Westview of Derby: Bowel Monitoring Failures Cited - KS
A complaint inspection completed September 16, 2025, found that staff were not consistently documenting bowel movements in the facility's electronic medical records system, and that when the system generated alerts about residents who had gone three or more days without one, those alerts were going unanswered.
Administrative Nurse D told inspectors that certified nurse aides were responsible for logging bowel movements in the EMR, but acknowledged that it had not always been done. The nurse was supposed to monitor the dashboard for alerts. That wasn't always being followed up on either. Administrative Nurse D said she was working on getting staff to respond to the alerts.
Constipation in nursing home residents is not a minor inconvenience. In elderly and medically fragile patients, it can escalate into bowel obstruction, severe pain, or serious complications requiring hospitalization. Residents in long-term care are often on medications that slow gut function, eat limited diets, and move less than they once did. Monitoring is the mechanism that keeps a manageable problem from becoming a medical emergency.
The facility's own nurses described what the response was supposed to look like. A nurse identified in the report as LN G told inspectors that if a resident went three to four days without a bowel movement, staff would listen to bowel sounds and follow standing orders, and that staff would assess the resident and document it in the EMR. That was the protocol as LN G understood it.
The problem was the step before that. If aides weren't documenting bowel movements, and nurses weren't checking the alerts, the three-to-four-day threshold would never trigger a response, because no one would know the threshold had been crossed.
When inspectors asked the facility to produce a written policy addressing how residents are monitored to prevent constipation, the facility could not provide one. There was no document spelling out who was responsible, what the timeline was, or what actions were required when a resident showed signs of a problem.
What the facility had instead was a system that worked on paper. The EMR would alert. A nurse would see it. A nurse aide would have already entered the data that made the alert possible. Each step depended on the one before it, and Administrative Nurse D confirmed to inspectors that the chain was breaking down at multiple points.
The deficiency was cited at a level of harm described as minimal harm or potential for actual harm, affecting a few residents. That classification reflects what inspectors could document, not necessarily the full scope of what was missed. When bowel movements go unrecorded for days and alerts go unreviewed, the residents most at risk are the ones least able to say so themselves.
Westview of Derby is a rehabilitation and health care center at 445 N. Westview Drive in Derby, Kansas. The inspection was a complaint survey, meaning it was triggered by a specific concern brought to regulators, rather than a routine annual review.
Administrative Nurse D did not dispute what inspectors found. She confirmed the documentation gaps, confirmed the alert system wasn't being consistently monitored, and said she was in the process of addressing it. What she could not point to was a policy that had ever required it in writing.
For the residents whose bowel movements went unrecorded and whose alerts went unseen, the gap between what the system was designed to catch and what it actually caught was measured in days.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Westview of Derby Rehabilitation & Health Care Cen from 2025-09-16 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
WESTVIEW OF DERBY REHABILITATION & HEALTH CARE CEN in DERBY, KS was cited for violations during a health inspection on September 16, 2025.
The nurse was supposed to monitor the dashboard for alerts.
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.