Deficiency Index

West Rest Haven

West, Texas · CCN 676386

13 surveys since 2017. The first finding at harm level was recorded in 2025.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
47
Surveys
13
Harm or worse
4
Immediate jeopardy
3
The record, 2017–2026
’17’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file6/13

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
120
Ownership
For profit - Corporation
Chain
Independent
County
Mc Lennan
Medicare-certified since
2015

CMS ratings

Overall
1
Health inspection
1
Staffing
3
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.

Last survey on record

Apr 28, 2026

195 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.753.25
Registered-nurse hours per resident day0.18—
Annual nurse turnover45.1%54.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$14,069 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ13.1%K26.3%L—
Actual harmG13.1%H—I—
No harm, potential for more than minimalD2062.5%E825.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 32 of the 47 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6894×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F6563×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F7572×

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

  • F7612×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

In the surveyor’s words

From the most serious findings on record at West Rest Haven, in the surveyor’s own words.

  • Immediate jeopardy, patternF656Jun 27, 2025

    Based on observation, interview, and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 6 (Residents #36, #39, #43, #15, #10, and #8) of 25 residents reviewed for care plans. A) The facility failed to ensure Residents #36, #39, and #43's care plans addressed the specific individualized method of transfer needed (etc. use of a gait belt, mechanical lift, stand aid) for resident transfers. An Immediate Jeopardy (IJ) was identified on 6/25/2025. The IJ template was provided to the facility on 6/25/2025 at 12:24pm. […]

  • Immediate jeopardy, patternF689Jun 27, 2025

    Based on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 4 (Residents #19, #36, #39, and #43) of 24 residents reviewed for accidents and hazards. A) The facility failed on [DATE] to ensure Resident #43 was provided contact guard assistance during sit to stand transfers which resulted in an actual fall which resulted in 9th, 10th and 11th right rib fractures, C4 spinous process fracture, T10 compression fracture, and a frontal scalp hematoma/laceration. An Immediate Jeopardy (IJ) was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 6:00pm. […]

  • Immediate jeopardy, isolatedF689Dec 22, 2025

    Based on observations, interviews, and record reviews, the facility failed to provide adequate supervision for 1 of 5 residents reviewed for accidents and supervision. (Resident #1)The facility failed to ensure Resident #1 was provided a mechanical lift transfer by two staff to move between surfaces which resulted in a transfer with injuries including an acute fracture of the greater trochanter (femur) which was slightly displaced on 11/29/2025.The non-compliance was identified as past non-compliance. The immediate jeopardy began on 11/29/2025/and ended on 12/05/2025. The facility had corrected the noncompliance prior to the start of the survey. […]

  • Actual harm, isolatedF689Feb 19, 2026

    Based on observation, interview, and record review, the facility failed to ensure the residents' environment remained free from accident hazards and the residents received adequate supervision and assistance to prevent accidents for 1 of 5 residents (Resident #1) reviewed for accidents. The facility failed to provide Resident #1 with adequate supervision and fall interventions on [DATE] when Resident #1 fell and received a laceration to the back of his head and a trace subarachnoid hemorrhage of the anterior interhemispheric fissure (a specific pattern of bleeding, often indicating a ruptured aneurysm of the anterior communicating artery). […]

  • No harm, potential for more than minimal, patternF812Aug 20, 2026

    Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety for 1 of 1 kitchen reviewed for dietary services. The facility failed to ensure food in the dry food pantry was labeled and dated on 08/18/26.The facility failed to ensure food in the upright refrigerator was labeled and dated on 08/18/26.The facility failed to ensure food in the upright freezer was labeled and dated on 08/18/2026.The facility failed to check temperatures of the breakfast meal prior to serving on 08/20/26. […]

Read 20 findings in full →The most serious and the most recent: 20 of 47 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 20, 2026Standard3 findings
  • Apr 28, 2026Complaint1 finding
  • Feb 19, 2026Complaint1 finding · 1 harm
  • Dec 22, 2025Complaint1 finding · 1 harm
  • Sep 16, 2025Complaint2 findings
  • Jun 27, 2025Standard15 findings · 2 harm
  • May 17, 2024Standard8 findings
  • Apr 6, 2023Standard4 findings
Show the 5 earlier surveys
  • Feb 11, 2023Complaint1 finding
  • Feb 10, 2022Standard and complaint2 findings
  • Oct 11, 2020Infection control1 finding
  • Nov 6, 2019Standard3 findings
  • Aug 16, 2017Standard5 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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