Inspection Reports for
Westminster Village West Lafayette

The facility was found in compliance with Emergency Preparedness Requirements. However, the Life Safety Code survey identified deficiencies including an unapproved penetration in a fire barrier wall and the use of an unapproved power strip as a substitute for fixed wiring. Corrective actions and education were planned and implemented.

The complaint investigation identified issues with medication administration errors, delayed therapy evaluations, inadequate dementia care and monitoring, failure to perform gradual dose reductions for psychotropic medications, incomplete documentation of treatments and medication side effects, and failure to provide required immunizations.

The facility failed to follow physician medication orders for two residents, delayed therapy evaluations for two residents, inadequately monitored dementia care and wanderguard placement for two residents, failed to ensure gradual dose reduction for psychotropic medications for two residents, lacked proper documentation of medication side effects, wound care, and catheter care for four residents, and failed to provide influenza and pneumococcal vaccinations for one resident.

Complaint IN00444575 - No deficiencies related to the allegations are cited. Complaint IN00443524 - No deficiencies related to the allegations are cited. Complaint IN00441342 - Federal/state deficiencies related to the allegations are cited at F744. Complaint IN00440547 - No deficiencies related to the allegations are cited.

The facility was found to have deficiencies related to medication administration parameters, therapy evaluations, dementia care interventions, drug regimen reviews, resident record documentation, and immunizations. Some complaints were substantiated with cited deficiencies, while others were not.

The facility was found in compliance with Emergency Preparedness Requirements. However, the Life Safety Code survey identified two deficiencies: failure to maintain means of egress free from obstructions in one corridor, and failure to ensure 7 of 12 fire drills included verification of fire alarm signal transmission to the monitoring station.

The facility failed to ensure proper mouth care for a resident, missed weights and accu-checks for residents with congestive heart failure and diabetes, inaccurate nurse staffing postings, malfunctioning call light systems, and unsafe environmental conditions such as items stored on floors and damaged walls.

The facility was found to have deficiencies related to ADL care for dependent residents, quality of care including failure to follow physician orders for weights and accu-checks, posted nurse staffing information inaccuracies, resident call system malfunctions, and environmental issues such as items stored on floors and damaged walls and carpet. Plans of correction and audits were implemented to address these issues.

This Federal tag relates to Complaint IN00407001. The complaint was substantiated based on the investigation of the photo taken and shared by staff of Resident B lying on the floor.

The facility failed to ensure a resident was free from abuse when a staff member took and shared a photo of a resident lying on the floor in a soiled gown, violating the facility's abuse and cell phone policies. The resident had a fall and sustained a skin tear, and the photo was shared via social media, leading to a complaint investigation.

Complaint IN00407001 was substantiated with federal and state deficiencies cited related to abuse allegations involving Resident B. The photo of the resident on the floor was shared by staff via Snapchat, violating abuse and cell phone usage policies.

The facility failed to ensure a resident was free from abuse when a staff member took and shared a photo of a resident lying on the floor without consent, violating the facility's abuse and cell phone policies. The investigation confirmed the photo was taken and shared via social media, constituting abuse through technology.

The facility was found not in compliance with Requirements for Participation in Medicare/Medicaid related to Life Safety Code. Deficiencies included failure to maintain fire alarm system inspections and failure to perform annual fuel quality tests on diesel generators.

The facility was found deficient in multiple areas including failure to complete PASARR assessments for residents with new mental health diagnoses and antipsychotic prescriptions, failure to provide scheduled showers to residents needing assistance, incomplete physician orders for oxygen use, lack of monitoring for residents on long-term prophylactic antibiotics, inappropriate use and monitoring of psychotropic medications, failure to follow puree food recipes, and failure to prevent and investigate an elopement incident involving a cognitively impaired resident.

The facility was found deficient in multiple areas including failure to complete required PASARR screenings for residents prescribed antipsychotic medications, failure to provide scheduled showers to residents needing assistance, incomplete physician orders for oxygen use, lack of monitoring for side effects of long-term prophylactic antibiotic use, inappropriate use and monitoring of psychotropic medications without proper diagnoses or gradual dose reductions, and failure to follow recipes for preparing pureed foods.