The quality committee, known in nursing home regulatory language as the QAPI committee, had been assigned to monitor the fix.
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What they found was that it had.
The same deficiency came back in May 2024.
Inspectors rated the violations as causing actual harm to residents, though only a few were affected.
She was still there, documented as a patient at the hospital, through at least April 24.
They had conducted the investigation together.
The Prevalon protective boots were not on their feet.
The resident, identified in the inspection report only as Resident #8, fractured her hip in the fall.
Those assessments, called MDS assessments, are the foundation of care in a nursing home.
The resident had been admitted on November 8, 2025.
Quality Life Services Westmont received that citation following a February 20, 2025 inspection.
The nurse, LPN #230, told inspectors he signed off without verifying the care was actually done and acknowledged that was not proper protocol.