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.

Back to Complete Care at Westfield, LLC

Last standard health inspection on record

March 10, 2025

Showing 1 to 16 of 16 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. No harm, with potential for more than minimal harm

    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0111, Construction Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2023).

  11. 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.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 19, 2023).

  12. No harm, with potential for more than minimal harm

    Install proper backup exit lighting.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2023).

  13. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 24, 2023).

  14. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2023).

  15. No harm, with potential for more than minimal harm

    Ensure that testing and maintenance of electrical equipment is performed.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0921, 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).

  16. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0923, 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).

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.