Health Inspection

Westview Nursing Home

May 21, 2025 · Center, MO · 301 West Dunlop Street

Citations 11

CMS Rating 1/5

Beds 60

Provider ID 265423

Healthcare Facility

Westview Nursing Home

Center, MO · View full profile →

Inspection Summary

WESTVIEW NURSING HOME in CENTER, MO — inspection on May 21, 2025.

Found 11 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

FF 0607

He had been in the position for one month; Some affected

During interview on 05/20/25 at 4:00 P.M., the Human Resources (HR) Manager said the following:

potential for actual harm -He realized there was a lot of information missing from the new hire files;

-If the information was not in the employee's file, then it was not completed and/or there was no record of being completed.

During interview on 05/21/25, at 5:00 P.M., the Administrator said the following:

-She expected staff to check the FCSR, CBC, EDL, and Nurse Aide Registry for all new hires;

-She realized they were not current on the proper documents needed.

265423

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 265423 B.

Wing 05/21/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Westview Nursing Home 301 West Dunlop Street Center, MO 63436

FF 0657

It was the DON's and interdisciplinary team's responsibility at the facility to update the care plans

Minimal harm or During an interview on 05/21/25 at 4:58 P.M., the Administrator said the following: Few worked remotely and was not at the facility; affected

F 0657 -It was the DON's and interdisciplinary team's responsibility at the facility to update the care plans.

potential for actual harm -The care plans were not updated to reflect the current needs of the resident because the MDS Coordinator

-When the MDS Coordinator was in house and was responsible for completing the care plans, it made it easier because she was here for morning meetings and care plan meetings;

-Now that the facility no longer had an in-house MDS Coordinator, the DON and ADON were working on slowly getting the care plans updated.

45563

Surveyor: [NAME], Konnie

47008

265423

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 265423 B.

Wing 05/21/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Westview Nursing Home 301 West Dunlop Street Center, MO 63436

FF 0658

He/She didn't receive Depakote or Buspar for several weeks after he/she first arrived at the facility; Level of Harm - Minimal harm or -He/She had behaviors and depressed mood because ...

He/She had behaviors and depressed mood because of not receiving his/her medications; Few affected

During an interview on 06/03/25 at 8:28 A.M., LPN A said the following:

-He/She entered the physician orders the resident brought with him/her into the electronic medical record;

-He/She wasn't aware the resident was missing any orders for medications;

-The resident nor the SSD reported to him/her that any medications were missing;

-The resident had not reported any increased depression.

During an interview on 06/03/25 at 10:57, the Assistant Director of Nursing (ADON) said the charge nurse (LPN A) was responsible for ensuring the admission paperwork, including the physician orders for the resident's medications, were entered and followed.

During an interview on 05/21/25 at 2:25 P.M., the Medical Director said the following:

-Buspar or Depakote should not be be stopped abruptly;

-If the resident was on the medications at another facility, both of the medications should be continued upon admission;

-If there was any question or discrepancy in orders, he would have expected the nurse to call him to clarify.

265423

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 265423 B.

Wing 05/21/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Westview Nursing Home 301 West Dunlop Street Center, MO 63436

FF 0678

He/She was unsure which color was for which code status; Level of Harm - Minimal harm or -He/She would look at the dot on the door first in an emergency, then check the EHR, (face shee...

He/She would look at the dot on the door first in an emergency, then check the EHR, (face sheet and or Some During an interview on [DATE] at 9:08 A.M. and [DATE] at 10:41 A.M., the DON said the following: affected

During an interview on [DATE] at 9:06 A.M. and [DATE] at 5:00 P.M., the Administrator said the following:

-The facility no longer used the red dots;

-The red dot was a stop system to mean the resident could not be taken down during a behavior emergency;

-The black dot indicated DNR code status;

-She would expect staff to know the the black dot meant DNR code status;

-She would expect all code status communications to match (dot on nameplate/door, DNR binder and EHR);

-Medical Records was responsible for updating the dots and nameplate/door.

265423

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 265423 B.

Wing 05/21/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Westview Nursing Home 301 West Dunlop Street Center, MO 63436

FF 0679

During an interview on 05/20/25 at 10:40 A

She started as Activity Director in March 2025; Some difficult transition to learn how to plan activities; affected

During an interview on 05/21/25 at 5:00 P.M., the Administrator said the following:

-Staff should follow the activity calendar as written;

-There had been some budget cuts and changes in ordering of supplies which made it challenging to schedule activities due to the limited supplies on hand.

45563

265423

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 265423 B.

Wing 05/21/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Westview Nursing Home 301 West Dunlop Street Center, MO 63436

FF 0692

He/She would eat more and actually asked for double portions but didn't get it when he/she asked; Level of Harm - Minimal harm or -He/She was usually still hungry after meals

He/She was usually still hungry after meals. Few from his/her meals on 05/21/25. affected

During an interview on 05/21/25 at 11:40 A.M., NA L said the resident required a lot more assistance with eating recently.

During an interview on 05/21/25 at 2:00 P.M., the Registered Dietician said the following:

-Last month's review did not signal a weight loss for the resident, so she was just now seeing the resident's current weight loss;

-Looking at her notes, she saw a note where staff were unsure of the accuracy of the resident's weight because the resident actually triggered for weight gain last month;

-She always followed up on the following month with any weight gain or weight loss.

The resident was on her list to be seen;

-The staff were having issues with the resident wanting regular food and he/she was on a mechanical soft, so they were going to work on a diet waiver;

-The resident started on Boost with meals (three times daily) on 05/07/25;

-She was going to have to look into the resident's percentage of intake and see if double portions would be appropriate.

During an interview on 06/05/25 at 2:00 P.M., the Assistant Director of Nursing (ADON) said the following:

-Meal intake documentation was completed as needed and was a task the Director of Nursing (DON) had to trigger to be completed;

-Once the DON triggered the task, the certified nurse assistants (CNA)s were responsible to chart how much the resident ate during the meals;

-The resident's meal intake was not charted because the previous DON never triggered the task for the CNAs to chart.

During an interview on 05/21/25 at 4:58 P.M., the Administrator said staff were to assist the resident if he/she needed help with eating.

265423

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 265423 B.

Wing 05/21/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Westview Nursing Home 301 West Dunlop Street Center, MO 63436

FF 0698

During an interview on 05/21/25 at 8:40 A

Minimal harm or Resident #1 received dialysis treatments and had a fistula in his/her arm; affected

During an interview on 06/03/25 at 10:20 A.M., the Director of Nursing said staff were to follow the facility's policy and procedure for monitoring residents who received dialysis treatments, including monitoring the site for bleeding, thrill, bruit, and signs of infection.

265423

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 265423 B.

Wing 05/21/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Westview Nursing Home 301 West Dunlop Street Center, MO 63436

FF 0806

The facility did not have a special milk or gluten-free breads because the resident wasn't drinking/eating them; Level of Harm - Minimal harm or pote...

Minimal harm or She expected the facility to adhere to the resident's allergies and preferences. affected

F 0806 -The facility did not have a special milk or gluten-free breads because the resident wasn't drinking/eating them;

potential for actual harm -When the resident didn't eat/drink what he/she requested, it affected the budget;

265423

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 265423 B.

Wing 05/21/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Westview Nursing Home 301 West Dunlop Street Center, MO 63436

FF 0812

During an interview on 5/21/25 at 9:31 A

Minimal harm or Many affected

Observation on 5/21/25 at 9:34 A.M., under the dishwashing machine sink, showed a cloth was inserted into a pipe that went through the wall. An electrical cord with wire nuts on three wires (originating from the cord) lay on the ground.

During an interview on 5/21/25 at 9:33 A.M., Dishwasher S said it would be nice if the garbage disposal was replaced.

Staff were to put food waste in the trash can prior to rinsing dishes in the sink but sometimes the sink got clogged.

During an interview on 5/21/25 at 9:25 A.M., the Dietary Manager said there used to be a garbage disposal where the wires and pipe were under the dishwashing sink but it had been removed about a year ago.

During an interview on 5/21/25 at 2:32 P.M., the Maintenance Director said the garbage disposal was removed prior to him starting at the facility in September 2024.

The facility was on a septic system and he was told that the plumbing system was unable to support a garbage disposal.

10.

Observation on 5/21/25 at 11:50 A.M., of the food preparation sink showed a 1.5-inch drain pipe entered an approximately 6-inch by 6-inch open floor drain.

During an interview on 5/21/25 at 11:50 A.M., the Dietary Manager said the drain to the food preparation sink overflowed two to three times per month when morning staff arrived to work.

When this happened, staff had to clean up the drain water before they could start working and preparing food for the day.

265423

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 265423 B.

Wing 05/21/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Westview Nursing Home 301 West Dunlop Street Center, MO 63436

FF 0880

NA C and CNA H assisted the resident to bed with the mechanical lift; Level of Harm - Minimal harm or -The resident was incontinent of bowel and bladder; potential for actual harm ...

The resident was incontinent of bowel and bladder; Some affected

During an interview on 05/21/25 at 8:10 A.M., CNA H said the following:

-He/She was not 100% sure if the resident was supposed to be on EBP;

-He/She would look for the germ sticker on the resident's picture by the door, but did not particularly remember if the resident had one or not;

-Residents who had any kind of wound, chronic infection, indwelling devices were on EBP and required use of gown, gloves, booties, and face shields if needed.

During an interview on 05/21/25 at 8:21 A.M., NA C said the following:

-There were signs on residents' doors that directed if the residents were on EBP and required use of PPE during cares;

-He/She did not think the resident was on EBP.

There was no sign on the outside of the resident's door;

-If a resident was on EBP then he/she should wear a gown and gloves when providing care.

Observation on 05/321/25 at 8:25 A.M. showed no signs and/or germ sticker on the resident's door to indicate the resident was on EBP.

There was no PPE located outside of the resident's room.

During an interview on 05/21/25 at 2:00 P.M., the administrator said the following:

-The resident was supposed to be on EBP;

-CNAs removed the signs, including the germ sticker from resident's picture, and PPE because they thought the resident was not on EBP;

-She expected residents to have signage indicating the resident required EBP;

-PPE was readily available near the resident's room if he/she required EBP.

47008

265423

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 265423 B.

Wing 05/21/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Westview Nursing Home 301 West Dunlop Street Center, MO 63436

FF 0883

During an interview on 05/21/25 at 4:58 P

All immunizations should be up to date per the CDC guidelines/recommendations; Some in the EHR. affected

F 0883

During an interview on 05/21/25 at 4:58 P.M., the administrator said the following:

potential for actual harm -The ADON and and Director of Nursing (DON) were responsible to track immunizations and document them

265423

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 CENTER, MO, (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 NURSING HOME or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

Westview Nursing Home

Inspection Findings

Frequently Asked Questions

More Reports