Inspection Reports for Westfield Quality Care of Aurora

The notice serves to inform the facility of disciplinary action due to violations found during a survey dated April 15, 2024, specifically the failure to calibrate glucometers prior to use.

The facility was found to have violated licensure regulations by failing to calibrate glucometers before checking blood sugars, leading to probation and prohibition from admitting new residents until compliance is demonstrated.

This document is a Nursing Home Licensure Renewal Application and related certification materials for Westfield Quality Care of Aurora, indicating the renewal of the facility's license and certification.

The documents certify that Westfield Quality Care of Aurora meets statutory requirements for SNF/NF dual certification and includes renewal application details, ownership information, and fire marshal occupancy permit.

This document serves as verification that Westfield Quality Care of Aurora's SNF/NF dual certification license is renewed and valid through the date indicated on the renewal card. It also includes an occupancy permit issued by the Nebraska State Fire Marshal.

The documents confirm that the facility meets statutory requirements for licensure and occupancy with a maximum capacity of 64 beds. No deficiencies or inspection findings are reported.

An offsite investigation was conducted to investigate a complaint regarding the facility's failure to follow infection control guidelines for illnesses and failure to implement CMS directives related to COVID-19.

The facility was found to be in compliance with infection control guidelines and CMS COVID-19 protocols. Staff had completed education related to COVID-19 and implemented interventions for staff and resident protection without concerns.

The complaint alleged failure to follow infection control guidelines and CMS COVID-19 directives. The investigation found these allegations unsubstantiated as the facility complied with relevant regulatory requirements.

The document serves to acknowledge the decrease in the number of licensed beds at Westfield Quality Care Of Aurora Skilled Nursing Facility and to amend the Health Insurance Benefits Agreement to reflect changes in certified beds.

The licensed beds decreased from 66 to 64 effective July 1, 2019, with certified beds detailed for specific rooms as per the amended agreement.

The notice was issued to inform Westfield Quality Care Of Aurora of disciplinary action placing their skilled nursing facility license on probation for 90 days beginning June 13, 2019, due to violations including failure to prevent pressure ulcers and other regulatory breaches.

The facility was found in violation of multiple licensure regulations, primarily related to failure to prevent pressure sores from developing or deteriorating, as well as deficiencies in resident assessment, care planning, medication administration, and other areas. The probation required submission of a Plan of Correction and periodic reports on residents with pressure sores.

An unannounced visit was conducted to investigate a complaint and annual survey at Westfield Quality Care Of Aurora from May 6, 2019 to May 14, 2019 by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with many regulations but had multiple deficiencies including failure to provide care according to practitioner's orders, failure to identify and notify changes in condition timely, insufficient staffing and training, improper food handling, inaccurate MDS assessments, incomplete care plans, failure to notify Ombudsman of transfers, and issues with infection control and documentation. Several regulatory citations were issued.

An unannounced visit was conducted to investigate a complaint at Westfield Quality Care Of Aurora on October 3, 2018, focusing on allegations related to medication administration, change in condition notifications, housekeeping, reporting of resident falls, and residents' opportunity to attend appointments.

The investigation found the facility in compliance with all allegations: medication administration followed the five rights, changes in condition were identified and reported timely, housekeeping was effective, resident falls were reported appropriately, and residents had opportunities to attend appointments.

The complaint included five allegations: failure to provide medications according to the five rights, failure to identify and notify care provider of change in condition, failure to maintain an effective housekeeping program, failure to report resident falls, and failure to ensure residents have the opportunity to attend appointments. All allegations were found to be unsubstantiated with the facility in compliance.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to change interventions after residents were identified at risk for falls and failure to immediately report injuries requiring treatment within 24 hours.

The facility was found to be in violation for failing to review and revise care plans after residents fell to prevent further falls and injury, affecting 2 of 3 sampled residents. The facility was found to be in compliance with reporting injuries requiring treatment within 24 hours.

The complaint alleged the facility failed to change interventions after residents were identified at risk for falls and failed to immediately report injuries requiring treatment within 24 hours. The allegation regarding care plan revisions was substantiated; the allegation regarding injury reporting was not substantiated.

An unannounced visit was conducted to investigate a complaint and annual survey at Westfield Quality Care from January 17 to January 25, 2018.

The investigation found the facility in compliance with most allegations except for deficiencies in infection control, food temperature management, health screening of new employees, nurse aide registry checks, bed hold policy notification, MDS accuracy and timeliness, care plan revisions, medication label accuracy, glucose strip expiration, food safety and sanitation, infection prevention and control program, antibiotic stewardship, fire alarm system testing, fire drills, oxygen cylinder safety, and environmental cleanliness.

The complaint investigation included allegations of failure to protect residents from adverse behaviors, failure to provide bladder elimination care, ineffective infection control, offensive odors, lack of respect and dignity, failure to follow practitioner's orders, fall interventions, mobility assistance, and meal quality. Most allegations were found in compliance except infection control and meal quality.

This document is a renewal licensing report and agreement for Westfield Quality Care, formerly Hamilton Manor, reflecting a change of ownership and facility name, and transfer of bed licenses.

The report confirms the issuance of a Skilled Nursing Facility license to Westfield Quality Care effective January 1, 2018, with a licensed capacity of 66 beds. It includes a consulting and bed transfer agreement outlining operational and financial responsibilities, transition plans, and compliance requirements.

An unannounced visit was conducted to investigate a complaint that the facility fails to change fall interventions after residents have been identified at risk for falls.

The investigation found that the facility failed to revise the comprehensive care plans for residents after falls or therapy discontinuation, specifically for Resident 1 and Resident 3. The facility was found not in compliance with regulatory requirements and cited at Federal Tag F280 and State Licensure Tag 12-006.09C1c.

The complaint alleged the facility fails to change fall interventions after residents have been identified at risk for falls. The allegation was substantiated with findings of noncompliance.

The document is a renewal application and certification for Hamilton Manor's Skilled Nursing Facility/Nursing Facility dual certification license, including renewal of licensure and occupancy permit.

The facility is licensed and certified for 60 beds, with current services including physical therapy, occupational therapy, and speech therapy. The occupancy permit was issued on 2016-12-08 by the Nebraska State Fire Marshal.

An unannounced visit was conducted to investigate a complaint and annual survey at Hamilton Manor on December 6, 2016-December 13, 2016, by representatives of the Department of Health and Human Services Division of Public Health.

The complaint investigation found no violations related to appropriate transfer, noise control, clean laundry, staffing sufficiency, abuse protection, and electric wheelchair use. The annual survey identified multiple deficiencies including unsafe water temperatures, non-functioning bathroom ventilation fans, fire safety code violations related to kitchen stove power, obstructed egress, improper door locks, inadequate emergency lighting and exit signage, sprinkler system issues, fire alarm system notification deficiencies, and electrical safety hazards.

The complaint investigation found no violations related to appropriate transfer, noise control, clean laundry, staffing sufficiency, abuse protection, and electric wheelchair use.

An unannounced visit was conducted to investigate a complaint alleging the facility fails to protect residents from abuse.

Observations, interviews, and record reviews revealed no concerns of abuse and determined the facility is in compliance with regulatory requirements with no violations found.

The complaint alleged the facility fails to protect residents from abuse. The investigation found no substantiated concerns or violations.

This document is related to the renewal of the nursing home license for Hamilton Manor, verifying licensure and certification status.

The document confirms that Hamilton Manor meets statutory requirements for licensure renewal as a Skilled Nursing Facility with various special care services. It includes certification details, occupancy permit, and descriptions of special care units and services.

An unannounced visit was conducted to investigate a complaint and annual survey at Hamilton Manor on September 21, 2015-September 28, 2015, including review of resident records, observation of care, and interviews with residents, family, and staff.

The facility was found to have no violations related to staff licensing, sufficient staffing, medication security, protection from residents with adverse behaviors, safe environment to prevent misappropriation, and complaint resolution. However, deficiencies were found related to failure to develop a comprehensive care plan for a PASRR Level II resident, failure to provide care to maintain highest well-being including bowel management and behavioral assessment, equipment maintenance issues, medication administration errors, and life safety code violations.

The complaint investigation included allegations that the facility failed to ensure staff licensing, sufficient staffing, medication security, protection from residents with adverse behaviors, safe environment to prevent misappropriation, and complaint resolution. The facility was found compliant on these issues except for medication security where one medication was not secured but no deficiency was cited due to corrective actions.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to change fall interventions after residents were identified at risk for falls.

The investigation found that the facility did provide interventions and changes to residents' care to prevent future falls, including updating care plans and using alarms, low beds, and increased surveillance. The facility was found to be in compliance with no violations.

The complaint alleged the facility failed to change fall interventions after residents were identified at risk for falls. The complaint was not substantiated as the facility was found compliant.

An unannounced visit was conducted to investigate a complaint and annual survey at Hamilton Manor on November 12-19, 2014. The complaint allegation was that the facility failed to respond to complaints/grievances.

The facility failed to notify one resident's family/legal representative about a significant change in condition related to a room rate increase. The facility also failed to promote dignity and respect for Resident 6 regarding staff assignment, failed to secure chemicals and hazardous items from cognitively impaired residents, and had a medication error rate of 6.25%. Additional deficiencies included failure to follow physician orders for psychiatric services, improper medication storage practices, and insulin vials not dated when opened.

The complaint alleged the facility failed to respond to complaints/grievances. Investigation revealed failure to notify family of a significant change in resident condition related to a room rate increase for Resident 34. The family had made multiple attempts to obtain information without success.

An unannounced visit was conducted to investigate a complaint at Hamilton Manor regarding pest control, provision of care according to practitioner's orders, submission of written investigations to the state agency, and resident grooming.

The facility was found to have no violations related to pest control, care provision according to practitioner's orders, submission of written investigations, or resident grooming. Observations and interviews confirmed compliance with regulatory requirements and resident satisfaction.

The investigation addressed allegations that the facility failed to maintain an effective pest control program, failed to provide care according to practitioner's orders, failed to send written investigations to the state agency timely, and failed to ensure residents were clean and groomed. All allegations were found to have no violations.

An unannounced visit was conducted to investigate a complaint at Hamilton Manor regarding allegations of inaccurate documents, inadequate care for complaints of pain, improper authorization for health care decisions, and failure to revise interventions to prevent falls.

The facility was found to have no violations related to the allegations. Documentation was accurate, care for pain complaints was provided, authorizations for health care decisions were in place, and interventions to prevent falls were properly revised and implemented.

The investigation addressed allegations that the facility failed to ensure accurate documents, provide care for pain complaints, ensure proper authorization for health care decisions, and revise interventions to prevent falls. All allegations were found to have no violations after onsite investigation.

An unannounced visit was conducted to investigate a complaint survey at Hamilton Manor on June 10-11, 2014, triggered by multiple allegations including narcotic safety, treatment completion, call light response, pest control, staffing sufficiency, supervision for fall risk residents, assessment of condition changes, and practitioner response to condition changes.

The facility was found compliant with narcotic safety, treatment completion, pest control, staffing sufficiency, supervision for fall risk, and assessment of condition changes. Deficiencies were found in timely physician notification and follow-through for one resident's pain complaints and failure to promptly answer call lights for three residents, violating federal and state regulations.

The complaint investigation included allegations about narcotic safety, treatment completion, call light response, pest control, staffing, supervision for fall risk, assessment of condition changes, and practitioner response. The facility was found noncompliant regarding call light response and physician notification for a resident's pain, with substantiated violations of federal and state regulations.

The inspection was conducted as an annual survey to assess compliance with regulatory requirements including resident care, safety, and facility conditions.

The facility was found deficient in multiple areas including failure to prevent neglect of a resident, inadequate activities for a resident with cognitive decline, housekeeping and maintenance issues such as mold on heating/cooling unit louvers, failure to provide bread for pureed diets, malfunctioning resident call systems, and non-functioning bathroom vent fans. Life safety code violations were also identified in a follow-up survey including fire safety system deficiencies, exit door issues, and lack of fire watch policy.

The inspection was conducted to assess compliance with medication administration regulations, specifically regarding the use of unlicensed personnel to provide medication.

The facility failed to prevent an employee without an appropriate Medication Aide 40 registration from passing medication. The employee was scheduled for 7 shifts without the required registry, and was removed from the schedule once discovered.

The inspection was conducted as an annual survey to assess compliance with regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities.

The facility was found deficient in providing adequate skin treatment documentation and assessment for treatment effectiveness for one resident with active skin breakdown. Additionally, the facility failed to ensure residents were free of significant medication errors, including improper administration and documentation of insulin for multiple residents.

The facility was surveyed on April 24, 2012, by the Nebraska Department of Health and Human Services to determine compliance with Federal participation requirements for nursing homes in Medicare and Medicaid programs. A revisit was conducted on June 20, 2012, due to noncompliance.

The facility was found not in substantial compliance with participation requirements on both the initial survey and the June 20, 2012 revisit. As a result, payment for new Medicare and Medicaid admissions was denied starting July 24, 2012. A subsequent revisit on August 15, 2012, established that corrections had been made and substantial compliance was achieved, leading to removal of the payment denial.

The visit was a re-inspection survey related to deficiencies identified in a prior survey, including grievance investigation, resident rights, housekeeping, care planning, skin care, hydration, medication regimen, life safety code compliance, and fire safety.

The facility had multiple deficiencies including failure to fully investigate a resident grievance, failure to honor resident bathing schedule choices, lingering urine odors in resident rooms, incomplete care plans for several residents, failure to implement interventions for skin integrity and hydration, failure to assist a resident with fluid intake, failure to ensure drug regimens were free from unnecessary drugs, failure to maintain fire safety code standards including smoke partitions and fire alarm system maintenance, and failure to maintain resident call light systems in bathing areas.

The inspection was conducted to assess compliance with regulations governing licensure of skilled nursing facilities, focusing on the facility's adherence to residents' plans of care.

The facility failed to follow one resident's (Resident 2) plan of care related to mobility and transfers, resulting in the resident experiencing pain during transfers. The Licensed Practical Nurse (LPN A) was not educated on the actual plan for transfers and mobility for Resident 2.

The inspection was conducted to assess compliance with regulations governing licensure of skilled nursing facilities, focusing on specialized rehabilitative services.

The facility failed to follow physician orders related to physical therapy for one resident (Resident 3), resulting in no physical therapy being provided as ordered from 8/16/11 to 9/1/11. The total census was 59 residents, with 4 residents sampled.

The inspection was conducted due to allegations of mistreatment, neglect, abuse, and an elopement incident involving residents, as well as concerns about dignity and respect during meal service and provision of adaptive eating equipment.

The facility failed to report and investigate allegations of mistreatment and an elopement incident timely. Observations revealed staff did not treat residents with dignity during meal service and failed to provide adaptive eating equipment as care planned for some residents.

The complaint investigation revealed failure to report and investigate allegations of mistreatment for Residents 16 and 17, and failure to investigate and report an elopement for Resident 14. The facility census was 61 with 15 sampled and 5 non-sampled residents.

The documents include issuance and renewal of the Skilled Nursing Facility license, fire safety code compliance inspection, zoning compliance confirmation, and occupancy/bed count verification for Westfield Quality Care.

The facility is licensed and certified as a Skilled Nursing Facility with a total licensed capacity of 66 beds. The fire safety inspection conducted on 2018-01-31 found the facility in compliance with the Life Safety Code and approved for occupancy. The zoning compliance letter confirms the facility's use is permitted within the R-1 Residential District. Bed count forms show the licensed capacity and beds set up per room.

The documents serve to verify licensure renewal, occupancy permits, and compliance with state regulations for Westfield Quality Care of Aurora nursing home.

The facility is licensed as a Skilled Nursing Facility with a licensed capacity of 66 beds. The occupancy permit indicates compliance with the Life Safety Code at the time of inspection.

This document serves as verification of the renewal of the SNF/NF dual certification license for Westfield Quality Care of Aurora and includes the Nebraska State Fire Marshal occupancy permit.

The facility meets statutory requirements for licensure renewal through 3/31/2021 and holds an approved occupancy permit for a maximum of 66 beds issued on 6/27/2019.

This document serves as a licensure renewal application and verification for Westfield Quality Care of Aurora's Skilled Nursing Facility license, including occupancy permit information.

The documents confirm the facility's licensure renewal status, ownership details, and occupancy permit with a maximum capacity of 64 beds. No inspection findings or deficiencies are reported.

The documents pertain to the renewal of the nursing home license for Westfield Quality Care of Aurora, including submission of the renewal application and verification of licensure status.

No inspection findings or deficiencies are reported. The documents confirm licensure renewal status and provide facility and ownership information.

This document serves as a renewal application for the nursing home license of Westfield Quality Care of Aurora, including certification of services and occupancy permit details.

The documents confirm that Westfield Quality Care of Aurora meets statutory requirements for licensure renewal, including certification for specialized care services and an occupancy permit for 64 beds.

The document serves as a Notice of Disciplinary Action against Hamilton Manor Skilled Nursing Facility for failure to prevent the development and promote healing of pressure sores, resulting in probation and required submission of a Plan of Correction. A subsequent Notice of Modification of Disciplinary Action imposes a daily fine until compliance is demonstrated.

The Department of Health and Human Services determined that Hamilton Manor failed to prevent pressure sores among residents, violating licensure regulations. The facility was placed on probation for 90 days starting May 25, 2012, with requirements to submit detailed reports and implement corrective processes. Later, a modification imposed a $10 daily fine beginning June 20, 2012, continuing until compliance is shown.

The notice informs Hamilton Manor of disciplinary action placing the facility's license on probation for 90 days starting October 28, 2015, due to violations related to urinary/bowel function and mental/psychosocial functioning regulations.

The facility failed to implement interventions to prevent constipation and assess causal factors for behaviors, resulting in violations of licensure regulations. The notice requires submission of plans of correction and periodic reports during the probation period.