Westview Health Care Center
WESTVIEW HEALTH CARE CENTER in DAYVILLE, CT — inspection on February 3, 2025.
Found 2 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
Review of the Annual Facility assessment dated [DATE] through September 30, 2024, completed on 10/10/2024 (annual update due 10/1/2025) identified services and care offered based on Resident's needs included mental health and behavior services.
Management of medical conditions and medication related issues causing psychiatric symptoms and behavior, identification and implementation of interventions to help support individuals with issues such as dealing with anxiety, care of someone with cognitive impairment, care of individuals with depression, trauma/PTSD, other psychiatric diagnosis, 1:1 visit with social services designee for the purpose of allowing verbalization of feelings and issues surrounding SNF placement, and coping with grief and loss.
Additionally, Facility Resources needed to provide competent support and care for the resident population every day and during emergencies identified Behavioral and Mental Health Providers including Psychologist (Contract).
Interview with Advanced Practice Registered Nurse (APRN) #1 on 1/25/25 at 11:20 AM identified there had not been contracted behavioral health services since 2020. APRN #1 indicated the Medical Director, who is a Geriatrician, and herself (APRN #1) managed the psychotropic medications, gradual dose reductions (GDR's) and Abnormal Involuntary Movement Screening (AIMS), but do not offer psychotherapy. APRN #1 further identified the Social Worker would determine the need for an outside referral for psychotherapy or services that were not available in the facility and the Social Worker would make the referral. APRN #1 indicated the need for a referral to behavioral health services was communicated through a communication book that the Social Worker checked daily and/or a census report document that is used for communication to each department. APRN #1 identified a new contract for behavioral health services would begin on 2/1/25.
Interview on 1/29/25 at 11:28 AM with the Medical Director identified he was aware the facility did not have a contracted behavioral health service for medication management or therapeutic counseling services.
The Medical Director indicated he was a fell owship board certified geriatrician which qualified him to manage mental health medications.
The Medical Director identified that social services staff and the APRN become involved with behavioral health management depending on the acuity.
The Medical Director identified that SW #1 was responsible for making referrals to outpatient mental health services as indicated.
The Medical Director was aware of SW #1's credentials (BSW, BA) and indicated the social worker was qualified to make decisions for day-to-day care.
The Medical Director identified he considers himself the psychiatric practitioner for the facility based on his geriatrician certification and that he manages medications and orders monitoring for staff to follow through on.
The Medical Director identified he does not provide ongoing therapeutic counseling services.
075078
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 075078 B.
Wing 02/03/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Westview Health Care Center 150 Ware Rd Dayville, CT 06241
Review of the Transmission Based Precautions education form identified no staff signatures to indicate which staff members, if any, were educated.
Review of Transmission Based Precautions Policy dated (updated 8/2022) directed, in part, there are 3 categories of Transmission Based Precautions: Contact Precautions, Droplet Precautions and Airborne precautions.
Transmission Based Precautions are used when the route of transmission is not completely interrupted using standard precautions alone.
For some diseases that have multiple routes of transmission, more than 1 Transmission Based Precautions category may be used.
When either singly or in combination, they are always used in addition to Standard Precautions. If a communicable disease or infection is suspected or confirmed in a resident, the resident shall be placed on the appropriate Transmission-Based Precaution immediately.
The 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings: Appendix A will be used when determined appropriate transmission- based precautions.
CDC guidelines identified Respiratory Infections Cough/fever/pulmonary infiltrate in any lung location in an HIV-infected patient or a patient at high risk for HIV infection, M. tuberculosis, Respiratory viruses, S. pneumoniae, S. aureus (MSSA or MRSA) use Airborne Precautions plus Contact Precautions, use eye/face protection if aerosol-generating procedure performed or contact with respiratory secretions anticipated. If tuberculosis is unlikely and there are no AIIRs and/or respirators available, use Droplet Precautions instead of Airborne Precautions.
075078
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 075078 B.
Wing 02/03/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Westview Health Care Center 150 Ware Rd Dayville, CT 06241
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in DAYVILLE, CT, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from WESTVIEW HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.