Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at West Point Community Living Center during CMS and state inspections, most recent first.
An LPN left medication keys unattended on two occasions, allowing a card of controlled pain medication prescribed to a resident with dementia and recent orthopedic surgery to go missing. The medication was not recovered, and the incident occurred despite the LPN's prior training on medication security policies.
A nurse was allowed to continue working and maintain access to the medication cart after narcotic medication was reported missing for a resident. Despite facility policy requiring removal from duty during such investigations, the LPN completed her shift and subsequent medication passes, and was not instructed to turn in her keys or leave the facility. Administration confirmed the nurse remained on duty throughout the investigation.
A resident with severe cognitive deficits was allegedly hit by a CNA in the dining room. An LPN witnessed the aftermath but failed to report the incident immediately, as required by facility policy. The incident was reported the following day, but the delay violated the policy, which mandates timely reporting of abuse allegations.
A resident with a history of Segmental and Somatic Dysfunction of the Cervical Region, Quadriplegia, and Morbid Obesity experienced a significant medication error when an LPN mistakenly instilled scalp solution into her eye instead of the prescribed eye drops. The resident reported burning, and the LPN contacted the Medical Director, who advised flushing the eye with saline. The resident continued to experience discomfort and sought further medical attention.
A facility failed to ensure proper storage of medication, leaving a tube of Hydrocortisone Topical Cream on a resident's overbed table. The resident, unable to self-administer due to physical limitations, had a history of keeping medications in her room against policy. Staff confirmed the resident was not evaluated for self-administration, and the medication should have been locked in the medication cart.
Failure to Secure Medication Keys Led to Misappropriation of Controlled Substance
Penalty
Summary
The facility failed to protect a resident's right to be free from misappropriation of property, specifically regarding the resident's controlled medication. Facility policy required that controlled substances be securely locked and that medication keys remain in the possession of the nurse at all times. However, an LPN left the medication keys unattended on the nurses' station desk while taking a break and later left the keys on the medication cart while a corporate nurse was checking for expired medications. These actions provided an opportunity for unauthorized access to controlled substances. The incident was discovered when the LPN attempted to retrieve a PRN pain medication for a resident and found that a card containing 30 Norco (Hydrocodone) tablets was missing. The LPN reported the missing medication to the nurse supervisor, and a search was conducted, but the medication was not located. Interviews confirmed that the LPN had been previously trained and in-serviced on the importance of keeping medication keys secured and was aware of the policy but failed to follow it on the day of the incident. The resident involved had a history of significant medical issues, including a displaced midcervical fracture of the left femur, aftercare following joint replacement surgery, and dementia, with a moderate cognitive impairment as indicated by a BIMS score of 11. The missing medication was part of the resident's prescribed pain management regimen. The facility's failure to ensure the security of controlled substances resulted in the misappropriation of the resident's medication.
Failure to Remove Nurse During Medication Misappropriation Investigation
Penalty
Summary
The facility failed to prevent further potential medication misappropriation by allowing a nurse to continue working during an active investigation into missing narcotic medication. According to facility policy, any employee accused of resident abuse or misappropriation is to be placed on leave with no resident contact until the investigation is complete. However, after a 30-count card of Hydrocodone was reported missing for a resident, the nurse responsible for the medication cart was not removed from duty. She admitted to leaving the medication cart keys unattended on multiple occasions during her shift, and the missing medication was reported in the afternoon. Despite this, she continued to complete her assignment, including medication passes, and was not instructed to turn in her keys or leave the facility during the investigation. Interviews with facility administration confirmed that the nurse remained on duty and maintained access to the medication cart throughout her shift and the subsequent shift, even after the missing medication was reported. The police were notified and responded to the incident, and the nurse was drug tested but allowed to return to her duties. Review of time cards and controlled drug count records corroborated that the nurse was present and responsible for the medication cart during the period in question. The facility acknowledged that it did not follow its own policy to prevent further potential misappropriation by not removing the nurse from resident care during the investigation.
Delayed Reporting of Abuse Allegation
Penalty
Summary
The facility failed to report an allegation of abuse in a timely manner for one of the residents. The incident involved a Certified Nursing Assistant (CNA) who allegedly hit a resident in the face with a closed fist during a commotion in the dining room. A Licensed Practical Nurse (LPN) witnessed the aftermath and was informed by another CNA about the incident. However, the LPN did not report the incident immediately as required by the facility's policy. The LPN attempted to report the incident to the Director of Nursing (DON) but was unable to find her and subsequently got sidetracked by other duties. The LPN eventually reported the incident the following day via text message to the DON. The delay in reporting the incident was a violation of the facility's policy, which mandates that allegations of abuse should be reported within two hours if there is serious bodily injury or within 24 hours if there is no injury. The resident involved in the incident had severe cognitive deficits, as indicated by a Brief Interview for Mental Status (BIMS) score of 04. The resident's medical history included dementia, schizophrenia, restlessness, and agitation. Despite the serious nature of the allegation, the incident was not reported to the appropriate authorities until nearly a month later, when the facility administrator was informed by another CNA who overheard a conversation about the incident.
Significant Medication Error Involving Wrong Medication Administered to Resident's Eye
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors, as evidenced by an incident where a Licensed Practical Nurse (LPN) mistakenly instilled a drop of mometasone furoate scalp solution into a resident's left eye instead of the physician-ordered eye drops. The error occurred when the LPN, who was not accustomed to working the medication cart, picked up the wrong bottle from the resident's bedside table. The resident immediately complained of a burning sensation in her eye, prompting the LPN to contact the Medical Director, who instructed her to flush the eye with normal saline. The resident's eye was assessed multiple times, showing no redness or abnormal drainage, but the resident reported continued discomfort for a couple of days and sought further medical attention on her own. The resident involved had a history of Segmental and Somatic Dysfunction of the Cervical Region, Quadriplegia, and Morbid Obesity, and was cognitively intact with a Brief Interview for Mental Status (BIMS) score of 15. The resident had both eye drops and scalp treatment medications in her room, which contributed to the confusion. The LPN had placed the eye drops on the right bedside table and the scalp drops were on the overbed table, but she mistakenly picked up the scalp drops after administering the oral medications. The Director of Nursing (DON) confirmed the incident and acknowledged that the presence of the scalp drops in the resident's room was a contributing factor. The DON noted that the LPN had called the Medical Director immediately and followed his instructions to flush the eye. The incident was documented in the resident's records, and the responsible party was notified. The facility's policy on medication errors was reviewed, which defined medication errors and provided examples, including wrong route of administration, such as ear drops given in the eye.
Improper Medication Storage
Penalty
Summary
The facility failed to ensure proper storage of medication as evidenced by a tube of Hydrocortisone Topical Cream being left on a resident's overbed table. The resident, who was unable to self-administer medication due to physical limitations, had the cream within reach on her bedside table. The facility's policy mandates that medications should be stored securely and only accessible to authorized personnel unless a resident has been evaluated and deemed competent to self-administer. However, the resident had not been evaluated for self-administration and had a history of keeping medications in her room against facility policy. Interviews with staff confirmed that the resident often brought medications back from appointments without informing the staff, and previous incidents had occurred where medications were found in her room and had to be removed and locked up by the nursing staff. The Director of Nursing (DON) and Registered Nurse (RN) confirmed that the resident was not capable of self-administering medications and that the Hydrocortisone cream should have been locked in the medication cart. The DON acknowledged that leaving medications in the resident's room posed a risk of medication errors, as evidenced by a previous incident where the resident received the wrong medication. The facility's failure to adhere to its medication storage policy resulted in the Hydrocortisone cream being improperly stored, creating a potential risk for medication errors and unauthorized access by other residents.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near West Point
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Dugan Memorial Home | 1 mi | — | 3 | 0 |
| Baptist Memorial Hospital Gt | 13.4 mi | — | 0 | 0 |
| Vineyard Court Nursing Center | 13.7 mi | — | 1 | 0 |
| Care Center Of Aberdeen | 14.7 mi | — | 1 | 0 |
| Starkville Manor Health Care And Rehabilitation Ce | 14.8 mi | — | 10 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.