Westlake Nursing and Rehab Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689May 10, 2023

  Based on interviews, observations and record and policy reviews, the facility failed to provide appropriate supervision to prevent an elopement which resulted in a missing resident for 1 of 3 sampled elopement risk residents of 16 elopement risk residents in the facility (Resident #1). The deficient practice allowed Resident #1 to exit the facility undetected on 05/04/23 between 3:47 PM and 5:00 PM. It is not known what direction the resident took, or what exit he took to leave the facility. […]

• No harm, potential for more than minimal, patternF645Jun 25, 2026

  Based on interviews and record review, the facility failed to ensure a complete and accurate Level 1 Preadmission Screening and Resident Review (PASARR) for 13 of 17 sampled residents reviewed for PASARR, Residents #1, #2, #3, #4, #5, #6, #8, #10, #11, #16, #25, #33, and #83. The findings included: Review of the facility policy titled, Preadmission Screening and Resident Review (PASRR), dated 11/08/21, documented the following: The center will assure that all Serious Mentally Ill (SMI) and Intellectually Disabled (ID) residents receive appropriate pre-admission screenings according to Federal/State guidelines. […]

• No harm, potential for more than minimal, patternF919Jun 25, 2026

  Based on observation and interviews, the facility failed to have a functioning call light system which had the possibility to affect 85 residents residing in the facility at the time of the survey. The findings included: On 06/25/26 at 3:30 PM, a tour of the facility was conducted with Staff C, Maintenance Director, with a focus on the facility's call lights. The following was observed: room [ROOM NUMBER] - bathroom light plate pulled out of the wallroom [ROOM NUMBER]- bathroom call light not workingroom [ROOM NUMBER] - no working call light in the bathroomroom [ROOM NUMBER] - no working call light in bed a and b, not working in bathroomroom [ROOM NUMBER] - screw loose on the plate for the call light in the bathroomroom [ROOM NUMBER] - bathroom light broken and switch needs to be… […]

• No harm, potential for more than minimal, patternF925Jan 24, 2025

  Based on observations, interviews and record reviews, the facility failed to have an effective pest control system, as evidenced by sightings of live roaches in the Main Dining Room. This has the potential to affect residents that choose to eat in the Main Dining Room. The census at the time of the survey was 84 residents. The findings included: During an observation of lunch in the Main Dining Room, on 01/21/25 at 11:32 AM, 2 live roaches were observed by two surveyor. At the conclusion of the lunch meal, on 01/21/25 at 1:04, at the request of the surveyor, the Maintenance Director had a staff member pick up the scale. Upon raising the scale, there was an accumulation of residue and debris and multiple roaches observed. […]

• No harm, potential for more than minimal, patternF812Oct 5, 2023

  Based on observation, interview and record review, the facility failed to prepare, serve, and store food in a manner in accordance with professional standards for food safety. The findings included: 1). During the initial kitchen tour, on 10/03/23 at 9:44 AM, accompanied by the Certified Dietary Manager (CDM) the following were observed: a. There was an accumulation of ice from the fan guard directly over food items in the reach in freezer. b. The gasket on the reach in freezer was damaged in a manner that is not easily cleanable. c. There was an accumulation of residue inside of the fryer cabinet. d. The concentration of the quaternary ammonia used for sanitizing food and non-food contact surfaces was over 400 parts per million. […]