Westfield Rehabilitation and Health Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF803Jan 15, 2025

  Based on observation, interview, and record review, the facility failed to ensure that the facility menus were followed for resident meals. Specifically, the facility failed to: -ensure the daily menus posted reflected the actual meals provided and that breakfast meals were posted on the daily menus and match the approved menus. -notify residents when menu items were substituted. -ensure residents who required pureed meals were notified of what their meals were and not provided with leftover food items from previously served meals. -provide the residents with adequate alternate options for menu items. […]

• No harm, potential for more than minimal, widespreadF812Jan 15, 2025

  Based on observations, interviews and record review, the facility failed to maintain a clean and sanitary environment in the facility's main kitchen increasing the potential risk of food related illnesses. Specifically, the facility failed to ensure that: -Kitchen surfaces and equipment were clean and free of dust and debris. -Temperatures were obtained prior to meal service to ensure food was safe to be served to residents. -Food was thawed appropriately to minimize risk of food related illness. -Food items were labeled and dated when stored. -The dish machine temperatures were within appropriate ranges for use. […]

• No harm, potential for more than minimal, widespreadF584Nov 8, 2023

  Based on observations, interviews, and record review, the facility failed to maintain a safe, clean, homelike environment on two units (Orchard Unit and [NAME] Unit) out of two units observed. Specifically, the facility failed to: 1. Ensure the carpet was clean and in good repair throughout the main hallway and the resident care area. 2. Ensure mattresses used by the residents were in good condition. 3. Ensure a toilet in one resident room was adequately maintained for resident use. 1. On 11/5/23 at 8:30 A.M., the surveyor observed the wall-to-wall carpet that connected the [NAME] Unit to the Orchard Unit to have numerous black stains which continued throughout the Orchard Unit where residents resided. […]

• No harm, potential for more than minimal, widespreadF623Nov 8, 2023

  Based on record review and interview, the facility failed to notify the Office of the State Long Term Care Ombudsman when a resident was transferred from the facility for five Residents (#6, #40, #36, #50, and #57) out of a total sample of 20 residents. Findings include: During a pre-survey telephone interview on 11/3/23 at 1:53 P.M., the Ombudsman said she often did not receive notification when residents were transferred from the facility and that the last transfer notifications she had received were in March 2023. 1. Resident #6 was admitted to the facility in August 2021. Review of the nursing progress note dated 6/6/23 indicated the Resident was transferred from the facility and admitted to the hospital. […]

• No harm, potential for more than minimal, widespreadF756Nov 8, 2023

  Based on records reviewed and interviews the facility failed to: 1. Ensure the Consultant Pharmacist recommendations were addressed timely for one Resident (#14) out of five applicable residents, from a total sample of 20 residents. 2. Develop a comprehensive Medication Regimen Review (MRR) policy. Findings include: 1. Resident #14 was admitted to the facility in January 2023 with diagnoses including anxiety disorder and post-traumatic stress disorder (PTSD - having intense, disturbing thoughts and feelings related to experience(s) that last long after the traumatic event has ended). […]