Westview Health Care Center: Mealtime Safety Failures - CT
Nobody was sitting down. Nobody was providing one-on-one care. And at least some of those 12 residents had care plans that required exactly that.
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See the Derila PillowInspectors arrived at 6:02 p.m. and found the scene themselves. Twelve residents seated in the recreation room, all needing help eating, all attended by Nurse Aide #1 and Nurse Aide #2, both of them on their feet, rotating between residents rather than staying with any one of them.
One of those residents was Resident #89. Her care plan, dated December 7, 2024, specified swallow guidelines and one-on-one assistance at every meal. She was supposed to eat in the recreation room at lunch and dinner. She was there. The one-on-one aide was not.
When inspectors spoke with Nurse Aide #1 three minutes after observing the dinner service, the aide confirmed the setup: 12 residents, 2 aides, every night. She said she knew she was supposed to sit at eye level when helping residents eat. She hadn't done it that evening. She also said she usually feeds multiple residents at the same time.
Nurse Aide #2 said the same thing. Twelve residents, two aides, a normal dinner. She said she does not sit at eye level to feed residents, but told inspectors she would start doing so going forward.
The Licensed Practical Nurse on duty that evening confirmed the staffing ratio without apparent concern. Two aides for 12 residents at dinner. The aides feed multiple residents at the same time. That was the routine.
The Assistant Director of Nursing, interviewed at 6:21 p.m., acknowledged that two aides are assigned to assist all 12 residents in the recreation room for dinner. She said the aides should be sitting at eye level with residents while helping them eat.
They were not.
The gap between what the facility's own policies required and what happened in that room on January 23rd was not subtle. The facility's feeding policy directed staff to feed residents slowly, fill spoons only halfway, and never rush residents through meals. Its dining room policy called for an experience that maintains each resident's dignity and maximizes their ability to eat.
Two aides standing above a row of residents and rotating between them is not that.
The choking risk embedded in this situation is not theoretical. Residents who require one-on-one feeding assistance and swallow guidelines are, by definition, people whose ability to eat safely depends on close, continuous attention. When an aide steps away to feed someone else, the resident left behind is unmonitored. A cough, a pocket of food, a moment of distress — there is nobody watching.
Inspectors rated the violation at a level of minimal harm or potential for actual harm, a designation that reflects what was documented rather than what could have happened on any given night with this staffing arrangement. The violation affected some residents.
Westview Health Care Center is located at 150 Ware Road in Dayville. The inspection was completed February 3, 2025.
What the two nurse aides described was not an off night. It was the system. Twelve residents, two aides, everyone standing, everyone rotating. The aide who said she usually sits at eye level but didn't that evening. The other aide who said she doesn't sit at eye level at all. The nurse who confirmed the ratio without hesitation. The assistant director who described what the aides should be doing, in a building where they weren't doing it.
Resident #89 had a care plan. It said one-on-one. It said swallow guidelines. It said every meal.
Dinner was at six.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Westview Health Care Center from 2025-02-03 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 14, 2026 · Our methodology
WESTVIEW HEALTH CARE CENTER in DAYVILLE, CT was cited for violations during a health inspection on February 3, 2025.
Nobody was providing one-on-one care.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.