Focused Care at Westwood

In the surveyor’s words

From the most serious findings on record at Focused Care at Westwood, in the surveyor’s own words.

• Immediate jeopardy, patternF689Jul 17, 2022

  Based on observation, interview, and record review the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 3 of 3 residents (Resident #'s1, 2, and 3) reviewed for supervision. The facility failed to adequately supervise Resident #'s 1 and 2 to prevent eloping from the facility and being found off the premises. The facility failed to provide assistive devices to prevent elopement for Resident #3. When the surveyor arrived one morning neither the receptionist nor other staff member were at the desk monitoring the front door for exit seeking residents. These failures could result in residents not receiving appropriate supervision leading to elopement, injuries, hospitalization , or death. […]

• Immediate jeopardy, isolatedF675Oct 26, 2021

  Based on interview and record review the facility failed to provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, consistent with the resident's comprehensive assessment and plan of care for one of six residents (CR #1) reviewed for quality of life. 1. The facility failed to address CR #1's development of suicidal ideation after he stated he wanted to die. 2. the facility failed to ensure CR #1 a recommendation for a psychological consult was communicated to the residents Nurse practitioner or Physician after the resident was transferred to the hospital at his request after making suicidal statements and returned to the facility hours later. 3. […]

• Immediate jeopardy, isolatedF689Oct 26, 2021

  Based on interview and record review, the facility failed to provide an environment that is free from accident for each resident to prevent avoidable accidents for one of six residents (CR #1) reviewed for accidents and supervision. The facility failed to ensure appropriate interventions were in place to prevent CR #1 from self- harm after he expressed desire to die . The facility failed to ensure CR #1 was prevented from having access to a metal fork which he used to stab himself in the arm two days after he returned from hospital. This was determined to be a past non-compliance at the severity level of immediate Jeopardy (IJ) due to the facility initiated and implemented actions that corrected some of the non-compliance prior to the beginning of the survey. […]

• Actual harm, isolatedF689Dec 1, 2022

  Based on observation, interview, and record review, the facility failed to ensure residents received adequate supervision to prevent accidents for 1 of 3 residents (Resident#33) reviewed for accidents. -The facility did not provide adequate supervision to prevent Resident # 33 from sustaining a burn to her right hand and right foot from a hot (noodle soup) spill. This failure could place residents at risk for serious injuries and pain. Findings included: Record review of the admission sheet (undated) for Resident # 33 revealed a [AGE] year-old female admitted to the facility on [DATE] and readmitted on [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Mar 14, 2025

  Based on observation, interview, and record review the facility failed to store, prepare, distributed, and serve food in accordance with professional standards for food service safety for the facility's only kitchen, reviewed for food and nutrition services. The facility failed to ensure staff did not store their personal items on the left second shelf of the walk-in cooler, including:. 1. Jumex mango energy drink can. 2. Red bull watermelon drink can 3. Coffee mate coconut liquid creme 32fl oz 4. […]