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WESTCHESTER MANOR AT PROVIDENCE PLACE

📍 1795 WESTCHESTER DRIVE, high-point, NC 27262 📞 3368842222 🛏️ 129 beds

Overall Rating

⭐⭐⭐
3/5

Health Inspection

⭐⭐⭐
3/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

30
Total Violations
6 years of data
$22,110
Total Fines
2 penalties
3
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 2 violations

Tag 0584 B May 23, 2024

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Jun 11, 2024
Tag 0600 G May 23, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jun 11, 2024

2021 1 violations

Tag 0692 E Oct 20, 2021

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Nov 1, 2021

2020 2 violations

Tag 0880 D Dec 31, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 15, 2021
Tag 0880 E May 15, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 1, 2020

2019 4 violations

Tag 0578 D Aug 29, 2019

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Sep 26, 2019
Tag 0658 D Aug 29, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Sep 26, 2019
Tag 0686 D Aug 29, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Sep 26, 2019
Tag 0812 D Aug 29, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Sep 26, 2019

2018 11 violations

Tag 0582 B Sep 19, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Oct 17, 2018
Tag 0584 D Sep 19, 2018

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Oct 17, 2018
Tag 0656 D Sep 19, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Oct 17, 2018
Tag 0657 D Sep 19, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Oct 17, 2018
Tag 0677 D Sep 19, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Oct 17, 2018
Tag 0688 D Sep 19, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Oct 17, 2018
Tag 0689 D Sep 19, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 17, 2018
Tag 0755 D Sep 19, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Oct 17, 2018
Tag 0758 D Sep 19, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Oct 17, 2018
Tag 0761 D Sep 19, 2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Oct 17, 2018
Tag 0867 D Sep 19, 2018

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Oct 17, 2018

2017 10 violations

Tag 0225 D Aug 10, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

✓ Corrected: Nov 10, 2017
Tag 0226 D Aug 10, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

✓ Corrected: Nov 10, 2017
Tag 0253 D Aug 10, 2017

Provide housekeeping and maintenance services.

✓ Corrected: Oct 12, 2017
Tag 0279 D Aug 10, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Oct 12, 2017
Tag 0280 D Aug 10, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

✓ Corrected: Oct 12, 2017
Tag 0323 D Aug 10, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Oct 12, 2017
Tag 0431 D Aug 10, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Nov 10, 2017
Tag 0461 D Aug 10, 2017

Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

✓ Corrected: Oct 12, 2017
Tag 0490 B Aug 10, 2017

Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident .

✓ Corrected: Sep 7, 2017
Tag 0520 D Aug 10, 2017

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.

✓ Corrected: Nov 10, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2020 1 penalties totaling $3,250

$3,250
Fine
December 31, 2020
Average: $3,250 | Range: $3,250 - $3,250

2017 1 penalties totaling $18,860

$18,860
Fine
August 10, 2017
Average: $18,860 | Range: $18,860 - $18,860

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

May 23, 2024
0.00

Health

October 20, 2021
0.00

Health

August 29, 2019
0.00

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Ownership Information

Non profit - Church related
Independent (Not part of a chain)
345090
345090
3368842222
Guilford

Historical Ownership Records

August 25, 2025