All citations for Main West Postacute Care

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 Main West Postacute Care

Last standard health inspection on record

March 7, 2025

Showing 1 to 24 of 24 citations

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

    Dispose of garbage and refuse properly.

    Widespread (many residents). CMS level F.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

  2. 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 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

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

    Provide or get specialized rehabilitative services as required for a resident.

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

    Health citation F-0825, Quality of Life and Care Deficiencies. Inspection of February 4, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2026).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 13, 2025).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 7, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

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

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 7, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

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

    Assure that each resident’s assessment is updated at least once every 3 months.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

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

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

    Isolated (one or a few residents). CMS level D.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

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

    Provide or obtain dental services for each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0791, Quality of Life and Care Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

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

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2025).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 13, 2025).

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

    Provide a written emergency evacuation plan.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 17, 2025).

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

    Meet requirements for the use of electrical equipment.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

  22. No harm, with potential for minimal harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 13, 2025).

  23. No harm, with potential for minimal harm

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

  24. No harm, with potential for minimal harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

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

    Health citation F-0912, Environmental Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

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.