Inspection Reports for
Westminster Village Al

Complaint #2615630/IL201743: violations cited at 295.5000d) and 295.6000a)5).

The establishment failed to ensure medication was administered by licensed nursing staff and did not follow a resident's service plan for medication management as required.

Complaint IL201180: no violation. Complaint IL201246: no violation.

The establishment was found in compliance with all applicable regulations during the complaint investigations.

FRI IL 198774: Facility Reported Incident investigation. No violations cited.

The establishment was found in compliance with all applicable regulations during this investigation.

Facility Reported Incident IL195829: no violations cited.

The establishment was found in compliance with all applicable regulations during this facility reported incident investigation.

The facility committed to addressing the failure to provide specific behavioral interventions in the service plan for one of three sampled residents. The Director of Assisted Living detailed corrective actions including focused interventions and privacy measures.

Facility Reported Incident #194673: no violations cited.

The establishment was found in compliance with all applicable regulations during this facility reported incident investigation.

Complaint 2565263 / IL 194169

The establishment failed to address specific sexual behaviors with interventions for one resident on the Memory Care Unit. The service plan did not include these behaviors or interventions as confirmed by staff interviews.

FRI IL 191107: The incident can be substantiated. No violations cited.

The establishment was found in compliance with all applicable regulations during this investigation.

Facility Reported Incident #189627: no violations cited.

The establishment was found in compliance with all applicable regulations during this survey.

The facility committed to additional education on the policy 'Abuse and Neglect Prevention and Reporting' and provided evidence of team members' signatures on the policy. The facility outlined procedures for reporting and investigating allegations of abuse, neglect, or financial exploitation.

Facility Reported Incident #IL187985: violation cited.

The establishment failed to notify Administration within three days of an allegation of misappropriation of resident property involving $700 missing from one resident's purse.

The facility committed to revising the service plan addendum process to ensure documentation of residents' condition changes and nursing interventions. Quality assurance meetings will be held quarterly or as needed to review procedures.

The establishment failed to revise the service plan as needed for two of six sampled residents after significant changes in their conditions.

The facility was found to have multiple deficiencies including failures in medication self-administration assessments, injury investigations, care plan meetings, change in condition documentation, wound assessments, accident hazard prevention, catheter care, nutritional care, respiratory care, psychotropic medication assessments, food labeling, infection control, immunization documentation, and COVID-19 vaccination documentation.

The facility failed to utilize the safest assistive devices for one resident, resulting in a fall and a dislocated shoulder requiring closed reduction.

The facility was found to have multiple deficiencies including failure to honor residents' rights regarding advance directives, inadequate abuse prevention policies, failure to maintain respiratory equipment properly, medication regimen issues with duplicate therapies, improper medication storage and labeling, and infection control lapses including inadequate water management.

Complaint Investigation: Failure to notify family and physician of resident condition changes and failure to provide appropriate catheter care.

The facility failed to notify the physician and family of significant changes in resident R1's condition including hematuria and lethargy, and failed to provide and document appropriate urinary catheter care for R1.

The facility was cited for four deficiencies related to resident rights, dialysis care, and food safety. The facility failed to honor a resident's advance directives, did not monitor dialysis access properly, and had unsanitary kitchen equipment with potential to affect all residents.