All citations for Western Hills Healthcare Residence

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 Hills Healthcare Residence

Last standard health inspection on record

May 14, 2025

Showing 1 to 25 of 42 citations

  1. Immediate jeopardy to resident health or safety

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of March 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 12, 2024).

  2. Immediate jeopardy to resident health or safety

    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 K.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of March 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 12, 2024).

  3. Immediate jeopardy to resident health or safety

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of March 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 12, 2024).

  4. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  5. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2024).

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of March 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

  7. 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 March 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

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

    Have an alternate power supply for its alarm system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0344, Smoke Deficiencies. Inspection of March 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

  9. 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 March 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of March 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

  12. 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 March 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

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

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Widespread (many residents). CMS level F.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2023).

  15. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2023).

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

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

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

    Health citation F-0838, Administration Deficiencies. Inspection of June 29, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 22, 2026).

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

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  18. 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.

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

    Health citation F-0849, Administration Deficiencies. Inspection of May 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  19. 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 May 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2025).

  20. 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 May 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2025).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2024).

  22. 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 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

  23. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

  24. 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 March 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

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

    Health citation F-0712, Nursing and Physician Services Deficiencies. Inspection of March 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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.