Westerwood Rehabilitation

In the surveyor’s words

From the most serious findings on record at Westerwood Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Apr 7, 2022

  Based on observation, facility policy and procedure review and interview the facility failed to ensure altered textured food items were prepared in accordance with professional standards for food service safety to prevent contamination and/or food borne illness. This affected 16 residents (#2, #4, #5, #9, #21, #23, #28, #30, #31, #32, #36, #40, #44, #51, #115 and #210) of 16 residents identified to receive altered textured diets in the facility. The facility census was 56. Findings include: On 04/06/22 from 10:00 A.M. to 10:10 A.M. Cook #142 was observed during preparation of the lunch meal. Cook #142 was observed preparing altered texture food items. The cook was wearing gloves and placed turkey ala king into the blender. […]

• No harm, potential for more than minimal, isolatedF582Feb 12, 2026

  Based on record review and interview, the facility failed to ensure residents were made aware of which skilled services were ending. This affected three residents (#84, #85, and #86) of three residents reviewed for advanced beneficiary notices. The facility census was 55. Findings include:1.Record review revealed Resident #84 was admitted to the facility on [DATE] with diagnoses including acute cystitis, cognitive communication deficit, and muscle weakness. Review of a Notice of Medicare Non-Coverage dated 10/10/25 revealed Resident #84's skilled nursing services would end on 10/10/25 but did not specify which services. […]

• No harm, potential for more than minimal, isolatedF636Feb 12, 2026

  Based on record review, staff interviews, and policy review, the facility failed to ensure the Minimum Data Set (MDS) assessment was accurately coded for skin conditions. This affected one resident (#4) of two residents reviewed for skin assessment accuracy. The facility census was 55.Findings include:Review of the medical record for Resident #4 revealed an admission date of 08/02/21 with diagnoses including Alzheimer's disease, type II diabetes, and stage III chronic kidney disease. Review of the quarterly Minimum Data Set (MDS) assessment completed on 01/20/26 revealed a Brief Interview for Mental Status score of 09, indicating moderate cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF684Feb 12, 2026

  Based on observation, interviews, and record review, the facility failed to ensure a Resident (#10) was assessed and monitored for bruising, Resident (#35) had on compression stockings for edema. This affected two residents (#10, #35) of the four residents reviewed for quality of care. The facility census was 55.Findings include:1.Review of Resident #35's medical record revealed an admission date of 10/01/25 with diagnoses to include but not limited to Parkinson's disease, hypertensive chronic kidney disease, atrial fibrillation, depression, gastro-esophageal reflux disease, glaucoma, anxiety disorder, cardiac defibrillator, and anemia. […]

• No harm, potential for more than minimal, isolatedF685Feb 12, 2026

  Based on observations, interviews, and record review, the facility failed to ensure Resident (#35) received the proper treatment and assistive devices to maintain hearing abilities. This affected one resident (#35) of the one resident reviewed for communication and sensory. The facility census was 55.Findings include:Review of the medical record revealed an admission date of 10/01/25 with diagnoses to include but not limited to Parkinson's disease, hypertensive chronic kidney disease, atrial fibrillation, depression, gastro-esophageal reflux disease, glaucoma, anxiety disorder, cardiac defibrillator, and anemia.Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 11 which indicated moderate cognitive impairment. […]