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 26 to 50 of 68 citations

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
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0223, 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
Install emergency lighting that can last at least 1 1/2 hours.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0291, 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
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 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 properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.
A waiver was granted (May 16, 2025).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0355, 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
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0362, 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
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, 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
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0374, 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 properly installed electrical wiring and gas equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0511, Services Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 16, 2025).

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.