Westwood Post Acute
WESTWOOD POST ACUTE in DENVER, CO — inspection on April 25, 2025.
Found 20 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
F-F567 management of funds:
The facility failed to ensure resident accounts were updated with the current facility name.
Cross reference
F-F577 right to survey results: the facility failed to have state inspections readily available and up to date.
Cross reference
F-F625 notice of bed hold policy:
The facility failed to provide residents or POA bed hold information at time of transfer.
Cross reference
F-F626 permitting residents to return to the facility:
The facility failed to re-admit residents after a hospital transfer.
Cross reference
F-F644 coordination of preadmission admission screening and resident review (PASRR): The facility failed to ensure PASRR recommendations were followed for specialized services.
Cross reference
F-F659 quality of care:
The facility failed to ensure qualified staff provided nail care for residents with diabetes.
Cross reference
F-F677 activities of daily living (ADL) care for dependent residents:
The facility failed to ensure dependent residents received assistance with ADLs.
Cross reference
F-F679 activities meet interests/needs of each resident:
The facility failed to ensure residents had a personalized activity program.
Cross reference
F-F685 treatment and services to maintain hearing/vision:
The facility failed to ensure residents received timely services for ancillary services.
Cross reference
F-F689 accident hazards:
The facility failed to supervise a resident who was a choking risk during meals.
Cross reference
F-F695 respiratory care:
The facility failed to properly clean and store a continuous positive airway pressure (CPAP) machine.
065274
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 065274 B.
Wing 04/25/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Westwood Post Acute 3185 W Arkansas Ave Denver, CO 80219
F-F698 dialysis:
The facility failed to ensure physician's orders were in place for bruit and thrill for a resident receiving dialysis.
potential for actual harm Cross reference
F-F699 trauma informed care:
The facility failed to identify triggers that could cause re-traumatization.
Cross reference
F-F756 drug regimen review:
The facility failed to ensure monthly medication reviews (MMR) were completed.
Cross reference
F-F791 dental services:
The facility failed to ensure residents received timely dental services.
Cross reference
F-F807 hydration:
The facility failed to ensure residents were provided adequate hydration.
Cross reference
F-F809 snacks at bedtime:
The facility failed to ensure residents were offered snacks at bedtime.
Cross reference
F-F848 arbitration agreements:
The facility failed to provide the arbitration agreement that was presented to residents contained language that provided for the selection of a venue that was convenient to both parties.
Cross reference
F-F883: immunizations: the facility failed to notify the power of attorney (POA) of immunization administration.
Cross reference
According to the April 2025 computerized physician's orders (CPO), diagnoses included dementia without behavioral disturbance, anxiety and mood disturbance and hypertensive heart disease with heart failure.
The 1/7/25 minimum data set (MDS) assessment revealed the resident had severe cognitive impairments with a brief interview for mental status (BIMS) score of three out of 15.
The resident required partial to moderate assistance with ADLs.
The MDS assessment indicated the resident was not up to date on the pneumococcal vaccine because it was offered and declined.
B.
Resident representative interview
Resident #30's representative was interviewed on 4/8/25 at 9:52 a.m.
The representative said she was not notified and did not give consent for Resident #30 to receive the pneumococcal vaccination prior to the administration of the vaccine.
She said she had taken Resident #30 out for a visit and Resident #30 complained of her arm hurting as she had received a vaccination.
The representative said she called the facility and the nurse confirmed the resident received the Prevenar 20 vaccination.
C.
Record review
Review of Resident #30's electronic medical record (EMR) revealed the resident received the Prevnar 20 immunization on 3/26/25.
The resident vaccination consent for vaccinations, dated 3/21/25, revealed the consent was signed by the infection preventionist (IP).
The consent form was for the pneumococcal (Prevenar 20).
The consent documented, I have authority to complete this registration process and to make my health care decisions (or the healthcare decisions for the named patient). I have been given online links/documents to read about the disease and vaccines. I believe I understand the benefits and risks of the vaccine.
065274
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 065274 B.
Wing 04/25/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Westwood Post Acute 3185 W Arkansas Ave Denver, CO 80219