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 132 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
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Pattern (more than a few residents). CMS level E.
Health citation F-0561, Resident Rights Deficiencies. Inspection of August 10, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (August 28, 2026).
No harm, with potential for more than minimal harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Pattern (more than a few residents). CMS level E.
Health citation F-0584, Resident Rights 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
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Pattern (more than a few residents). CMS level E.
Health citation F-0655, Resident Assessment and Care Planning 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
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pattern (more than a few residents). CMS level E.
Health citation F-0677, Quality of Life and Care 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).

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.