Westland House

In the surveyor’s words

From the most serious findings on record at Westland House, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF700May 3, 2024

  Based on observation, interview, and record review, the facility failed to ensure the proper use of side or bed rails ((adjustable rigid bars attached to the side of a bed) for 25 of 25 sampled residents (Residents 122, 120, 175, 70, 73, 1, 79, 125, 72, 126, 71, 74, 76, 128, 171, 75, 172, 127, 123, 173, 78, 121, 174, 77, and 170) when: 1. The facility failed to assess for the risk of entrapment from side rails prior to use of side rails for 25 of 25 residents (Residents 122, 120, 175, 70, 73, 1, 79, 125, 72, 126, 71, 74, 76, 128, 171, 75, 172, 127, 123, 173, 78, 121, 174, 77, and 170). 2. […]

• No harm, potential for more than minimal, widespreadF812May 3, 2024

  Based on observation, interview, and record review, the facility failed to ensure food items were labeled properly and expired food were not stored in the kitchen and accessible to be used in preparing foods for 23 of 25 residents. This practice had the potential to result in the residents ingesting expired food, which can result in foodborne illnesses. Findings: During a concurrent observation and interview on [DATE], at 8:43 a.m., with [NAME] A, in the walk-in refrigerator, three stalks of [NAME], and two bunches of cilantro were noted to be in a clear plastic container on the top shelf. No dates or labels were noted on the produce or the container which held the produce. Another clear plastic container held approximately 7 green squash with no labels on the produce or the container. […]

• No harm, potential for more than minimal, patternF755Sep 5, 2025

  Based on interview and record review, the facility failed to ensure a medication was administered timely in accordance with the physician order for one of 12 sampled residents (Resident 46). This failure had the potential for adverse health outcomes related to incorrect medication administration time.Findings:During a review of Resident 46's Medications Order Summary Report (MOSR), dated 9/4/25, the MOSR indicated Resident 46 had an order for Pantoprazole EC (or Enteric Coated--a polymer barrier applied to oral medication that prevents its dissolution or disintegration in the gastric (stomach) environment) tablet 40 mg [milligrams, unit of measure]. […]

• No harm, potential for more than minimal, patternF812Sep 5, 2025

  Based on observation, interview, and record review, the facility failed to prevent the spread of infections during kitchen observation when a staff member did not perform hand hygiene after touching a contaminated item. This failure had the potential to transmit infectious microorganisms and increase the risk of infection for residents and staff.Findings:During the initial kitchen tour observation with the Dietetic Technician Registered (DTR) on 9/3/25 at 9:09 a.m., the DTR picked up a dry mop (used to clean and extract dirt) on the floor under the three-compartment sink, then threw the mop in the garbage bin container. […]

• No harm, potential for more than minimal, patternF814Sep 5, 2025

  Based on observation, interview, and document review, the facility failed to ensure the garbage dumpster (a movable waste container) lid was kept closed. This failure had the potential to attract insects, rodents, and other pests to the facility.Findings:During a concurrent observation and interview 9/4/25 at 3:05 p.m., with the Dietetic Technician Registered (DTR), there were two dumpsters in the facility's designated waste area. One of the receptacles was for cardboard and one receptacle was for garbage. The receptacle lids for the garbage was open. The DTR confirmed the garbage dumpster lid was open. The trash had some flies flying around it. […]