Westlake Health and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF760Apr 7, 2025

  Based on observation, record review and interviews, the facility failed to ensure one (#12) out of four sample residents were free from significant medication errors. Resident #12, who was admitted to the facility on [DATE], had a mechanical heart valve and was at a high risk for deep vein thrombosis (DVT). The resident had a physician's order to receive warfarin (a bloodthinning medication) to assist with preventing blood clots. Additionally, the resident had a physician's order to periodically monitor the resident's PT/INR (prothrombin time test/international normalized ratio - a blood test that measures how long it takes the blood to clot). The resident's physician adjusted the resident's warfarin dose based upon the results of the PT/INR blood test. […]

• No harm, potential for more than minimal, widespreadF921Oct 16, 2024

  Based on observations, record review and interviews, the facility failed to provide a safe, functional, sanitary and comfortable environment for residents, staff and the public. Specifically, the facility failed to ensure two ceiling swamp cooler vents, two shower rooms and eight mechanical rooms were thoroughly cleaned, free from debris and did not contain any black discoloration on any surfaces. Findings include: I. Facility policy and procedure The Safe and Homelike Environment policy, revised September 2024, was provided by the assistant director of nursing (ADON) on 10/16/24 at 12:12 p.m. […]

• No harm, potential for more than minimal, patternF584Aug 20, 2026

  Based on observations and interviews, the facility failed to provide a functional, sanitary and comfortable environment for residents on one of two units.Specifically, the facility failed to:-Ensure the facility was free from excessive noise; and,-Ensure residents were provided with hand towels.Findings include:I. Failure to ensure the facility was free from excessive noiseA. Facility policy and procedure The Safe and Homelike Environment policy and procedure, revised 10/1/24, was provided by the regional clinical resource on 8/20/26 at 4:56 p.m. It read in pertinent part, The facility will create and maintain, to the extent possible, a homelike environment that de-emphasizes the institutional character of the setting. The facility will maintain comfortable sound levels in the facility. […]

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

  Based on observations, interviews and record review, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of disease and infection in one out of two units. Specifically, the facility failed to: -Ensure resident rooms were cleaned in a sanitary manner; -Ensure manufacturer recommended surface contact times were followed for effective disinfection; -Ensure nebulizers (an apparatus that allows medications to be inhaled) were stored and cleaned according to professional standards of practice. Findings include: I. Housekeeping A. […]

• No harm, potential for more than minimal, patternF758Dec 15, 2022

  Based on record review and interviews, the facility failed to ensure that residents were free of unnecessary psychotropic medications for three (#6, #62 and #17) of six residents reviewed for psychotropic medications out of 25 sample residents. Specifically, the facility failed to: -Obtain appropriate risk versus benefits statements for Resident #6; -Attempt gradual dose reductions (GDR) for psychotropic medications for Resident #6; -Track and monitor behaviors accurately to justify continuation of psychotropic medications for Resident #6; -Have the residents physician document the rationale for extending the use and indicate the duration of a PRN (as needed) psychotropic medications for Resident #62 and Resident #17; -Attempt non-pharmacological interventions prior to administering PRN… […]