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Complaint Investigation

Westland, A Villa Center

Inspection Date: September 4, 2025
Total Violations 1
Facility ID 235332
Location Westland, MI
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Inspection Findings

F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0880

Provide and implement an infection prevention and control program.

Level of Harm - Minimal harm or potential for actual harm

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** This citation pertains to intake 2588154.Based on observation, interview, and record review, the facility failed to maintain clean and sanitary shower beds affecting two residents (Resident R900 and Resident R902) out of three residents reviewed for infection control. Findings include: R900On 9/4/2025 at 10:02 AM, an interview was conducted with Resident R900. Resident R900 reported they had just been given a bed bath and dressed for the day. Resident R900 reported they would love to take a shower, but the bed baths and shower rooms are not clean at all. R902On 9/4/2025 at 12:00 PM, an interview was conducted with Resident R902. Resident R902 reported they would love to take a shower, however the shower beds that they use are disgusting. Resident R902 proceeded to show pictures in their phone of

the shower bed on various days. Resident R902 reported they have just been doing bed baths because no one will clean the shower beds. On 9/4/2025 at 12:20 PM, shower room [ROOM NUMBER] was observed with Certified Nursing Assistant (CNA) C. A shower bed was observed in the shower room. The shower bed had

a blue covering on it and was noted to have standing brown water in the crevices. The shower bed was observed to have white residue on it, and brown flakes on the covering, as well as the white plastic frame poles. CNA C was asked who was responsible for cleaning the shower beds. CNA C reported staff are supposed to clean the shower beds after each resident use. At 12:43 PM, an observation of shower room [ROOM NUMBER] was completed with Infection Control Preventionist (ICP) B. ICP B reported the shower beds should be cleaned in between patient use, and then a deep clean on midnights. ICP B reported there are scrub brushes and disinfectant in every shower room to clean the shower beds and chairs, and it should be getting completed. A review of a facility policy titled, Medical Equipment Management noted the following, .Clean equipment surfaces in accordance with instructions from both the equipment manufacturer and the chemical manufacturer.

Residents Affected - Few

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

Westland, A Villa Center in Westland, MI inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 Westland, MI, (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 Westland, A Villa Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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