Westview Health Care Center: Wound Care Failures - CT
The inspection, completed February 3, 2025, centered on the care of Resident 16, who had developed a wound that had scabbed over by the time inspectors arrived. The facility's position was that the wound posed minimal harm because the surface was scabbed and wasn't interfering with the resident's daily activities. That reasoning didn't satisfy inspectors.
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See the Derila PillowLPN 4, as she is identified in the inspection record, told investigators directly: she did not complete wound measurements. She also said, in the same breath, that she knew she should have. Wound measurements aren't a formality. Without them, nurses cannot tell whether a wound is shrinking, stable, or quietly expanding beneath the surface. A scab is not a clean bill of health.
The facility had taken some steps. A skin integrity screen had been submitted to a dietician. A Braden scale risk assessment, a standard tool for predicting pressure injury risk, had gone to the MDS nurse. Nursing interventions for treatment and prevention had been documented. The paperwork moved. The actual measurement of the wound did not happen.
Inspectors asked for the facility's policy on RN wound assessment. Westview could not produce one.
That absence matters. A policy isn't just a document that sits in a binder. It's the written standard that tells nurses what is expected of them, what steps are non-negotiable, and what documentation has to exist before a wound can be considered monitored. Without it, there is no clear line between what LPN 4 was supposed to do and what she actually did. There is no mechanism to hold anyone accountable. There is no way for a new nurse, or a nurse on a different shift, to know what the standard is.
The violation was classified as minimal harm, affecting few residents. That classification reflects what inspectors could document at the time of the survey, not necessarily what the resident experienced during the period when measurements weren't being taken. A wound that is scabbed when inspectors walk through the door was not always scabbed. It had a beginning. It had a period when it was open and changing. That is precisely when measurements matter most, and that is precisely when they weren't done.
Westview is a nursing facility at 150 Ware Road in Dayville, a small town in northeastern Connecticut. The inspection was part of a standard health survey conducted under the federal oversight program administered by the Centers for Medicare and Medicaid Services.
The inspection report does not say how long the wound went unmeasured. It does not say when LPN 4 first encountered it, or how many shifts passed between the wound's appearance and the day inspectors asked about documentation. It does not describe what the wound looked like at its worst.
What it does say is that the nurse knew what she was supposed to do, didn't do it, and the facility had no written policy in place to back her up or hold her to account.
Resident 16's wound had scabbed over. Whether that represents healing or simply a surface change above an unresolved injury, no one at Westview can say with certainty. The measurements that would have answered that question were never taken.
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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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.
The facility's position was that the wound posed minimal harm because the surface was scabbed and wasn't interfering with the resident's daily activities.
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.