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 76 to 100 of 132 citations

  1. 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 October 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 19, 2023).

  2. 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 October 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 19, 2023).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, 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).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of April 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

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

    Have properly sized and located compartments to protect residents from smoke.

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

    Fire safety citation K-0371, 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).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, 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).

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, 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).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation 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).

  13. 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 19, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 9, 2025).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, 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).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, 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).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, 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).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, 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).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service 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).

  19. 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 19, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 9, 2025).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service 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).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service 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).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service 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).

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

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

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

    Health citation F-0849, Administration 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).

  24. 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 19, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 9, 2025).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of January 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 21, 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.