All citations for Plaza West Healthcare and Rehab

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 Plaza West Healthcare and Rehab

Last standard health inspection on record

March 19, 2025

Showing 1 to 25 of 132 citations

Harm to a resident
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Isolated (one or a few residents). CMS level G.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of October 9, 2023. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (November 6, 2023).
No harm, with potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Widespread (many residents). CMS level F.
Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of March 19, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (May 9, 2025).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 16, 2025).
No harm, with potential for more than minimal harm
Include a process for Emergency Preparedness collaboration.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 16, 2025).
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 19, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 16, 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 19, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 16, 2025).
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 March 19, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 16, 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 19, 2025. Found during a standard inspection.
A waiver was granted (April 15, 2025).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 16, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 16, 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 19, 2025. Found during a standard inspection.
A waiver was granted (April 15, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of October 9, 2023. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (November 6, 2023).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of October 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 19, 2023).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of October 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 19, 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 October 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 19, 2023).
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 October 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 19, 2023).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of October 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 19, 2023).
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 October 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 19, 2023).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of October 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 19, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of October 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 19, 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 October 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 19, 2023).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 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 October 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 19, 2023).
No harm, with potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Widespread (many residents). CMS level F.
Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2022).
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 April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.