All citations for Western Convalescent Hospital

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 Western Convalescent Hospital

Last standard health inspection on record

May 22, 2026

Showing 1 to 25 of 33 citations

  1. 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 March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

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

    Ensure that residents are fully informed and understand their health status, care and treatments.

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

    Health citation F-0552, Resident Rights Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  3. 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 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

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

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

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

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  7. 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.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

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

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

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

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

    Provide timely, quality laboratory services/tests to meet the needs of residents.

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

    Health citation F-0770, Administration Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

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

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  14. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

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

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

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

    Health citation F-0813, Nutrition and Dietary Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 29, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 18, 2025).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of August 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 11, 2025).

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of August 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 11, 2025).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of August 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 11, 2025).

  20. 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 August 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 11, 2025).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of April 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 21, 2025).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 21, 2025).

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

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

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

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.