Westgate Health and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880Apr 11, 2024

  Based on observation, interview, record review, and policy review, the facility failed to ensure proper disinfecting of glucometers (devices to obtain a blood sugar level) for 2 of 3 sampled residents observed (Residents #23 and #19); failed to properly disposing of a used lancet for 1 of 3 sampled residents (Resident #71); failed to ensure proper hand hygiene during the passing of meal trays for 1 of 2 floors (second floor); failed to implement enhanced barrier precautions (EBPs) for 2 of 11 sampled residents (Residents #18 and #359); and failed to ensure personal protective equipment (PPE), for use for with enhanced barrier precautions, was readily accessible for use with residents on 2 of 2 floors (first and second floor). […]

• No harm, potential for more than minimal, patternF584Jan 12, 2023

  Based on observation and interview, the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for 2 of 2 Units (100 & 200 Units) that included residents' rooms, storage areas, and common areas. The findings included: During the initial resident screenings conducted by the surveyors on 01/09/23 and the Environment Tour conducted on 01/11/23 at 10 AM accompanied with the Director of Maintenance, the following were noted: First Floor (100 Unit): a. First Floor Dining Room: Two of two ceiling vents were noted to be heavily soiled and black type mold matter. b. Physical Therapy room [ROOM NUMBER]: Room floor perimeter was heavily soiled and not being cleaned on a regular basis. […]

• No harm, potential for more than minimal, patternF812Jan 12, 2023

  Based on observation and interview, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety that included failure to ensure proper temperature and chemical sanitizing levels in the dish machine and 3-compartment sink, failure to store food to prevent contamination / food borne illness, failure to ensure hot and cold foods are held at regulatory temperatures, and failure to ensure silverware is handled in a sanitary manner. The findings included: 1. During the initial food service / kitchen sanitation tour conducted on 01/09/23 at 9:00 AM, accompanied with the Food Service Director (FSD), the following was noted: (a) Observation noted the high temperature dish machine was in use by staff. […]

• No harm, potential for more than minimal, patternF880Sep 29, 2021

  Based on observation, staff interview and administrative and clinical record review, the facility staff failed to adhere to the standards for infection control to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections, related to inappropriate infection prevention and control practices (IPC) regarding the proper usage of personal protective equipment (PPE) when caring for residents with suspected (3 of 3 residents Resident # 1,# 2, and # 3) or confirmed SARS_CoV-2 infections. […]

• No harm, potential for more than minimal, isolatedF609Dec 15, 2025

  Based on administrative and clinical record review and interviews, the facility failed to ensure that all allegations involving abuse, including injuries of unknown source, are reported immediately, but not later than 2 hours after the allegation is made, as evidenced by the staff failure to inform the appropriate administrative staff of a reported allegation of abuse in a timely manner affecting 1 of 3 sampled residents reviewed (Resident # 1), who apparently made multiple contacts with staff informing them of the alleged abuse before the facility made an attempt to act upon this allegation days later. The findings included:An interview was conducted on 12/15/25 beginning at approximately 2:30 PM with Resident #1 via a visual sign language interpretation line. […]