Inspection Reports for
Westgate Manor
750 Union St, Bangor, ME 04401, United States, ME, 04401
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5.3 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
7% better than Maine average
Maine average: 5.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Mar 26, 2025
Visit Reason
The document is a statement of deficiencies and plan of correction related to a nursing home regulatory inspection.
Findings
The facility failed to complete an annual performance evaluation within the required 12-month period for one of five sampled employees, a Certified Nursing Assistant (CNA3). The evaluation was completed 8 months and 20 days late.
Deficiencies (1)
F 0730: The facility failed to complete an annual performance evaluation at least every 12 months for one of five sampled employees (Certified Nursing Assistant #3). The evaluation was completed 8 months and 20 days past the required period.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing | Confirmed that CNA3 received her performance evaluation 8 months and 20 days late. |
Inspection Report
Annual Inspection
Deficiencies: 7
Date: Mar 26, 2025
Visit Reason
The inspection was conducted as a comprehensive annual survey to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including failure to protect resident dignity and rights, incomplete implementation of care plans, inadequate treatment and medication administration, unsafe hot water temperatures, food service safety violations, ineffective pest control, and insufficient nurse aide training.
Deficiencies (7)
F 0550: The facility failed to protect a resident's right to a dignified existence and self-determination when staff discussed a resident's missing shoes without involving the resident directly.
F 0656: The facility failed to implement a resident's care plan for a restorative walking program, lacking evidence that the resident was ambulated as directed.
F 0684: The facility failed to complete neurological assessments after a resident's fall, did not follow bowel regimen protocols, and failed to administer medications according to physician orders for three residents.
F 0689: The facility failed to ensure hot water temperatures in resident rooms and restrooms did not exceed 120 degrees Fahrenheit on two of three survey days.
F 0812: The facility failed to store, prepare, and serve food in accordance with professional standards, including improper glove use and inadequate sanitizer concentration.
F 0925: The facility failed to maintain an effective pest control program, with observations of small flies in multiple resident and kitchen areas.
F 0947: The facility failed to ensure that two Certified Nurse Assistants completed required annual training on resident rights.
Report Facts
Hot water temperature: 125.4
Sanitizer concentration: 150
Medication dosage: 10
Blood sugar reading: 406
Blood sugar reading: 355
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Jan 31, 2024
Visit Reason
The inspection was conducted as an annual survey to assess the facility's compliance with regulatory requirements, including timely completion of resident assessments and adherence to safety and sanitation standards.
Findings
The facility was found to have multiple deficiencies related to untimely completion of Minimum Data Set (MDS) assessments for residents, improper plumbing fixture installation violating state plumbing code, unlabeled food products in the kitchen refrigerator, and improper garbage disposal leading to potential pest harborage.
Deficiencies (5)
F0636: The facility failed to complete Annual Comprehensive Minimum Data Set (MDS) 3.0 with Care Area Assessment (CAA) in a timely manner for 2 of 14 sampled residents.
F0637: The facility failed to complete a Comprehensive Minimum Data Set (MDS) 3.0 with Care Area Assessment (CAA) for a significant change in condition in a timely manner for 1 of 14 sampled residents.
F0638: The facility failed to complete Quarterly Minimum Data Set (MDS) 3.0 assessments in a timely manner for 7 of 14 sampled residents.
F0812: The facility failed to ensure plumbing fixtures were properly installed to prevent backflow as required by the Maine State Plumbing Code and failed to label products in the kitchen refrigerator on multiple survey days.
F0814: The facility failed to ensure garbage was properly disposed of and contained to prevent pest harborage for 1 of 3 survey days.
Report Facts
Residents sampled: 14
Residents affected: 2
Residents affected: 1
Residents affected: 7
Days late: 1
Days late: 4
Days late: 6
Days late: 10
Days late: 10
Days late: 5
Days late: 15
Days late: 7
Days late: 2
Days late: 17
Days late: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Coordinator | Interviewed regarding delays in completing MDS assessments | |
| Food Service Director | Confirmed improper air gap on ice machine drain and unlabeled food products | |
| Maintenance Supervisor | Confirmed garbage disposal issues with surveyors | |
| Director of Nursing | Confirmed garbage disposal issues with surveyors | |
| Assistant Director of Nursing | Confirmed garbage disposal issues with surveyors | |
| Regional Director of Clinical Operations | Confirmed garbage disposal issues with surveyors |
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Oct 26, 2022
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in promoting residents' dignity during meal assistance, failing to assess clinical appropriateness for self-administration of medications, and not developing a care plan for a resident exhibiting wandering behavior.
Deficiencies (3)
F 0550: The facility failed to promote residents' dignity by not assisting all residents seated at the same table at the same time during one meal observation on 10/24/22.
F 0554: The interdisciplinary team failed to determine clinical appropriateness for Resident #32 to keep and self-administer Bio freeze pain relieving gel at bedside.
F 0656: The facility failed to develop a person-centered care plan for Resident #9's wandering behavior as indicated in the Care Area Assessment and MDS reviews.
Report Facts
Residents affected: 6
Residents affected: 1
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding meal assistance and medication self-administration policies |
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