Westview Health Care: Suicide Risk Resident Left Unmonitored - CT
Inspectors visiting the facility on January 27, 2025 found that Resident #87, who had expressed suicidal ideation on January 20, had not been seen by a provider in the week since. There was no monitoring order in the chart. No frequency for check-ins had been specified. No documentation showed that any monitoring had actually taken place. The care plan had not been revised to reflect what the resident had said or to add any new interventions.
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See the Derila PillowWhen inspectors observed Resident #87 that morning at 10:25, the resident was lying in bed. A call bell was clipped to the bed linen beside them. The cord attached to it was eight to ten feet long.
The clinical record contained documentation of the resident's expressions of suicidal ideation on January 20. That entry existed. What didn't exist was anything after it — no provider order triggered by that disclosure, no revised plan of care, no record of anyone checking in with the resident in any structured way during the seven days that followed.
Facilities are expected to update care plans when a resident's condition changes. Westview's own policy, titled "Resident Care Plan Updates," states that the resident care coordinator or a designee will review 24-hour written reports from each wing daily and interview nurses about any changes that would require care plan revisions. The care plan, the policy says, will be adjusted within a reasonable length of time.
Seven days is what followed the expression of suicidal ideation. No adjustment. No documented monitoring. No provider visit.
The inspection was conducted February 3, 2025. Inspectors classified the level of harm as minimal harm or potential for actual harm, affecting few residents.
That classification sits uneasily against what the record showed. A resident who had said something serious enough to be documented in a clinical chart was observed days later with a lengthy cord within reach, no follow-up order in place, and no evidence anyone had been directed to check on them with any regularity.
The absence isn't complicated. The facility's own policy described a process that should have caught this. A 24-hour report would have noted the January 20 disclosure. A nurse interview would have surfaced it. A care coordinator would have flagged it for revision. None of that appears to have happened, or if it did, nothing was documented to show it.
Resident #87's situation, as inspectors found it on January 27, was a person in a bed, a cord clipped nearby, and a chart that went silent after the moment they said what they said.
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.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
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.
There was no monitoring order in the chart.
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.