Westlake Convalescent Hospital

In the surveyor’s words

From the most serious findings on record at Westlake Convalescent Hospital, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF842Jan 13, 2021

  Based on observation, interview, and record review, the facility staff failed to safeguard five of five residents (Residents 2, 3, 4, 5, and 6) medical record information per Health Insurance Portability and Accountability Act (HIPAA) by placing resident medical records in an unsecured and easily assessible open plastic bins under Nursing Stations 1 and 2. These deficient practices had the potential to result in loss, destruction, and unauthorized use of resident private medical information and records. Findings: A review of Resident 2's Admission Record indicated Resident 2 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. […]

• No harm, potential for more than minimal, patternF700Aug 6, 2026

  Based on observation, interview, and record review the facility failed to ensure proper use of bed rails (metal or plastic bars attached to the sides of a bed) for two of four sampled residents (Resident 9 and Resident 70) by failing to: -Ensure Resident 9 did not have a full-length side rail on the left side of Resident 9's bed without an informed consent (resident or their legal helper must agree to any medical treatment, new medication, or care plan only after the staff explains the choices, benefits, and risks) for Resident 9's full-length side rail.-Ensure to take measurements to ensure Resident 9's bed/bed rails were appropriate for Resident 9's size and weight.-Ensure to use the manufacturer guidelines for Resident 9's bed/bed rails. […]

• No harm, potential for more than minimal, patternF812Aug 6, 2026

  Based on observation, interview, and record review the facility failed to ensure safe and sanitary food storage and preparation practices when: 1.One large tray of raw chicken with dates 7/29/2026-8/29/2026 exceeding storage period for raw chicken were stored in the walk-in refrigerator. One tray containing ten ham and cheese sandwiches with use by date of 8/2/2026 were stored in the walk-in refrigerator. One previously prepared rotisserie chicken (stored bought roasted chicken) stored in the refrigerator with dates 7/31/2026-8/3/2026 exceeding storage period for leftovers. 2.The Ice machine was not clean; the inner board inside the ice storage bin had pink stains. 3.The juice machine dispenser drip tray was not clean and had thick juice and residue inside the tray. […]

• No harm, potential for more than minimal, patternF880Aug 6, 2026

  Based on observation, interview and record review, the facility failed to maintain infection control measures (the set of everyday rules and cleaning habits used to stop germs/infections from spreading among residents, workers, and visitors) necessary to prevent the spread of infections for two of seven sampled residents (Resident 59 and Resident 73) by failing to: -Ensure staff (in general) disposed soiled/dirty disposable gowns and/or disposable gown ties were properly disposed of in trash receptacles and not left on the floor near Resident 59and Resident 73's beds, in accordance with the facility's policy and procedures (P&) titled Infection Prevention and Control revised by the facility on 1/10/2025. […]

• No harm, potential for more than minimal, patternF584Apr 10, 2026

  Based on observation, interview, and record review, the facility failed to maintain a clean, safe environment by failing to maintain the:Toilet, counter top and sink in the all gender bathroom next to the nursing station in good working order, clean and sanitary, by not securing the toilet to prevent it from shifting during use, keeping the sink counter corners free from crumbling grout/caulk, as well as, the sink being free from black mold-like build up under the lip of the counter. Wall in room [ROOM NUMBER] from crumbling behind the baseboard and it falling free from the wall, prevent crumbling wall corners above the baseboards and corners, as well as, free from dust and grime build up. […]