Brookdale Westlake Hills

In the surveyor’s words

From the most serious findings on record at Brookdale Westlake Hills, in the surveyor’s own words.

• Immediate jeopardy, patternF600Aug 27, 2023

  Based on interview and record review, the facility failed to protect the residents' rights to be free from abuse for two (Resident #2 and Resident #3) of four residents reviewed for abuse, in that: -Resident #2 was not protected from alleged abuser CNA A after making a verbal complaint againt CNA A; measures were not taken to remove access by the alleged perpetrator to the alleged victim, resulting in intimidation and mental abuse. -Resident #3 was not protected from further abuse, in the form of mental abuse and potential physical abuse, when alleged perpetrator continued to have access to Resident #3 in the facility, causing Resident #3 mental distress. An IJ was identified on 08/25/2023 at 5:50 PM. […]

• Immediate jeopardy, isolatedF660May 1, 2024

  Based on observation, interview, and record review, the facility failed to develop and implement an effective discharge planning process that focused on the resident's discharge goals, the preparation of residents to be active partners and effectively transition them to post-discharge care, and the reduction of factors leading to preventable readmissions for one (Resident #1) of three residents reviewed for discharges. The facility failed to have a wheelchair and assistant services set up upon Resident #1's discharge to her apartment. […]

• Immediate jeopardy, isolatedF689Jan 26, 2024

  Based on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as is possible and that each resident received adequate supervision to prevent accidents for 1 (Resident #11) of 6 residents reviewed for accidents. The facility failed to ensure that the water used to prepare hot beverages for residents was maintained at a temperature appropriate to prevent scalding and burns. Water temperatures were taken on 01/24/24 from the coffee machine hot water Bunn dispenser the water temperature was 188 degrees Fahrenheit. On 09/12/23, Resident #11 spilled hot tea on herself, and she sustained a second degree burn to her right hip, which required wound care. An Immediate Jeopardy was identified on 01/25/24 at 11:50 AM. […]

• Immediate jeopardy, isolatedF684Dec 29, 2023

  Based on interview and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice for one 1 (Resident #1) of 6 residents reviewed for quality of care. The facility failed to follow physician orders for Resident #1 to monitor blood pressure and blood sugars after a medication error was discovered and resident had to be sent to the emergency department. An Immediate Jeopardy (IJ) existed from [DATE] - [DATE]. […]

• Immediate jeopardy, isolatedF760Dec 29, 2023

  Based on observation, interview, and record review, the facility failed to ensure residents were free of significant medications errors for one of five residents (Resident #1) reviewed for any significant medication errors, in that: The facility gave Resident #1 medications belonging to another patient on 12/3/2023 and 12/4/2023 resulting in Resident #1 blood sugar dropping and being transferred to the emergency department. An Immediate Jeopardy (IJ) existed from 12/03/23 - 12/05/23. […]