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 29 citations

No harm, with potential for more than minimal harm
Address patient/client population and determine types of services needed.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
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 April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
No harm, with potential for more than minimal harm
Develop Emergency Preparedness policies and procedures.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
No harm, with potential for more than minimal harm
Establish roles under a Waiver declared by secretary.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
No harm, with potential for more than minimal harm
List the names and contact information of those in the facility.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
No harm, with potential for more than minimal harm
Provide family notifications of emergency plan.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
No harm, with potential for more than minimal harm
Establish emergency prep training and testing.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
No harm, with potential for more than minimal harm
Meet other general requirements.
Widespread (many residents). CMS level F.
Fire safety citation K-0100, Construction Deficiencies. Inspection of April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
No harm, with potential for more than minimal harm
Install noncombustible or limited-combustible interior walls.
Widespread (many residents). CMS level F.
Fire safety citation K-0163, Construction Deficiencies. Inspection of April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
No harm, with potential for more than minimal harm
Meet other general requirements that are deficient.
Widespread (many residents). CMS level F.
Fire safety citation K-0300, Egress Deficiencies. Inspection of April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
No harm, with potential for more than minimal harm
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Widespread (many residents). CMS level F.
Fire safety citation K-0343, Smoke Deficiencies. Inspection of April 21, 2022. Found during a standard inspection.
A waiver was granted (June 11, 2022).
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 April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
No harm, with potential for more than minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
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 April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
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 April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
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 April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
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 April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
No harm, with potential for more than minimal harm
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Widespread (many residents). CMS level F.
Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
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 April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
No harm, with potential for more than minimal harm
Have an enclosure around a vertical opening shaft.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2022).
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 April 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 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.