Inspection Reports for Westmont of Cypress

An unannounced required annual visit was conducted by Licensing Program Analyst Fred Arias to evaluate the facility's compliance with regulations.

The facility was found to be in full compliance with no deficiencies cited. The physical plant, resident care, staff files, medication storage, and emergency plans were all reviewed and found satisfactory.

An unannounced complaint investigation was conducted regarding an allegation that staff were not delivering meals to residents timely.

The investigation found that 11 of 12 interviewed individuals, including residents and staff, were unable to corroborate the allegation. Staff explained meals were ordered a day early to ensure timely delivery, and records showed residents received meals every time. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff were not delivering meals to residents timely. The allegation was investigated through interviews and document review and was found unsubstantiated.

An unannounced complaint investigation was conducted following a complaint received on 2024-07-24 regarding allegations that staff were not meeting the needs of residents and not answering resident calls for assistance timely.

After interviewing 12 individuals including residents and staff, the allegations were found to be unsubstantiated. All 7 residents interviewed denied the allegations, and the investigation concluded the allegations were unfounded.

The complaint involved allegations that staff were not meeting the needs of residents and were not responding timely to resident calls for assistance. The investigation found these allegations to be unfounded based on interviews and evidence.

An unannounced complaint investigation visit was conducted in response to an allegation that facility staff did not provide toilet paper to residents.

The investigation found that residents in both Memory Care and Assisted Living received toilet paper as part of housekeeping services, and restrooms contained toilet paper. Residents in independent living were responsible for their own toiletries if they requested specific types. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

The complaint alleging that facility staff did not provide toilet paper to residents was investigated and found to be unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by allegations that facility staff did not meet residents' showering needs and did not provide meals of the quality necessary to meet residents' needs.

The investigation included interviews, observations, and documentation review. The allegations were found to be unsubstantiated due to conflicting information and lack of sufficient evidence to prove the violations occurred as reported.

The complaint investigation was unsubstantiated. Allegations included failure to meet residents' showering needs and inadequate meal quality. Interviews revealed individualized shower schedules and meal options with alternatives. Resident feedback was mostly positive. The Licensing Program Analyst was unable to determine if violations occurred due to insufficient evidence.

An unannounced visit was conducted to investigate a complaint alleging that staff did not prevent an infestation of bed bugs at the facility.

The investigation found that bed bugs were present in one unit and treated with a scheduled extermination protocol. No evidence of bed bugs was found in other units. The allegation was deemed unfounded as the infestation was addressed appropriately and no staff negligence was found.

The complaint alleged staff did not prevent an infestation of bed bugs. The investigation included resident record reviews, staff and resident representative interviews, and a tour of the affected unit. The allegation was found to be unfounded.

An unannounced required annual investigation focusing on Infection Control procedures was conducted at the facility.

The facility was observed to be clean, sanitary, and well maintained with residents appearing happy and well cared for. Infection control measures including COVID-19 screening, PPE availability, and visitor screening were in place and functioning. Medication storage and destruction procedures were secure and appropriate. The facility requested and provided documentation such as the fire panel inspection and staff roster as required.

The inspection visit was conducted as a pre-licensing inspection for a Residential Care Facility for the Elderly with a capacity of 152 non-ambulatory residents.

The facility was found to meet the requirements for licensure, with adequate accommodations, safety features, emergency systems, and posted policies. The facility was deemed ready for licensure and final approval was to be processed by the Central Applications Unit.

Initial licensing evaluation conducted via telephone call to assess applicant and administrator understanding of licensing requirements and program policies.

The applicant and administrator successfully completed the evaluation, demonstrating understanding of facility operation, staff qualifications, program policies, and compliance requirements. The COVID-19 Mitigation Plan was also discussed and a PIN was emailed.