All citations for Westgate Gardens Care Center

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 Westgate Gardens Care Center

Last standard health inspection on record

February 24, 2025

Showing 1 to 25 of 51 citations

  1. Harm to a resident

    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 G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 20, 2025).

  2. 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.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of February 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 24, 2025).

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

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

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

    Health citation F-0847, Administration Deficiencies. Inspection of February 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 24, 2025).

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

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

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

    Health citation F-0868, Administration Deficiencies. Inspection of February 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 24, 2025).

  5. 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.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2023).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2023).

  7. 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 April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2023).

  8. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2023).

  9. 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 April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2023).

  10. 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 April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2023).

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

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

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

    Health citation F-0837, Administration Deficiencies. Inspection of July 27, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 10, 2026).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of May 28, 2026. Found during a complaint inspection.

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

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of April 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 24, 2026).

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

    Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

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

    Health citation F-0917, Environmental Deficiencies. Inspection of February 17, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2026).

  15. 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 December 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 29, 2025).

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

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

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of August 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 3, 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 August 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 3, 2025).

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

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

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

    Health citation F-0837, Administration Deficiencies. Inspection of July 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 12, 2025).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 11, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 30, 2025).

  20. 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 June 11, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 30, 2025).

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

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

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

    Health citation F-0627, Resident Rights Deficiencies. Inspection of May 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 13, 2025).

  22. 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 April 7, 2025. Found during a complaint inspection.

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

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of March 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 30, 2025).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of February 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 24, 2025).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of February 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 24, 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.