Medilodge of Westwood

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678May 18, 2023

  Based on interview and record review, the facility failed to provide immediate cardiopulmonary resuscitation (CPR) per the standards of practice and facility policy for 1 of 1 resident (Resident #382) reviewed for CPR, from a total sample of 24 Residents, resulting in an immediate jeopardy for Resident #382 whose advanced directive indicated she was a full code. Resident #382 was found by Licensed Practical Nurse (LPN) S on [DATE] at 11:48pm without respirations or a pulse and did not receive CPR for at least 15 minutes. […]

• Immediate jeopardy, isolatedF684May 18, 2023

  This citation pertains to intake MI00133629. Based on interview and record review, the facility failed to ensure licensed staff adequately assessed and communicated an acute change in condition to the medical provider for 1 if 1 resident (Resident #331) reviewed for acute change in condition, resulting in an immediate jeopardy beginning the morning of [DATE] when the CNA (certified nursing assistant) recognized a change of condition in Resident #331 and notified the RN (Registered Nurse) who noted the change of condition but failed to contact the medical provider for further orders. Resident #331 was transported to the local hospital on [DATE] when during a video chat her family member demanded that the facility send her to the hospital due to her lethargy and decreased responsiveness. […]

• Immediate jeopardy, isolatedF689May 18, 2023

  This citation has five (5) Deficiency Practice Statements (DPS). DPS #1 Based on observation, interview and record review, the facility failed to properly identify and accurately assess residents to ensure safety and prevent an elopement for 1 of 4 residents (Resident #71) reviewed for elopement/wandering, resulting in an Immediate Jeopardy when on 5/13/23 Resident #71 exited the facility at an unknown time, unbeknownst to staff, and was identified walking outside by a laundry staff member, between 6:30PM-7:00PM. This deficient practice placed 4 residents, identified as at risk for elopement, at risk for serious harm, injury, and/or death. […]

• Actual harm, isolatedF760Jul 16, 2026

  This citation pertains to intake #3054443.Based on interview and record review, the facility failed to prevent significant medication errors in 1 of 1 resident (Resident #65) reviewed for medication errors, resulting in Resident #65 having an acute change of condition requiring hospitalization due to low blood sugar, decreased heart rate, low blood pressure, and admission to the ICU (intensive care unit). Findings include:Resident #65Review of an admission Record revealed Resident #65 was originally admitted to the facility on [DATE], with pertinent diagnoses which included: Bipolar (mental health condition that causes extreme shifts in mood, energy, activity levels and concentration), dementia (a decline in mental ability, memory loss, thinking difficulties and behavioral changes),… […]

• Actual harm, isolatedF627Mar 12, 2026

  This citation pertains to Intake # 2746228.Based on interview, and record review, the facility failed to ensure a safe/appropriate discharge in 1 of 3 residents (Resident #103) reviewed for discharge planning, resulting in an unsuccessful discharge to the community, resident distress, and rehospitalization.Findings include:Resident #103Review of an admission Record revealed Resident #103 was a female, with pertinent diagnoses which included left lower limb cellulitis (an infection of the deep skin layers and underlying tissue), diabetes, morbid obesity, atherosclerosis (plaque build-up resulting in hardening/narrowing of the arteries) in the left leg with gangrene (death of body tissue caused by a severe lack of blood flow or a serious bacterial infection), heart disease, high blood… […]