a medication not ordered for anxiety to treat the resident's agitation without identifying the root cause or developing appropriate interventions. Resident #1 was involved in a physical altercation with Resident #2, who had a history of instigating incidents and provoking other residents. Resident #2 had previously taken Resident #1's belongings, which upset Resident #1, but no interventions were implemented to prevent further incidents. During the altercation, Resident #1 reported that Resident #2 had exposed himself/herself and performed self-sexual activities in front of him/her, making Resident #1 very upset. The facility failed to address these behaviors and did not update the care plan with coping mechanisms or interventions to address aggressive behaviors. Resident #2 had multiple diagnoses, including major depressive disorder, PTSD, and a history of aggressive behaviors. The facility did not document interventions to meet Resident #2's psychosocial needs or address meaningful socialization and recreational activities to diminish tendencies toward isolation and withdrawal. Additionally, there was no documentation on how staff were to respond when Resident #2 had behaviors directed towards others. The facility's failure to implement appropriate interventions and update care plans contributed to the deficiencies observed by the surveyors.
Failure to Accommodate Communication Needs of Resident
Penalty
Summary
The facility failed to provide reasonable accommodation for a resident with a communication barrier. The resident, who primarily spoke Spanish and had aphasia following a stroke, was not provided with effective communication tools or interpreters. Despite the facility's policy to ensure meaningful communication with residents with limited English proficiency (LEP), the resident's care plan did not address the need for an interpreter or interpreter devices. Staff were generally unaware of any special communication tools, and the picture book intended to aid communication was not readily accessible to staff. The resident's medical history included a Grade II left temporal meningioma and a stroke, which resulted in aphasia and altered mental status. The resident was admitted to the facility with a primary language of Spanish, but the admission Minimum Data Set (MDS) incorrectly documented that the resident spoke English and did not want an interpreter. This discrepancy contributed to the communication issues, as staff were not adequately informed or trained to address the resident's needs. Interviews with various staff members, including the Administrator, Certified Nurse Assistants (CNAs), Licensed Practical Nurses (LPNs), and the Social Service Director (SSD), revealed a lack of consistent communication strategies and tools. The resident often became frustrated due to the inability to communicate effectively, leading to incidents such as throwing a plate and coffee on the floor. The facility's failure to implement and utilize appropriate communication aids and interpreter services resulted in the resident's needs and preferences not being reasonably accommodated.
Inappropriate Use of Psychotropic Medications
Penalty
Summary
The facility failed to ensure a resident was free from unnecessary psychotropic medications. The resident, who had a history of stroke, aphasia, and anxiety disorder, was administered hydroxyzine for agitation instead of itching, as indicated in the physician's orders. This occurred after the resident became upset over not receiving a second slice of pizza and exhibited aggressive behavior. The staff did not contact the physician for an appropriate order and administered the medication without proper indication. Additionally, the resident was involved in a physical altercation with another resident, which led to the administration of a new antipsychotic medication, Seroquel, without a proper clinical indication. The altercation occurred when the resident accidentally stepped on the other resident's foot, leading to a physical confrontation. The resident was sent to the hospital, where telepsychiatry recommended Seroquel for agitation and sleep, but the facility did not assess the need for the medication or if the diagnosis was appropriate. Interviews with staff and the resident's physician revealed that the facility did not follow proper protocols for administering psychotropic medications. The staff failed to implement non-pharmacological interventions and did not seek the underlying cause of the resident's distress. The facility's policies on medication administration and monitoring were not adhered to, leading to the inappropriate use of psychotropic medications for the resident.
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Illustrative
What surveyors actually found near you
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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 Center
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Baptist Homes, Tri-county | 13.8 mi | ★★★★★ | 0 | 0 |
| Monroe City Manor Care Center | 14.6 mi | ★★★★★ | 10 | 2 |
| Beloved Health And Rehabilitation Center | 16.2 mi | ★★★★★ | 0 | 0 |
| Beth Haven Nursing Home | 16.3 mi | ★★★★★ | 0 | 0 |
| Luther Manor Retirement & Nursing Center | 17.3 mi | ★★★★★ | 36 | 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.