01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-16 | 13 | 2025-12-16 | 0 |
| Cycle 2 | 2024-10-31 | 9 | 2024-10-31 | 0 |
| Cycle 3 | 2023-11-01 | 11 | 2023-11-01 | 2 |
CMS CCN 0850322026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Westminster Village Health
1175 Mckee Road · Dover, DE 19904 · Kent County
Certified beds75CMS provider file
Recent citation rows35current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
35 rows in the current release
2 rows carry G–L scope/severity codes; 2 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-12-16 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-12-16 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-01-22 · complaint2025-12-16 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-12-16 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-01-22 · complaint2025-12-16 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2026-01-22 · complaint2025-12-16 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-12-16 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-12-16 · HEALTHF0773Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-12-16 · HEALTHF0775Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Keep complete, dated laboratory records in the resident's record.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-12-16 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-12-16 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-12-16 · HEALTHF0919Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-10-08 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2025-10-01 · complaint2024-10-31 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-12-092024-10-31 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-12-092024-10-31 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-12-092024-10-31 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2024-12-092024-10-31 · HEALTHF0756Severity C · widespread; potential for minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2024-12-092024-10-31 · HEALTHF0803Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Correction field: Deficient, Provider has date of correction · 2024-12-092024-10-31 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-12-092024-09-16 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2024-10-02 · complaint2024-09-16 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-10-02 · complaint2023-11-01 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Past Non-Compliance · 2022-12-16 · complaint2023-11-01 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-01-0303 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-10-08 | Fine | $14,901 | 0 |
| 2023-11-01 | Fine | $15,593 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- PHIOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 02/11/1997
- BOWSER, NICOLEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/01/2011
- VINETTE-CLAY, MELISSAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 04/19/2010
- BIRDSALL, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- CHOTTINER, LAWRENCEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- ELLIOTT, BRENDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/31/2021
- GOLDSTEIN, TERRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2018
- KELLY, SHARONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2011
- KINARD, JOSEPHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- PAXTON, STUARTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2019
- REIMANN, SUSANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2016
- RHODES, CHERYLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- SCOTT, WILLIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/31/2021
- SEIBERT, JOSEPHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- SHROPSHIRE, JENNIFERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2017
- STONE, ROBYNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2016
- DAVIS, DANNYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/21/2018
- HOFFMAN, CYNTHIAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/02/2021
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.33per resident day
RN hours1.18per resident day
Weekend nurse hours3.95per resident day
Staff turnover35.1%CMS reported field
06 / LOCAL RECORDS
Open the Dover ledger →