All citations for Complete Care at Westfield, LLC

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

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Last standard health inspection on record

March 10, 2025

Showing 1 to 25 of 47 citations

Immediate jeopardy to resident health or safety
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Isolated (one or a few residents). CMS level J.
Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 15, 2023).
No harm, with potential for more than minimal harm
Provide emergency officials' contact information.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of March 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2025).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0211, Egress Deficiencies. Inspection of March 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2025).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of March 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 7, 2025).
No harm, with potential for more than minimal harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Widespread (many residents). CMS level F.
Fire safety citation K-0223, Egress Deficiencies. Inspection of March 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 11, 2025).
No harm, with potential for more than minimal harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Widespread (many residents). CMS level F.
Fire safety citation K-0225, Egress Deficiencies. Inspection of March 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 11, 2025).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Widespread (many residents). CMS level F.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of March 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 4, 2025).
No harm, with potential for more than minimal harm
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Widespread (many residents). CMS level F.
Fire safety citation K-0342, Smoke Deficiencies. Inspection of March 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 4, 2025).
No harm, with potential for more than minimal harm
Properly provide smoke detection systems in areas open to corridors.
Widespread (many residents). CMS level F.
Fire safety citation K-0347, Smoke Deficiencies. Inspection of March 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 28, 2025).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level F.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of March 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 11, 2025).
No harm, with potential for more than minimal harm
Establish an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0001, Emergency Preparedness Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 28, 2023).
No harm, with potential for more than minimal harm
Address subsistence needs for staff and patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 28, 2023).
No harm, with potential for more than minimal harm
Implement emergency and standby power systems.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 28, 2023).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 13, 2023).
No harm, with potential for more than minimal harm
Properly provide smoke detection systems in areas open to corridors.
Widespread (many residents). CMS level F.
Fire safety citation K-0347, Smoke Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 28, 2023).
No harm, with potential for more than minimal harm
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Widespread (many residents). CMS level F.
Fire safety citation K-0901, Electrical Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.
A waiver was granted (March 19, 2023).
No harm, with potential for more than minimal harm
Meet requirements for the installation and maintenance of electrical systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 24, 2023).
No harm, with potential for more than minimal harm
Have proper power supply for life support equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0915, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.
A waiver was granted (March 19, 2023).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 8, 2023).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 6, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (May 21, 2021).
No harm, with potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Pattern (more than a few residents). CMS level E.
Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of January 24, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (February 7, 2025).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pattern (more than a few residents). CMS level E.
Health citation F-0755, Pharmacy Service Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2023).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 15, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.