Westerly Health Center

In the surveyor’s words

From the most serious findings on record at Westerly Health Center, in the surveyor’s own words.

• Actual harm, isolatedF692Apr 23, 2025

  46118 Based on record review and staff interview, it has been determined that the facility failed to ensure that residents maintain acceptable parameters of nutritional status, such as usual body weight for 1 of 3 residents reviewed with a severe weight loss, Resident ID #99. Findings are as follows: Review of the facility policy titled Weight Assessment and Intervention revised in March of 2022, states in part, .1. Residents are weighed upon admission and at intervals established by the interdisciplinary team. 2. Weights are recorded in each unit's record chart and in the individual's medical record. 3. Any weight change of 5 % or more since the last weight assessments is retaken the next day for confirmation. a. […]

• Actual harm, isolatedF689Mar 3, 2022

  Based on record review and staff interview, it has been determined that the facility failed to ensure that each resident receives care to prevent accidents for 1 of 7 residents reviewed for falls, Resident ID# 74. Findings are as follows: Record review revealed the resident was admitted to the facility in July of 2018 with diagnoses that include but are not limited to Alzheimer's disease, contracture of the right and left hands, cerebral infarction (occurs because of disrupted blood flow to the brain due to problems with the blood vessels), and dementia. […]

• No harm, potential for more than minimal, widespreadF756Mar 30, 2023

  Based on record review and staff interview, it has been determined the facility failed to ensure a resident's medication regimen review (MRR) was acted upon after irregularities were identified for 6 of 6 residents reviewed for monthly pharmacy drug regimen reviews, Resident ID #s 12, 35, 55, 71, 72, and 79. Findings are as follows: Record review of the facility policy titled Medication Monitoring Medication Regimen Review and Reporting states in part, Procedure . 6. Resident-specific MRR recommendations and findings are documented and acted upon by the nursing care center and/or physician. 7. […]

• No harm, potential for more than minimal, widespreadF812Mar 30, 2023

  41720 Based on surveyor observation and staff interview, it has been determined that the facility failed to ensure that food is stored and distributed, in accordance with professional standards for food service safety, relative to the main kitchen. Findings are as follows: The United States Food and Drug Administration Food Code 2022 Edition 3-305.11, states in part, .FOOD shall be protected from contamination by storing the FOOD .At least 15 cm [centimeters] (6 inches) above the floor . […]

• No harm, potential for more than minimal, patternF628Jun 1, 2026

  Based on clinical record review and staff interview, the facility failed to notify the Office of the State Long-Term Care Ombudsman, when a resident is hospitalized or discharged and return to the facility is not anticipated, for 2 out of 3 residents reviewed for facility discharges, Resident ID #s 117 and 119.Findings are as follows:1. Record review revealed Resident ID #117 was admitted to the facility in September of 2023. Additional review revealed s/he was transferred to and subsequently admitted to the hospital on [DATE].Review of the facility's March 2026 Ombudsman Notification Log failed to reveal evidence that Resident ID #117 was listed on the log.2. Record review revealed Resident ID #119 was admitted to the facility in March of 2026. […]